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Chen Meigong stated that the monastic community is like a large relief institution. Yao Guangxiao held an official position at the peak of ministerial rank. His sister, merely a woman from a poor family, still cursed him for not acting like a proper monk. Alas!

What kind of outstanding talents have emerged from this "relief institution" (referring to the monastic community)? The medical lineage of Liu Hejian was transmitted from a Buddhist monk (Futu). Although he could elucidate the principles of the Five Movements and Six Qi (Wuyun Liqi), he always claimed that all cases of Shanghan (Cold Damage) belong to heat diseases; he further advocated that all diseases ultimately归结 to dampness and fire; and he asserted that there are no cold patterns in various bleeding disorders. This has led to mediocre doctors today blindly adhering to his theories, prescribing indiscriminately, killing people, and causing significant harm to society. While the world was indeed misled by Hejian, Hejian was actually misled by the Buddhists, which has its historical roots.

I have witnessed one or two arrogant monks boasting about medicine, severely deviating from classical texts, deceiving people by claiming divine revelation, and dazzling the eyes of the vulgar with their showmanship. Are their sins not punishable by death?

Let me cite one or two examples to prove their fallacies. My fellow townsman Mr. Lin's second son originally suffered from Jia Yin Zheng (a condition characterized by external wind-cold invasion combined with internal accumulation of cold). However, he was wrongly treated according to the theory that "all Shanghan belongs to heat disease," promoted by Hejian, and unjustly died under the care of a lay-monk named Ma. Furthermore, my own younger sister's husband, the eldest son of Mao Tianyu (a Ming Jing degree holder), fell ill due to negligence in his youth. He presented with dual deficiency of Yin and Yang, tidal fever, thirst, vomiting, chest oppression, loose stools, and inability to eat. A monk physician treated him with Liuwei Wan (Six-Ingredient Pill with Rehmanniae) added with Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma). Fortunately, I intervened and stopped it, leading to a change in prescription. Most physicians in the world are similar to this. Alas! When will the suffering of the common people cease?

The so-called "famous doctors" are not wise and virtuous scholars, but mediocre and incompetent rough craftsmen. They possess no real learning but cleverly steal a false reputation to dazzle others. As Tao Shi wrote in his preface: "Medicine is entrusted with life and death; it cannot be arbitrarily decorated or fabricated." Nowadays, those who inherit the medical profession often rely on their fame rather than studying diligently. People in various commanderies and states value reputation over practical knowledge, competing to praise each other based on rumors, pursuing only empty fame, which is truly pitiable.

Xu Chunfu said: "Imprecise medical skills kill people." I deeply criticize contemporary doctors who focus only on outward appearance and rely on eloquent speech. When treating patients, they act rashly and wildly. If they happen to succeed by luck, they demand various benefits. When they cause harm or death, they claim it is because the patient's "life span had ended" (Jinming). The public has grown accustomed to this excuse, saying "medicine is not difficult." As the saying goes: "Only when one learns to feel shame does one realize the lack of skill." Yet, this attitude extinguishes any sense of shame or guilt.

Zhi Bingzhong stated: In the past, Bian Que (Yue Ren) found that Gong Hu had strong will but weak Qi, being resourceful but lacking decisiveness; Zhao Qiying had weak will but strong Qi, lacking deliberation but being stubborn. Thus, he gave them medicinal wine to exchange their hearts, making both into renowned scholars. Observing modern patients, they tend to prioritize doctors with fame, disregarding whether the doctor has studied books or understands pulse diagnosis. They call them contemporary doctors, blessed doctors, or famous doctors. Once recommended by powerful figures, these doctors treat patients regardless of competence. Even if the patient dies, the family accepts it as fate without complaint. Therefore, many doctors fawn upon the powerful, flattering and lowering themselves to seek recommendations, seeking profit and fame. Those with insight laugh at and discuss them, noting they possess neither benevolent heart nor benevolent reputation. How can we expect such people to undergo a heart exchange via medicinal wine? But if a patient's disease has reached the point of no return (Gaohuang), truly incurable, then it is beyond the scope of mere medicinal wine.

I also believe that such people appear imposing, resembling virtue; their voices are loud, resembling capability. They are merely donkeys from Qian (a metaphor for someone with limited ability pretending to be great).