Sunday, January 19, 2014

Quality

Ironically, humanistic quality was put on the second chapter of Sun’s Essential Formulary.

How about the first? It is Professional quality of a great doctor (大醫習業).

The chapter is amazingly short and I can quote it here:

凡欲為大醫,必須諳《素問》、《甲乙》、《黃帝針經》、明堂流注、十二經脈、三部九候、五臟六腑、表裡孔穴、本草藥對,張仲景、王叔和、阮河南、范東陽、張苗、靳邵等諸部經方,又須妙解陰陽祿命,諸家相法,及灼龜五兆、《周易》六壬,並須精熟,如此乃得為大醫。若不爾者,如無目夜遊,動致顛殞。次須熟讀此方,尋思妙理,留意鑽研,始可與言於醫道者矣。又須涉獵群書,何者?若不讀五經,不知有仁義之道。不讀三史,不知有古今之事。不讀諸子,睹事則不能默而識之。不讀《內經》,則不知有慈悲喜舍之德。不讀《莊》《老》,不能任真體運,則吉凶拘忌,觸塗而生。至於五行休王,七耀天文,並須探賾。若能具而學之,則於醫道無所滯礙,盡善盡美矣。

PS. It is entirely logical to put professional quality before humanistic requirements. Unlike many other professions and contrary to what most people think, the ability of a doctor is usually more important than the ethical standard. Most of the mishaps in this field are due to lack of knowledge (or failure to apply knowledge); truly unethical decisions with adequate scientific support are uncommon.

After all, an unethical doctor with sufficient knowledge is a lousy doctor, but a kind person with no medical knowledge is a pastor.

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