金光明最勝王經 除病品第二十四 · 白話譯文

〔T16 0447b22〕
心要Essence

流水先有的不是醫方,而是一顆被眾苦刺痛的心。

他看見疫疾遍國,無量眾生被病苦逼迫;也看見父親雖有醫術,卻已老得必須扶杖才能行走。眼前於是有一個很具體的缺口:病者等不到能救的人,能救的人走不到病者身邊,而自己還沒有足以接手的方法。

慈悲若只停在難過,這個缺口仍在。流水所做的第一件事,卻也不是憑熱心立刻出手。他向父親禮拜、合掌、請問,把身體增損、發病時節、飲食、病類與治法一一問清楚。肯承認自己還不會,正是他準備真正承擔的開始。

父親不能遠行,知識仍可傳下;兒子能夠遠行,卻須先低頭承接。年老不是無用,年少也不是天然就會。兩代各把自己所有的交出來,救護才越過原先的限制。

持水說了很長的醫方:四時、六節、七界、四病、八術,還要觀人的形色、言語、性情與夢境,知道病的根本,也知道可救與不可救。真正的發心不怕細節。越想幫助一個人,越不能把他縮成一個簡單的病名;越想立刻解除痛苦,越要耐心學會分辨。

可是整套方法最後沒有收在技巧,而是收在一條醫誡:先有慈愍,不圖財利。這句話把流水最初的悲心帶回行動之先。學得更多,不是為了讓自己更重要;是為了不在眾生最脆弱的時候,把他們變成自己的利益。

流水學成後,真的走遍城邑聚落。他先用善言安慰,讓病者知道有人願意醫治;需要服藥的人再請醫受藥。經文沒有把所有人壓成同一條路:有人先被一句承擔扶住,有人還需要實際的藥。慈悲既會說話,也肯做事;既給人希望,也不以希望代替所需的救治。

本品前面說,天自在光王「常以正法化於人民,猶如父母」。到了流水身上,這份如父母的護念不再只是國王治民的譬況,而成為一雙走到病者所在之處的腳。父親傳下所知,兒子帶它遠行;慈悲因此有了方法,方法也因此沒有失去心。

所以,慈悲若沒有方法,能走多遠?本品的回答不是叫人等到萬事俱備才出發,也不是叫人只憑善意冒進。它要人先看見缺口,為眾生去學;學到能承擔,便走到眾生那裡;下手之先,先起慈愍,不圖財利。

到了品末,流水已能走向會開口求醫的人。故事還要再往前一步:走向那些甚至不能開口、只能在死亡邊緣等待被看見的生命。本品讓人看見:流水使所學成為腳,循著眾生的苦一路前行。

Before Flowing Water possesses a medical method, he possesses a heart pierced by the suffering of others.

He sees epidemic disease spread across the realm and measureless beings oppressed by illness. He also sees that although his father has medical skill, age has reduced him to walking only with a staff and another person’s support. A concrete gap now lies before him: the sick cannot wait for someone to save them, the person able to save them cannot reach them, and he himself does not yet possess a method sufficient to take over the work.

If compassion remains only sorrow, the gap remains. Yet Flowing Water’s first act is not to rush forward on enthusiasm alone. He bows to his father, joins his palms, and asks. He questions him one by one about the body’s increase and decrease, the seasons when illnesses arise, food and drink, disease categories, and methods of treatment. His willingness to admit that he does not yet know is the beginning of his readiness to bear responsibility in truth.

The father can no longer travel far, but knowledge can still be transmitted. The son can travel far, but must first bow his head and receive it. Old age does not mean uselessness, and youth does not mean knowing by nature. Each generation gives what it possesses, and the work of protection crosses its former limit.

Holding Water gives a long medical teaching: the four seasons, six periods, seven constituents, four illnesses, and eight arts. A physician must also observe a person’s appearance, speech, temperament, and dreams, know the root of an illness, and know what can and cannot be treated. A genuine aspiration does not fear details. The more one wishes to help a person, the less one can reduce that person to a simple disease-name; the more urgently one wishes to relieve suffering, the more patiently one must learn to distinguish.

Yet the whole method does not culminate in technique. It culminates in a physician’s precept: first give rise to loving compassion; do not seek wealth or profit. This sentence brings Flowing Water’s initial compassion back to the moment before action. Learning more is not a means of making oneself more important. It is a way of refusing to turn sentient beings into one’s own advantage when they are most vulnerable.

Once Flowing Water has learned, he truly travels throughout the towns and villages. First he comforts the sick with gentle words and lets them know that someone is willing to treat them; those who need medicine then request treatment and receive it. The scripture does not force everyone onto a single path. Some are first upheld by a promise of responsibility, while others still need actual medicine. Compassion knows how to speak and is willing to act. It gives hope without substituting hope for the treatment required.

At the beginning of the chapter, King Light of Divine Mastery 「常以正法化於人民,猶如父母」—“constantly instructed his people through the true Dharma and cared for them as parents.” In Flowing Water, such parental care ceases to be merely an image for a king’s governance and becomes a pair of feet walking to the places where the sick are found. The father transmits what he knows, and the son carries it far. Compassion thereby gains a method, while the method does not lose its heart.

Without a method, then, how far can compassion go? The chapter’s answer neither tells one to wait until everything is ready before setting out nor tells one to charge ahead on goodwill alone. It asks one first to see the gap and learn for the sake of sentient beings. Once capable of bearing the work, go to where sentient beings are. Before setting one’s hand to the task, first give rise to loving compassion and seek no profit.

At the end of the chapter, Flowing Water can walk toward those able to ask for a physician. The story will take one step farther: toward lives that cannot even speak, that can only wait at the edge of death to be seen. This chapter shows Flowing Water turning what he has learned into feet and following the suffering of sentient beings wherever it leads.

原典Canonical · verbatim

唐義淨譯《金光明最勝王經》卷九〈除病品第二十四〉· 大正藏 T16n0665〔起 T16 0447b22〕。段/行首〔T16 …〕=大正藏頁·欄·行錨。

〔T16 0447b22〕佛告菩提樹神善女天:「諦聽!諦聽!善思念之。是十千天子本願因緣,今為汝說。善女天!過去無量不可思議阿僧企耶劫,爾時有佛出現於世,名曰寶髻如來、應、正遍知、明行足、善逝、世間解、無上士、調御丈夫、天人師、佛、世尊。善女天!時彼世尊般涅槃後,正法滅已,於像法中,有王名曰天自在光,常以正法化於人民,猶如父母。是王國中,有一長者名曰持水,善解醫明,妙通八術,眾生病苦,四大不調,咸能救療。善女天!爾時持水長者,唯有一子,名曰流水,顏容端正,人所樂觀,受性聰敏,妙閑諸論,書畫算印,無不通達。時王國內有無量百千諸眾生類,皆遇疫疾,眾苦所逼,乃至無有歡樂之心。善女天!爾時長者子流水,見是無量百千眾生受諸病苦,起大悲心,作如是念:『無量眾生為諸極苦之所逼迫,我父長者,雖善醫方,妙通八術,能療眾病,四大增損,然已衰邁,老耄虛羸,要假扶策,方能進步,不復能往城邑聚落救諸病苦。今有無量百千眾生,皆遇重病,無能救者,我今當至大醫父所,諮問治病醫方祕法,若得解已,當往城邑聚落之所,救諸眾生種種疾病,令於長夜得受安樂。』時長者子作是念已,即詣父所,稽首禮足,合掌恭敬,却住一面,即以伽他,請其父曰:   「『慈父當哀愍,我欲救眾生;
  今請諸醫方,幸願為我說。
  云何身衰壞,諸大有增損?
  復在何時中,能生諸疾病?
  云何噉飲食,得受於安樂,
  能使內身中,火熱不衰損?
  眾生有四病,風黃熱痰癊,
  及以總集病,云何而療治?
  何時風病起?何時熱病發?
  何時動痰癊?何時總集生?』
「時彼長者聞子請已,復以伽他而答之曰: 〔T16 0448a01〕  「『我今依古仙,所有療病法;   次第為汝說,善聽救眾生。
  三月是春時,三月名為夏,
  三月名秋分,三月謂冬時。
  此據一年中,三三而別說;
  二二為一節,便成歲六時。
  初二是花時,三四名熱際;
  五六名雨際,七八謂秋時;
  九十是寒時,後二名氷雪;
  既知如是別,授藥勿令差。
  當隨此時中,調息於飲食;
  入腹令消散,眾病則不生。
  節氣若變改,四大有推移;
  此時無藥資,必生於病苦。
  醫人解四時,復知其六節;
  明閑身七界,食藥使無差。
  謂味界血肉,膏骨及髓腦;
  病入此中時,知其可療不?
  病有四種別,謂風熱痰癊,
  及以總集病,應知發動時。
  春中痰癊動,夏內風病生,
  秋時黃熱增,冬節三俱起。
  春食澁熱辛,夏膩熱醎醋,
  秋時冷甜膩,冬酸澁膩甜。
  於此四時中,服藥及飲食;
  若依如是味,眾病無由生。
  食後病由癊,食消時由熱,
  消後起由風,准時須識病。
  既識病源已,隨病而設藥;
  假令患狀殊,先須療其本。
  風病服油膩,患熱利為良,
  癊病應變吐,總集須三藥。
  風熱癊俱有,是名為總集;
  雖知病起時,應觀其本性。
  如是觀知已,順時而授藥;
  飲食藥無差,斯名善醫者。
  復應知八術,總攝諸醫方;
  於此若明閑,可療眾生病。
  謂針刺傷破,身疾并鬼神;
  惡毒及孩童,延年增氣力。
  先觀彼形色,語言及性行;
  然後問其夢,知風熱癊殊。
  乾瘦少頭髮,其心無定住,
  多語夢飛行,斯人是風性。
  少年生白髮,多汗及多瞋,
  聰明夢見火,斯人是熱性。
  心定身平整,慮審頭津膩,
  夢見水白物,是癊性應知。
  總集性俱有,或二或具三,
  隨有一偏增,應知是其性。
  既知本性已,准病而授藥;
  驗其無死相,方名可救人。
  諸根倒取境,尊醫人起慢;
  親友生瞋恚,是死相應知。
  左眼白色變,舌黑鼻梁攲;
  耳輪與舊殊,下脣垂向下。
  訶梨勒一種,具足有六味;
  能除一切病,無忌藥中王。
  又三果三辛,諸藥中易得;
  沙糖蜜蘇乳,此能療眾病。
  自餘諸藥物,隨病可增加;
  先起慈愍心,莫規於財利。
  我已為汝說,療疾中要事;
  以此救眾生,當獲無邊果。』
「善女天!爾時,長者子流水親問其父八術之要,四大增損,時節不同,餌藥方法,既善了知,自忖堪能救療眾病,即便遍至城邑聚落所在之處,隨有百千萬億病苦眾生,皆至其所,善言慰喻,作如是語:『我是醫人!我是醫人!善知方藥,今為汝等療治眾病,悉令除愈。』善女天!爾時眾人聞長者子善言慰喻,許為治病,時有無量百千眾生遇極重病,聞是語已,身心踊躍,得未曾有。以此因緣,所有病苦悉得蠲除,氣力充實,平復如本。善女天!爾時復有無量百千眾生,病苦深重難療治者,即共往詣長者子所,重請醫療。時長者子,即以妙藥令服皆蒙除差。善女天!是長者子於此國內,治百千萬億眾生病苦,悉得除差。」

The canonical text stands in Chinese only. This edition renders the essence, the plain reading, the exposition and the apparatus into English — never the sūtra itself. Switch to 漢讀本 or 並行雙語 above to read it.

白話Plain reading

本譯依義淨本逐段展開,保留經中的時節、病名、醫術與藥名,不把古代醫方名目改寫成現代醫學判斷。


佛陀說明十千天子的本願因緣

佛陀告訴菩提樹神善女天:

『仔細聽!仔細聽!要好好思惟、憶念。我現在要為你說十千天子過去本願的因緣。

『善女天!在過去無量、不可思議的阿僧企耶劫以前,有一尊佛出現在世間,名叫寶髻,具足如來、應、正遍知、明行足、善逝、世間解、無上士、調御丈夫、天人師、佛、世尊等德號。

『善女天!那位世尊般涅槃、正法滅後,到了像法時期,有一位國王名叫天自在光。他時常以正法教化人民,愛護他們就像父母一樣。

『在他的國中,有一位名叫持水的長者,通曉醫明,精通八種醫術。眾生受病苦、四大不調,他都能救治。

『善女天!持水長者只有一個兒子,名叫流水。他容貌端正,人人都喜歡看;天性聰敏,熟習各種論書,書寫、繪畫、算術、印法,無一不通。

『當時國內有無量百千各類眾生同遭疫病,被種種痛苦逼迫,甚至連一點歡樂的心都沒有了。

『善女天!長者子流水看見無量百千眾生受種種病苦,心中生起大悲,這樣想:

『無量眾生正被極大的痛苦逼迫。我的父親雖然精通醫方與八術,能療治四大增損所生的各種病,卻已年老衰邁,老耄虛弱,必須有人扶持、倚杖,才能向前行走;他已不能再到城邑聚落,救治各處的病苦。

『現在無量百千眾生都患重病,沒有人能救。我應當到大醫父親那裡,請問治病醫方的祕要。學懂以後,我便前往各城邑聚落,救治眾生的種種疾病,使他們在漫長的生死之夜得到安樂。

『流水這樣想過,便來到父親面前,以頭禮足,合掌恭敬,退立一旁,用偈頌請問父親。』

流水以五偈請問

慈愛的父親,請您憐愍我。我想救護眾生,現在向您請問各種醫方,願您慈悲為我解說。

人的身體為何會衰壞,四大為何會有增減損傷?又在什麼時候,會生起各種疾病?

應當怎樣進食飲食,才能安樂,使身體內的火熱不致衰減損壞?

眾生有風、黃熱、痰癊以及總集四種病,應當怎樣療治?

風病何時生起?熱病何時發作?痰癊何時發動?總集病又何時生起?

持水以三十二偈回答

持水長者聽見兒子的請問,便也用偈頌回答。

『我現在依循古仙所有的治病方法,按其次第為你說明。你要仔細聽受,用它救護眾生。

『三個月稱為春時,三個月稱為夏時,三個月稱為秋時,三個月稱為冬時。

『這是就一年之中,每三個月分作一時而說;若以每兩個月作一節,一年便成六時。

『最初兩個月是花時,第三、第四月是熱時,第五、第六月是雨時,第七、第八月是秋時。

『第九、第十月是寒時,最後兩個月是氷雪時。知道這些分別以後,給藥便不要違失時節。

『人應順著這些時節調節飲食,使食物入腹後能夠消化散開,種種疾病便不會生起。

『節氣如果變動,身中四大也會隨之推移;這時若沒有藥物資助,便一定會生病受苦。

『醫者要明白四時,也要知道六節;還要熟悉身體的七界,使飲食與用藥都不發生差錯。

『所謂七界,就是味界、血、肉、膏、骨、髓、腦。疾病進入其中時,要知道它究竟能治不能治。

『疾病分作四種,就是風病、熱病、痰癊病和總集病;應當知道它們各自發動的時候。

十一

『春時痰癊發動,夏時風病生起,秋時黃熱增長,到了冬節,三種病一起生起。

十二

『春時宜取澁、熱、辛味,夏時宜取膩、熱、醎、醋味;秋時宜取冷、甜、膩味,冬時宜取酸、澁、膩、甜味。

十三

『在這四時之中,無論服藥或飲食,若能依循相應的味,種種疾病便無從生起。

十四

『進食以後所起的病由痰癊而來;食物正在消化時,病由熱而來;消化完畢以後,病由風而起。要依時候辨認疾病。

十五

『辨明病源以後,便要隨病施藥;即使患者呈現的症狀各不相同,也要先治它的根本。

十六

『風病服用油膩之物;患熱病,以通利為好;痰癊病應當用吐法;總集病則須用三種藥。

十七

『風、熱、癊三者俱有,就叫總集病。即使知道發病的時候,仍應觀察那個人的本性。

十八

『這樣觀察明白以後,便順著時節給藥;飲食和藥物都沒有差錯,才稱得上善巧的醫者。

十九

『又應當知道八種醫術,它們總攝各類醫方;若能熟習明白,便能療治眾生的疾病。

二十

『八術所治,包括針刺、創傷破損、身體疾病與鬼神所損、惡毒、孩童之病,以及延長年壽、增益氣力。

二十一

『先要觀察患者的形色、言語和性情行為,然後詢問他的夢境,藉此辨別風、熱、癊三種性質。

二十二

『身體乾瘦、頭髮稀少,心意不能安定,話多而夢見飛行,這個人就是風性。

二十三

『年少就生白髮,汗多而容易發怒,天性聰明又夢見火,這個人就是熱性。

二十四

『心意安定,身形平整,思慮審慎,頭部津潤油膩,又夢見水和白色物,應當知道這是癊性。

二十五

『總集性同時具有這些性質,或有兩種,或三種全有;其中哪一種偏多,便應知道那是他的主要性質。

二十六

『知道本性以後,便依病給藥;還要驗看他沒有死亡的徵相,這才可說是能夠救治的人。

二十七

『諸根顛倒地取境,對受人尊重的醫者生起傲慢,對親友生起瞋恚;應當知道,這些是死亡徵相。

二十八

『左眼的白色發生改變,舌頭變黑,鼻梁歪斜,耳輪與從前不同,下脣向下垂落;這些也屬死亡徵相。

二十九

『訶梨勒這一種藥,具足六種味,能除一切病,沒有禁忌,是藥中之王。

三十

『此外還有三果,就是訶梨勒迦、阿摩洛迦——也叫阿無羅迦——和仳仳得迦;三辛就是干薑、胡椒和畢鉢。這些都是容易取得的藥物;沙糖、蜜、蘇、乳,也能療治種種疾病。

三十一

『其餘各種藥物,可以隨疾病再作增添。行醫以前,先要生起慈悲憐愍之心,不要圖謀財利。

三十二

『我已經為你說明治病中最重要的事。用這些方法救護眾生,將會獲得無邊的果報。』

流水遍往救治

佛陀接著告訴善女天:

『那時,長者子流水親自向父親請問八術的要點、四大的增損、時節的差別,以及服藥的方法。他都已善巧明白,心中衡量自己足以救治種種疾病,便遍往各城邑聚落。

『他所到之處,凡有百千萬億受病苦的眾生,都來到他那裡。流水用柔善的言語安慰他們,告訴他們:我是醫者!我是醫者!我熟悉方藥,現在要為你們療治眾病,使病全都消除痊癒。

『善女天!眾人聽見長者子柔善安慰、答應為他們治病,當時有無量百千患極重病的眾生,聽到這些話,身心歡喜踊躍,得到從未有過的感受。由於這個因緣,他們所有病苦全都消除,氣力充足,恢復得和原來一樣。

『善女天!還有無量百千眾生,病苦深重、很難療治。他們一同來到長者子那裡,再次請求治療。長者子便給他們妙藥服用,所有人都蒙受利益,疾病消除痊癒。

『善女天!這位長者子在國內療治百千萬億眾生的病苦,使他們的疾病全都消除痊癒。』

This rendering follows Yijing’s recension passage by passage. It preserves the scripture’s seasons, disease categories, medical arts, and medicine names without recasting ancient medical terminology as modern clinical judgment.


The Buddha Explains the Former Vow of the Ten Thousand Divine Princes

The Buddha told the good goddess, the deity of the bodhi tree:

“Listen carefully, listen carefully, and reflect upon this well. I will now explain to you the causes and conditions of the former vow made by the ten thousand divine princes.

“Good goddess, measureless, inconceivable asaṃkhyeya kalpas ago, a buddha named Jeweled Topknot appeared in the world. He was a Tathāgata, Worthy of Offerings, Completely Awakened, Perfect in Knowledge and Conduct, Well-Gone, Knower of the World, Unsurpassed Person, Trainer of Persons, Teacher of Gods and Humans, Buddha, World-Honored One.

“Good goddess, after that World-Honored One entered parinirvāṇa and the true Dharma had disappeared, the age of the semblance Dharma arrived. At that time there was a king named Light of Divine Mastery. He constantly instructed his people through the true Dharma and cared for them as parents care for their children.

“In his realm lived a merchant named Holding Water. He understood the science of medicine and had mastered its eight arts. Whenever sentient beings suffered illness or an imbalance of the four great elements, he was able to treat them.

“Good goddess, the merchant Holding Water had only one son, named Flowing Water. His features were handsome and pleasing to everyone who saw him. Naturally intelligent, he was versed in many treatises and had mastered writing, painting, calculation, and the art of seals.

“At that time, measureless hundreds of thousands of sentient beings throughout the realm were simultaneously struck by an epidemic. Oppressed by many kinds of suffering, they no longer had even the slightest joyful thought.

“Good goddess, when the merchant’s son Flowing Water saw measureless hundreds of thousands of beings suffering from many illnesses, he gave rise to great compassion and thought:

“‘Measureless sentient beings are now oppressed by immense suffering. Although my father has mastered medical prescriptions and the eight arts and can treat every illness arising from increase or decrease among the four great elements, he is now old and declining, senile and weak. He must be supported by another and lean on a staff merely to walk forward. He can no longer travel among towns and villages to treat suffering wherever it appears.

“‘Now measureless hundreds of thousands of beings are gravely ill, and no one can save them. I should go to my father, the great physician, and ask him about the essential secrets of medical treatment. Once I have learned and understood them, I will travel to every town and village, treating the many illnesses of sentient beings and bringing them security throughout the long night of birth and death.’

“Having thought this, Flowing Water went before his father, bowed his head at his feet, joined his palms reverently, withdrew to one side, and questioned him in verse.”

Flowing Water Asks in Five Stanzas

One

Loving father, please take pity on me. Wishing to protect and rescue sentient beings, I now ask you about medical treatment. In your compassion, please explain it to me.

Two

Why does the human body decline? Why do the four great elements increase, decrease, and suffer harm? At what times do the various illnesses arise?

Three

How should one take food and drink so as to dwell at ease and keep the inner fire of the body from declining and being impaired?

Four

Sentient beings suffer four kinds of illness: wind, yellow heat, phlegm-fluid, and the combined illness. How should each be treated?

Five

When does wind illness arise? When does heat illness break out? When does phlegm-fluid become active? And when does the combined illness arise?

Holding Water Answers in Thirty-Two Stanzas

When the merchant Holding Water heard his son’s questions, he too answered in verse.

One

“I will now follow the methods of treating illness possessed by the ancient seers and explain them to you in sequence. Listen and receive them carefully, then use them to protect sentient beings.

Two

“Three months are called spring, three months summer, three months autumn, and three months winter.

Three

“This divides the year into a season of three months each. If every two months are taken as one period, the year contains six seasons.

Four

“The first two months are the flower season; the third and fourth are the hot season; the fifth and sixth are the rainy season; and the seventh and eighth are the autumn season.

Five

“The ninth and tenth months are the cold season, and the final two are the ice-and-snow season. Once these divisions are known, medicines should never be given contrary to the proper season.

Six

“People should regulate food and drink in accord with these seasons, so that what enters the belly can be digested and dispersed. Then the various illnesses will not arise.

Seven

“When the seasonal conditions change, the four great elements within the body shift with them. If medicines do not assist them at such a time, illness and suffering will certainly arise.

Eight

“A physician must understand the four seasons and know the six periods. The physician must also be versed in the body’s seven constituents so that neither food nor medicine is given in error.

Nine

“The seven constituents are the taste constituent, blood, flesh, fat, bone, marrow, and brain. When illness enters them, one must know whether it can or cannot be treated.

Ten

“Illness is divided into four kinds: wind illness, heat illness, phlegm-fluid illness, and the combined illness. One should know when each becomes active.

Eleven

“Phlegm-fluid becomes active in spring, wind illness arises in summer, and yellow heat increases in autumn. When winter arrives, all three illnesses arise together.

Twelve

“In spring, astringent, hot, and pungent flavors are appropriate. In summer, oily, hot, salty, and sour flavors are appropriate. In autumn, cool, sweet, and oily flavors are appropriate. In winter, sour, astringent, oily, and sweet flavors are appropriate.

Thirteen

“Throughout these four seasons, if medicines and foods accord with the corresponding flavors, the various illnesses will have no opportunity to arise.

Fourteen

“Illness arising after a meal comes from phlegm-fluid; illness while food is being digested comes from heat; and illness after digestion is complete arises from wind. Disease must be recognized according to its time.

Fifteen

“After discerning the source of the illness, medicine should be given according to the illness. Even when patients display different symptoms, the root must be treated first.

Sixteen

“For wind illness, take oily substances. For heat illness, purgation is best. Phlegm-fluid illness should be treated by emesis. The combined illness requires all three medicines.

Seventeen

“When wind, heat, and phlegm-fluid are all present, it is called the combined illness. Even when the time of onset is known, the patient’s disposition must still be observed.

Eighteen

“After observing and understanding in this way, give medicine in accord with the season. Only when neither food nor medicine is given in error can one be called a skillful physician.

Nineteen

“One should also know the eight medical arts, which together encompass all kinds of treatment. If they are thoroughly understood, one can treat the illnesses of sentient beings.

Twenty

“The eight arts treat needle punctures, wounds and bodily damage, bodily diseases, injuries caused by ghosts and spirits, harmful poisons, childhood illnesses, the prolonging of life, and the increase of strength.

Twenty-One

“First observe the patient’s physical appearance and complexion, speech, temperament, and conduct. Then ask about the patient’s dreams, thereby distinguishing the dispositions of wind, heat, and phlegm-fluid.

Twenty-Two

“A person with a thin, dry body and sparse hair, whose mind cannot settle, who speaks much and dreams of flying, has a wind disposition.

Twenty-Three

“A person whose hair turns white while still young, who sweats much and is easily angered, who is naturally intelligent and dreams of fire, has a heat disposition.

Twenty-Four

“A person whose mind is settled, whose body is even and well formed, whose reflection is careful, whose head is moist and oily, and who dreams of water and white things should be known as having a phlegm-fluid disposition.

Twenty-Five

“A combined disposition possesses these traits together, whether two kinds or all three. Whichever kind predominates should be known as that person’s principal disposition.

Twenty-Six

“Once the disposition is known, give medicine according to the illness. One must also verify that the patient displays no signs of death; only then may the person be said to be treatable.

Twenty-Seven

“When the sense faculties apprehend their objects upside down, when one behaves arrogantly toward a respected physician, and when one grows angry with family and friends, these should be known as signs of death.

Twenty-Eight

“A change in the white of the left eye, a blackened tongue, a crooked bridge of the nose, an ear rim unlike it was before, and a lower lip hanging downward—these too are signs of death.

Twenty-Nine

“The medicine helile possesses all six flavors. It removes every illness, is subject to no prohibition, and is king among medicines.

Thirty

“There are also the three fruits: helilejia, amoluojia—also called awuluojia—and bipidejia. The three pungents are ganjiang, hujiao, and bibo. All are medicines easy to obtain. Sugar, honey, clarified butter, and milk can also treat many illnesses.

Thirty-One

“Other medicines may be added according to the illness. Before practicing medicine, first give rise to loving compassion and pity; do not seek wealth or profit.

Thirty-Two

“I have now explained the most essential matters in treating illness. By using these methods to protect sentient beings, you will obtain boundless fruits.”

Flowing Water Travels Everywhere to Treat the Sick

The Buddha continued, telling the good goddess:

“At that time, the merchant’s son Flowing Water personally asked his father about the essentials of the eight arts, the increase and decrease of the four great elements, the distinctions among the seasons, and the methods of taking medicine. Having skillfully understood them all, he judged himself capable of treating the various illnesses and traveled throughout the towns and villages.

“Wherever he went, the hundreds of thousands of myriads of koṭis of sentient beings suffering illness came to him. Flowing Water comforted them with gentle and wholesome words, saying: ‘I am a physician! I am a physician! I understand prescriptions and medicines. I will now treat your illnesses and cause them all to disappear and be cured.’

“Good goddess, when the people heard the merchant’s son comfort them gently and promise to treat their illnesses, measureless hundreds of thousands of beings suffering gravely ill heard his words. Their bodies and minds leapt with a joy they had never known before. Through these causes and conditions, all their painful illnesses disappeared. Their strength returned in full, and they became as they had been before.

“Good goddess, there were also measureless hundreds of thousands of beings whose illnesses were grave and extremely difficult to treat. Together they came to the merchant’s son and once again requested treatment. The merchant’s son gave them wondrous medicines to take. All received benefit, and their illnesses disappeared and were cured.

“Good goddess, throughout the realm this merchant’s son treated the illnesses of hundreds of thousands of myriads of koṭis of sentient beings, causing all their illnesses to disappear and be cured.”

義疏Exposition

一場疫病,把大悲從心念推到求學,又把所學推到城邑聚落。流水不是先有答案才看見眾生;正因看見眾生,他才去問、去學、去行。


一句承前:本願因緣從何處說起

本品沒有另起一樁與前文無關的故事。佛陀一開口便告訴菩提樹神善女天:現在所說,是十千天子的本願因緣。上一品留下的問,於是從一段久遠往事得到回答。

往事的時間被推到無量不可思議阿僧企耶劫以前。寶髻如來出世、般涅槃,正法滅後進入像法。這樣的開場先把人物放在佛滅後的世間:佛已不在眼前,眾生仍有病苦,正法如何成為人的行動,便要由後面的選擇顯出來。

天自在光王以正法教化人民,愛護他們如同父母。國中又有持水長者,通曉醫明與八術,能救四大不調的病苦。王以法護民,醫者以術救病;一個國度本來已有兩重照護,疫疾卻仍突然遍及無量百千眾生。經文沒有把已有的善政、醫術寫成從此無患,而是讓苦在這樣的世界中真實發生。

看見眾苦,大悲才有了方向

持水之子流水容貌端正,天性聰敏,熟習諸論,書、畫、算、印無不通達。可是這一連串才能還不是本品真正的轉折。轉折在他看見國中眾生同遭疫疾:眾苦逼迫到使人失去歡樂之心,而他也因此生起大悲。

大悲在這裡先是一種不肯避開的看見。流水沒有只說眾生很苦;他逐一看清眼前的缺口:病者無量,父親雖精通醫方,卻已老耄虛羸,須人扶杖才能前行,無法再遍往城邑聚落。眾生需要救治,能救的人不能到場,自己又尚未掌握醫方。這三件事同時被看見,大悲便從感受變成一個必須補上的責任。

他為自己定下的次第很清楚:先到父親那裡諮問治病祕法;理解以後,再往城邑聚落救治種種疾病;目的則是使眾生在長夜中得受安樂。先學而後行,不是延後慈悲,而是慈悲要求自己具備足以承擔的能力。

向父請問:聰敏的人仍然要低頭學習

流水本已通達諸論與多種技藝,面對病苦卻不把原有才智當作醫方。他來到父親面前,稽首禮足,合掌恭敬,退立一旁,再以偈頌請問。這一組動作把求學的姿態寫得十分具體:知道自己要救人,也知道自己尚有所不知。

他的五偈不是泛問『怎樣治病』。第一偈陳明願心;其後逐層問身體衰壞與四大增損、病生時節、飲食與身火、風黃熱痰癊及總集四病的治法,最後再問各病何時發動。願救眾生是問的起點,辨病、辨時、辨食、辨治則是願心必須經過的細節。

流水也沒有因父親年老而越過父親。父親不能再遠行,所知卻仍能傳下;兒子有體力遍往,卻須先承接父親的經驗。父子在此不是一強一弱的替代,而是知與行在兩代之間接續:一人說出,一人聽受;一人不能行遠,一人學成後代為遍行。

四時六節:先知道變化,才談如何應對

持水的回答從時節開始。他先列春、夏、秋、冬四時,每時三月;又把每兩月作一節,分為花、熱、雨、秋、寒、氷雪六時。時節不是背景裝飾,而是給藥、飲食與四大推移都要依循的條件。若節氣改變,身中四大也隨之推移;醫者若不辨時,藥食便可能失差。

本品所說的身體,不是一個不受外界影響的封閉之物。季節在變,飲食入腹又有食後、食消時、消後的先後,疾病也隨這些節點發動。於是醫者所要辨認的,不只是哪一種病,還有病在何時起、食物行到哪一程、四大如何增損。

這也說明父答為何不只給一張藥名表。他先教人觀察時間與飲食,再說七界、病類、病源與本性。治療不是看見一個表面症狀便立刻給出同一答案;經中明說,即使患狀不同,也要先治其本。『先療其本』使整段醫方有了中心:眾多名目不是為了堆積知識,而是為了不被外相帶走。

七界四病:名目愈細,觀察愈不可草率

身有味界、血、肉、膏、骨、髓、腦七界;病入其中,要知道能治不能治。病又分風、熱、痰癊與總集。總集不是第五個孤立病名,而是風、熱、癊俱有;或二種、或三種全具,其中仍可能有一種偏增。

父親接著把病與時節、飲食相連:春時痰癊動,夏時風病生,秋時黃熱增,冬時三者俱起;食後、食消時、消後,也各有相應的發動。再依四時列不同味的飲食,依風、熱、癊、總集分說油膩、通利、吐法與三藥。經文在自己的古代醫方世界中,把辨時、辨病、辨食與施藥連成一體。

然而知道病起時間仍不夠,還要觀察患者的本性。風性、熱性、癊性各由形色、頭髮、汗、瞋、心定不定、語言與夢境等相來辨;總集性則可能兼二或具三。這一段不讓『同名之病』抹平『不同的人』。順時施藥之前,先辨個人的偏性;飲食與藥皆不失差,才稱善醫。

八術不是盡頭:醫者也要知道何時可救

父親又說八術總攝諸醫方,列出針刺、傷破、身疾、鬼神、惡毒、孩童、延年、增氣力。接著仍不是立刻施術,而是先觀形色、語言、性行,再問夢境。技巧愈多,越需要觀察;能做的事愈多,越要知道面前究竟是哪一種情形。

經文更把『可療不』與死相放在醫者眼前。諸根倒取境、對受尊重的醫者起慢、對親友生瞋,以及眼色、舌色、鼻梁、耳輪、下脣的變化,都被列作死相。流水所學的因此不只是如何出手,也包括如何驗看界限。『方名可救人』之前,先有『驗其無死相』;救人之願並沒有取消對可救與不可救的辨認。

這使大悲和明辨不成兩端。若只有明辨而沒有大悲,醫術可能只成一種自負;若只有急切而不肯辨時、辨病、辨性與界限,善意也可能失去準繩。父親的長答,正把兒子最初的悲心安放在細密的學習裡。

藥中之王之後,還有一條更根本的醫誡

父親列訶梨勒六味,稱其能除一切病,是無忌藥中王;又列三果、三辛、沙糖、蜜、蘇、乳,並說其餘藥物可隨病增加。可是在所有藥名之後,他立即轉向醫者的心:先起慈愍,不求財利。

這個先後不可忽略。慈愍不是學醫以前的一次感動,也不是技術完成後附加的美德;經文把它放在用藥之先。流水最初因眾苦生大悲,父親在傳法將畢時又以慈愍回應。故事的願心與醫方的戒語前後扣合,使『為何而學』始終約束『如何去用』。

父答最後不以醫術聲名或財富作果,而說以此救眾生,當獲無邊果。這個果緊接在不求財利之後:行動的方向不是把病者變成獲利之具,而是以所學解除眾苦。醫方因救生而有價值,救生又因慈愍而不偏離起點。

從善了知到遍至:所學必須走到眾生所在之處

流水親問八術、四大增損、不同時節與服藥方法,善巧了知以後,才衡量自己足以救療眾病。他沒有停在『我已明白』,而是遍至城邑聚落。父親因年老而不能抵達的地方,如今由兒子帶著所學抵達。

他到了病苦眾生所在之處,先用善言慰喻,反覆表明自己是醫者、知道方藥,願為眾人除病。病者最先得到的不是藥,而是一句有人願意承擔的話。經文接著分出兩路:有無量百千重病眾生,聽見允諾後身心踊躍,病苦蠲除、氣力充實;另有病苦深重難治者,親到流水處再請醫療,服下妙藥才蒙除差。

兩路都沒有被省成同一過程。善言慰喻自有作用,重病請藥也自有次第;最後才總結流水在國內治百千萬億眾生病苦,悉得除差。從見苦,到求方;從聽受,到善了知;從自忖堪能,到遍往救治,本品把大悲寫成一條一步不少的行路。

品末的圓滿也回照品初的不足。起初,無量病者無人能救,持水有術卻不能遠行,流水有願卻尚未通醫;結尾時,父親的所知已由兒子承接,兒子的願也已化為遍行,病者則從無能救轉為有人慰喻、有人給藥。改變不是忽然降下,而是每一個缺口各得其應:老者傳知,少者受學,能行者遠行,聞慰喻而得除者與服藥而得除者各依所需得治。所謂除病,因而不只落在最後一句痊癒,也落在這條使救護終於抵達的因緣鏈上。

以唯識之眼

上來都是義淨本品身自身的次第。以下借慧沼《金光明最勝王經疏》作一面旁照的鏡子:鏡非經,科判、名義與解難都屬古德讀法,不回填成流水故事自說。

慧沼先以來意、釋名、解妨三門開品,釋題為諸大違損叫病、藥能對遣叫除〔T39n1788 0324b23〕。他又把正陳緣起判成十二段,從時節、國界、父、子與習醫緣,一路到學成、慰喻、重請、服藥及總結。這面鏡子讓本品的次第更清楚:悲心不是一念便直達療愈,中間有求、問、答、學、量己、遍往與隨病施治。

父子偈頌方面,慧沼把子問分為五頌,把父答分作三十二頌;父答又有許說一頌、正釋三十頌、總結一頌。三十頌中,四頌定時節、十三頌正答、十二頌重料簡。答次不完全依問次,他解作因回答飲食將養,順便明發病時節〔T39n1788 0325b19–0325c10〕。這是疏家對編排的解釋,不是經中多出的一句交代。

七界一段,慧沼以阿羅婆、佉羅解味界,再列血、肉、膏、骨、髓、腦;八術一段,他所傳列號從三直至五〔T39n1788 0325b27–0325c29〕。對訶梨勒、三果三辛與六味,他也補出古德音寫與名目;這些解釋皆屬鏡中判釋。

來意上,疏內先錄真諦把本品判作授記因、傍顯釋迦修行之說;慧沼隨後質疑其文勢,又留下以下中上或勝劣勢力分遠近的可通讀法〔T39n1788 0324b16–0324b23〕。多說並存,正好提醒讀者:科判是古德照經的不同角度,不是經文只有一副可替換的骨架。

向前,慧沼以本品承十千天子得記後的疑;向後,他把本品判為起緣起,把〈流水品〉判為正明得記因緣〔T39n1788 0324c06〕。知禮《金光明經文句記》也把〈除病〉、〈流水〉收入同一科下,先釋〈除病品〉,再起〈流水品〉〔T39n1786 0150b26–0152b15〕。兩家用語不盡同,結構上都使本品不孤立:此處學醫遍療,是下一品救魚施法的前行。這就是本品的承衍——大悲已學會走到眾生所在之處,下一步還要走向不能開口求救的生命。

An epidemic drives great compassion from thought into learning, then drives what has been learned into the towns and villages. Flowing Water does not first possess answers and only then notice sentient beings. Because he sees them, he asks, learns, and acts.


One Sentence of Continuity: Where the Causes of the Former Vow Begin

This chapter does not begin a story unrelated to what precedes it. As soon as the Buddha speaks, he tells the good goddess, the deity of the bodhi tree, that he will now explain the causes and conditions of the former vow of the ten thousand divine princes. The question left by the preceding chapter thus receives an answer through an event in the distant past.

The time of that event is pushed back measureless, inconceivable asaṃkhyeya kalpas. Tathāgata Jeweled Topknot appears in the world and enters parinirvāṇa; after the true Dharma disappears, the age of the semblance Dharma begins. This opening first places the figures in a world after the Buddha’s passing. The Buddha is no longer present before their eyes, sentient beings still suffer illness, and the choices that follow must disclose how the true Dharma can become human action.

King Light of Divine Mastery instructs his people through the true Dharma and cares for them as parents. The merchant Holding Water understands the science of medicine and its eight arts and can treat suffering caused by imbalances among the four great elements. A king protects the people through Dharma; a physician rescues the sick through technique. The realm already possesses these two forms of care, yet epidemic disease still suddenly spreads among measureless hundreds of thousands of sentient beings. The scripture does not turn good governance and medical skill into a world forever free of trouble. It allows suffering to occur fully even within such a world.

Seeing the Suffering of Many Gives Great Compassion a Direction

Holding Water’s son Flowing Water is handsome, naturally intelligent, versed in many treatises, and accomplished in writing, painting, calculation, and seals. Yet this list of abilities is not the chapter’s true turn. The turn comes when he sees the beings of the realm struck together by epidemic disease. Their sufferings oppress them until they lose every joyful thought, and he therefore gives rise to great compassion.

Here great compassion begins as a way of seeing that refuses to look away. Flowing Water does not merely say that sentient beings are suffering. He identifies each part of the gap before him: the sick are measureless; although his father has mastered medical methods, he is senile and weak and can walk only with another’s support and a staff; he can no longer travel throughout the towns and villages. Sentient beings need treatment, the person who can treat them cannot arrive, and Flowing Water himself has not yet mastered the medical methods. When all three are seen together, great compassion becomes a responsibility that must be taken up.

The sequence he establishes for himself is clear: first go to his father and inquire about the secret methods of treatment; once he understands them, travel through the towns and villages to treat many illnesses; the purpose is to bring sentient beings security throughout the long night. Learning before acting does not postpone compassion. It is what compassion requires if he is to become capable of bearing the work.

Asking His Father: Even the Intelligent Must Bow Their Heads and Learn

Flowing Water is already versed in treatises and many arts, yet before illness he does not treat his prior intelligence as medical knowledge. He comes before his father, bows his head at his feet, joins his palms reverently, withdraws to one side, and only then asks his questions in verse. This sequence of actions makes the posture of learning concrete: he knows that he wishes to save others, and he knows that there is still something he does not know.

His five stanzas do not ask vaguely how illness is treated. The first states his aspiration. The others ask in layers about bodily decline and changes among the four great elements, the times when illness arises, food and the body’s fire, the treatment of wind, yellow heat, phlegm-fluid, and the combined illness, and finally the time when each becomes active. The wish to save sentient beings begins the question; distinctions of illness, time, food, and treatment are the details through which that wish must pass.

Nor does Flowing Water pass over his father because his father is old. The father can no longer travel far, but what he knows can still be transmitted. The son has the strength to travel everywhere, but must first receive his father’s experience. Father and son are not a strong replacement for a weak one; knowledge and action continue across two generations. One speaks and the other receives. One cannot travel far, and the other learns and then travels in his place.

Four Seasons and Six Periods: Know Change Before Discussing a Response

Holding Water begins his answer with time. First he lists spring, summer, autumn, and winter, each lasting three months. He then takes every two months as one period and distinguishes the flower, hot, rainy, autumn, cold, and ice-and-snow seasons. Time is not decorative background. The giving of medicine, food and drink, and movement among the four great elements must all accord with it. When the seasons change, the four great elements within the body shift as well; if a physician cannot discern the time, both medicine and food may miss their mark.

The body described in this chapter is not something sealed off from the world. Seasons change. Food entering the belly has stages after eating, during digestion, and after digestion. Illness becomes active in relation to these points. A physician must therefore discern not only what kind of illness is present, but when it arose, how far food has passed, and how the four great elements have increased or decreased.

This also explains why the father does not merely give a list of medicines. He first teaches observation of time and food, then discusses the seven constituents, disease categories, roots, and dispositions. Treatment does not mean seeing a surface symptom and immediately giving everyone the same answer. The scripture says explicitly that even when symptoms differ, the root must be treated first. “Treat the root first” gives the whole medical teaching its center. Its many names do not accumulate knowledge for its own sake; they prevent the physician from being led astray by appearances.

Seven Constituents and Four Illnesses: The Finer the Names, the Less Careless the Observation

The body has seven constituents: the taste constituent, blood, flesh, fat, bone, marrow, and brain. When illness enters them, one must know whether it can or cannot be treated. Illness is also divided into wind, heat, phlegm-fluid, and the combined illness. The combined illness is not an isolated fifth category; it means wind, heat, and phlegm-fluid are present together. Two or all three may be present, while one may still predominate.

The father next links disease with time and food. Phlegm-fluid becomes active in spring, wind illness arises in summer, yellow heat increases in autumn, and all three arise together in winter. After eating, during digestion, and after digestion likewise correspond to different activations. He then lists different flavors for the four seasons and distinguishes oily substances, purgation, emesis, and the three medicines for wind, heat, phlegm-fluid, and the combined illness. Within its own ancient medical world, the scripture connects discerning time, illness, food, and medicine into a single whole.

Yet knowing the time when an illness arises is still not enough. One must observe the patient’s disposition. Wind, heat, and phlegm-fluid dispositions are discerned through bodily form and complexion, hair, sweat, anger, whether the mind is settled, speech, and dreams. A combined disposition may unite two or all three. This section refuses to let “the same named illness” erase “different persons.” Before medicine is given in accord with the season, the person’s predominant disposition must be discerned. Only when neither food nor medicine misses its mark is one called a good physician.

The Eight Arts Are Not the End: A Physician Must Know When Treatment Is Possible

The father next says that the eight arts encompass all medical methods. He lists needle punctures, wounds, bodily disease, ghosts and spirits, harmful poison, children, prolonging life, and increasing strength. Yet even now he does not proceed immediately to technique. He first observes bodily form and complexion, speech, temperament, and conduct, then asks about dreams. The more techniques one possesses, the more observation is required. The more one can do, the more carefully one must know what kind of situation stands before one.

The scripture also places “whether treatment is possible” and the signs of death before the physician’s eyes. The sense faculties apprehending objects upside down, arrogance toward a respected physician, anger toward family and friends, and changes in the eye, tongue, bridge of the nose, rim of the ear, and lower lip are all listed as signs of death. What Flowing Water learns thus includes not only how to act, but how to examine limits. Before “a physician can save,” there is “verify that no signs of death are present.” The wish to save others does not cancel the distinction between what can and cannot be treated.

Great compassion and clear discernment therefore do not stand at opposite ends. Without great compassion, discernment may become mere pride in technique. Without willingness to discern time, illness, disposition, and limits, urgency alone may lose its measure. The father’s long answer places the son’s original compassion within exacting study.

After the King of Medicines, a More Fundamental Medical Precept

The father says that helile possesses six flavors, can remove every illness, is free from prohibition, and is king among medicines. He then lists the three fruits, the three pungents, sugar, honey, clarified butter, and milk, adding that other medicines may be used according to the illness. Yet immediately after all these names of medicines, he turns to the physician’s heart: first give rise to loving compassion; do not seek wealth or profit.

This order cannot be overlooked. Loving compassion is neither a single emotion before medical study nor a virtue appended after technique is complete. The scripture places it before the use of medicine. At first Flowing Water gives rise to great compassion because sentient beings suffer; near the end of his transmission, the father answers that compassion with loving pity. The aspiration of the story and the medical precept answer one another, so that “why one learns” continues to govern “how one uses what is learned.”

The father’s answer ends not with medical fame or wealth, but by saying that using these methods to save sentient beings will bring boundless fruits. This fruit follows immediately upon the instruction not to seek profit. The action’s direction is not to turn the sick into instruments of gain, but to use what has been learned to relieve their suffering. Medical methods have value because they rescue life, while rescue avoids losing its beginning because it rests upon loving compassion.

From Skillful Understanding to Traveling Everywhere: Learning Must Reach Where Sentient Beings Are

Flowing Water personally asks about the eight arts, the increase and decrease of the four great elements, different seasons, and methods of taking medicine. Only after understanding them skillfully does he judge himself able to treat the various illnesses. He does not stop at “I now understand,” but travels throughout the towns and villages. The places his father can no longer reach are now reached by the son carrying what he has learned.

Wherever he finds sentient beings suffering illness, he first comforts them with gentle words. Repeatedly he identifies himself as a physician who knows prescriptions and medicines and promises to remove their illnesses. The first thing the sick receive is not medicine, but the assurance that someone is willing to take responsibility. The scripture then distinguishes two paths. Measureless hundreds of thousands of gravely ill beings hear the promise, leap with joy in body and mind, are freed of painful illness, and regain their strength. Other beings whose illnesses are grave and difficult come personally to Flowing Water, request treatment, and only after taking wondrous medicine are cured.

The two paths are not compressed into one process. Gentle comfort has its own effect; those gravely ill who request medicine follow their own sequence. Only then does the chapter conclude that Flowing Water treated the illnesses of hundreds of thousands of myriads of koṭis of sentient beings throughout the realm and caused them all to be cured. From seeing suffering to requesting a method, from receiving instruction to understanding skillfully, and from judging himself capable to traveling everywhere, the chapter writes great compassion as a path with no step omitted.

The chapter’s ending also reflects the insufficiency at its beginning. At first measureless sick people have no one to save them; Holding Water possesses technique but cannot travel far; Flowing Water possesses the aspiration but has not mastered medicine. At the end, the father’s knowledge has passed to the son, the son’s aspiration has become travel everywhere, and the sick have gone from having no savior to receiving comfort and medicine. Change does not descend all at once. Each gap receives its response: the elder transmits knowledge, the younger receives it, the one able to travel goes far, and those relieved by reassurance and those relieved by medicine each receive the treatment they need. Curing illness therefore lies not only in the final sentence of recovery, but throughout this causal chain by which protection at last arrives.

Through the Eye of Consciousness-Only

Everything above follows the sequence internal to Yijing’s chapter. What follows borrows Huizhao’s Commentary on the Sūtra of Golden Light, the Supreme King as a mirror held beside it. The mirror is not the scripture: its structural divisions, explanations of names, and resolutions of difficulties belong to an ancient master’s reading and are not inserted back into Flowing Water’s own story.

Huizhao opens the chapter through three approaches: the reason for its coming, explanation of its title, and resolution of a difficulty. He explains that the many great disruptions and harms are called illness, while medicines able to counteract and dispel them are called curing 〔T39n1788 0324b23〕. He then divides the main account of the causes and conditions into twelve parts, beginning with the conditions of the time, realm, father, son, and medical training, and continuing through successful learning, comfort, renewed requests, taking medicine, and the conclusion. This mirror makes the chapter’s sequence still clearer: compassion does not move directly from one thought to recovery. Between them lie seeking, asking, answering, learning, assessing oneself, traveling everywhere, and giving treatment according to illness.

For the verses exchanged by father and son, Huizhao divides the son’s questions into five stanzas and the father’s answer into thirty-two. The father’s answer in turn comprises one stanza granting permission to teach, thirty stanzas of explanation, and one concluding stanza. Within the thirty, four establish the seasons, thirteen give the direct answer, and twelve reconsider it in detail. The answer does not follow the order of the questions completely. Huizhao explains that the response concerning dietary care leads naturally into the seasons when illnesses arise 〔T39n1788 0325b19–0325c10〕. This is the commentator’s explanation of the arrangement, not an additional statement within the scripture.

In the section on the seven constituents, Huizhao explains the taste constituent with the sound-forms Aluopo and Quluo, then lists blood, flesh, fat, bone, marrow, and brain. In the section on the eight arts, the numbering transmitted in his commentary runs directly from three to five 〔T39n1788 0325b27–0325c29〕. He also supplies ancient sound-forms and names for helile, the three fruits and three pungents, and the six flavors. All these explanations belong to the mirror of commentary.

On the reason for the chapter’s coming, the commentary first records Paramārtha’s view that the chapter constitutes the cause for the prediction and incidentally reveals Śākyamuni’s practice. Huizhao then questions how well this fits the movement of the text, while preserving a possible reading based on lower, middle, and higher—or weaker and stronger—powers producing nearer and more distant results 〔T39n1788 0324b16–0324b23〕. The coexistence of several explanations reminds the reader that structural division is an ancient master’s angle of illumination, not a single replaceable skeleton possessed by the scripture alone.

Looking backward, Huizhao treats this chapter as answering the doubt that follows the prediction of the ten thousand divine princes. Looking forward, he classifies this chapter as introducing the causes and conditions and “The Merchant’s Son Flowing Water” as the direct explanation of the causes and conditions for receiving the prediction 〔T39n1788 0324c06〕. Zhili’s Record of the Words and Phrases of the Sūtra of Golden Light likewise places “Curing Illness” and “Flowing Water” under a single division, first explaining “Curing Illness” and then opening “Flowing Water” 〔T39n1786 0150b26–0152b15〕. The two masters do not use identical terms, yet structurally neither leaves this chapter isolated. Learning medicine and treating beings everywhere here prepares the way for rescuing fish and giving them the Dharma in the next chapter. This is the chapter’s carrying forward: great compassion has learned to walk to the places where sentient beings are, and its next step will be toward lives unable to ask for rescue in words.

考據Apparatus

全品定位 本品承〈授記品〉十千天子本願因緣之問,以流水見疫起悲、就父持水問醫、學成遍療為品身;下一品續敘流水救魚、施食說法。經文以救病成其遠因,諸家科判各有層次,今並錄其說,不以一說裁去一說。


一、科判定位

義淨本品題為「金光明最勝王經除病品第二十四」〔T16n0665 0447b21〕,品身自 0447b22 起,至 0448c21 真末行;共一千三百九十八漢字,不另設小科標識。

本品開口即承前:「是十千天子本願因緣,今為汝說。」〔T16n0665 0447b23〕慧沼因而把〈除病〉、〈流水〉連成一組:「贊曰:以下二品第二廣明十千得記因緣。有二:此品明得起緣起,〈流水〉正明得記因緣。緣起分二:此初勅聽許說。」〔T39n1788 0324c06〕這是疏家對兩品關係的判語,不改寫為經文自說。

慧沼先以來意、釋名、解妨三門開品。來意一段先說十千天子得記後疑起,又把兩品的前後分工作如下交代:「除病品二十四,三門分別。言來意者,此為除疑;前品為成,勸勉說受。俱當作佛,故有授記。二士先曾聞經為記,時眾不惑;十千創始至會得記,故有疑生。前雖略答,往因總陳恐聞難解,此下更為廣說,故有〈除病〉、〈流水品〉生。然差別者,將說十千往因,故先述其緣起,即有〈除病品〉。又恐病苦妨說聽經,兼明為除,令得依學。緣起既彰,次須正辨,故〈流水品〉起。」〔T39n1788 0324b08〕釋名則曰:「釋名者,諸大違損云病,藥能對遣曰除,此品廣明,名〈除病品〉。」〔T39n1788 0324b23〕

就品身大節,慧沼判正陳緣起有十二:時節、國界、菩薩父、習醫緣、詣父諮受、父為解釋、忖已學成、隨告能療、眾聞療愈、病深重請、蒙藥皆除、總結病差。父子偈問答中,子問五頌;父答三十二頌,疏分為許說一頌、正釋三十頌、總結一頌;正釋又分定時節四頌、正答十三頌、重料簡十二頌。疏文先標「下第六父為解釋」〔T39n1788 0325b19〕,再以父答三十二頌分成初一頌許說、三十頌正釋、末一頌總結;三十頌中又分定時節四頌、正答十三頌與重料簡十二頌。

知禮《金光明經文句記》在逐文記層另立第五科;科首跨行,完整起語為「五、釋〈除病〉、〈流水〉,二:初、釋〈除病品〉」〔T39n1786 0150b26–0150b27〕,其中自本行起的科文為「〈除病〉、〈流水〉,二:初、釋〈除病品〉」〔T39n1786 0150b27〕;到後文另標「二、〈流水品〉,二:初」〔T39n1786 0152b15〕。這是知禮把兩品科為一對的逐文記實料;只誌其結構,不由此判定其他科判。


二、異譯對勘

三本正命題與品界

三本都有同題之品,也都敘持水、流水問醫治病,故皆是正命題見證,不是缺品見證:

經本品題品身品身漢字數
T16n0663「金光明經除病品第十五」〔T16n0663 0351b23〕0351b24–0352b08一千零一十
T16n0664「金光明經除病品第二十」〔T16n0664 0394c05〕0394c07–0395b17一千零一十一
T16n0665「金光明最勝王經除病品第二十四」〔T16n0665 0447b21〕0447b22–0448c21一千三百九十八

異譯名對與稱謂

命名位T16n0663T16n0664T16n0665
所告樹神「佛告道場菩提樹神」〔T16n0663 0351b24〕「佛告道場菩提樹神」〔T16n0664 0394c07〕「佛告菩提樹神善女天」〔T16n0665 0447b22〕
過去佛「名曰寶勝如來」〔T16n0663 0351b27〕「名曰寶勝如來」〔T16n0664 0394c10〕「名曰寶髻如來」〔T16n0665 0447b25〕
國王「天自在光王」〔T16n0663 0351c01〕「天自在光」〔T16n0664 0394c13〕「天自在光」〔T16n0665 0447b28〕
醫者父「持水」〔T16n0663 0351c03〕「持水」〔T16n0664 0394c16〕「持水」〔T16n0665 0447c01〕
長者子「名曰流水」〔T16n0663 0351c05〕「名曰流水」〔T16n0664 0394c16〕「名曰流水」〔T16n0665 0447c03〕

『寶勝』與『寶髻』、『道場菩提樹神』與『菩提樹神善女天』,各還其本,並錄不改、不判孰勝。

品身對位

三本都有勅聽與本願、過去佛、像法國王、持水醫能、流水見疫起悲、問醫、父答、學成遍療、病者得除與全國總結。舊二本的問答較短,父答後即接流水學成;T16n0665 自「復應知八術」〔T16n0665 0448b08〕至「當獲無邊果」〔T16n0665 0448c06〕另有八術、性相夢相、死相、藥物與誡勸諸頌。此處只記三本品身有無相應段,不立增、刪或優劣之判。

T16n0663 與 T16n0664 原字異存全表

下表依兩本品身漢字事件流,列盡十六組非同一操作;標點分合另各守本傳,不併入原字表。∅ 只表示相對本無字,插入點不是引文。

變動T16n0663 原字T16n0664 原字
有無「王」0351c01∅(光後)0394c13
有無∅(持水後)0351c04「大」0394c16
異字「技」0351c07「伎」0394c18
有無∅(善後)0351c12「解」0394c24
異字「太」0351c13「大」0394c24
異字「顫」0351c14「戰」0394c25
異字「几」0351c15「机」0394c26
異字「至」0351c18「往」0394c29
異字「胏」0351c26「肺」0395a07
異字「酥」0352a18「蘇」0395a28
十一異字「訶」0352a19「呵」0395a29
十二異字「酥」0352a20「蘇」0395b01
十三異字「能」0352a21「時」0395b02
十四異字「言」0352b01「語」0395b10
十五異字「直」0352b02「得」0395b12
十六異字「其」0352b07「是」0395b17

三、唯識義之經據(眼)

本目以慧沼《金光明最勝王經疏》為鏡;鏡照經義,不把疏家的科名、解難與判釋寫回經文。

一、來意之異解全錄。 慧沼先完整保存真諦舊釋:「此〈除病品〉正明授記因,成〈授記品〉,傍顯釋迦修行,成〈壽量品〉。後〈捨身品〉正明釋迦之因,成〈壽量品〉。傍顯弟子修行,成〈授記品〉。」〔T39n1788 0324b16〕隨後自陳評議,又把可通的兩種讀法留下:「然治病為遠緣、流水為近緣,今謂義雖可爾,文勢稍疎。壽量之因,前已廣明十度等訖,何故今者復正明因?同一生修,何分遠近?為下中上義則不妨,或既勝劣勢力分遠近亦復不違,然判以為正壽量因即文疎遠。」〔T39n1788 0324b18〕舊釋、慧沼質疑、下中上之通法與勝劣勢力之通法均保存,不從中擇一。

二、問答次第。 慧沼把流水五頌分成求哀願說一頌與正請四頌;四頌中再析得病因、病生時、將養、醫療與病起時節五問。父答則不依問次機械排列,疏自設問答說:「問:何故問答次第不同?答:因答第三食飲將養,乘便即明發動時節,故答與問次第不同。」〔T39n1788 0325c07〕這是解釋答次的疏語,不是經中父子另一次問答。

三、七界與病體。 經只列味界、血、肉、膏、骨、髓、腦;慧沼補釋味界:「一味界者,梵云阿羅婆,在脾胃間。飲食至此分為二分:一佉羅界,即滓質,成大小便;二味界,即津味,委資身分。」〔T39n1788 0325b27〕阿羅婆、佉羅只保存古德音寫,不據近代校本還原,也不把七界改作現代解剖名目。

四、四病與三時。 經列風、熱、痰癊、總集,並說春、夏、秋、冬及食後、食消時、消後的發動。慧沼據五行推痰為水、風屬木、熱是火,又說病之胎、衰、死與暴發可治時;這一整層皆是疏家推釋。經的四病、四時與三個食程先後仍各守原句,不由疏說換名。

五、八術、死相與藥名。 慧沼所列為:「八術者,一療被針刺法;二療破傷法;三療身疾,即前四病四鬼損;五中毒藥;六療孩童;七延壽;八養身。」〔T39n1788 0325c26〕原疏列號由三直至五。對後段又判五分:祕術、病體、死相、妙藥、誡勸;說妙藥時自限「此說其總,不說別治」〔T39n1788 0326a03〕。其三果三辛全錄為:「三果者,一訶梨勒迦;二阿摩洛迦,亦云阿無羅迦,即舊云菴摩羅果者訛;三仳仳得迦,似阿無羅而稍大也。三辛者,一干薑、二胡椒、三畢鉢,并沙糖等十易得補治。」〔T39n1788 0326a06〕阿摩洛迦、阿無羅迦等同疏異名完整並存,不裁一名。

六、慈愍為醫行之端。 經在藥物之後先誡「先起慈愍心,莫規於財利」〔T16n0665 0448c04〕,才總結救眾生得果。慧沼把末頌判為指例誡勸,沒有把財利改作療效條件。經文的行動次第是見苦起悲、求學、善了知、自忖堪能、遍往救療;這一條可直接由經讀出。


四、諸家疏記與層次

慧沼《金光明最勝王經疏》

本品正疏在 T39n1788 0324b08–0326b01,屬疏卷六;卷內署名為「翻經沙門慧沼撰」〔T39n1788 0318a22〕。0324b07 是品題,不是正疏首字;0326b02 已起下一品。正疏共十六條牒經、十九條判釋。牒文是慧沼疏中所牒,不等同 T16n0665 底本;例如疏牒作「善治方藥」〔T39n1788 0326a18〕,本經作「善知方藥」〔T16n0665 0448c12〕,兩書不得互換。

慧沼將緣起判成十二段,並且逐釋 T16n0665 0448b08–0448c06 的八術至誡勸諸頌,故這一段可繫正疏;其正疏末語為「下十二總結病差。」〔T39n1788 0326b01〕

智顗《金光明經文句》

T39n1785 有本品專節,題「釋除病品」〔T39n1785 0080b20〕,逐文科釋在 0080b21–0082a05。其總判先說:「廣答遠緣,由醫王救疾,故言〈除病品〉。通取後〈流水品〉。文為五:一緣本、二遠緣、三近緣、四結緣、五會緣。」〔T39n1785 0080b21〕其後以佛告樹神為緣本,以像法中為遠緣;遠緣又分父、子、國人遇病、子請、父說、知已遍治六目。

智顗對時節留下多重解釋,今依原次全錄:

  • 先並列俗法四時與佛法三時,又於俗法二二說配陰陽、五行與土寄:「父醫還答四問,初六行答四大增損、二一行半答飲食犯觸、三二行答病動時節、四八行半答治病方。就六行中,分二:初一行是佛敘父醫欲答爾、次五行正答時節。時節有二:一俗法四時,謂春夏秋冬,冬為歲末、春為歲始。而初言夏者,或可趣作此言、或可答問正是於夏。三三而說者,一時三月,謂孟、仲、季。四時,即十二月也。若依佛說法,一歲三時,謂冬、春、夏,夏為歲末、冬為歲始。何故爾?為破諸弟子著常,為開安居迦提月,故沒秋時爾。佛法三時,亦是三三說也。若二二說足滿六時者,依俗法四時,時本二月,土寄四季各十八日,本之二月只是陰陽二月。一時唯有陰陽二月,合成六時。正月二月是木王時,四月五月是火王時,七月八月是金王時,十月十一月是水王時,臘月三月是陽土寄王,六月九月是陰土寄王。欲論本月亦二二說,若論土寄王亦二二說,故言足滿六時也。」〔T39n1785 0080c02〕
  • 又依佛法把三時各分初後:「若依佛法解二二說者,佛法有三時,時有四月,各有初分後分。後臘月十六日至二月十五日,此初分春時;從二月十六日至二月十五日,此二月春後分。從四月十六至六月十五日,此二月是夏時初分;從六月十六至八月十五,此是夏後分。從八月十六至十月十五,此二月是冬時初分;從十月十六至臘月十五,此二月是冬後分,故言若二二說足滿六時也。」〔T39n1785 0080c20〕
  • 再存陰陽月一解:「又云:正月三月是陽月,二月四月是陰月,五月七月是陽月,六月八月是陰月,九月十一月是陽月,十月臘月是陰月,故言若二二說足滿六時。」〔T39n1785 0081a03〕
  • 對三三本攝,復並俗法月攝、土寄主客、佛法三時攝秋與問答釋數:「三三本攝依俗法者,正月是春分本月,攝後兩月悉屬春分;四月為夏本月,攝後兩月悉屬夏分;七月為秋本月,攝後兩月悉屬秋分;十月為冬本月,攝後兩月悉屬冬分,三三本攝也。又云:正月二月正是春時,木於中王,土寄三月,攝屬春時;四月五月正是夏時,火於中王,土寄六月,攝屬夏時;七月八月正是秋時,金於中王,土寄九月,攝屬秋時;十月十一月正是冬時,水於中王,土寄臘月,攝屬冬時。土寄四季正時為本,各三月並攝於土,故言三三本攝,主攝於客,客是土也。依佛法言三三本攝者,本時各三月,既廢秋時,以秋之三月各配入三時,時則四月。論本則三,論攝則一,故言三三本攝也。問:四時各有三月,此是四三本攝,何謂三三本攝?答:三為一數,以三而數,故言三三為本爾。」〔T39n1785 0081a06〕

智顗在父答後判輕重二路:「是第六知已遍治。文為二:一病輕聞說即差、二病重服藥方除〔云云〕。」〔T39n1785 0081c20〕其後另立觀心釋,把三毒等分作內病、數息不淨慈心因緣作法藥;此屬觀心層,非經直說。T39n1785 所依舊譯在父答後即接學成遍療,沒有可逐頌繫到 T16n0665 0448b08–0448c06 的段落,故不虛列。

吉藏《金光明經疏》

T39n1787 以「〈治病品〉」〔T39n1787 0171b19〕起專節,至 0172c29,0173a01 已起〈流水長者子品〉。吉藏判本品為得記遠緣、流水為近緣;又將品分誡許說與正說,正說再分本生、本事;本事則分慈悲體、慈悲用。

對『三三本攝』,吉藏明說「解有二師」〔T39n1787 0172a11〕。初師先依四時各三月,以首月為本、攝後兩月,稱本攝末;又以木、火、金、水各王二月,土寄四季,稱主攝客。第二師依佛法冬、春、夏三時,各攝秋時一月而成四月;廢秋又有破保常之執、開後安居立迦提月二義。兩師及初師內兩路均完整並列,不擇一說。

對『二二現時』亦留二解:「者,亦有二解。第一解言:四時之中各二月日以為正時,土寄四季,各以月日攝屬陰陽合成六時。六時者,正月二月是木王現時,四月五月是火王現時,七月八月是金王現時,十月十一月是水王現時。十二月三月是陽土寄王,六月九月是陰土寄王。王名為現,故言二二現時足滿六時。第二解言:依法三時,時有四月,各有初分後分,合成六時。六時者,從臘月十六日至二月十五日,此二月是春時初分現;從二月十六日至四月十五日,此二月是春時後分現。從四月十六日至六月十五日,此二月是夏時初分現;從六月十六日至八月十五日,此二月是夏時後分現。從八月十六日至十月十五日,此二月是冬時初分現;從十月十六日至臘月十五日,此二月是冬時後分現。故言若二二說足滿六時。」〔T39n1787 0172b06〕兩解並存,不定一說。

吉藏末判慈悲用為三:「是大段第二。於中有三:初明善言慰喻,輕病即愈;病重者,與藥乃愈;第三合結。文相可見。」〔T39n1787 0172c27〕同樣因所依舊譯無 T16n0665 增廣諸頌,該段無逐文疏可繫。

知禮兩書分層

T39n1786《金光明經文句記》是釋《文句》的逐文記,本品實有 0150b26–0152b15 科段,前述『五、釋〈除病〉、〈流水〉』即屬此書。T39n1784《金光明經玄義拾遺記》是釋《玄義》的玄義層,沒有本品逐文疏;只在總論說:「得經力用,還護於經。以至下文正論治病、救魚飼虎,皆是此經生善滅惡力用功德。」〔T39n1784 0045a01〕又有通例「以藥治病即對治」〔T39n1784 0037a02〕。兩書、兩層不得混稱。T39n1783《金光明玄義》則沒有本品逐文段,亦不虛列。


五、術語與名目

阿僧企耶。 義淨本以此音寫標過去不可思議劫數;不改作舊二本的阿僧祇,也不據近代梵本另校。

四大增損。 品中以四大失調說病苦,又問增損與發病時節;這是經內醫方語境。疏家另配五行、月份與生滅時,須署其名,不混入經義直說。

四病。 義淨本列風、黃熱、痰癊與總集;總集是風、熱、癊俱有,或二或三而一偏增。舊二本有肺病、等分等譯語,各守其本,不用其中一組消掉另一組。

四時、六節。 經以三月為一時、二月為一節,並列花、熱、雨、秋、寒、氷雪六時。智顗與吉藏各存俗法、佛法及陰陽月等多解;多解已在第四目全錄,不以現代季候換算裁決。

七界。 經列味界、血、肉、膏、骨、髓、腦;慧沼再以阿羅婆、佉羅釋味界。經名目與疏家解釋分層。

八術。 經以針刺、傷破、身疾、鬼神、惡毒、孩童、延年、增氣力列成八項;慧沼原文列號三後逕五。

訶梨勒與三果三辛。 經稱訶梨勒具六味,又列三果三辛、沙糖、蜜、蘇、乳。慧沼列三果為訶梨勒迦、阿摩洛迦亦名阿無羅迦、仳仳得迦,列三辛為干薑、胡椒、畢鉢。這些只依古德音寫及名目傳錄,不作現代藥學判斷。

除差、蠲除、平復。 三語皆在品末敘病者所得;有聞慰喻而病苦蠲除者,有請醫、服妙藥而除差者,最後總結全國眾病悉除;智顗、吉藏判此為輕重兩路。


六、修辭與行動結構

本品不用抽象論說開場,而以三層對話推進:佛告樹神,流水自念,父子偈問答。流水的大悲並非靜態稱號;他先看見無量眾生受苦,再想到父老不能遍往,於是就父求方。求知的目的先已說定,是令眾生長夜安樂。

父答先立時節與飲食,再辨七界、病體、藥法、八術、形色夢相、死相與藥物;然而最後的醫者準則不是技術自足,而是「先起慈愍心,莫規於財利」〔T16n0665 0448c04〕。品末遂把『知』推成『往』:流水善了知後遍至城邑聚落,以善言慰喻先接住病者;有聞言而得除者,有服妙藥而得除者。

王治人民的譬況也落在親護:「常以正法化於人民,猶如父母。」〔T16n0665 0447b28〕這是本品明說的譬況。全品沒有另立以醫喻法的明文句;智顗觀心與知禮對治之說屬古德旁照,使用時必須署名。


七、承衍與互讀

向前,本品首句明承〈授記品〉:「是十千天子本願因緣,今為汝說。」〔T16n0665 0447b23〕向後,〈流水品〉才續敘救魚、施食、說十二緣起與魚群後世得記。因而慧沼判本品為起緣起、下一品正明得記因緣;智顗說本品通取後〈流水品〉;吉藏說此為遠緣、彼為近緣。三家皆把兩品相連,所用科名與義勢則各還其家。

知禮的逐文記把這種相連寫成實際科架:「〈除病〉、〈流水〉,二:初、釋〈除病品〉」〔T39n1786 0150b27〕,到 0152b15 再起「二、〈流水品〉,二:初」〔T39n1786 0152b15〕。這兩條是互讀兩品的結構實料,不是僅僅互見品名。

本品自身的承衍點,在於流水已從見苦、發心、求方走到善了知與遍療;下一品不是另起一位陌生人物,而是承同一流水續明救生、施法食與得記因緣。讀至品末,醫方的完成因此不是關門,而是把大悲之行送入下一場救護。


八、校本定位

本層經文底本只以 T16n0665 品身 0447b22–0448c21 為準;T16n0663 0351b24–0352b08 與 T16n0664 0394c07–0395b17 是同題同身的異譯見證。三本逐字各守其本,尤其寶髻與寶勝、菩提樹神善女天與道場菩提樹神,以及舊二本十六組原字異存,均不得混寫。

慧沼正疏只取 T39n1788 0324b08–0326b01;0181c、0182c、0191c 一帶是卷首目次,不是本品正疏。智顗逐文疏取 T39n1785 0080b21–0082a05;吉藏逐文疏取 T39n1787 0171b19–0172c29;知禮逐文記取 T39n1786 0150b26–0152b15。T39n1784 只作玄義層旁照,T39n1783 無本品逐文段。

慧沼牒引與經文分屬兩書。T16n0665 0448b08–0448c06 一段為義淨本所增,古德所依舊譯無相應品身,故此段無逐文疏可繫;三譯、四家逐文層與玄義層各有其實際邊界。

由此校本定位回到經脈,本品的承衍也清楚可見:前承十千天子本願因緣之問,中間完成流水見苦、問醫、學成與遍療,後啟同一流水救魚、施食、說法的行程。兩品互讀有古德科文為據,而每一品仍各守自己的品界。

Placement of the Whole Chapter. This chapter carries forward the question in the Bestowal of Predictions chapter concerning the past vows and conditions of the ten thousand divine princes. Its body proceeds through Flowing Water’s compassion on seeing an epidemic, his asking his father Holding Water about medicine, and his learning and then treating beings everywhere. The next chapter continues with Flowing Water rescuing fish, giving them food, and teaching the Dharma. The scripture makes the curing of illness the distant cause. The masters divide the text at different levels; their explanations are all recorded without adjudicating one by eliminating another.


I. Doctrinal-Outline Placement

Yijing’s chapter is titled 「金光明最勝王經除病品第二十四」—“The Sūtra of Golden Light, the Supreme King, Curing Illness, Chapter Twenty-Four” 〔T16n0665 0447b21〕. The chapter body begins at 0447b22 and ends on the true final line at 0448c21. It contains 1,398 Han characters and has no separate minor-section labels.

The chapter opens by carrying forward what precedes: 「是十千天子本願因緣,今為汝說。」—“I will now explain to you the causes and conditions of the past vows of these ten thousand divine princes” 〔T16n0665 0447b23〕. Huizhao therefore joins Curing Illness and Flowing Water as a pair: 「贊曰:以下二品第二廣明十千得記因緣。有二:此品明得起緣起,〈流水〉正明得記因緣。緣起分二:此初勅聽許說。」—“Commentary: the following two chapters form the second part, extensively clarifying the causes and conditions through which the ten thousand received predictions. It has two parts: this chapter clarifies the arising of the conditions, while Flowing Water directly clarifies the causes and conditions for receiving the predictions. The arising of the conditions has two parts; this first commands the listener to attend and grants that the account will be given” 〔T39n1788 0324c06〕. This is the commentator’s judgment about the relation of the two chapters; it is not rewritten as something the scripture itself says.

Huizhao opens the chapter through three gates: reason for arrival, explanation of the name, and resolution of difficulties. The discussion of the reason for arrival first says that doubt arose after the ten thousand divine princes received predictions, then assigns the respective work of the two chapters: 「除病品二十四,三門分別。言來意者,此為除疑;前品為成,勸勉說受。俱當作佛,故有授記。二士先曾聞經為記,時眾不惑;十千創始至會得記,故有疑生。前雖略答,往因總陳恐聞難解,此下更為廣說,故有〈除病〉、〈流水品〉生。然差別者,將說十千往因,故先述其緣起,即有〈除病品〉。又恐病苦妨說聽經,兼明為除,令得依學。緣起既彰,次須正辨,故〈流水品〉起。」—“Curing Illness, Chapter Twenty-Four, is distinguished through three gates. As for the reason for arrival: this removes doubt. The preceding chapter completed what went before and exhorted and encouraged teaching and reception. Because all would become buddhas, there was the bestowal of predictions. The two beings had previously heard the sūtra and received predictions, so the assembly did not wonder; the ten thousand first came to the assembly and received predictions, and thus doubt arose. Although the preceding chapter answered briefly, its general statement of past causes might be difficult for listeners to understand. The following passages therefore explain them more extensively, and thus the Curing Illness and Flowing Water chapters arise. As for their difference: because the past causes of the ten thousand are about to be explained, their conditions are first recounted, and so there is the Curing Illness chapter. Again, because the suffering of illness might obstruct teaching and hearing the sūtra, its removal is also explained so that people may rely upon and learn it. Once the conditions have been disclosed, the matter itself must next be distinguished, and so the Flowing Water chapter arises” 〔T39n1788 0324b08〕. His explanation of the name reads, 「釋名者,諸大違損云病,藥能對遣曰除,此品廣明,名〈除病品〉。」—“As for explaining the name: harmful discord among the great elements is called illness; because medicine can counteract and dispel it, this is called curing. This chapter explains the matter extensively and is therefore called the Curing Illness chapter” 〔T39n1788 0324b23〕.

For the chapter’s major body, Huizhao divides the direct account of the conditions into twelve parts: the time, the realm, the bodhisattva’s father, the conditions for studying medicine, going to his father to seek instruction, the father’s explanation, considering that he has completed his studies, declaring that he can treat others, the multitude hearing and being cured, the gravely ill making their request, all receiving medicine and being freed, and the general conclusion that illness has ceased. In the father-and-son verse dialogue, the son asks in five stanzas. The father answers in thirty-two stanzas, which the commentary divides into one stanza granting the explanation, thirty stanzas of direct exposition, and one stanza of general conclusion. The direct exposition is further divided into four stanzas establishing the seasons, thirteen stanzas directly answering, and twelve stanzas of renewed analysis. The commentary first marks 「下第六父為解釋」—“Below is the sixth part, the father’s explanation” 〔T39n1788 0325b19〕, then divides the father’s thirty-two answer stanzas into the first stanza granting the explanation, thirty stanzas of direct exposition, and a final stanza of general conclusion; within the thirty, it again distinguishes four stanzas establishing the seasons, thirteen directly answering, and twelve of renewed analysis.

At the level of line-by-line record, Zhili’s Record of the Textual Commentary on the Sūtra of Golden Light establishes a fifth division. Its heading runs across lines, and its complete opening reads 「五、釋〈除病〉、〈流水〉,二:初、釋〈除病品〉」—“Fifth, explaining Curing Illness and Flowing Water, in two: first, explaining the Curing Illness chapter” 〔T39n1786 0150b26–0150b27〕; the outline beginning on the present line reads 「〈除病〉、〈流水〉,二:初、釋〈除病品〉」—“Curing Illness and Flowing Water, in two: first, explaining the Curing Illness chapter” 〔T39n1786 0150b27〕. Later the text separately marks 「二、〈流水品〉,二:初」—“Second, the Flowing Water chapter, in two: first” 〔T39n1786 0152b15〕. This is direct evidence that Zhili’s line-by-line record outlines the two chapters as a pair. It records the structure only and does not thereby adjudicate the other outlines.


II. Alternate Translations · Collation of the Three Translations

Attested Titles and Chapter Boundaries in the Three Recensions

All three recensions contain a chapter with the corresponding title, and all recount Holding Water, Flowing Water, the inquiry into medicine, and the treatment of illness. All are therefore positive witnesses to the chapter, not witnesses to its absence:

RecensionChapter titleChapter bodyHan characters in the body
T16n0663「金光明經除病品第十五」—“The Sūtra of Golden Light, Curing Illness, Chapter Fifteen” 〔T16n0663 0351b23〕0351b24–0352b081,010
T16n0664「金光明經除病品第二十」—“The Sūtra of Golden Light, Curing Illness, Chapter Twenty” 〔T16n0664 0394c05〕0394c07–0395b171,011
T16n0665「金光明最勝王經除病品第二十四」—“The Sūtra of Golden Light, the Supreme King, Curing Illness, Chapter Twenty-Four” 〔T16n0665 0447b21〕0447b22–0448c211,398

Corresponding Names and Forms of Address across the Translations

ReferentT16n0663T16n0664T16n0665
Tree deity addressed「佛告道場菩提樹神」—“the Buddha told the bodhi-tree deity of the place of awakening” 〔T16n0663 0351b24〕「佛告道場菩提樹神」—“the Buddha told the bodhi-tree deity of the place of awakening” 〔T16n0664 0394c07〕「佛告菩提樹神善女天」—“the Buddha told the Good Goddess, deity of the bodhi tree” 〔T16n0665 0447b22〕
Buddha of the past「名曰寶勝如來」—“named Tathāgata Jeweled Victory” 〔T16n0663 0351b27〕「名曰寶勝如來」—“named Tathāgata Jeweled Victory” 〔T16n0664 0394c10〕「名曰寶髻如來」—“named Tathāgata Jeweled Topknot” 〔T16n0665 0447b25〕
King「天自在光王」—“King Light of Divine Mastery” 〔T16n0663 0351c01〕「天自在光」—“Light of Divine Mastery” 〔T16n0664 0394c13〕「天自在光」—“Light of Divine Mastery” 〔T16n0665 0447b28〕
Physician father「持水」—“Holding Water” 〔T16n0663 0351c03〕「持水」—“Holding Water” 〔T16n0664 0394c16〕「持水」—“Holding Water” 〔T16n0665 0447c01〕
Elder’s son「名曰流水」—“named Flowing Water” 〔T16n0663 0351c05〕「名曰流水」—“named Flowing Water” 〔T16n0664 0394c16〕「名曰流水」—“named Flowing Water” 〔T16n0665 0447c03〕

Jeweled Victory and Jeweled Topknot, as well as “the bodhi-tree deity of the place of awakening” and “the Good Goddess, deity of the bodhi tree,” are each kept with their own witness, recorded without alteration and without adjudicating which is superior.

Alignment of the Chapter Bodies

All three recensions contain the command to listen and the past vow, the past buddha, the king in the age of the semblance Dharma, Holding Water’s medical ability, Flowing Water’s compassion on seeing an epidemic, the inquiry into medicine, the father’s reply, the son’s completion of his studies and treatment everywhere, the curing of the sick, and the concluding account of the whole kingdom. The question and answer are shorter in the two older recensions, where Flowing Water’s completion of his studies follows immediately after the father’s reply. From 「復應知八術」—“One should further know the eight arts” 〔T16n0665 0448b08〕 through 「當獲無邊果」—“will obtain boundless fruit” 〔T16n0665 0448c06〕, T16n0665 additionally contains stanzas on the eight arts, dispositions and dreams, signs of death, medicines, and exhortations. This section records only whether corresponding passages occur in the three chapter bodies; it makes no judgment of addition, deletion, or superiority.

Complete Table of Original-Character Variants between T16n0663 and T16n0664

The table below follows the event stream of Han characters in the two chapter bodies and lists all sixteen non-identical operations. Each witness retains its own punctuation divisions, which are not included in this original-character table. ∅ means only that the corresponding witness has no character; the insertion point is not a quotation.

No.OperationOriginal character in T16n0663AnchorOriginal character in T16n0664Anchor
OnePresence or absence「王」—“king”0351c01∅ (after “light”)0394c13
TwoPresence or absence∅ (after “Holding Water”)0351c04「大」—“great”0394c16
ThreeDifferent character「技」—“skill”0351c07「伎」—“skill”0394c18
FourPresence or absence∅ (after “good”)0351c12「解」—“understand”0394c24
FiveDifferent character「太」—“great”0351c13「大」—“great”0394c24
SixDifferent character「顫」—“trembling”0351c14「戰」—“trembling”0394c25
SevenDifferent character「几」—“table”0351c15「机」—“table”0394c26
EightDifferent character「至」—“arrive”0351c18「往」—“go”0394c29
NineDifferent character「胏」—“lung”0351c26「肺」—“lung”0395a07
TenDifferent character「酥」—“clarified butter”0352a18「蘇」—“clarified butter”0395a28
ElevenDifferent character「訶」—“he”0352a19「呵」—“he”0395a29
TwelveDifferent character「酥」—“clarified butter”0352a20「蘇」—“clarified butter”0395b01
ThirteenDifferent character「能」—“can”0352a21「時」—“time”0395b02
FourteenDifferent character「言」—“say”0352b01「語」—“tell”0395b10
FifteenDifferent character「直」—“directly”0352b02「得」—“obtain”0395b12
SixteenDifferent character「其」—“that”0352b07「是」—“this”0395b17

III. Scriptural Grounds for the Consciousness-Only Meaning (the Point of the Eye)

This section takes Huizhao’s Commentary on the Sūtra of Golden Light, the Supreme King as a mirror. The mirror illuminates the scripture’s meaning; the commentator’s outline names, resolutions of difficulties, and judgments are not written back into the scriptural text.

1. Every alternate explanation of the reason for arrival is retained. Huizhao first preserves Paramārtha’s earlier explanation in full: 「此〈除病品〉正明授記因,成〈授記品〉,傍顯釋迦修行,成〈壽量品〉。後〈捨身品〉正明釋迦之因,成〈壽量品〉。傍顯弟子修行,成〈授記品〉。」—“This Curing Illness chapter directly clarifies the cause of prediction and completes the Bestowal of Predictions chapter, while indirectly revealing Śākyamuni’s cultivation and completing the Measure of Life chapter. The later Relinquishing the Body chapter directly clarifies Śākyamuni’s cause and completes the Measure of Life chapter, while indirectly revealing the disciples’ cultivation and completing the Bestowal of Predictions chapter” 〔T39n1788 0324b16〕. He then states his own assessment while retaining two ways in which that reading could remain coherent: 「然治病為遠緣、流水為近緣,今謂義雖可爾,文勢稍疎。壽量之因,前已廣明十度等訖,何故今者復正明因?同一生修,何分遠近?為下中上義則不妨,或既勝劣勢力分遠近亦復不違,然判以為正壽量因即文疎遠。」—“Treating illness is the distant condition and Flowing Water the near condition. I now say that, although the meaning may be possible, the textual movement is somewhat remote. The cause for the measure of life has already been extensively explained through the ten perfections and so forth; why would its cause now be directly clarified again? If both are cultivation in the same lifetime, how are distant and near distinguished? There is no difficulty if they are taken as the meanings of lower, middle, and higher; nor is there a contradiction if distance and proximity are distinguished by superior and inferior efficacy. Yet to judge this the direct cause for the measure of life is textually remote” 〔T39n1788 0324b18〕. The earlier explanation, Huizhao’s critique, the reading through lower, middle, and higher, and the reading through superior and inferior efficacy are all preserved; none is selected over the others.

2. Order of question and answer. Huizhao divides Flowing Water’s five stanzas into one stanza beseeching the explanation and four stanzas making the direct request. Within the four, he further distinguishes five questions: the cause of illness, when illness arises, nourishment, treatment, and the periods in which illness begins. The father’s answers are not mechanically arranged in the order of the questions. The commentary poses and answers the issue itself: 「問:何故問答次第不同?答:因答第三食飲將養,乘便即明發動時節,故答與問次第不同。」—“Question: why do the question and answer have different sequences? Answer: while answering the third question, on nourishment through food and drink, the text takes the occasion to clarify the times of activation; therefore the answer and the question have different sequences” 〔T39n1788 0325c07〕. This is commentarial language explaining the order of the answers, not another exchange between father and son within the scripture.

3. The seven constituents and the body of illness. The scripture itself lists the taste constituent, blood, flesh, fat, bones, marrow, and brain. Huizhao supplements the explanation of the taste constituent: 「一味界者,梵云阿羅婆,在脾胃間。飲食至此分為二分:一佉羅界,即滓質,成大小便;二味界,即津味,委資身分。」—“First, the taste constituent: in the Indic language it is called Aluopo and is between the spleen and stomach. When food and drink reach this point they divide into two parts: first, the Quluo constituent, namely the dregs and substance that become feces and urine; second, the taste constituent, namely the fluids and flavors entrusted with nourishing the parts of the body” 〔T39n1788 0325b27〕. Aluopo and Quluo are retained only as ancient transmitted sound-forms; they are neither restored from a modern critical edition nor recast as terms of modern anatomy.

4. The four illnesses and three digestive times. The scripture lists wind, yellow heat, phlegm-fluid, and combined illness, and describes their activation in spring, summer, autumn, and winter and after eating, while food is being digested, and after digestion. Drawing upon the five phases, Huizhao associates phlegm with water, wind with wood, and heat with fire; he also discusses the gestation, decline, and death of illnesses and the time when a sudden outbreak can be treated. This entire layer is the commentator’s explanation. The scripture’s four illnesses, four seasons, and three successive digestive times each retain their original wording and are not renamed from the commentary.

5. The eight arts, signs of death, and medicine names. Huizhao’s list reads, 「八術者,一療被針刺法;二療破傷法;三療身疾,即前四病四鬼損;五中毒藥;六療孩童;七延壽;八養身。」—“The eight arts are: first, the method for treating those pierced by needles; second, the method for treating ruptures and wounds; third, treating bodily illness, namely the preceding four illnesses; [unnumbered,] harm by ghosts; fifth, poisoning; sixth, treating children; seventh, extending life; and eighth, nourishing the body” 〔T39n1788 0325c26〕. The transmitted numbering in the commentary goes directly from three to five. Huizhao further divides the latter passage into five parts: secret arts, the body of illness, signs of death, wondrous medicines, and exhortations. In discussing wondrous medicines he limits himself with 「此說其總,不說別治」—“This gives the general account and does not explain separate treatments” 〔T39n1788 0326a03〕. His three fruits and three pungents are preserved in full: 「三果者,一訶梨勒迦;二阿摩洛迦,亦云阿無羅迦,即舊云菴摩羅果者訛;三仳仳得迦,似阿無羅而稍大也。三辛者,一干薑、二胡椒、三畢鉢,并沙糖等十易得補治。」—“The three fruits are: first, helilejia; second, amoluojia, also called awuluojia—the old form anmoluo fruit is erroneous; third, bipidejia, which resembles awuluo but is somewhat larger. The three pungents are: first, ganjiang; second, hujiao; and third, bibo. Together with sugar and the others, these are ten readily obtained substances for restorative treatment” 〔T39n1788 0326a06〕. Amoluojia, awuluojia, and the other alternate names within the commentary are all retained; no one name is selected.

6. Compassion begins medical action. After the medicines, the scripture first admonishes, 「先起慈愍心,莫規於財利」—“First give rise to a compassionate heart; do not scheme for wealth or profit” 〔T16n0665 0448c04〕, and only then concludes that saving beings yields fruit. Huizhao treats the last stanza as an exemplary admonition and does not turn profit into a condition of therapeutic efficacy. The scriptural sequence of action—seeing suffering, arousing compassion, seeking instruction, understanding well, considering oneself capable, and going everywhere to give treatment—can be read directly from the scripture.


IV. Explanations of Various Masters

Huizhao’s Commentary on the Sūtra of Golden Light, the Supreme King

The direct commentary on this chapter is at T39n1788 0324b08–0326b01 and belongs to fascicle six. The work is attributed within the fascicle to 「翻經沙門慧沼撰」—“Composed by the scripture-translating śramaṇa Huizhao” 〔T39n1788 0318a22〕. The chapter title is at 0324b07 and is not the first character of the direct commentary; 0326b02 has already begun the next chapter. The direct commentary contains sixteen lemmatic citations and nineteen interpretive judgments. Huizhao’s cited text belongs to his commentary and is not identical with the T16n0665 base text. For example, the commentary cites 「善治方藥」—“well treats with prescriptions and medicines” 〔T39n1788 0326a18〕, while the scripture reads 「善知方藥」—“well knows prescriptions and medicines” 〔T16n0665 0448c12〕. The two works must not be interchanged.

Huizhao divides the conditions into twelve parts and explains stanza by stanza the passage from the eight arts through the exhortations at T16n0665 0448b08–0448c06. That passage can therefore be attached to the direct commentary. The final words of his direct commentary are 「下十二總結病差。」—“Below, the twelfth part generally concludes that illness has ceased” 〔T39n1788 0326b01〕.

Zhiyi’s Textual Commentary on the Sūtra of Golden Light

T39n1785 has a dedicated section for this chapter titled 「釋除病品」—“Explanation of the Curing Illness chapter” 〔T39n1785 0080b20〕, with line-by-line division and explanation at 0080b21–0082a05. Its opening judgment states, 「廣答遠緣,由醫王救疾,故言〈除病品〉。通取後〈流水品〉。文為五:一緣本、二遠緣、三近緣、四結緣、五會緣。」—“The extensive answer concerning the distant condition is given through the physician-king’s curing of illness, and hence this is called the Curing Illness chapter. It also encompasses the later Flowing Water chapter. The text has five parts: first, the basis of the conditions; second, the distant condition; third, the near condition; fourth, binding the conditions; and fifth, meeting the conditions” 〔T39n1785 0080b21〕. Zhiyi then takes the Buddha’s address to the tree deity as the basis of the conditions and the account in the age of the semblance Dharma as the distant condition. He further divides the distant condition into six: the father, the son, the people of the kingdom encountering illness, the son’s request, the father’s explanation, and knowing this and treating everywhere.

Zhiyi retains multiple explanations of the seasons. They are all recorded below in their transmitted order:

  • First he places side by side the conventional four seasons and the Buddhist three seasons, then under the conventional two-by-two explanation correlates yin and yang, the five phases, and earth’s lodgment: 「父醫還答四問,初六行答四大增損、二一行半答飲食犯觸、三二行答病動時節、四八行半答治病方。就六行中,分二:初一行是佛敘父醫欲答爾、次五行正答時節。時節有二:一俗法四時,謂春夏秋冬,冬為歲末、春為歲始。而初言夏者,或可趣作此言、或可答問正是於夏。三三而說者,一時三月,謂孟、仲、季。四時,即十二月也。若依佛說法,一歲三時,謂冬、春、夏,夏為歲末、冬為歲始。何故爾?為破諸弟子著常,為開安居迦提月,故沒秋時爾。佛法三時,亦是三三說也。若二二說足滿六時者,依俗法四時,時本二月,土寄四季各十八日,本之二月只是陰陽二月。一時唯有陰陽二月,合成六時。正月二月是木王時,四月五月是火王時,七月八月是金王時,十月十一月是水王時,臘月三月是陽土寄王,六月九月是陰土寄王。欲論本月亦二二說,若論土寄王亦二二說,故言足滿六時也。」—“The physician father then answers the four questions. The first six lines answer about increase and decrease of the four great elements; second, one and a half lines answer about transgressions involving food and drink; third, two lines answer about the periods when illness is activated; fourth, eight and a half lines answer about methods of treatment. The six lines are divided in two: the first line is the Buddha’s statement that the physician father intends to answer; the next five lines directly answer about the seasons. There are two accounts of the seasons. First, the conventional system has four seasons: spring, summer, autumn, and winter. Winter is the end of the year and spring its beginning. That summer is mentioned first may simply be a casual statement, or the question being answered may specifically concern summer. ‘Spoken three by three’ means that each season has three months—the first, middle, and last—and the four seasons thus make twelve months. According to the Buddhist teaching, one year has three seasons: winter, spring, and summer. Summer is the end of the year and winter its beginning. Why is this? To break the disciples’ attachment to permanence and to establish the jieti month of the rains retreat, the autumn season is omitted. The Buddhist three seasons are also spoken three by three. As for ‘if spoken two by two, the full six periods are complete’: according to the conventional four seasons, each season originally has two months, while earth lodges in each of the four seasons for eighteen days. The original two months are simply the two months of yin and yang. Each season has only these two yin-and-yang months, which together form six periods. The first and second months are the time when wood is dominant; the fourth and fifth months are the time when fire is dominant; the seventh and eighth months are the time when metal is dominant; and the tenth and eleventh months are the time when water is dominant. The twelfth and third months are when yang earth lodges and is dominant; the sixth and ninth months are when yin earth lodges and is dominant. In speaking of the original months there is a two-by-two account, and in speaking of earth’s lodgment and dominance there is also a two-by-two account; hence it is said that the full six periods are complete” 〔T39n1785 0080c02〕.
  • He also divides each of the three Buddhist seasons into an initial and a latter part: 「若依佛法解二二說者,佛法有三時,時有四月,各有初分後分。後臘月十六日至二月十五日,此初分春時;從二月十六日至二月十五日,此二月春後分。從四月十六至六月十五日,此二月是夏時初分;從六月十六至八月十五,此是夏後分。從八月十六至十月十五,此二月是冬時初分;從十月十六至臘月十五,此二月是冬後分,故言若二二說足滿六時也。」—“According to the Buddhist explanation of the two-by-two account, the Buddhist system has three seasons, each of four months, and each has an initial and a latter part. From the sixteenth day of the twelfth month through the fifteenth day of the second month, these two months are the initial part of spring. From the sixteenth day of the second month through the fifteenth day of the second month, these two months are the latter part of spring. From the sixteenth day of the fourth month through the fifteenth day of the sixth month, these two months are the initial part of summer; from the sixteenth day of the sixth month through the fifteenth day of the eighth month is the latter part of summer. From the sixteenth day of the eighth month through the fifteenth day of the tenth month, these two months are the initial part of winter; from the sixteenth day of the tenth month through the fifteenth day of the twelfth month, these two months are the latter part of winter. Thus it is said that, if spoken two by two, the full six periods are complete” 〔T39n1785 0080c20〕.
  • He further preserves one explanation by yin and yang months: 「又云:正月三月是陽月,二月四月是陰月,五月七月是陽月,六月八月是陰月,九月十一月是陽月,十月臘月是陰月,故言若二二說足滿六時。」—“Another account says: the first and third months are yang months; the second and fourth are yin months; the fifth and seventh are yang months; the sixth and eighth are yin months; the ninth and eleventh are yang months; and the tenth and twelfth are yin months. Thus it is said that, if spoken two by two, the full six periods are complete” 〔T39n1785 0081a03〕.
  • For “three by three, the original encompasses,” he again sets side by side the conventional system of one month encompassing others, earth’s lodgment as host and guest, the Buddhist three seasons’ incorporation of autumn, and a question-and-answer explanation of the number: 「三三本攝依俗法者,正月是春分本月,攝後兩月悉屬春分;四月為夏本月,攝後兩月悉屬夏分;七月為秋本月,攝後兩月悉屬秋分;十月為冬本月,攝後兩月悉屬冬分,三三本攝也。又云:正月二月正是春時,木於中王,土寄三月,攝屬春時;四月五月正是夏時,火於中王,土寄六月,攝屬夏時;七月八月正是秋時,金於中王,土寄九月,攝屬秋時;十月十一月正是冬時,水於中王,土寄臘月,攝屬冬時。土寄四季正時為本,各三月並攝於土,故言三三本攝,主攝於客,客是土也。依佛法言三三本攝者,本時各三月,既廢秋時,以秋之三月各配入三時,時則四月。論本則三,論攝則一,故言三三本攝也。問:四時各有三月,此是四三本攝,何謂三三本攝?答:三為一數,以三而數,故言三三為本爾。」—“According to the conventional system, ‘three by three, the original encompasses’ means this: the first month is the original month of spring and encompasses the following two months, which all belong to spring; the fourth month is the original month of summer and encompasses the following two months, which all belong to summer; the seventh month is the original month of autumn and encompasses the following two months, which all belong to autumn; and the tenth month is the original month of winter and encompasses the following two months, which all belong to winter. This is ‘three by three, the original encompasses.’ Another account says that the first and second months are properly spring, when wood is dominant, while earth lodges in the third month, which is encompassed within spring. The fourth and fifth months are properly summer, when fire is dominant, while earth lodges in the sixth month, which is encompassed within summer. The seventh and eighth months are properly autumn, when metal is dominant, while earth lodges in the ninth month, which is encompassed within autumn. The tenth and eleventh months are properly winter, when water is dominant, while earth lodges in the twelfth month, which is encompassed within winter. Earth lodges in the four seasons; the proper season is the original, and each set of three months is also encompassed by earth. Hence this is called ‘three by three, the original encompasses’: the host encompasses the guest, and the guest is earth. According to the Buddhist system, ‘three by three, the original encompasses’ means that each original season has three months. Once autumn is omitted, each of autumn’s three months is assigned to one of the three seasons, so that each season has four months. In terms of the original there are three; in terms of what is encompassed there is one. Hence this is called ‘three by three, the original encompasses.’ Question: each of the four seasons has three months, so this is four sets of three as the original and what is encompassed. Why is it called ‘three by three, the original encompasses’? Answer: three is treated as one number and the counting is done by threes; therefore it is said that three by three is the original” 〔T39n1785 0081a06〕.

After the father’s answer, Zhiyi distinguishes the two routes of lighter and graver illness: 「是第六知已遍治。文為二:一病輕聞說即差、二病重服藥方除〔云云〕。」—“This is the sixth part, knowing this and treating everywhere. The text has two parts: first, those with lighter illness hear the explanation and are immediately cured; second, those with graver illness take medicine and are thereby freed, and so forth” 〔T39n1785 0081c20〕. He afterward establishes a separate contemplation-of-mind interpretation, taking the three poisons and the like as inner illness and mindfulness of breathing, contemplation of impurity, loving-kindness, and contemplation of causes and conditions as Dharma medicine. This belongs to the contemplation-of-mind layer and is not directly stated by the scripture. The older translation on which T39n1785 is based proceeds directly from the father’s answer to the son’s completion of his studies and treatment everywhere; it has no passage that can be attached stanza by stanza to T16n0665 0448b08–0448c06, and none is invented here.

Jizang’s Commentary on the Sūtra of Golden Light

T39n1787 begins its dedicated section with 「〈治病品〉」—“the Treating Illness chapter” 〔T39n1787 0171b19〕 and continues through 0172c29; 0173a01 has already begun the Elder’s Son Flowing Water chapter. Jizang judges this chapter to be the distant condition for receiving the predictions and Flowing Water the near condition. He divides the chapter into the injunction and permission to teach and the direct teaching, then divides the direct teaching into the former-life birth and the former-life events; the former-life events are divided into the essence and the function of compassion.

For “three by three, the original encompasses,” Jizang explicitly says 「解有二師」—“there are explanations by two masters” 〔T39n1787 0172a11〕. The first master initially follows the four seasons of three months each, taking the first month as the original that encompasses the following two—the original encompassing the remainder. The same master also takes wood, fire, metal, and water as each dominant for two months while earth lodges in the four seasons—the host encompassing the guest. The second master follows the Buddhist three seasons of winter, spring, and summer, each incorporating one month of autumn to make four months. The omission of autumn is further explained in two ways: breaking attachment to permanence and establishing the later rains retreat and the jieti month. Both masters and both routes within the first master’s explanation are retained in full; none is selected.

For “two by two, the periods appear,” he likewise retains two explanations: 「者,亦有二解。第一解言:四時之中各二月日以為正時,土寄四季,各以月日攝屬陰陽合成六時。六時者,正月二月是木王現時,四月五月是火王現時,七月八月是金王現時,十月十一月是水王現時。十二月三月是陽土寄王,六月九月是陰土寄王。王名為現,故言二二現時足滿六時。第二解言:依法三時,時有四月,各有初分後分,合成六時。六時者,從臘月十六日至二月十五日,此二月是春時初分現;從二月十六日至四月十五日,此二月是春時後分現。從四月十六日至六月十五日,此二月是夏時初分現;從六月十六日至八月十五日,此二月是夏時後分現。從八月十六日至十月十五日,此二月是冬時初分現;從十月十六日至臘月十五日,此二月是冬時後分現。故言若二二說足滿六時。」—“There are likewise two explanations. The first explanation says: within the four seasons, two months in each are taken as the proper season, while earth lodges in the four seasons; each set of months is assigned to yin or yang, together forming six periods. The six periods are these: the first and second months are the appearing time when wood is dominant; the fourth and fifth months are the appearing time when fire is dominant; the seventh and eighth months are the appearing time when metal is dominant; the tenth and eleventh months are the appearing time when water is dominant. The twelfth and third months are when yang earth lodges and is dominant; the sixth and ninth months are when yin earth lodges and is dominant. Dominance is called appearing, and so it is said that ‘two by two, the periods appear, completing the full six periods.’ The second explanation says: according to the three-season system, each season has four months, divided into an initial and a latter part, together forming six periods. The six periods are these: from the sixteenth day of the twelfth month through the fifteenth day of the second month, these two months appear as the initial part of spring; from the sixteenth day of the second month through the fifteenth day of the fourth month, these two months appear as the latter part of spring. From the sixteenth day of the fourth month through the fifteenth day of the sixth month, these two months appear as the initial part of summer; from the sixteenth day of the sixth month through the fifteenth day of the eighth month, these two months appear as the latter part of summer. From the sixteenth day of the eighth month through the fifteenth day of the tenth month, these two months appear as the initial part of winter; from the sixteenth day of the tenth month through the fifteenth day of the twelfth month, these two months appear as the latter part of winter. Thus it is said that, if spoken two by two, the full six periods are complete” 〔T39n1787 0172b06〕. Both explanations remain; neither is made definitive.

Jizang finally divides the function of compassion into three: 「是大段第二。於中有三:初明善言慰喻,輕病即愈;病重者,與藥乃愈;第三合結。文相可見。」—“This is the second major section. Within it there are three parts: first, it clarifies that words of kindly reassurance immediately cure lighter illness; those whose illness is grave are cured only after being given medicine; third is the combined conclusion. The form of the text is readily apparent” 〔T39n1787 0172c27〕. Likewise, because the older translation on which he relied does not have the expanded stanzas of T16n0665, no line-by-line commentary is attached to that passage.

Zhili’s Two Works Kept at Their Respective Levels

T39n1786, Zhili’s Record of the Textual Commentary on the Sūtra of Golden Light, is a line-by-line record explaining the Textual Commentary. This chapter has an actual outline section at 0150b26–0152b15; the preceding heading “fifth, explaining Curing Illness and Flowing Water” belongs to this work. T39n1784, his Record of Gleaned Notes on the Profound Meaning of the Sūtra of Golden Light, belongs to the level of the Profound Meaning and has no line-by-line commentary on this chapter. It says only in a general discussion, 「得經力用,還護於經。以至下文正論治病、救魚飼虎,皆是此經生善滅惡力用功德。」—“Having obtained the sūtra’s efficacy, they in turn protect the sūtra. Down through the later direct discussions of treating illness, rescuing fish, and feeding the tigress, all are meritorious qualities of this sūtra’s efficacy in producing goodness and extinguishing evil” 〔T39n1784 0045a01〕. It also states the general rule 「以藥治病即對治」—“treating illness with medicine is counteraction” 〔T39n1784 0037a02〕. The two works and their two levels must not be conflated. T39n1783, the Profound Meaning of the Sūtra of Golden Light, has no line-by-line passage for this chapter and is not spuriously listed as one.


V. Terminology

Asaṃkhyeya. Yijing’s recension uses the transmitted sound-form 阿僧企耶 for an inconceivable number of past eons. It is not changed to 阿僧祇, the form in the two older recensions, nor emended from a modern Sanskrit edition.

Increase and decrease of the four great elements. The chapter explains the suffering of illness through disharmony among the four great elements and asks about their increase and decrease and the times when illness arises. This is the scripture’s medical context. The commentators additionally correlate the five phases, months, and the arising and cessation of illness; such explanations must be attributed and not merged into what the scripture directly states.

Four illnesses. Yijing’s recension lists wind, yellow heat, phlegm-fluid, and combined illness. Combined illness has wind, heat, and phlegm-fluid together, with two or three present and one predominating. The two older recensions have such translated terms as lung illness and equal division; each remains with its own witness, and neither set is used to erase the other.

Four seasons and six periods. The scripture treats three months as one season and two months as one period, listing the six periods of flowers, heat, rain, autumn, cold, and ice and snow. Zhiyi and Jizang each preserve multiple explanations through the conventional system, the Buddhist system, yin-and-yang months, and other schemes. These explanations have all been recorded in Section IV; no modern climatic conversion is used to decide among them.

Seven constituents. The scripture lists the taste constituent, blood, flesh, fat, bones, marrow, and brain. Huizhao further explains the taste constituent through the sound-forms Aluopo and Quluo. The scriptural terms and the commentator’s explanation remain distinct layers.

Eight arts. The scripture enumerates eight items: needling, ruptures and wounds, bodily illness, ghosts and spirits, malignant poisons, children, extending years, and increasing strength. Huizhao’s transmitted numbering proceeds directly from three to five.

Helile and the three fruits and three pungents. The scripture says that helile possesses six tastes, then lists three fruits, three pungents, sugar, honey, clarified butter, and milk. Huizhao names the three fruits as helilejia, amoluojia, also called awuluojia, and bipidejia; he names the three pungents as ganjiang, hujiao, and bibo. These are recorded only as ancient transmitted sound-forms and name forms, without modern pharmacological identification.

Ceasing, freeing, and returning to health. All three terms describe what the ill obtain at the end of the chapter. Some hear reassuring words and are freed from the suffering of illness; others request the physician, take wondrous medicine, and are cured; the conclusion states that illness throughout the kingdom has ceased. Zhiyi and Jizang treat these as two routes for lighter and graver illness.


VI. Similes · Rhetoric

The chapter does not open with abstract exposition but advances through three levels of dialogue: the Buddha addresses the tree deity, Flowing Water reflects inwardly, and father and son exchange questions and answers in verse. Flowing Water’s great compassion is not a static epithet. He first sees measureless beings undergoing suffering, then realizes that his aged father cannot travel everywhere, and therefore asks him for medical methods. The purpose of seeking knowledge is stated in advance: to bring beings long-lasting peace and happiness.

The father’s answer first establishes the seasons and food and drink, then distinguishes the seven constituents, the body of illness, medicinal methods, the eight arts, physical appearance and dreams, signs of death, and medicines. Yet the physician’s final standard is not technical self-sufficiency but 「先起慈愍心,莫規於財利」—“First give rise to a compassionate heart; do not scheme for wealth or profit” 〔T16n0665 0448c04〕. The chapter’s conclusion accordingly turns “knowing” into “going”: after Flowing Water understands well, he goes throughout cities, towns, and villages, first receiving the sick with words of kindly reassurance. Some are freed upon hearing his words; others are freed after taking wondrous medicine.

The simile for the king’s governance places the emphasis on parental care: 「常以正法化於人民,猶如父母。」—“He constantly transformed the people through the right Dharma, like a father and mother” 〔T16n0665 0447b28〕. This simile is expressly stated in the chapter. The chapter has no separate explicit sentence comparing medicine to the Dharma; Zhiyi’s contemplation-of-mind reading and Zhili’s explanation through counteraction are ancient commentarial illumination and must be attributed when used.


VII. Cross-Reading · Carrying Forward

Looking backward, the first sentence explicitly carries forward the Bestowal of Predictions chapter: 「是十千天子本願因緣,今為汝說。」—“I will now explain to you the causes and conditions of the past vows of these ten thousand divine princes” 〔T16n0665 0447b23〕. Looking forward, the Flowing Water chapter continues with the rescue of the fish, giving them food, teaching the twelve links of dependent arising, and the later prediction of the shoal. Huizhao therefore judges this chapter the arising of the conditions and the next chapter the direct clarification of the causes and conditions of prediction; Zhiyi says that this chapter also encompasses the later Flowing Water chapter; Jizang calls this the distant condition and the other the near condition. All three connect the two chapters, while each master retains his own outline names and interpretive movement.

Zhili’s line-by-line record writes this connection into its actual outline: 「〈除病〉、〈流水〉,二:初、釋〈除病品〉」—“Curing Illness and Flowing Water, in two: first, explaining the Curing Illness chapter” 〔T39n1786 0150b27〕; at 0152b15 it then begins 「二、〈流水品〉,二:初」—“Second, the Flowing Water chapter, in two: first” 〔T39n1786 0152b15〕. These two statements are structural evidence for cross-reading the chapters, not merely cross-references to their titles.

The point of carrying forward within this chapter is that Flowing Water has already passed from seeing suffering, arousing the mind, and seeking instruction to understanding well and treating everywhere. The next chapter does not introduce an unrelated stranger; it follows the same Flowing Water as he continues by saving living beings, giving the food of Dharma, and bringing forth the causes and conditions of prediction. At the chapter’s close, the completion of medical training therefore does not shut a door but carries the action of great compassion into the next act of rescue.


VIII. Placement of the Editions

The base text for the scriptural layer is solely the T16n0665 chapter body at 0447b22–0448c21. T16n0663 0351b24–0352b08 and T16n0664 0394c07–0395b17 are alternate-translation witnesses to the same titled chapter and corresponding body. Each recension retains its own characters, especially Jeweled Topknot and Jeweled Victory, the Good Goddess deity of the bodhi tree and the bodhi-tree deity of the place of awakening, and the sixteen original-character variants between the two older recensions; none may be conflated.

Huizhao’s direct commentary is confined to T39n1788 0324b08–0326b01. The passages around 0181c, 0182c, and 0191c are fascicle-opening tables of contents, not the direct commentary on this chapter. Zhiyi’s line-by-line commentary is at T39n1785 0080b21–0082a05; Jizang’s is at T39n1787 0171b19–0172c29; Zhili’s line-by-line record is at T39n1786 0150b26–0152b15. T39n1784 is used only as illumination from the level of the Profound Meaning, while T39n1783 has no line-by-line passage on this chapter.

Huizhao’s lemmatic citations and the scriptural text belong to two distinct works. The passage at T16n0665 0448b08–0448c06 is expanded material in Yijing’s recension; the older translations used by the ancient masters have no corresponding chapter passage, and thus no line-by-line commentary can be attached to it. The three translations, the four line-by-line commentarial layers, and the Profound Meaning layer each retain their actual boundaries.

From this placement of the editions, the chapter’s continuity also comes clearly into view: it carries forward the question about the past vows and conditions of the ten thousand divine princes; in its middle it completes Flowing Water’s seeing suffering, inquiry into medicine, completion of study, and treatment everywhere; and it opens into the same Flowing Water’s rescue of fish, giving of food, and teaching of the Dharma. Ancient outlines support a cross-reading of the two chapters, while each chapter retains its own boundary.

Translator · 釋慧鏡 Shi Huijing — with AI-assisted consistency checking

License · CC BY-NC-SA 4.0