僭评诸医学识才品淑慝贞邪悬此明鉴愿医为上医愿人择好医耳
粤自三皇肇端。九臣翼赞。创垂医药。救民拯物泽及当时恩垂万世猗且休矣嗣有怀才抱德之
士。继是业者仰观天象俯观地法中观人事察五运六气之亢承明五脏五行之生克辨阴阳水火之
升降躬涉遗编。神游圣域诵而能解。解而能明。明而能彰。彰而能变化不穷治于未病察所由
生别异比类。诊合十全。顾何羡揲瓜搦髓。易形擅奇。隐橘市壶。习幻云秘哉。明良之工
。世不常出。直超儒仙千仞而上之矣斯为明医。
尝稽秦汉以后。有通经博史。修身慎行。闻人硕儒。兼通乎医者。精究玄机。洞明至道。
每见立言垂教。后学凛为法程。若通显之儒。汉张仲景晋王太仆殷仲堪南宋徐熙唐许叔微明
李
濒湖诸君是也。若隐逸自高之儒。西晋皇甫谧唐孙思邈王无功宋纪齐卿李东垣明张景岳诸君
是也。若有道因而得位之儒。若唐许胤宗徐秋夫明薛立斋诸君是也故非儒则医之术不明非医
则儒之道不该医固以儒重者也儒诚重矣。而独奈有HT HT 之狂儒。背经文而独创幻谈。又有
之腐儒。守方书而昧通灵变。又有乡愿之贼儒。存两端而莫剖是非。更其尤者高阳生之脉诀
。大乖至道。马宗素之铃法。殊戾宗传。伪褚之遗书。倒装五脏。斯则冒窃儒名。实皆蠹医
者也。故 李黄暗斋先生云。非明理之儒。医书不可乱读。信然矣。是所贵于儒医者。须
具有大学问。大见识。大胆力。特明真假关头。不失经权妙用。方无忝此司命之责矣得进而
医国羹调元鼎寿君泽民跻世熙和斯又为间出之真儒已。
僭越地评论各位医学家的学识、才能与品行，其善恶正邪都如同悬挂在明镜之中。希望医生能成为上医，希望患者能选择好医生罢了。
自从三皇开创基业，九臣辅佐赞襄，创立并传承医药，拯救百姓万物，恩泽惠及当时，功德流传万世，真是伟大而美好啊！随后有怀才抱德之士，继承这一事业，他们仰观天象，俯察地理法则，中观人事规律，辨析五运六气的亢盛与承制，阐明五脏五行之间的生克关系，辨别阴阳水火的升降变化，亲身研读古籍，精神遨游于圣人的境界。诵读并能理解，理解并能明晰，明晰并能彰显，彰显并能变化无穷。在疾病未发生之前进行治理，探究其产生的原因，辨别异同，运用比类方法。诊断准确率达到十全十美，这有什么值得羡慕的呢？何必去羡慕那些像揲瓜搦髓（比喻技艺高超）、易形擅奇（改变形态、擅长奇异之术）、隐于橘市壶中（指壶公、费长房等神仙传说）、习幻云秘（修习幻术和秘密法术）的人呢？真正高明良善的医生，世间不常出现，他们直接超越儒者和仙人千仞之高，这才是真正的明医。
我曾经考察秦汉以后，有通晓经典、博览史书、修身慎行、闻名遐迩的大儒，同时精通医术的。他们精深研究玄妙的机理，透彻明白至高无上的道理。常常看到他们立言垂教，后学之人敬畏地将其作为法式准则。如果是显达通达的儒者，如汉代的张仲景、晋代的王太仆（王叔和）、殷仲堪，南宋的徐熙，唐代的许叔微，明代的李濒湖（李时珍）诸位先生就是这类人。如果是隐居自高、不求闻达的儒者，如西晋的皇甫谧、唐代的孙思邈、王绩（王无功），宋代的纪齐卿、李东垣，明代的张景岳诸位先生就是这类人。如果是因有道学而获得官位的儒者，如唐代的许胤宗、徐秋夫，明代的薛立斋诸位先生就是这类人。所以，如果不是儒者，医学的道理就不明确；如果不通医术，儒家的道义就不能完备。医学本来是因为儒者的重视而显赫的，儒者确实很重要。然而无奈有一些狂妄的儒者，背离经文而独创虚幻的言论；又有迂腐的儒者，死守方书而不懂灵活变通；又有伪善的贼儒，模棱两可而不能分辨是非。其中更严重的，如高阳生的《脉诀》，大大违背了至高的道理；马宗素的《铃法》，特别违背了正统传承；伪托褚澄的遗书，颠倒错置了五脏的位置。这些都是冒窃儒者之名，实际上都是损害医学的人。所以李黄暗斋先生说：“不是明理之儒，不可乱读医书。”这话确实可信啊。因此，对于儒医来说，必须具有大学问、大见识、大胆略，特别要辨明真假的关键关头，不失经权妙用，这样才能无愧于掌管生命的责任。如果能进而治理国家，调和鼎鼐（比喻治理国家），使君主长寿，百姓受恩泽，社会达到和谐太平，这又是间或出现的真儒啊。
I presume to comment on the scholarship, talent, and character of various medical practitioners; their goodness or badness, uprightness or crookedness are as clear as if hung in a bright mirror. I wish doctors could become "Superior Doctors" (Shangyi), and I wish patients could choose good doctors.
Since the Three Sovereigns initiated the foundation, and the Nine Ministers assisted and supported, medicine was created and transmitted to save the people and all things, benefiting those of that time and bestowing grace for ten thousand generations. How great and glorious it is! Subsequently, scholars with talent and virtue succeeded in this profession. They observed the celestial phenomena from above, the laws of the earth from below, and human affairs in the middle. They analyzed the excess and succession of the Five Movements and Six Qi, clarified the generation and restriction among the Five Zang Organs and Five Elements, distinguished the ascending and descending of Yin and Yang and Water and Fire. They personally delved into ancient texts, and their spirits roamed in the realm of the Sages. By reading, they understood; by understanding, they became clear; by becoming clear, they manifested; by manifesting, they changed endlessly. They treated diseases before they occurred, investigated their origins, differentiated similarities and differences, and applied comparative classification. Their diagnostic accuracy reached perfection (ten out of ten). What is there to envy? Why envy those who perform miracles like squeezing marrow from melons, changing forms, possessing strange skills, hiding in the orange market or the gourd (allusions to Daoist immortals), or practicing illusions and secrets? True skilled and benevolent doctors do not often appear in the world; they transcend Confucians and Immortals by thousands of ren (a unit of length). This is what we call a "Clear-Sighted Doctor" (Mingyi).
I have examined the period after the Qin and Han dynasties. There were renowned scholars who mastered the classics, studied history extensively, cultivated themselves, acted cautiously, and were also proficient in medicine. They profoundly investigated mysterious principles and thoroughly understood the supreme Dao. Whenever they established teachings, later students revered them as models. For example, prominent and accessible Confucians include Zhang Zhongjing of the Han Dynasty, Wang Taipu (Wang Shuhe) and Yin Zhongkan of the Jin Dynasty, Xu Xi of the Southern Song Dynasty, Xu Shuwei of the Tang Dynasty, and Li Binhu (Li Shizhen) of the Ming Dynasty. Reclusive Confucians who valued their integrity include Huangfu Mi of the Western Jin Dynasty, Sun Simiao and Wang Wugong (Wang Ji) of the Tang Dynasty, Ji Qiqing and Li Dongyuan of the Song Dynasty, and Zhang Jingyue of the Ming Dynasty. Confucians who attained official positions due to their Daoist cultivation include Xu Yinzong and Xu Qiufu of the Tang Dynasty, and Xue Lizhai of the Ming Dynasty. Therefore, without Confucianism, the art of medicine remains unclear; without medicine, the Way of Confucianism is incomplete. Medicine is indeed honored because of Confucians, and Confucians are indeed important. However, unfortunately, there are arrogant Confucians who turn their backs on canonical texts and create fantastical theories; pedantic Confucians who stick rigidly to prescription books while ignoring flexible adaptation; and hypocritical "thief Confucians" who remain ambiguous and cannot distinguish right from wrong. Even worse are Gao Yangsheng's *Maijue* (Pulse Mantra), which greatly deviates from the supreme Dao; Ma Zongsu's *Lingfa*, which severely contradicts orthodox traditions; and the forged legacy of Chu Cheng, which reverses the arrangement of the Five Zang Organs. These individuals steal the name of Confucians but are actually parasites harming medicine. Thus, Mr. Li Huang Anzhai said, "Confucians who do not understand principles should not read medical books indiscriminately." This is truly correct. Therefore, a Confucian doctor must possess profound learning, great insight, and bold courage, specifically distinguishing the critical junctures of truth and falsehood, and not losing the subtle application of canonical flexibility. Only then can they be worthy of the responsibility of managing life. If they can advance to govern the state, harmonize the cauldron (metaphor for governing the country), prolong the ruler's life, benefit the people, and bring harmony to the world, they would be rare, true Confucians.