Introduction: Great Doctor Sincerity is an extremely important medical ethics document, which comes from the first volume of Sun Simiao's book "Prepare for emergency and save a thousand gold prescriptions" (also known as "Thousand Gold Prescriptions" and "Thousand Gold Prescriptions") in the Tang Dynasty. This article is widely circulated and has far-reaching influence.
Original text:
Zhang Zhan said: "It is difficult for a husband to master the classics, but the origin is still there." . Today, there are internal similarities and external differences, internal differences and external similarities. Therefore, the deficiency of the internal organs and the occlusion of the blood vessels are not observed by the eyes and ears. We must first make a diagnosis and then wait for the trial. And the inch is close, ups and downs are a mess; Yu points have high and low points; Skin, bones and muscles are different in thickness, hardness and softness. Only those with subtle intentions can start talking to them. It is not dangerous to seek ideas from rough to shallow and from fine to fine! If the surplus is beneficial, the deficiency is harmful, the penetration is thorough, the blockage is stagnant, the cold is cold, and the heat is warm, which is to aggravate its illness, hope that it will live and I will see it die. Therefore, it is difficult for doctors to improve their artistic ability in divination, and it is even more amazing. How can it be subtle? There are fools in the world who have read for three years and say that there is no disease in the world; After three years of treatment, I know I can't use it. Therefore, scholars must be knowledgeable about medical sources, be diligent and tireless, and not hearsay. As far as medical practice is concerned, they are all wet!
When a great doctor treats a disease, he must first be calm, have no desire or desire, show great compassion first, and swear to save the suffering with his spirit. If someone comes to ask for help when he is sick, don't ask him whether he is rich or poor, whether he is jealous of his friendly friends, whether he is from China, whether he is ignorant and equal. They are all like relatives. Don't think twice and cherish life. Seeing his distress, if you have it, it is deep sorrow. Do not avoid danger, day and night, cold and heat, hunger and thirst, fatigue, concentrate on saving, no effort. This can be a lifelong doctor, but he is a spiritual thief. Since ancient times, celebrities have treated diseases and used their lives to help the crisis. Although it is said that livestock is noble, as for the love of life, people and animals are also one. Not good for others, not good for people! Husbands kill for survival and go further for life. There is no need to be deadly medicine in this prescription, which is good for me. It belongs to tabanus and leech. If there is a dead person in the city, it will be used in the city, not in this case. Just like an egg, because of its chaos, there must be a lot of urgency, so we have to use it forbearingly. If you can use it, you are a great philosopher, but you can't. People with sores, loose bowels and foul smell are hated, but they are ashamed and sad and can't think of them. This is my ambition.
Big doctor's body wants to see clearly, and it looks like. It is generous, neither clever nor ignorant. To save lives and diagnose diseases, we can get the most profound meaning, examine its shape and symptoms in detail, and we can't lose anything, and judge that there is no difference between acupuncture and medicine. Although it is said that the disease should be saved quickly, it is very unkind to be confused about the situation, but to judge the truth, think about the problem and not put your life on it. It is very unkind to be arrogant and ask for credit! I went to the nursing home again, and there were renewed fronts everywhere. Don't look around, weave your ears with silk and bamboo. It doesn't seem to be entertaining. After repeated recommendations, the food is tasteless. ? Chen and Chen, see if everything is all right. Therefore, if you are alone, you will be unhappy. However, the patient will suffer and stay with you, while the doctor will feel at ease and be proud. This is the anger of the people and the gods, and it is the original intention of the doctor to cover him up.
Husband is a doctor's method. Don't tease, be playful and noisy, talk about right and wrong, talk about people, show off his reputation, ruin all doctors, be proud of his virtue and treat a disease occasionally, then he will be cocky, wear a face, but look confident. His name is a Chinese odyssey, and this doctor is blind.
The old man said:? People are virtuous, and people are rewarded; People do evil, ghosts and gods report. When people do evil, they report themselves; People's evil, ghosts and gods harm them. ? Looking for these two ways, is it a false gratitude of Yin and Yang? Therefore, doctors should not rely on their own strengths and concentrate on managing property, but should help the poor and feel blessed in the dark. Treating him with wealth and precious drugs makes him hard to find and shows off his role. This is not the way of loyalty and forgiveness. The purpose is to save liberation, so it is also broken, and scholars are not ashamed to say vulgar.
Vernacular translation:
Jin scholar Zhang Zhan said? Classic medical prescriptions are difficult to master and have a long history. ? This is because diseases have the same internal causes but different external symptoms, as well as different internal causes and the same external symptoms.
Therefore, whether the internal organs are full or empty, whether the qi of qi, blood, camp and health is smooth or not, can not be understood by people's ears and eyes alone, but only by pulse-taking. However, the pulsation of the three parts of the size gauge is different, including floating, sinking, chord and tightness; There is a difference between qi and blood circulation and perfusion at acupoints. There are differences in skin thickness, and bones and muscles are weak. Only careful people can talk to him about these truths. Isn't it dangerous to explore extremely subtle medical truths with the roughest and shallowest ideas? The empirical evidence is supplemented by the rule of law, and the virtual evidence is supplemented by the rule of law; Those who benefit from qi and blood should be dredged, and if they are not smooth, they have to be blocked; Give him cold medicine for cold syndrome and warm medicine for heat syndrome. These treatments are aggravating the patient's condition. You want him to recover, but I see that he is more critical. Therefore, medical prescription and divination are difficult skills to master. Since it is not taught by the gods, how can we understand that profound and subtle truth? Some fools in the world boast that there is nothing worth treating after three years of medical treatment. After three years of treatment, I realized that there is no ready-made prescription in the world. Therefore, people who study medicine must explore the principles of medicine extensively and deeply, devote themselves to hard work and never slack off. It cannot be said that they understand the principles of medicine with only a little knowledge. In that case, you will greatly harm yourself!
All doctors with excellent moral character and superb medical skills must be calm and self-conscious, have no desire or desire, and first show compassion and determination to save human suffering. If someone comes to see a doctor, no matter whether he is rich or poor, old or young, beautiful or ugly, enemy or friend, friend or friend, Han nationality or ethnic minority, whether he is stupid or smart, he is treated equally, and he has the same idea as the closest person. He can't think about his own advantages and disadvantages and cherish his life. Seeing the patient's troubles, just like your own, you are sad inside, don't avoid danger, stay cold and hot day and night, be thirsty and tired, and save the patient wholeheartedly, and you can't have the idea of shirking and putting on airs. Only in this way can he be called a good doctor of the people. Instead, it is a great harm to the people. Since ancient times, most famous doctors have used living animals to treat critically ill patients. Although people think that animals are inferior and people think that people are noble, when it comes to cherishing life, people and animals are the same. It is hateful to hurt others for your own benefit, let alone people! Kill animal life to save human life, and then leave? Healthy? Morality goes even further. That's why my prescription doesn't need biological medicine! Some of them, such as tabanus and leech, are dead in the market, so it is not the case to buy them for use. Things like eggs, because they are still in a pre-formed state, must encounter an emergency and have to be used reluctantly. People who can live without living things are extraordinary people who can know, and I can't compare with them. If the patient has sores, loose bowels and stinks, and others don't want to see it, the doctor can only express heartfelt sympathy, pity and concern, and can't have any unpleasant thoughts. This is my ambition.
The demeanor of a doctor with both virtue and art should be able to be pure-minded, introspective and know me, look away from others, look solemn, be frank and upright, and be neither humble nor supercilious. Diagnose the disease, concentrate on it, know the symptoms and pulse in detail, and there must be no mistakes. Policy, there can be no mistakes. Although it is said that the disease should be treated quickly, it is more important not to be confused clinically and to think carefully and deeply. Don't show off your outstanding talents in important events that affect people's lives, act quickly and hunt for fame rashly. This is immoral! Also, when you get to the patient's home, even if everything is beautifully decorated, don't look around, look around, and the sound of harps and flutes fills your ears. You can't be distracted and happy by it. The delicious food is served in turn, which seems to have no taste. All kinds of wines are displayed together as if you didn't see them. So the reason for doing this is because as long as one person is sad, everyone in the room will be unhappy, not to mention the patient's pain, and he has never left. If a doctor is carefree and carefree, it is an act of mutual anger, and what a virtuous person will not do, these are probably the basic qualities of a doctor.
The rule of being a doctor should be careful with words. Don't joke with others at will, don't talk loudly, talk about other people's shortcomings, show off your reputation, slander and attack other doctors to boast about your advantages. If you accidentally cure a patient, you will be cocky, and you will brag about yourself, thinking that you are a Chinese odyssey. These are all bad habits of doctors.
Lao Tzu said:? People will naturally repay a person who is openly virtuous to others; A man is secretly virtuous to others, and ghosts and gods will repay him. If a person openly does evil to others, people will naturally retaliate against him; When a person does evil in secret, ghosts and gods will harm him. ? Are these two aspects of behavior, that is, what the yang gives, what the yang rewards, and what the yin rewards, deceptive?
Therefore, doctors can't rely solely on their own expertise to seek property wholeheartedly. As long as they have the idea of relieving the suffering of others, they will feel how blessed they are when they go to the underworld. Also, just because others have money and status, you can't prescribe expensive drugs casually, making it difficult for them to find and show off their skills. This is really not in line with the Confucian principle of loyalty and forgiveness. My goal is to help the world, so I talked about it in detail. People studying medicine can't be ashamed of my rudeness.
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