程子敬通,醇儒也,而旁通于医。吾于医固未之学,而一接程子指脉说病则目无全人,
微言高论叠见层生,闻未闻,解未解。程子之于医几乎!道又见其医人也,虽极贱贫,但一
接手则必端问详审,反复精思,未尝有厌怠之色。其疑难者,多至盈时,惟恐少误,无惑而
后动其心。行复如是,是其人一第而为宰官,推是道也,用是心也,以往其谋国,以善万里
生民之寄,岂可及哉?有唐王刺史《外台秘要》一书,更五代,至宋孙中丞一较正行之,及
今而绝。程子不忍图令其流布人间而为余言。余因问程子∶如欲知医,何道而能精?曰∶必
好学。将何学?曰∶先读书。读书可以医乎?曰∶读书而不能医者,有之矣,决未有不读书
而
能医者也。呜呼!天下事皆然耳,独医也乎?余因问程子∶以子之道,医世之人,当吾世而
既
日不暇给,及身后而书不尽言,言不尽意,吾惧其不传也。盍得其人而传之,何以书?程子
曰∶师之求弟,甚于弟之求师,有来学人,吾愿尽所学焉,尔而无如今之来学人,未尝求学
,徒以求行也。是道也,非苦心十年不可得。而今之学人,来辄问曰∶欲就师,授十日,足
乎?一若是其亟也,吾虽欲传,其何从而传?呜呼!天下之学,大抵然耳,独医也乎?古之
君子
其于道也,其始也,急求人而已,及其求人不可得,则不得不有事于书,以冀其长存天地之
间,其于书也,不必自着书,而章隐继绝图存古人之书。古人之书,其赖有心之后人以获行
世者,多矣。初不必后人之尽有心、尽好学而能读也,而其书则不忍以不存,以为万有一人
焉,有心好学,而一能读是书也,则是一书为遂不虚存也,更百世而当有人焉,出而视今日
之敬通程子,亦犹程子之视唐宋王刺史、孙中丞两先生也,则今日之及程子之门而欲以十日
尽学其所学人,程子其亦可以谢之而无所负矣。
赐进士出身翰林院庶吉士奉命参佐军务钦授山东道监察御史郡人金声撰
程敬通是一位通达事理、品德纯正的儒者,同时他在医学方面也有广泛的涉猎。我原本并未专门学习过医学,但一旦接触程先生通过诊脉来论述病情,我便觉得之前的所见所闻都不完整了(目无全人:形容见识不全,此处指被其精辟见解折服,感到自愧不如)。他那些精微深奥的言论层层叠出,既有我未曾听过的知识,也有我难以理解的高论。程先生在医学造诣上几乎可以说是达到了“道”的境界!
我又观察到他在行医救人时,即使是面对极其贫贱的病人,只要接手诊治,必定端正态度,详细询问并仔细审察,反复进行精密思考,从未表现出丝毫厌倦懈怠的神色。遇到疑难病症,往往耗费整整一天的时间,唯恐出现一点差错,直到心中没有疑惑后才开始施治。如果他能像这样行事,那么当他凭借科举及第而成为朝廷官员,运用这种态度和心思去谋划国家大事,将亿万百姓的生计托付于他时,其成就岂是常人所能企及的?
唐代王刺史所著的《外台秘要》一书,历经五代变迁,到了宋代由孙中丞校订后得以刊行流传,但到了如今已经断绝失传。程先生不忍心看到这本书在人间彻底消失,便向我提及此事。我问程先生:“如果想要精通医学,应该走什么道路?”他说:“必须勤奋好学。”“具体学什么?”他说:“先读书。”“读书能用来学医吗?”他说:“有读了书却不会看病的人,但绝对没有不读书却能成为好医生的。”唉!天下的事情都是如此,难道只有医学是这样吗?
我又问程先生:“以您的医术救治世人,在您生前或许还忙不过来,但您去世后,书籍无法完全表达言语,言语无法完全表达心意,我担心您的医术不能流传下去。为什么不找合适的人传授,而是写成书呢?”程先生说:“老师求学生,比学生求老师更迫切。如果有主动来求学的人,我愿意倾囊相授。然而现在来求学的人,并没有真正想要学习的心,只是想要寻求行医的门路罢了。这个‘道’,如果不苦心钻研十年是不可能得到的。而现在这些所谓的‘学人’,一来就问:‘我想拜师,您教我十天,够了吗?’急切到这种地步,我虽然想传授,又从哪里开始传授呢?唉!天下的学问,大抵都是这样,难道只有医学是这样吗?
古代的君子对于‘道’的追求,起初是急于寻找志同道合的人;当找不到这样的人时,就不得不借助于书籍,希望它能长久地存在于天地之间。对于书籍,他们不一定非要自己著书立说,而是致力于发掘隐没的道理,继承断绝的学术,保存古人的著作。古人的著作,能够依靠有心志的后人来获得并流传于世的情况有很多。起初并不要求后人全都用心、全都好学并能读懂,但他们不忍心让书籍失传,认为万一有一人,用心且好学,能够读懂这本书,那么这本书的存在就没有白费。再过百世,也会有人出来,看待今天像敬通这样的程子,也就像程子看待唐代的王刺史和宋代的孙中丞两位先生一样。那么,对于那些来到程子门下却想用十天就学完所有知识的人,程子就可以拒绝他们,而没有任何愧疚了。”
赐进士出身、翰林院庶吉士、奉命参佐军务、钦授山东道监察御史、同乡金声撰写
Cheng Jingtong was a scholar who was well-versed in principles and possessed pure Confucian virtues, yet he also had extensive knowledge of medicine. I had not originally studied medicine; however, upon hearing Mr. Cheng diagnose diseases through pulse-taking (Mai Zhen, 脉诊), I felt my previous understanding was incomplete (Mu Wu Quan Ren, 目无全人: literally "eyes seeing no whole person," here implying being overwhelmed by his profound insights). His subtle and lofty arguments emerged layer upon layer, presenting unheard-of knowledge and explanations that were difficult to comprehend. It seemed that Mr. Cheng’s mastery of medicine had almost reached the level of "Dao" (道, The Way/Principle)!
I further observed his practice: even when treating patients of the lowest status and extreme poverty, once he took charge, he would always maintain a dignified demeanor, ask detailed questions, examine carefully, and engage in repeated, precise reflection, never showing any sign of weariness or怠惰 (dai duo, laziness/negligence). For difficult cases, he might spend an entire day pondering, fearing even the slightest error, and only acting once his mind was free of doubt. If he applied this same diligence, when he eventually became an official through imperial examination and used this mindset to plan state affairs and entrust the welfare of millions to him, what achievements could not be attained?
The book *Waitai Miyao* (External Cabinet Secret Essentials) by Governor Wang of the Tang Dynasty went out of print after five dynasties. In the Song Dynasty, Vice Minister Sun collated and published it, but it has since become extinct. Mr. Cheng could not bear to see this work disappear from the world and mentioned this to me. I asked Mr. Cheng, "If one wishes to master medicine, what path leads to proficiency?" He replied, "One must be eager to learn." "What should one study?" "First, read books." "Can reading books help one learn medicine?" He said, "There are those who read books but cannot treat patients, but there is absolutely none who can become a good doctor without reading books." Alas! This applies to all matters in the world, not just medicine.
I then asked, "With your medical skills saving people, you may be too busy during your lifetime, but after your death, books cannot fully express words, and words cannot fully express intent. I fear your methods will not be transmitted. Why not find a suitable person to teach them directly, rather than writing a book?" Mr. Cheng said, "A teacher seeks students more urgently than students seek teachers. If someone comes to learn, I am willing to impart everything I know. However, current 'students' do not truly wish to learn; they merely seek permission to practice. This Dao requires ten years of bitter effort to attain. Yet these modern 'learners' arrive and immediately ask, 'I want to follow a master; teaching me for ten days is enough, right?' So urgent are they that although I wish to teach, where would I begin? Alas! Learning in the world is generally like this, not just in medicine.
Ancient gentlemen seeking the Dao first eagerly sought like-minded individuals. When such individuals could not be found, they resorted to books, hoping for their eternal existence. They did not necessarily write new books themselves but focused on uncovering hidden truths, continuing broken lineages, and preserving ancient texts. Many ancient texts survived because conscientious descendants ensured their circulation. Initially, it was not required that all descendants be conscientious, eager learners capable of reading them; rather, they could not bear for the books to perish, believing that if even one person, conscientious and eager, could read them, the books would not have been kept in vain. A hundred generations later, others will emerge to view today's Mr. Cheng, akin to how Mr. Cheng viewed Governor Wang of Tang and Vice Minister Sun of Song. Thus, for those who come to Mr. Cheng’s door expecting to learn everything in ten days, Mr. Cheng can refuse them without any sense of guilt."
Written by Jin Sheng, a native of the same commandery, who held the degree of Jinshi (Doctor of Scholarship), served as a Hanlin Academy Junior Scholar (Hanlin Yuan Shujishi, 翰林院庶吉士), assisted in military affairs by imperial decree, and was appointed Censor of the Shandong Circuit (Shandong Dao Jiancha Yushi, 山东道监察御史).