每见有名医家，不数年间，必获浓资。其间实缘治疗得当，而愈人者固多；侥幸而得者
亦复
不少。当虔修良药，以施贫苦，疏财帛以行利人利物之事，则天亦原其情而锡之福也。莫谓
我道胜人，分应坐享，求田问舍，以传子孙；墓木未拱，已有资产废弃者比比也。何如仍行
好事，再种来生之福耶？
中才之辈，其通塞盖有时也。往昔同里一医，专心好学，年至半百终岁门巷萧然。忽一
日有
嘉兴地界乡豪俞姓者，三房其一子，有病甚危，因荐来邀。其时早秋，衣服须纱，乃假诸相
好而就，同来舟而往。途中问及病者，平时爱嗜何物，使者指舟旁之菱曰∶最爱此。而采菱
之人，大肆詈言。盖谓新落水船，桐油气未退，而菱花遇桐油气辄萎，为此喧哗。耳闻之，
忽然有得，潜抓舟内油滞作丸，如梧子大者十粒，以纸包装佩囊中。及诊脉间，问何所苦？
言胸满腹胀，身热不解，前医用硝朴、枳实，攻之无效。近添浆水不入，稍纳即呕，病势危
急，默喜对症。曰∶此上下阻隔，再迟二三日，则无救矣。幸带有神丸，先用汤灌下。出堂
开方，不过消导行气之剂。买药须往返经时，而病者腹中已雷动矣。及煎药服下，即如圊，
下黑燥粪，继溏者甚多，即饥而思纳。病家上下无不欢悦，以庆再生，留款数日，浓馈而返
。于是日行一日，名动公卿矣。前辈云∶此医金姓，字不知。观此则白蕈散，亦非妄语也。
我常常见到一些有名的医生，没过几年就能积累丰厚的财富。这其中确实是因为治疗得当，治愈的病人固然很多；但靠侥幸获得财富的也不在少数。应当虔诚地准备良药，施舍给贫苦之人，散尽钱财去做利益他人、造福万物之事，那么上天也会体谅他的情义而赐予他福报。不要认为我的医术胜过别人，理应坐享其成，去购置田产房屋，留给子孙后代；要知道，连墓前的树木都还未合抱（指人去世不久），就已经有资产被废弃的情况比比皆是了。这哪里比得上继续行善积德，为来世再种下福根呢？
中等才能的人，他们的运势通达与否是有一定时机限制的。过去同乡有一位医生，专心好学，到了五十岁，整年家里门庭冷落，无人问津。忽然有一天，嘉兴地界的一位乡绅姓俞的人家，三房中有一个儿子病得很重，因此推荐并邀请这位医生前去诊治。当时正值早秋，衣服需要穿纱质衣物，他便向好友借了一件，一同乘船前往。途中询问病人平时喜欢吃什么，使者指着船边的菱角说：“最喜欢这个。”而采菱的人却大声辱骂。原来是因为新下水的船，桐油的气味还没有散去，而菱花遇到桐油气就会枯萎，因此引起喧哗。医生听到后，忽然有所感悟，悄悄刮取船内的油污制成药丸，大小如梧桐子，共十粒，用纸包好放在佩囊中。等到诊脉时，询问病人有什么痛苦？病人说胸部胀满、腹部胀大，身体发热不退，之前医生用了芒硝、厚朴、枳实等攻下药，但没有效果。最近连浆水都喝不进去，稍微吃点东西就呕吐，病情危急，医生暗自高兴觉得对症。他说：“这是上下气机阻隔，再拖延两三天，就没法救治了。幸好我带了神效丸，先用汤药送服下去。”走出诊室开方，不过是消食导滞、行气的药剂。买药需要往返花费时间，而病人的腹中已经雷鸣般作响。等到煎好药服下，立即像上厕所一样，排出黑色干燥的粪便，接着排出的稀便也很多，随即感到饥饿想吃东西。病人家属上下无不欢悦，庆幸病人死里逃生，留医生住了几天，给予丰厚馈赠后返回。从此以后，医生一天比一天忙碌，名声震动公卿贵族。前辈说：这位医生姓金，名字不详。看这件事，白蕈散的说法也不是妄语。
I often see famous physicians who, within a few years, accumulate substantial wealth. This is indeed partly because their treatments are appropriate and they cure many patients; however, those who gain wealth through luck are also numerous. One should diligently prepare good medicines to distribute to the poor, and dispense wealth to perform acts that benefit others and all living things. In this way, Heaven will understand their intentions and bestow blessings upon them. Do not think that because your medical skill surpasses others, you are entitled to sit back and enjoy the fruits of your labor, buying fields and houses to pass down to descendants. Before the trees by one's grave have grown thick enough to embrace (a metaphor for a short time after death), there are countless cases where assets have been squandered or abandoned. How does this compare to continuing to do good deeds and planting the seeds of fortune for the next life?
Physicians of average talent experience periods of both success and failure. In the past, there was a physician from my hometown who studied with great dedication. By the age of fifty, his home remained quiet and devoid of visitors throughout the year. Suddenly, one day, a local gentry surnamed Yu from the Jiaxing region invited him. One of the three sons in the Yu family was critically ill. It was early autumn, and he needed to wear gauze clothing, so he borrowed it from a close friend and traveled by boat together. On the way, when asked what the patient liked to eat, the messenger pointed to water caltrops beside the boat and said, "He loves these the most." However, the water caltrop gatherers were cursing loudly. This was because the newly launched boat had not yet dissipated the smell of tung oil, and water caltrop flowers wither upon contact with tung oil vapor, causing an uproar. Hearing this, the physician suddenly had an insight. He secretly scraped the oil residue from the boat, made it into pills the size of *Semen Sinapis Albae* (white mustard seed), ten in total, wrapped them in paper, and kept them in his pouch. When examining the pulse, he asked about the patient's suffering. The patient reported chest fullness, abdominal distension, and persistent fever. Previous doctors had used purgatives such as *Natrii Sulfas* (Mirabilite) and *Cortex Magnoliae Officinalis* (Houpo) combined with *Fructus Aurantii Immaturus* (Zhishi), but to no avail. Recently, the patient could not even keep down liquid food, vomiting immediately upon ingestion. The condition was critical, and the physician secretly rejoiced that his intuition matched the symptoms. He said, "This is a blockage of Qi between the upper and lower jiao. If delayed by two or three more days, it will be incurable. Fortunately, I have brought miraculous pills. Administer them first with decoction." After leaving the consultation room to prescribe, the prescription consisted merely of herbs for promoting digestion and moving Qi. Buying the medicine would take considerable time, but by then, the patient's abdomen was already rumbling like thunder. Once the decoction was prepared and taken, the patient immediately defecated black, dry stools, followed by a large amount of loose stool. Soon after, the patient felt hungry and desired food. The patient's family was overjoyed at every level, celebrating the recovery from near-death. They hosted the physician for several days and gave him generous gifts before he returned. From that day on, his practice became busier day by day, and his fame spread among the nobility and high officials. An elder once remarked: This physician was surnamed Jin, though his given name is unknown. Observing this case, the efficacy of *Bai Xun San* (White Mushroom Powder) is indeed not mere talk.