Neither is it my purpose to give any occasion to the learned men of this honourable profession, to say that I intermeddle in the mysteries of their art. I shall only tell them, and that very briefly, what God and conscience will expect from them.
_Direct._ I. Be sure that the saving of men's lives and health, be first and chiefly in your intention, before any gain or honour of your own. I know you may lawfully have respect both to your maintenance and honour; but in a second place only, as a far less good than the lives of men. If money be your ultimate end, you debase your profession, which, as exercised by you, can be no more to your honour or comfort than your own intention carrieth it. It is more the end than the means that ennobleth or debaseth men; if gain be the thing which you chiefly seek, the matter is not very great (to you) whether you seek it by medicining men or beasts, or by lower means than either of them. To others indeed it may be a very great benefit, whose lives you have been a means to save; but to yourselves it will be no greater than your intention maketh it. If the honouring and pleasing God, and the public good, and the saving of men's lives, be really first and highest in your desires, then it is God that you serve in your profession; otherwise you do but serve yourselves. And take heed lest you here deceive yourselves, by thinking that the good of others is your end, and dearer to you than your gain, because your reason telleth you it is better and ought to be preferred: for God and the public good are not every man's end, that can speak highly of them, and say they should be so. If most of the world do practically prefer their carnal prosperity even before their souls, while they speak of the world as disgracefully as others, and call it vanity; how much more easily may you deceive yourselves, in preferring your gain before men's lives, while your tongue can speak contemptuously of gain!
_Direct._ II. Be ready to help the poor as well as the rich; differencing them no further than the public good requireth you to do. Let not the health or lives of men be neglected, because they have no money to give you: many poor people perish for want of means, because they are discouraged from going to physicians, through the emptiness of their purses; in such a case you must not only help them gratis, but also appoint the cheapest medicines for them.
_Direct._ III. Adventure not unnecessarily on things beyond your skill, but in difficult cases persuade your patients to use the help of abler physicians, if there be any to be had, though it be against your own commodity. So far should you be from envying the greater esteem and practice of abler men, and from all unworthy aspersions or detraction, that you should do your best to persuade all your patients to seek their counsels, whenever the danger of their lives or health requireth it. For their lives are of greater value than your gain. So abstruse and conjectural is the business of your profession, that it requireth very high accomplishments to be a physician indeed. If there concur not, 1. A natural strength of reason and sagacity; 2. And a great deal of study, reading, and acquaintance with the way of excellent men; 3. And considerable experience of your own, to ripen all this; you have cause to be very fearful and cautelous in your practice, lest you sacrifice men's lives to your ignorance and temerity. And one man that hath all these accomplishments in a high degree, may do more good than a hundred smatterers: and when you are conscious of a defect in any of these, should not reason and conscience command you to persuade the sick to seek out to those that are abler than yourselves? Should men's lives be hazarded, that you may get by it a little sordid gain? It is so great a doubt whether the ignorant, unexperienced sort of physicians, do cure or hurt more, that it hath brought the vulgar in many countries into a contempt of physicians.[121]
_Direct._ IV. Depend on God for your direction and success. Earnestly crave his help and blessing in all your undertakings. Without this all your labour is in vain. How easy is it for you to overlook some one thing among a multitude that must be seen, about the causes and cure of diseases; unless God shall open it to you, and give you a clear discerning, and a universal observation! And when twenty considerable things are noted, a man's life may be lost, for want of your discerning one point more. What need have you of the help of God, to bring the fittest remedies to your memory! and much more to bless them when they are administered! as the experience of your daily practice may inform you (where atheism hath not made men fools).