汉贾长沙有云古之至人。不居朝廷。必隐于医卜。司马公亦曰达则为良相。不达则为良医于
是丹溪先生。反笈华山。弃举子业。而即慨然自命曰。士苟精一艺以推及物之仁虽不仕于时
犹仕也。若人也苟全性命于乱世。不求闻达于诸侯。弁髦轩冕。调元草野蕴德潜修斯云隐矣
亦岂必遁迹幽岩忘怀胞与。陶弘景虽挂冠神武。而留方肘后。江明远固不受宋室之官。
每辄副明主之请是则皆隐而通不失其济物之仁者也。
昔明太祖治平天下。首着阴 录。设医局以惠济群生。宛与轩岐一揆。远轶汉唐。诚仁恩周
溥无穷矣。稽之往代。若徐文伯钱仲阳杨士瀛皆济人为心。不计功利。宋刘润芳治贫家疾。辄
怀金置席下。别时令家人自得之。病者一喜而疾以解。东坡亦常蓄善药济人。二公存心固诚
善。但博施犹病。日亦不足耳总不如存一个好念头凡胗疾无论贵若王侯卿相贱如倩佣丐儿皆
一视同仁亦无计恭慢恩怨悉心救疗遇有奇病未明我见不到处。便令再延识者商治勿专私意勿
讳我短勿没人长期愈人病遇急来请勿避风雨此便是受用不尽的德也有等粗工庸手。不习经书
脉理。不管病症重轻。轻易投剂。陷人垂死。反谤正道。负恶不悛。见有此人。盒饭逢人说
害马。免使无穷生灵将来误于此辈虽曰隐恶扬善。固称圣人若推扩圣人之心政要教无穷生灵
避此粗工庸手安能恝然忍隐乎此非不存浓道。但一片苦衷。只知有生灵之性命。不知有同类
之包荒也。且亦使若辈改心易行。转庸手而为良工。儆戒一番。望其同跻寿域。宁不大幸。
至有良工。吾又逢人赞扬。不啻口出。暴庸手之谬。举良工之善。总为生灵起见。何恤知我
罪我此尤是善用其德者也溯昔勋臣邓禹十三子。各执一艺。而业医者四。若公者励操素丝。
享士挟纩。荣膺上爵。奈何不遗子孙以温饱。而独令其役役于方技之列以竟所未竟之仁是公
又世滋其德矣。
Jia Yi, the Grand Administrator of Changsha in the Han Dynasty, said that ancient sages, if not holding high office in the court, would necessarily hide themselves in medicine and divination. Sima Guang also stated that when successful, one becomes a virtuous prime minister; when unsuccessful, one becomes an excellent physician. Therefore, Mr. Zhu Danxi packed his bags for Mount Hua, abandoned his studies for the civil service examinations, yet generously declared to himself: "If a scholar masters a skill to extend the benevolence of empathy to others, even if he does not serve as an official in his time, it is equivalent to serving." Such a person, preserving life in chaotic times, seeking no fame among feudal lords, treating high ranks and noble titles as discarded hair ornaments, harmonizing vital energy in the countryside, harboring virtue and cultivating secretly—this can be called "hiding" (Yin). Must one necessarily retreat to secluded rocks and forget about caring for all under heaven? Tao Hongjing hung up his cap at the Shenwu Gate but left behind the *Zhouhou Beiji Fang* (Emergency Prescriptions Kept Up the Sleeve); Jiang Mingyuan certainly refused official posts from the Song dynasty, yet frequently responded to the requests of enlightened rulers. These are all those who hide yet remain accessible, never losing their benevolence to aid all things.
In the past, after Emperor Taizu of Ming pacified the world, he first promulgated important edicts and established medical bureaus to benefit and relieve all living beings. This aligns with the principles of Xuanyuan (Yellow Emperor) and Qibo, far surpassing the Han and Tang dynasties, truly representing boundless and universal benevolent grace. Looking back at previous dynasties, figures such as Xu Wenbai, Qian Boyi (Qian Zhongyang), and Yang Shiying all had saving people as their heart's intent, disregarding personal merit and profit. Liu Runfang of the Song dynasty, when treating illnesses of poor families, would often carry gold and silver placed under the bedsheet, leaving them for family members to take away after he departed; the patients' joy led to their recovery. Su Dongpo also often stored good medicines to help others. The intentions of these two gentlemen were indeed sincere and kind, yet even broad application of charity feels insufficient in time and effort. It is altogether better to maintain a good thought: whenever diagnosing illness, whether the patient is a king, prince, or minister, or a lowly servant or beggar, treat them equally without regard for respect or rudeness, gratitude or enmity, and provide careful treatment. For rare diseases where my understanding falls short, instruct others to invite knowledgeable practitioners to discuss together; do not cling to private opinions, do not conceal my shortcomings, do not obscure others' long-term benefits. Curing diseases, do not avoid wind and rain when urgent requests come. This is the inexhaustible "Virtue" (De).
There are some crude and mediocre doctors who have not studied classics and pulse diagnosis, disregard the severity of conditions, prescribe lightly, causing patients to near death, and then slander the orthodox path, committing evil without repentance. Upon seeing such people, one should tell everyone they are horses that spoil the herd, to prevent countless lives from being misled by such groups in the future. Although it is said that hiding faults and praising virtues is the way of a sage, if we expand the sage's heart, we must teach countless lives to avoid these crude doctors. How can we bear to remain silent? This is not lacking in Dao, but stems from a bitter sincerity, knowing only the lives of sentient beings, not the tolerance for one's own kind. Moreover, this allows such individuals to change their hearts and conduct, transforming from mediocrities into skilled physicians. Through warning them, hoping they attain longevity together, is this not a great fortune? As for skilled physicians, I praise them to everyone, speaking endlessly. Exposing the errors of mediocrities and highlighting the goodness of skilled physicians is entirely for the sake of sentient beings. Why worry about being understood or blamed? This is especially using Virtue well. Tracing back, the thirteen sons of Meritorious Official Deng Yu each mastered a skill, four of whom practiced medicine. Like Lord Deng, who maintained purity like unbleached silk, enjoyed the warmth of scholars, and received high nobility, why did he not leave wealth and food to his descendants, but instead made them toil in the ranks of technical arts to complete unfinished benevolence? Thus, Lord Deng further propagated his virtue through generations.