国家以文武医入官盖为养民设未有不自学古而得之者学古之道虽别而同为儒必读五经三
史诸
子百家方称学人医者之经素问灵枢是也史书即诸家本草是也诸子难经甲乙中藏太素是也百家
鬼遗龙树金镞刺要铜人明堂幼幼新书产科保庆等是也儒者不读五经何以明道德性命仁义礼乐
医不读灵素何以知阴阳运变德化政令儒不读诸史何以知人材贤否得失兴亡医不读本草何以知
名德性味养生延年儒不读诸子何以知崇政卫教学识醇疵医不读难素何以知神圣工巧妙理奥义
儒不读百家何以知律历制度休咎吉凶医不读杂科何以知脉穴骨空奇病异证然虽如是犹未为博
况经史之外又有文海类集如汉之班马唐之韩柳及我 大宋文物最盛难以概举医文汉有张仲景
华佗唐有孙思邈王冰等动辄千百卷其如 本朝太平圣惠乘闲集效神巧万全备见崇文名医别录
(三因方)
扁鹊传赵简子病五日不知人大夫皆惧于是召扁鹊入视之曰血脉滞也而何怪昔秦穆公常七
日如
此而寤寤而告公孙子舆曰我梦之帝所甚乐帝告我晋国将乱五世不安其后将霸未老而死霸者之
子且令而国男女无别后献公之乱文公之霸而襄公败秦师于淆而归纵淫今主君之病与之同不出
三日疾必间间必有言矣居二日半简子寤(史记)
陈昭遇者岭南人善医随刘FS 归朝后为翰林医官所治疾多愈世以为神医绝不读书诘其所习
不能
答尝语所亲曰我初来都下持药囊抵军垒中日阅数百人其风劳冷气之候皆默识之然后视其长幼
虚实按古方用汤剂鲜不愈者实未尝寻脉诀也庄周所谓悬解董遇以为读书百遍义自见岂是之谓
欤(皇朝类苑)
国家设立文武医官,原本是为了养育百姓,没有不是通过学习古代医学而获得资格的。学习古代医学的途径虽然不同,但最终都归于儒家之道,必须研读“五经”和“三史”,以及诸子百家的著作,才能被称为有学问的人。
医家所必读的经典是《素问》和《灵枢》;史书类的对应物是各家本草著作;诸子百家类的对应物是《难经》、《甲乙经》、《中藏经》、《太素》等;百家杂科类的对应物是《鬼遗方》、《龙树菩萨药论》、《金镞刺要》、《铜人腧穴针灸图经》、《明堂》、《幼幼新书》、《产科保庆集》等。
读书人不读“五经”,怎么能明白道德、性命、仁义礼乐的道理?医生不读《灵枢》和《素问》,怎么能知晓阴阳的变化规律及德化政令的运作?读书人不读史书,怎么能了解人才的贤愚、得失以及国家的兴亡?医生不读本草,怎么能知晓药物的名品、德行、性味,以及养生延年的方法?读书人不读诸子百家,怎么能懂得崇尚政治、保卫教学、学识的纯正与瑕疵?医生不读《难经》和《太素》,怎么能知晓神圣工巧的治疗技巧以及深奥的道理?读书人不读百家杂著,怎么能懂得律历制度以及休咎吉凶的判断?医生不读各类杂科,怎么能知晓脉象、穴位、骨空结构以及奇病异证?
虽然如此,还谈不上广博。况且在经史之外,还有文集类书籍,如汉代的班固、司马迁,唐代的韩愈、柳宗元,以及我大宋时期文化最昌盛时的著作,难以一一列举。
医学文献方面,汉代有张仲景、华佗,唐代有孙思邈、王冰等,动辄千百卷。至于本朝(宋朝),《太平圣惠方》、《闲居集效》、《神巧万全方》、《备急千金要方》(注:原文“备见”疑为书名或泛指完备之见,此处依语境处理,但根据后文括号提示,可能指代特定方书,暂按原文直译)、《崇文总目·名医别录》、《三因极一病证方论》等。
扁鹊传:赵简子患病五天不省人事,大夫们都很恐惧,于是召见扁鹊诊治。扁鹊说:“血脉阻滞罢了,有什么奇怪的?”
从前秦穆公也曾七天昏迷不醒,醒来后告诉公孙支(子舆)说:“我梦见到了天帝那里,非常快乐。天帝告诉我,晋国将要动乱,五代不得安宁。其后晋国将会称霸,但我(秦穆公)将未老先死。称霸者的子孙将在崤山击败秦军,回国后放纵淫逸。”后来果然应验了:献公之乱,文公称霸,襄公在崤之战败秦师而归,且放纵淫欲。现在主公的病与秦穆公当时相同,不出三天病一定会好转,好转后一定会有言语。过了两天半,赵简子苏醒过来。(出自《史记》)
陈昭遇是岭南人,擅长医术,跟随刘鋹归顺朝廷后,担任翰林医官。他治疗的疾病大多痊愈,世人认为他是神医。但他从不读书,问他所学的知识,他也回答不上来。他曾对亲近的人说:“我刚来到京城时,带着药囊驻扎在军营附近,每天诊治数百人。对于风、劳、冷、气等各种病症的表现,我都默默记在心里,然后根据病人的年龄长短、体质虚实,按照古方使用汤剂,很少有不治愈的。实际上我从未学过脉诀。”这正如庄周所说的“悬解”(解脱束缚),也不同于董遇所说的“读书百遍,其义自见”。难道说的就是这种情况吗?(出自《皇朝类苑》)
The state established civil and military medical officials originally to nurture the people; none obtained their position without first studying ancient medicine. Although the paths to learning ancient medicine differ, they all converge on the Confucian way: one must study the *Five Classics* (Wujing) and the *Three Histories* (Sanshi), as well as the works of the Hundred Schools of Thought, to be considered a scholar.
For physicians, the classics are the *Suwen* (Plain Questions) and *Lingshu* (Spiritual Pivot); the historical texts correspond to various *Bencao* (Materia Medica) works; the philosophical schools correspond to the *Nanjing* (Classic of Difficult Issues), *Jiayijing* (Systematic Classic of Acupuncture and Moxibustion), *Zhongzangjing* (Inner Canon of the Middle Organ), and *Taisu*; the miscellaneous schools correspond to *Guiyifang* (Ghost's遗 Prescription), *Longshu Pusa Yaolun* (Bodhisattva Longshu's Drug Treatise), *Jinzhuci Yao* (Golden Arrow Needling Essentials), *Tongren Shuxue Zhenjiu Tujing* (Bronze Figure Acupuncture and Moxibustion Illustrations), *Mingtang*, *Youyou Xinshu* (New Book for Infants), and *Chanke Baoqing Ji*.
A Confucian who does not read the Five Classics cannot understand morality, nature, benevolence, righteousness, propriety, and music. A physician who does not read the *Lingshu* and *Suwen* cannot comprehend the transformations of Yin and Yang and the operations of virtue and governance. A Confucian who does not read history cannot discern the worthiness or unworthiness of talents, nor the rise and fall of states. A physician who does not read Materia Medica cannot know the names, virtues, flavors of drugs, and methods for nourishing life and prolonging years. A Confucian who does not read the philosophers cannot understand political advocacy, educational protection, and the purity or flaws of scholarship. A physician who does not read the *Nanjing* and *Taisu* cannot grasp the divine, sacred, skillful, and adept techniques, nor the profound mysteries. A Confucian who does not read the miscellaneous writings cannot understand laws, calendars, institutions, and omens of fortune and misfortune. A physician who does not read miscellaneous disciplines cannot understand pulse patterns, acupoints, bone voids, and strange diseases and symptoms.
Even so, this is not yet considered erudite. Moreover, beyond the classics and histories, there are literary collections, such as those by Ban Gu and Sima Qian of the Han Dynasty, Han Yu and Liu Zongyuan of the Tang Dynasty, and the abundant cultural works of our Great Song Dynasty, which are too numerous to list.
Regarding medical literature, the Han Dynasty had Zhang Zhongjing and Hua Tuo; the Tang Dynasty had Sun Simiao and Wang Bing, with works numbering in the thousands of volumes. As for our current dynasty, there are the *Taiping Shenghui Fang* (Imperial Grace Formulas of the Taiping Era), *Xianju Jixiao* (Collected Efficacies from Leisure), *Shenqiao Wanquan Fang* (Divine Skill Complete Formulas), *Beijian* (likely referring to comprehensive records or specific text), *Chongwen Mingyi Bie Lu* (Supplementary Records of Famous Physicians in the Chongwen Collection), and *Sanyin Fang* (Formulas of the Three Causes).
Biography of Bian Que: Duke Jian of Zhao fell ill for five days and lost consciousness. The doctors were terrified and summoned Bian Que. Bian Que examined him and said, "The blood vessels are stagnant; what is there to fear?"
In the past, Duke Mu of Qin also lay unconscious for seven days. Upon waking, he told Gongsun Zhi (Ziyu): "I dreamed I went to the court of the Emperor (Heavenly Lord). It was very joyful. The Emperor told me that Jin would face turmoil and remain unstable for five generations. Afterwards, it would become a hegemon, but I would die before my time. The son of the hegemon would defeat the Qin army at Xiao and return home to indulge in lust." Later events confirmed this: the chaos under Duke Xian, the hegemony of Duke Wen, and Duke Xiang's defeat of the Qin army at the Battle of Xiao, followed by his licentious behavior. Now, the illness of our lord is identical to that of Duke Mu. Within three days, the illness will subside, and he will speak. Two and a half days later, Duke Jian woke up. (From *Records of the Grand Historian*)
Chen Zhaoyu was from Lingnan and skilled in medicine. He followed Liu Chang in submitting to the central government and later served as an Academic Medical Officer. Most of the patients he treated recovered, and the world regarded him as a divine physician. However, he never studied books. When questioned about his studies, he could not answer. He once told his close associates: "When I first arrived in the capital, I carried a medicine bag and stayed near the military camps. I treated hundreds of people daily. I silently memorized the manifestations of wind, consumption, cold, and qi disorders. Then, based on the patient's age and constitution (deficiency or excess), I applied ancient formulas using decoctions. Rarely did anyone fail to recover. In truth, I never studied pulse diagnosis manuals." This is akin to Zhuangzi's concept of "suspended release" (liberation from constraints), rather than Dong Yu's saying that "reading a book a hundred times reveals its meaning." Is this not what is meant? (From *Encyclopedia of the Imperial Dynasty*)