一要∶先知儒理，然后方知医业。或内或外，勤读先古明医确论之书，须旦夕手不
释卷，一一参明，融化机变。印之在心，慧之于目，凡临症时，自无差谬矣。
二要∶选买药品，必遵雷公炮炙。药有根据方修合者，又有因病随时加减者，汤散宜
近备，丸丹须预制，膏药愈久愈灵，线药越陈越异。药不吝珍，终久必济。
三要∶凡乡井同道之士，不可轻侮傲慢，交接切要谦和谨慎。年尊者恭敬之，有学人
师视之，骄傲者逊让之，不及者荐拔之，如此自无谤怨，信和为贵也。
四要∶治家与治病同，人之不惜元气，斫丧太过，百病生焉。轻则支离身体，重则丧
命。治家若不固根本而奢华，费用太过，流荡日生，轻则无积，重则贫窘。
五要∶人之受命于天，不可负天之命。凡欲进取，当知彼心愿否，体认天道顺逆，顺
取人缘相庆，逆取子孙不吉。为人何不轻利远害，以防报之业也。
六要∶凡里中亲友人情，除婚丧疾病庆贺外，其余家务，至于馈送来往之礼，不可
求奇好胜。饭食只可一鱼一菜，一则省费，二则惜禄，谓广求不如俭用。
七要∶贫窘之家，及游食僧道，衙门差役人等，凡求看病，不可要他药钱，只当奉
药。再遇贫难者，当量力微赠，方为仁术。不然，有药而无火食者，其命难保。
八要∶凡有所蓄，随其大小盒饭，置买产业，以为根本。不可收买玩器，及不紧物
件，浪费钱财。又不可做入银会酒会，有妨生意。必当一例禁之，自绝谤怨。
九要∶凡应用各样物具，俱要精备齐整，不得临时缺少。又古今前贤书籍，及近时名
公新刊医理词说，必购备参阅，以进学问，此诚为医之本务也。
十要∶凡奉官衙所请，必当速去，毋得怠缓。要诚意恭敬，告明病源，开具方药。病
愈之后，不得图求匾礼，亦不得言说民情，致生罪戾。闲不近公，自当守法。
以上五戒十要，乃保身保家，守成之法。故直言而不文，当置于座右，朝夕一览。若
有贤能子孙，倘遵而行之，则可以成家立业。若不听信，必有饥寒不足之忧。凡人何不预
听，直待临时追悔，进退两难，将何及矣。
一要：先通晓儒家义理，然后才能懂得医学事业。无论是内科还是外科，都要勤奋研读古代名医确切精辟的著作，必须早晚手不释卷，逐一探究明白，融会贯通其变化机理。将这些道理印刻在心中，通过阅读开启智慧的眼目，凡是临证施治时，自然就不会出现差错谬误了。
二要：选购和购买药品，必须遵循雷公炮炙（古代药物加工方法）的法度。药物有按照既定方剂配方制作的，也有根据病情随时加减变化的。汤剂和散剂应当就近常备，丸药和丹剂必须预先制作，膏药存放时间越久越显灵验，线药（用于外科手术的线状材料或药物）陈放越久越有特殊功效。对药物不要吝惜珍贵之物，长远来看必定会有济世之效。
三要：凡是同乡及同行医者，不可轻视、侮辱或傲慢对待。交往接触务必谦虚、和蔼、谨慎。对年长者要恭敬对待，对有学问的人要像对待老师一样尊重，对骄傲自满者要谦逊退让，对能力不足者要推荐提拔。这样做自然就不会招致诽谤和怨恨，以诚信和谐为贵。
四要：治理家庭与治病道理相同，人如果不爱惜元气，过度损耗，各种疾病就会由此产生。轻则身体残损衰弱，重则丧失性命。治理家庭如果不巩固根本而追求奢华，费用过多，挥霍浪费日益增加，轻则没有积蓄，重则陷入贫困窘迫。
五要：人的命运由天赋予，不可辜负上天的使命。凡是有志于进取，应当知晓对方的意愿如何，体认天道顺逆的道理。顺应天道获取人脉会令人庆贺，违背天道行事子孙不吉。为人处世为何不轻视利益、远离祸害，以防备因果报应呢？
六要：凡是邻里亲友之间的人情往来，除了婚丧嫁娶、疾病慰问、喜庆祝贺之外，其余家务事以及馈赠往来的礼节，不可追求新奇、争强好胜。饭菜只需一鱼一菜即可，一则节省费用，二则珍惜福分，所谓广泛寻求不如节俭使用。
七要：对于贫困窘迫的家庭，以及游方乞食的僧侣道士、衙门差役等人，凡是请求看病，不可索要药费，只应当赠送药物。再遇到贫苦困难者，应当量力而行给予微薄资助，这才是仁爱的医术。否则，有些人有药却无钱买米做饭，他们的生命难以保全。
八要：凡是有积蓄，无论多少，都应当置办产业，作为家庭的根本。不可购买玩赏器物及非急需物品，浪费钱财。又不可参加银会、酒会等借贷聚会，以免妨碍生计。必须一律禁止这些行为，自然断绝诽谤和怨恨。
九要：凡是应用的各种器具物品，都要精心准备齐全整齐，不得临时缺少。另外，古今前贤的书籍，以及近代名家新刊印的医理论述，必须购置备阅，以提升学问，这确实是医生的本分事务。
十要：凡是奉官府衙门邀请，必须迅速前往，不得怠慢迟缓。要诚意恭敬，告知病源，开具方药。病愈之后，不得图求匾额礼物，也不得议论民间疾苦，以致招致罪过。闲居时不接近公权是非，自然应当遵守法度。
以上五戒十要，是保养自身、保护家庭、守成持家的方法。所以直言不讳而不加修饰，应当放置在座右，早晚浏览。如果有贤能的后代，倘若遵照实行，就可以成家立业。如果不听信，必然会有饥寒不足的忧虑。人们为什么不预先听从，直到临时追悔莫及，进退两难，那又来得及什么呢？
First Requirement: One must first understand Confucian principles before comprehending the medical profession. Whether dealing with internal or external diseases, one should diligently read the definitive works of ancient renowned physicians, keeping them in hand day and night without letting go, studying each point thoroughly to master their adaptive variations. Imprinting these truths in the heart and opening wisdom through the eyes, one will naturally avoid errors when treating patients.
Second Requirement: When selecting and purchasing medicinal materials, one must strictly follow Lei Gong's processing methods (traditional Chinese medicine processing techniques). Medicines may be prepared according to established formulas or adjusted based on specific conditions and timing. Decoctions (Tangji) and powders (San) should be kept readily available, while pills (Wan) and elixirs (Dan) must be prepared in advance. Plasters (Gaoyao) become more effective with age, and surgical threads or medicated cords (Xianyao) exhibit unique properties over time. Do not hesitate to spend on precious medicines; ultimately, they will serve to benefit others.
Third Requirement: Regarding fellow townspeople and colleagues in the medical field, one must not show contempt, insult, or arrogance. Interactions must be humble, amiable, and cautious. Respect elders, treat learned individuals as teachers, yield to the proud, and recommend/promote those who are less capable. By doing so, one avoids slander and resentment, valuing trust and harmony above all.
Fourth Requirement: Managing a household is akin to treating illness. If one does not cherish vital energy (Yuanqi) and causes excessive depletion, various diseases will arise. Lightly, this leads to physical debility; severely, it results in death. Similarly, if a household does not consolidate its foundation but pursues luxury, spending excessively leads to daily dissipation. Lightly, there are no savings; severely, poverty and distress ensue.
Fifth Requirement: Human life is bestowed by Heaven, and one must not betray this mandate. In any endeavor, one should consider whether the other party's wishes align, and discern the trends of Heavenly Dao. Aligning with favorable circumstances brings communal celebration, while opposing them brings misfortune to descendants. Why not disdain profit and avoid harm, thereby preventing karmic retribution?
Sixth Requirement: Regarding social interactions among neighbors and relatives, excluding weddings, funerals, illness visits, and celebrations, other domestic affairs and gift exchanges should not seek novelty or strive for superiority. Meals need only consist of one fish and one vegetable dish, which saves expenses and preserves fortune, illustrating that extensive seeking is inferior to frugal use.
Seventh Requirement: For impoverished families, wandering monks and Taoist priests, and government runners who request medical attention, one must not charge for medicine but rather donate it. For those in dire poverty, one should offer modest assistance according to one's capacity, embodying benevolent medical practice. Otherwise, some may have medicine but lack funds for food, making survival difficult.
Eighth Requirement: Any accumulated wealth, regardless of amount, should be used to acquire property as a fundamental asset. Do not purchase ornamental items or non-essential goods, wasting money. Nor should one participate in silver associations or drinking clubs, which hinder business. Such practices must be prohibited to cut off sources of slander and resentment.
Ninth Requirement: All necessary tools and equipment must be meticulously prepared and complete, avoiding shortages at critical moments. Furthermore, books by ancient sages and recent publications on medical theories by famous scholars must be acquired and studied to advance knowledge, which is indeed the primary duty of a physician.
Tenth Requirement: When summoned by government offices, one must respond promptly without delay. One must act with sincerity and respect, explain the disease origin, and prescribe medication. After recovery, one must not seek plaques or gifts, nor discuss civil grievances, to avoid legal trouble. Staying away from public affairs ensures adherence to law and order.
The above Five Prohibitions and Ten Requirements are methods for self-preservation, family protection, and maintaining legacy. Thus, they are stated plainly without literary embellishment and should be placed beside the seat for morning and evening review. If virtuous descendants follow them, they can establish a family and career. If ignored, hunger and cold will surely follow. Why do people not heed this advice beforehand, waiting until regret comes too late when facing difficulties? What good would it do then?