病可以速效致者。必惟元气壮盛。诸气未亏。或偶感三阳表证。与乎饮食
内伤。及暴受寒冷者。治不数剂。便得痊可。至于五痨七伤六极重恙。若肯精修确服纯王善
药。渐涵数载。方有生机。尚亦有不治者。敢用杂霸异术。攻击眼前。大伤元气。旋即倒戈
败绩者乎。吴文定公家藏集云∶陈汝中尝病脾胃郁火之症。求治于盛用美。诊其脉曰如此治
可生。如彼治即死。如此治可以少生。如彼治可以速死。既而治之。汝中迟其效。或以浮屠
善医荐者。汝中惑其说。遂求治。饮其药。呕血一升遂死。噫医以用药。药以攻病。病不能
去而反以致死。则何以医药。为哉彼浮屠者悉庸妄人也。目不识医经。口不辨药性。指不察
脉候。人之虚实。病之新久。一切置之不问。而惟毒药攻击之。其杀人盖亦多矣。予咎汝中
之不善。择医而致速死特书此以为世轻服药者之戒。
今夫医者病者。每获一方一药之善。谓能通治众疾。不啻窭丐之获异宝。珍
秘自矜。岂知滋害为甚。抑何懵懵不会也。夫人有贫富贵贱之殊。老少强弱之禀。病有新
久虚实。藏有阴藏阳藏。土地高下不一。物理刚柔异宜。黄帝兴四方之问。岐伯举四治之能。
临病之师。宜须细审。尚有一病而投数方。未有一方可疗数病者。罗太无云∶用古方治今病
。政如拆旧屋揍新屋。其材木非一。不用经匠氏之手。其可用乎。许叔微释微论曰予读仲景
书用仲景法。然未尝守仲景之方乃为得仲景之心也。语云学方三年无病可医学医三年无方可学旨哉言乎。
Diseases that can be cured rapidly must involve robust Yuan Qi (Original Qi) and unimpaired Qi, or cases of occasional exterior syndromes of the Three Yang meridians, dietary injuries, or sudden exposure to cold. Treatment requires only a few doses for recovery. As for severe conditions such as the Five Wasting-and-Thirst disorders (Wu Lao), Seven Injuries (Qi Shang), and Six Extremities (Liu Ji), if one is willing to cultivate carefully and take pure, effective medicines consistently over several years, there may be a chance for survival. Even so, some remain incurable. How could one dare to use eclectic, aggressive, and unconventional methods to attack immediate symptoms, thereby severely damaging Yuan Qi and leading to rapid deterioration? The Family Collection of Duke Wu Wending records: Chen Ruzhong once suffered from Stomach-Spleen Stagnant Fire syndrome and sought treatment from Sheng Yongmei. After palpating his pulse, Sheng said, "If treated this way, he will live; if treated that way, he will die. If treated this way, he may survive slightly longer; if treated that way, he may die quickly." Later, during treatment, Chen felt the efficacy was slow. Someone recommended a monk proficient in medicine. Chen, confused by these words, sought treatment from him. After drinking the monk's medicine, he vomited a sheng (approx. 1 liter) of blood and died. Alas! Physicians use medicine to attack disease. If the disease cannot be removed but instead leads to death, what is the purpose of medicine? That monk was entirely mediocre and arrogant; he did not understand medical classics, could not distinguish drug properties, and failed to examine pulse conditions. He ignored the patient's deficiency or excess and the newness or chronicity of the disease, relying solely on toxic drugs to attack. He likely killed many people. I blame Chen Ruzhong for his poor choice of physician, which led to his quick death. I record this specifically as a warning to those who take medicine lightly.
Physicians and patients today often obtain a good prescription or herb and believe it can treat all diseases indiscriminately, like a beggar finding a rare treasure, keeping it secret and boasting about it. They do not realize that this causes great harm. How ignorant they are! People differ in poverty, wealth, status, age, strength, and constitution. Diseases vary in duration, deficiency, and excess. Zang organs differ in Yin and Yang characteristics. Lands vary in elevation, and physical properties suit different conditions. The Yellow Emperor raised questions regarding the four directions, and Qibo demonstrated abilities in four treatments. Physicians facing illness must examine carefully. There are instances where one disease requires multiple prescriptions, but never one prescription cures multiple diseases. Luo Taiwu said, "Using ancient formulas to treat modern diseases is like dismantling an old house to build a new one; the timber is not uniform. Without the work of a skilled carpenter, can it be used?" Xu Shuwei, in *Shi Wei Lun*, stated, "I read Zhang Zhongjing's books and use his methods, yet I do not rigidly adhere to his formulas; this is truly grasping Zhang Zhongjing's intent." The saying goes, "Study formulas for three years, and there will be no sick people to treat; study medicine for three years, and there will be no fixed formulas to apply." These words are indeed profound.