金华戴原礼学于朱彦修既尽其术来吴中为木客吴人以病谒者每制一方率银若干耳仲光时
为儒
未知医也慕而谒焉因咨学医之道原礼曰熟读素问耳仲光归而习之三年原礼复来见仲光谈论大
骇以为不如恐坏其技于是登堂拜母以定交时仲光虽得纸上语未能用药原礼有彦修医案十卷秘
不肯授仲光仲光私窥之知其藏处俟其出也径取之归原礼还而失医案悔甚叹曰惜哉吾不能终为
此惠也于是仲光之医名吴下(杨南峰苏谈)
淮南蒋用文儒而医老益精练由戴原礼荐入为御医永乐中升院判极蒙宠异仁宗特加院使赐
谥恭毅 国朝太医院官赐谥唯公一人而已吾乡沈以潜宣德间征人为医士未甚知名会院判蒋用文
病上遣中使问之曰卿既死谁可代者用文书以潜名进即擢为御医进对称旨 上谓用文能知人以
潜为不负所举矣观此则知前辈忠浓之风互相推荐有如是夫
曾德显云人有恒心践履端谨始可与言医道矣凡有请召不以昼夜寒暑远近亲疏富贵贫贱闻
命即
赴视彼之疾举切吾身药必用真财无过望推诚拯救勿惮其劳冥冥之中自有神佑如临安张彦明为
医未尝计利应有求药期于必效一日城中火灾周遭 尽烟焰中独存其居厥后子孙荣显以此见天
道好还信不诬矣(活幼心书)
昔钱乙在宋神宗时治皇子仪国公病螈 国医莫能治乙进黄土汤遂愈神宗问曰黄土汤何以
愈斯疾乙对曰以土胜水木得其平则风自止且诸医所治垂愈已小臣适当其愈耳神宗悦其对尝
赉甚浓余近见丹溪先生诲子十说其一云同道中切宜谦和不可傲慢于人年尊者恭敬之有学人师
事之倘有医类但当义让不可攘夺致怨招谤经云礼之用和为贵噫观二公之谦德足以为后学之
楷范
金华人戴原礼师从朱彦修,学得了他的全部医术后来到吴中地区做医生。当地百姓若有生病求医的,他每次开一方药,通常只收取若干银两。当时杨仲光还是一名儒生,不懂医学,因仰慕戴原礼而前去拜见,咨询学习医学的方法。戴原礼说:“只要熟读《素问》罢了。”杨仲光回家后潜心研习,三年后戴原礼再次见到他,谈论起医理来大为惊讶,认为自己的水平不如杨仲光,担心技艺被超越,于是登门拜见其母亲以确立交情。当时杨仲光虽然掌握了书本上的理论,但还不能实际用药。戴原礼有朱彦修的医案十卷,秘密收藏不肯传授给杨仲光。杨仲光私下窥探得知其藏匿之处,趁戴原礼外出时径直取回。戴原礼回来发现医案丢失,非常后悔,叹息道:“可惜啊,我不能最终给予这份恩惠了。”从此以后,杨仲光的医术名声在吴地传扬开来。(出自《杨南峰苏谈》)
淮南人蒋用文既是儒生又是医生,年纪越大医术越加精纯。经由戴原礼推荐进入宫廷担任御医。永乐年间升任太医院院判,极受皇帝宠爱和特殊礼遇。仁宗特加封他为太医院使,赐谥号“恭毅”。本朝太医院官员中获赐谥号的只有他一人。我同乡沈以潜,在宣德年间被征召入宫为医士,当时并不怎么出名。恰逢院判蒋用文患病,皇上派遣宦官询问他说:“你如果死了,谁可以替代你?”蒋用文写下沈以潜的名字进呈,皇上随即提拔沈以潜为御医。沈以潜的回答符合皇上的心意,皇上对蒋用文说:“你能知人善任,沈以潜没有辜负你的举荐。”看这件事就知道前辈们忠厚淳朴的风气,互相推荐竟是如此深厚。
曾德显说:一个人如果有恒心,行为端正谨慎,才可以与他谈论医道。凡是有人请诊,不论昼夜、寒暑、远近、亲疏、富贵贫贱,听到命令立即前往。看待病人的疾病,要像对待自己一样关切;用药必须选用真材实料,不贪图钱财,不要有过高的期望;推诚布公地拯救病人,不害怕劳累。冥冥之中自然会有神明保佑。例如临安人张彦明行医,从未计较利益,只要有求药者,必定追求疗效。有一天城中发生火灾,周围房屋尽成灰烬,唯独他的居所未被烧毁。后来他的子孙荣华显贵,由此可见天道好还(因果报应),确实不是欺骗人的话。(出自《活幼心书》)
从前钱乙在宋神宗时期治疗皇子仪国公的病,患的是瘈疭(抽搐)。国医们都不能治愈。钱乙进献黄土汤,病便痊愈了。神宗问道:“黄土汤为什么能治好这种病?”钱乙回答说:“因为土能胜水,木气得到平衡,风邪自然停止。况且各位医生治疗的病情已经接近痊愈,只是小臣我恰好赶上病人该好的时候罢了。”神宗对他的回答很满意,曾经赏赐丰厚。我最近看到丹溪先生教诲儿子的十条说法,其中一条说:同行之间切宜谦虚平和,不可对人傲慢。对年长者要恭敬,对有学问的人要像老师一样侍奉。如果有其他医生同行,应当依义礼让,不可强占抢夺以致招致怨恨和诽谤。经书说:“礼的运用,以和谐为贵。”唉,观察这两位先生的谦逊品德,足以成为后学的楷模。
Dai Yuanli from Jinhua studied under Zhu Yanxiu, mastering all his techniques before coming to the Wuzhong region to practice medicine. When local people sought medical treatment, he would prescribe a formula for each case, typically charging only a certain amount of silver. At that time, Yang Zhongguang was still a Confucian scholar and did not understand medicine. Out of admiration for Dai Yuanli, he visited him to inquire about the path of learning medicine. Dai Yuanli said, "Simply read the *Suwen* (Plain Questions) thoroughly." Upon returning home, Yang Zhongguang studied it diligently. Three years later, when Dai Yuanli met him again, he was greatly astonished by their discussion on medical principles, believing that his own knowledge was inferior to Yang's. Fearing that his skills might be surpassed, he went to Yang's house to pay respects to his mother to establish a formal friendship. Although Yang Zhongguang had mastered the theoretical knowledge from books at that time, he was not yet able to apply it clinically. Dai Yuanli possessed ten volumes of Zhu Yanxiu's medical cases, which he kept secret and refused to teach to Yang. Yang secretly observed where they were hidden and, while Dai was out, took them home. When Dai returned and discovered the loss of the medical cases, he regretted it deeply, sighing, "Alas, I could not ultimately bestow this favor." From then on, Yang Zhongguang's reputation as a physician spread throughout the Wu region. (From *Yang Nanfeng Su Tan*)
Jiang Yongwen from Huainan was both a scholar and a physician, becoming more refined in his practice with age. Recommended by Dai Yuanli, he entered the imperial court as an Imperial Physician (*Yiyi*). During the Yongle reign, he was promoted to Vice President of the Imperial Medical Bureau (*Yuanpan*), receiving exceptional favor and distinction. The Emperor Renzong specifically elevated him to President of the Imperial Medical Bureau (*Yuanshi*) and posthumously honored him with the title "Gongyi" (Respectful and Resolute). He was the only official of the Imperial Medical Bureau in our dynasty to receive a posthumous title. Shen Yiqian, a fellow townsman of mine, was conscripted into the capital as a Medical Attendant (*Yishi*) during the Xuande reign but was not very famous at the time. When Vice President Jiang Yongwen fell ill, the Emperor sent an eunuch to ask, "If you were to die, who could replace you?" Jiang Yongwen submitted Shen Yiqian's name. The Emperor immediately promoted Shen Yiqian to Imperial Physician. Shen's responses pleased the Emperor, who remarked to Jiang Yongwen, "You know how to recognize talent; Shen Yiqian has not failed your recommendation." Observing this, one can see that the loyal and honest ethos of the seniors involved mutual recommendations of such depth.
Zeng Dexian stated: Only when a person possesses perseverance and conducts themselves with integrity and caution can one discuss the Way of Medicine with them. Whenever summoned for consultation, regardless of day or night, cold or heat, distance, closeness, or whether the patient is rich or poor, one must respond immediately upon hearing the call. One should view the patient's illness as if it were one's own; medications must be genuine, without greed for wealth or excessive expectations; one should save patients with sincerity and not fear labor. In the unseen realm, there will naturally be divine protection. For example, Zhang Yanming from Lin'an practiced medicine without ever calculating profit. Whenever someone requested medicine, he aimed for a definite cure. One day, a fire broke out in the city, burning down surrounding houses, yet his residence alone remained standing amidst the flames. Later, his descendants enjoyed prosperity and prominence. This shows that the Way of Heaven returns good for evil (karma), and this truth is indeed not deceptive. (From *Huoyou Xinshu*)
In the past, during the reign of Emperor Shenzong of Song, Qian Yi treated the Prince of Yiguo for *chizong* (convulsions/spasms). The National Physicians (*Guoyi*) were unable to cure him. Qian Yi prescribed *Huangtu Tang* (Yellow Earth Decoction), and the prince recovered. Emperor Shenzong asked, "Why did *Huangtu Tang* cure this disease?" Qian Yi replied, "Because Earth overcomes Water, allowing Wood to achieve balance, thus stopping the Wind. Moreover, the other physicians' treatments had brought the condition close to recovery; it was merely that this humble subject happened to coincide with the moment of healing." The Emperor was pleased with his answer and bestowed generous gifts. Recently, I saw Master Danxi's Ten Instructions for Educating His Sons, one of which states: Among colleagues, one must be humble and peaceful, never arrogant towards others. Respect those who are older; treat those with learning as teachers. If encountering other medical practitioners, one should yield according to righteousness and not seize opportunities, thereby avoiding resentment and slander. The Classics state: "In the application of propriety, harmony is most precious." Alas, observing the humble virtues of these two gentlemen serves as a model for future learners.