扁鹊论医病有六不治∶骄恣不论于理,一不治也;轻身重财,二不治也;衣食不
能适,三不治也;阴阳并脏气不定,四不治也;形羸不能服药,五不治也;信巫不
信医,六不治也。云林子曰∶越人之论,一、三、四、五、六是矣,二则于予心有未适
然者,何也?轻者,彼轻也,重者,彼重也,彼轻而我重之,则彼之生,可活矣。不
然彼以一吝而丧生,固病者之不智,予以一吝而不治,亦医者之不仁。噫!古之神
医如此意犹存,则世医可知矣。
(无名氏辑)
医士贫富一体,细心审察定方,疗一轻疾,不取酬。(一功。)疗一关系性命重疾,
虽取酬。(准十功。)不取酬者。(准百功。)若待极
贫人,并能施药不吝,照钱数记功。(虽一剂药不满十文,亦准一功。)倡募刻一济人善书。
(随缘乐助易,倡首劝募难,故特记五十功,助者以施之多寡记功。)为师就一人学业,品行兼全。(准
百功。)遇贫人危疾,助医药钱米。(百钱,准一功。贫人偶为之者,虽十钱、五钱与百钱同论。)疫
疠设局施药施医。(百钱,准一功。)普施应病丸散膏药。(百钱,准一功。)刻施经验良方。(百
钱,准一功。)秘一经验方。(二十过。)误一门人。(五十过。)
(山左邢尚卿讳朝耀辑)
诊脉不轻率。用药极慎重。虽贵药勿减分两,遇急病请到即行。不因钱少银低
迟滞。不因饮酒宴乐推辞。不因严寒暑雨,惮于远赴。不因错认病证,曲自回护。认
病不真实,必令邀医会议。细心询问病由,不可以病试药。不用霸道药,求其速效。不
用相反药,迟其痊愈。(疾本易治,故意延之,以图浓谢,外科尤甚,造恶莫大焉。)不因重病险疮,
背勒浓谢。不与同道水火,误及病患。(上二条医家尤多犯,此弊最宜痛戒。)不妄惊病家。不哄
用假药。(丸散尤戒。)不轻忽贫贱病患。肯捐药救治贫病。施效验方。禁打胎药。不先待
药资到手,然后发药。不定乘车轿费人财物。不图省便,将药同器浸制。不因行得
高抬声价难人。不方秘,不传假方与人。
Bian Que discussed six conditions under which diseases are not to be treated: arrogance and indulgence without regard for reason, this is the first condition for non-treatment; despising one's health while valuing wealth, this is the second condition for non-treatment; inability to adapt diet and daily life, this is the third condition for non-treatment; disorder of Yin and Yang with unstable Zang-Fu Qi (Vital Energy of the internal organs), this is the fourth condition for non-treatment; extreme emaciation and weakness such that medication cannot be taken, this is the fifth condition for non-treatment; believing in shamans but not trusting doctors, this is the sixth condition for non-treatment.
Yun Linzi said: "Among Yue Ren's (i.e., Bian Que's) discussion, the first, third, fourth, fifth, and sixth conditions are correct, but I feel somewhat uncomfortable with the second condition. Why? 'Light' and 'heavy' refer to the patient's own perception. If the patient considers their condition light but I consider it heavy, then the patient's life can be saved. Otherwise, if the patient loses their life due to stinginess, it is indeed the patient's lack of wisdom; but if I refuse to treat them because of their stinginess, it is also the doctor's lack of benevolence. Alas! Even ancient divine physicians harbored such sentiments, so one can imagine the state of contemporary physicians."
(Compiled by Anonymous)
Physicians should treat patients regardless of wealth or poverty equally, carefully examining to determine prescriptions. Curing a mild disease without accepting remuneration counts as one merit. Curing a severe, life-threatening illness, even if remuneration is accepted, counts as ten merits. Not accepting any remuneration counts as one hundred merits. When encountering extremely poor individuals and generously providing medicine, merit is recorded according to the monetary value. (Even if one dose costs less than ten wen, it counts as one merit.) Advocating and fundraising to carve and print a book of charitable deeds for saving people. (Voluntary donations are easy, but leading the fundraising is difficult, so fifty merits are specifically recorded; helpers record merits based on the amount donated.) Teaching one apprentice both academic skills and moral character counts as one hundred merits. Assisting with medical expenses and rice for poor patients in critical condition: one hundred coins count as one merit. For occasional acts by the poor, whether ten, five, or one hundred coins, they are judged equally. Setting up clinics to provide medicine and medical services during epidemics: one hundred coins count as one merit. Universally distributing effective pills, powders, ointments, and plasters for specific ailments: one hundred coins count as one merit. Carving and distributing proven good prescriptions: one hundred coins count as one merit. Concealing a proven prescription counts as twenty demerits. Misleading an apprentice counts as fifty demerits.
(Compiled by Xing Chaoyao from Shandong)
Pulse diagnosis is not done rashly. Medication use is extremely cautious. Even for expensive herbs, the dosage is not reduced. In cases of acute illness, one goes immediately upon invitation. One does not delay due to low remuneration or poor quality silver. One does not decline due to drinking banquets. One does not fear traveling far due to severe cold, heat, or rain. One does not cover up errors in diagnosing the condition. If the understanding of the disease is not accurate, other physicians must be invited for joint consultation. Carefully inquire about the cause of the illness; do not test drugs on patients. Do not use harsh/potent drugs seeking rapid effects. Do not use contradictory drugs that delay recovery. (Diseases may be easy to cure, but deliberately prolonging them to seek larger rewards is a great evil, especially in surgery.) Do not extort large rewards behind the scenes for severe illnesses or dangerous sores. Do not engage in rivalry with colleagues, thereby harming patients. (The above two points are frequently committed by physicians; this malpractice should be strictly warned against.) Do not casually frighten the patient's family. Do not deceive with fake medicines. (Especially avoid this for pills and powders.) Do not slight patients of humble status. Be willing to donate medicine to save the poor and sick. Distribute effective prescriptions. Prohibit abortion-inducing drugs. Do not wait for payment before dispensing medicine. Do not demand excessive travel fees or property. Do not save trouble or cost by soaking different medicines together in one vessel. Do not inflate one's reputation through arrogant behavior to make others uncomfortable. Do not keep formulas secret, nor give fake formulas to others.