此专为病者操鉴亦兼为医者立箴也。
叶敬君曰合天地人性命为重。命从谁生。生命者曰父曰母。命从谁司。司命者曰君曰相
曰师
。司命者谁为之总。总君父师相之权曰医。上古神农黄帝。君而医也。岐伯诸臣。师而医也
。中古名贤一隐君子错出。则皆继医之统。而无替其性命之传者也。道斯隆矣而惜乎近古及
今。正教凌夷邪说纵横。挟治成方。委命匪人灵素奥义。不复穷探。循枝昧本。弃繁就简二
气之中和何自而调燮。生人之大命安望其康济宁不为庸妄之砍伐致叹狂澜之莫挽乎。故玄晏
先生云人受先人之体。有七尺之躯。而不知医事。此所谓游魂耳。虽有忠孝之心。君父困危
。赤子涂地。何以济之。此圣贤所以精思极论欲尽其理也。明道先生曰人子事亲。学医最是
大事。今人视父母疾。一任医者之手。岂不害事。必须识医药之道理。别病如何。药当何如
。故可任医也。如自己曾学。令医者说道理。便自见得。或已有所见。亦要说与他商量。张
杲医说云五经四部。军国礼服。若讲用乖越者。止于事迹非宜耳。至于医药一物。少有差谬。
便性命及之。千乘之君。百金之长。可不深思戒慎乎。伊芳川先生云治病而委之庸医。比之不
慈不孝此数论者深足为有生家之明鉴也。
这段文字专门是为了让病人掌握辨别疾病的镜子，同时也兼为医生树立规劝的箴言。
叶敬君说：要综合天地与人的性命来重视生命。生命由谁产生？生命的来源是父亲和母亲。生命由谁掌管？掌管生命的是君主、宰相和老师。那么，总揽君主、父亲、老师和宰相权力的人是谁呢？就是医生。上古时代的神农氏、黄帝，既是君主又是医生；岐伯等臣子，既是老师又是医生。中古时期，许多隐逸的高士交错出现，他们都是继承医学统绪的人，没有中断过对性命传承的责任。道术因此兴盛了，可惜近古至今，正统教化衰微，邪说横行。人们拿着现成的成方治病，把性命托付给不恰当的人，《灵枢》《素问》中深奥的道理，不再深入探究，只遵循细枝末节而迷失根本，抛弃繁杂而追求简单，二气（阴阳之气）的中和状态如何能够调和？众人大命怎么能希望其安康平安而不被庸医妄断所砍伐，从而感叹狂澜无法挽回呢？所以玄晏先生（皇甫谧）说：人承受先人的形体，拥有七尺之躯，却不懂医术，这叫做游魂罢了。即使有忠孝之心，当君主或父母陷入危难，孩子跌倒在地（比喻处境艰难），用什么来救助他们呢？这就是圣贤之所以精心思考、极力论述，想要穷尽事理的原因。明道先生（程颢）说：子女侍奉双亲，学习医术是最重大的事情。现在的人看待父母的疾病，完全任由医生摆布，这难道不是害事吗？必须懂得医药的道理，辨别病情如何，药物应当如何使用，这样才可以信任医生。如果自己曾经学习过，让医生讲述道理，就能自己看清实质；或者自己已有见解，也要与医生商量。张杲在《医说》中说：五经四部书籍，军队国家的礼服制度，如果讲解使用出现偏差违背常理，仅仅算是事迹不当而已。至于医药这一事物，稍有差错谬误，就会危及性命。千乘之国的君主，百金之长的官员，怎能不深思并警惕谨慎呢？伊芳川先生说：治病而委托给庸医，比之不慈不孝还要严重。这几位论者的观点，足以成为所有活着的人家庭的明镜鉴戒。
This text is specifically intended to serve as a mirror for patients to discern diseases, and simultaneously as an admonition for physicians.
Ye Jingjun stated: One must value life by integrating the principles of Heaven, Earth, and human nature. From whom does life originate? The sources of life are the father and the mother. By whom is life governed? Those who govern life are the sovereign, the minister, and the teacher. Who then holds the overarching authority over the sovereign, father, teacher, and minister? It is the physician. In ancient times, Shennong (Divine Farmer) and Huangdi (Yellow Emperor) were both sovereigns and physicians; Qibo and other ministers were both teachers and physicians. During the middle antiquity, numerous reclusive sages emerged alternately, all continuing the lineage of medicine without interrupting the transmission of knowledge regarding life and death. Thus, the Way flourished. Alas, in recent antiquity up to the present, orthodox teachings have declined while heretical doctrines run rampant. People rely on fixed prescriptions to treat illnesses, entrusting their lives to incompetent individuals. The profound meanings of *Lingshu* (Spiritual Pivot) and *Suwen* (Basic Questions) are no longer thoroughly explored. Following branches while ignoring roots, abandoning complexity for simplicity, how can the harmonious balance of the Two Qi (Yin and Yang) be regulated? How can one hope for the health and peace of the great destiny of human beings without being devastated by the reckless judgments of quacks, sighing that the raging torrent cannot be stemmed? Therefore, Xuan'an Xiansheng (Huangfu Mi) said: Humans inherit the physical form from their ancestors and possess a body seven chi tall, yet if they do not understand medical affairs, this is called a wandering soul. Even with a heart loyal and filial, when the sovereign or parents face danger, or the child falls into distress, how can one rescue them? This is why the sages thought deeply and argued extensively, striving to exhaust the underlying principles. Mingdao Xiansheng (Cheng Hao) said: When children serve their parents, learning medicine is the most important matter. Nowadays, people view their parents' illnesses and leave everything to the hands of physicians. Is this not harmful? One must understand the principles of medicine and drugs, distinguish the nature of the disease, and determine how drugs should be used, so that one can trust the physician. If one has studied previously, allowing the physician to explain the principles enables one to see clearly oneself; or if one already has insights, one should discuss them with the physician. Zhang Gao, in *Yi Shuo* (Medical Sayings), stated: Regarding the Five Classics and Four Categories of books, military and state ceremonial dress systems, if explanations and applications deviate improperly, it is merely considered inappropriate in terms of historical facts. However, regarding medicine and drugs, even a slight error or谬误 (mistake) can endanger life and death. Can the ruler of a thousand chariot state or the leader worth a hundred gold pieces fail to think deeply and remain vigilant and cautious? Yifangchuan Xiansheng said: Entrusting the treatment of illness to a mediocre physician is worse than being unfilial and unkind. These several arguments are sufficiently profound to serve as a clear mirror for families of the living.