The Kong Medical Case Records

Kong Jitan / 郑丰杰China Press of Traditional Chinese Medicine2014

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Word count
142 words
Chapters
27
ISBN
9787513218498

Tags

Health and Medicine Gender Relations TCM Clinical PracticeInternal DiseasesMedical ClassicsMedical CasesVarious DiseasesSame Disease Different TreatmentClinical CasesMedical AnecdotesDiagnostic ThinkingQing Physician

Summary

Kong's Medical Case Records is a collection of clinical case studies by the Qing dynasty physician Kong Jitan (style name Yunmei, a native of Tengzhou, Shandong), originally titled Yijian Cao and also known as Yijian Cao (Grass of Medical Insight). The work comprises four volumes and ninety cases. The author was originally a Confucian scholar who took up medicine because his grandmother's long illness could not be cured, and eventually became a renowned local physician. His case records are elegantly written and incisive in analysis, making them fine examples of classical medical prose. Each case first discusses the illness and then the medication, first differentiating the syndrome and then determining treatment. For every case he inquires in detail into the history to trace its origin, carefully examines the pulse and signs to investigate the underlying principle, and then establishes the priorities of root and branch, explaining which medicines should come first and which later, how to conclude treatment, and how to prevent deterioration. He draws out the subtleties of the ever-changing relations between yin and yang, interior and exterior; though his exposition is concise rather than elaborate, it is as well-ordered as a net gathered by its main cord. The cases range widely across cold damage, warm diseases, internal miscellaneous diseases, as well as women's menstrual and postpartum disorders, children's accumulations and dysentery, blood syndromes, dysentery, and strangury, and include many cases of mistreatment and failed treatment, drawing lessons from both positive and negative examples. They embody diagnostic approaches such as treating the same disease differently and abandoning the pulse to follow the symptoms, and highlight the characteristics of individualized diagnosis and treatment. The book was first published in the fifteenth year of the Jiaqing reign (1810) with funding from Yang Fu; surviving copies are rare. In 2014 it was published by China Press of Traditional Chinese Medicine, collated and punctuated by Zheng Fengjie, providing a readily available simplified-character edition for contemporary readers of these folk medical records.

Editor's review

这并非一部普通医案书，而是一位儒医在案头与病榻之间反复推敲的实录。孔继菼本无意行医，因亲人久病而习医，因此他写病案时，既有儒者的严整文笔，又有亲历者的切肤体察：一病当前，先辨其源，再定其法，最后交代用药先后与善后防变，理、法、方、药层层相扣。最难得的是他并不只录“治愈”的漂亮案例，还把误治、失治、变证一一记下，说明错在哪里、后来如何补救。这种正反并陈的坦诚，远比一味标榜神效更有临床价值。全书九十案遍及伤寒温病、内伤杂病、妇儿诸科，篇幅不大而信息密度高，适合当作医案写作和辨证思路的范文来读。中国中医药出版社的整理本依据传世版本点校排印，繁体转简体、加标点分段，并补充了书名、卷次与篇目层次，使这部原本流传稀少的嘉庆旧籍变得可读可查。对于想了解清代民间儒医真实诊疗面貌的读者，这是一部体量适中、性价比高的入门医案集。

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Reading tips

  1. 先通读目录，按伤寒温病、内伤杂病、妇儿病证三类各取数案精读，建立全书框架。
  2. 读到“议病”部分先合上书，自己试拟治法与方药，再对照原文，检验辨证差距。
  3. 重点留意误治与变证篇目，记录作者如何识别前医之失及补救次序。
  4. 配合《本草纲目》《神农本草经疏》及中医诊断学教材查阅药性方义，避免孤立记方。

About the publisher

China Press of Traditional Chinese Medicine China · Founded in 1989

China Press of Traditional Chinese Medicine focuses on publishing books in traditional Chinese medicine, covering Chinese medical classics, clinical medicine, acupuncture and tuina, materia medica and formulae, and medical history and literature; its catalogue includes 3,277 titles. Representative books include Xiao Er Yao Zheng Zhi Jue, Shang Han Lun, Yi Xue Zhong Zhong Can Xi Lu, Zhen Jiu Da Cheng, Yi Zong Jin Jian, and Guo Aichun's Annotated Huangdi Neijing Suwen (Second Edition). These works involve writings by historical physicians such as Qian Yi, Zhang Zhongjing, Wang Shuhe, and Zhang Xichun, as well as documentary studies compiled by contemporary authors including Zhao Xin, Zhen Xueyan, Zhang Yongtai, and Wang Xiangang. In terms of publishing characteristics, the press emphasizes collation and annotation of original Chinese medical classics and the systematic presentation of famous physicians' works, balancing the transmission of ancient editions with reference for clinical application. Public information is limited, and no other publishing fields are covered here.

Contents

  1. Volume One: Discussion of Sun Bihan's younger brother's illness and the treatment outcome
  2. Volume One: Discussion of Wang Yongzai's son's wind-cold cough mistaken for yin deficiency
  3. Volume One: Discussion of Ma Lianting's illness and the treatment outcome
  4. Volume One: Discussion of Mr. Zhang Eting's diarrhea and the treatment outcome
  5. Volume One: Discussion of a clan cousin's lung illness with loss of voice and detailed treatment methods
  6. Volume One: Account of County Magistrate Zhang Mingfu, Shi Guohua, and Chai Xinzhou, with the same illness treated differently and life or death decided thereby
  7. Volume One: Account of Zhao Yuncheng's edema and the treatment outcome, with detailed discussion of the disease mechanism
  8. Volume One: Distinguishing Hu Duanru's qi depression and dampness retention, which was truly not dysphagia, with the treatment outcome
  9. Volume Two: Account of the illness and treatment of Wang Qiqian's former wife, with the treatment outcome
  10. Volume Two: Discussion of a woman surnamed Lang's postpartum fat accumulation and the treatment outcome
  11. Volume Two: Several brief notes on abandoning the pulse and following the symptoms
  12. Volume Two: Several notes on warm diseases complicated by sha and on dietary prohibitions in sha disorders
  13. Volume Two: Account of a certain Yang's lung atrophy and the error of mistreatment
  14. Volume Two: Account of a child surnamed Sun's water accumulation and the treatment outcome, with methods for treating various accumulations
  15. Volume Two: Discussion of malaria and the treatment outcome of old Mrs. Huang's chronic malaria
  16. Volume Three: Discussion of why a man surnamed Yue and one surnamed Peng, with cold damage entering the interior, had the same illness treated differently
  17. Volume Three: Warm-heat seasonal toxin with cheek swelling: diaphoretics should not be used lightly, with two treatment outcomes appended
  18. Volume Three: Distinguishing cold damage with heat entering the blood chamber, with treatment methods and several treatment outcomes appended
  19. Volume Three: Distinguishing pediatric atrophy and several treatment outcomes appended
  20. Volume Three: Discussion of Yu Juwu's difficult urination
  21. Volume Three: Discussion that in the early stage of heat disease one should not prematurely nourish yin fluids, which would generate phlegm
  22. Volume Three: Discussion that in prolonged warm-heat disease one should urgently nourish yin fluids to await sweating
  23. Volume Four: Discussion of treating dysentery with large pulse and fever, with several treatment outcomes appended
  24. Volume Four: Discussion of treating fasting dysentery, with several treatment outcomes appended
  25. Volume Four: Discussion of treating women's amenorrhea with fever, with several notes appended
  26. Volume Four: Discussion of treating cold damage and warm-heat with dual contraction, with several treatment outcomes appended
  27. Volume Four: Discussion of treating various accumulations and blood ejection, vomiting of blood, and bloody diarrhea, with several notes appended

FAQ

《孔氏医案》和《一见草》《医鉴草》是同一本书吗？ 是同一本书。《孔氏医案》原名《一见草》，又名《医鉴草》，为清代孔继菼所著，四卷九十案，清嘉庆十五年由杨黼出资刊行，后世多以《孔氏医案》之名流传。
这本书共有多少则医案？涵盖哪些科别？ 通行本共四卷、九十则医案，内容涉及伤寒、温病、内伤杂病，以及妇人经产、小儿积痢、血证、痢疾、淋证等各科病证，并收录部分误治病案。
中国中医药出版社2014年版是谁整理的？ 该版由郑丰杰整理，中国中医药出版社2014年6月出版，ISBN为9787513218498，正文204页，约14.2万字。
书中“何药宜前、何药宜后”指什么？ 指作者在医案中特别重视用药的先后次序：先解决何证、后处理何证，哪味药先用、哪味药后用，以及如何善后、如何防止病情转变，体现其分步论治的思路。
没有中医基础能读懂吗？ 可以读通大意，但书中大量使用脉证术语与方药名，缺乏基础时理解辨证逻辑会比较吃力，建议先具备中医诊断学与中药学的基本知识再读。

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About the author

Kong Jitan Author

Kong Jitan is an author about whom very little is publicly known: his nationality, dates of birth and death, and personal experiences cannot be confirmed from available sources. Only one work by him is recorded, the Kong Family Medical Case Records (Kongshi Yian). Judging from its title and its classification, the book belongs to the field of medicine and health, presenting diagnosis and treatment in the form of medical case records and setting out the reasoning behind pattern differentiation—a common format in traditional Chinese medical literature. Works of this kind combine case descriptions with clinical insights, serving both as reference for fellow practitioners and as a way for later readers to understand the diagnostic methods and prescribing experience of the period. The association of Kong Jitan's name with the Kong family case records suggests that the work carries a distinct family or personal medical lineage. In the absence of further biographical material, this note makes no conjecture about his life and confines itself to a brief account of the subject matter and genre of his surviving work, with emphasis on its basic character and reading value as a document of traditional Chinese medical cases.

郑丰杰 Author · China

Zheng Fengjie is a Chinese author whose works are commonly classified under medicine. Publicly available information is limited, and no reliable details about his life or academic background can be confirmed at present, so his profile rests mainly on the works held in the collection. Two of his works are included: Kangping Edition and Kangzhi Edition of the Treatise on Cold Damage, and The Principle and Practice of Formula-Syndrome Element Correspondence. The first concerns the Kangping and Kangzhi editions of the Treatise on Cold Damage and belongs to the collation and study of classical Chinese medical texts. The second discusses the formula-construction principle of formula-syndrome element correspondence and its practice, leaning toward formula theory and clinical application in Chinese medicine. Both address medical professionals, with writing centered on textual scholarship and principle exposition in a practical style that links texts with clinical thinking. Owing to limited sources, details of his life, education, and positions are unavailable, and readers may look to these works for his areas of focus.