Fuzhou Medical Cases and Medical Talks

Fuzhou Municipal Health Bureau / Department of Traditional Chinese Medicine, Fuzhou Second HospitalFuzhou Municipal Health Bureau1977

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24
Series
Fuzhou Medical Cases and Medical Talks

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Health and Medicine Gender RelationsMedicine TCM Clinical PracticePublishing HouseMedical CasesMedical CareGynecological DisordersMedication ExperienceSyndrome DifferentiationMedical AnecdotesMedical Notes20th Century

Summary

Fuzhou Medical Cases and Medical Talks is a compilation of local traditional Chinese medicine (TCM) clinical literature organized in the late 1970s by the Fuzhou Municipal Health Bureau, with participation from the TCM Department of Fuzhou Second Hospital and other local medical and research institutions. It is an internally printed reference work, not a formally published book from a commercial press. The book is divided into two main parts: medical cases and medical talks. The medical cases section is organized by TCM disease names and records complete accounts of senior Fuzhou physicians diagnosing and treating externally contracted febrile diseases and internal miscellaneous diseases. Each case details the patient's general information, chief complaint, tongue and pulse signs, pattern differentiation analysis, prescriptions and medications, and follow-up outcomes. The medical talks section collects physicians' clinical insights, experiences with medicinals, and academic discussions. According to the surviving table of contents of the first volume, the cases cover warm disease categories such as externally contracted wind pathogen, spring warmth, summerheat warmth, dampness warmth, and latent summerheat, as well as miscellaneous and gynecological conditions including bi syndrome, stroke, vertigo, epigastric pain, jaundice, facial paralysis, chyluria, and threatened miscarriage. Some cases include dual Chinese and Western medical diagnoses, reflecting the era's advocacy of integrating Chinese and Western medicine. The series was compiled into multiple volumes; the third volume, Selected Medical Experience of Liu Shaoshan, was collated by Liu Changxing and Shen Huiguang and printed in 1978. According to antiquarian book market records, the series totaled approximately seven volumes, collecting proven cases and experiential formulas from Fuzhou senior physicians including Liu Shaoshan, Wu Yunqin, Lin Jingtang, Liu Fuxing, Zheng Biyun, Chen Yucun, Ni Xiaolou, Huang Jichen, and Chen Tongyu. This book is primary source material for studying the academic transmission of TCM in the central Fujian region, the experience of local renowned physicians, and the grassroots TCM clinical landscape of the 1970s, and holds considerable documentary and historical value. Because it was internally distributed with a limited print run, most copies are scattered in the antiquarian book market and private collections, and complete sets are relatively rare.

Editor's review

这是一本容易被忽略、却很难被替代的书。它不是名家文集，也不是教科书，而是一批福州老中医在20世纪70年代留下的临床实录——患者姓名以“周××”“陈××”隐去，主诉、舌苔、脉象、处方、复诊转归却记得一丝不苟。剂量用的是“钱”“分”，方子多是银花、连翘、藿香、桑叶这类寻常药，用量也轻，却常见“服二剂寒热已除”“共服五剂痊愈”的记录，读来能真切感到那个年代基层中医的底气。 它的价值有三重。其一是文献价值：作为福州市卫生局内部编印的资料，印量少、流通窄，如今只能在旧书市场和少数数字化合集中见到，成套者尤稀。其二是临床价值：书中按中医病名编排，一案一按，辨证思路清晰，尤其温病部分对外感热病的分层处理，对今天读《温病条辨》而苦于无从落地的人很有帮助。其三是地域医学价值：福州地处东南湿热之地，用药偏于轻灵芳化，这种“因地制宜”的痕迹，恰是通行教材里看不到的。 需要说明的是，本书为扫描影印或早期排印本，字迹、版式均不统一，阅读体验与现代出版物有别；且属于内部资料，无ISBN、无定价，版本辨识需谨慎。但对中医临床工作者、地方医学史研究者和中医文献收藏者而言，这样一册朴素的本子，往往比装帧精美的大型丛书更有料。

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Reading tips

  1. 建议先通读第一辑目录，按病证类别（温病、杂病、妇科）分批阅读，不要从头到尾平铺直读。
  2. 读每一案时先自行辨证、试拟方药，再对照原案按语与处方，比对思路差异，收获最大。
  3. 对书中“钱”“分”等旧制剂量，可先做单位换算再理解配伍比例，切勿直接照搬用量。
  4. 配合《温病条辨》《临证指南医案》等经典对读，便于理解本书温病部分的学术源流。

About the publisher

Fuzhou Municipal Health Bureau

The Fuzhou Municipal Health Bureau is a local health administrative body whose related publications focus mainly on medical and health materials. Public information is limited; the only title in the collection, Fuzhou Medical Cases and Medical Talks, suggests that the bureau's publications emphasize recording and passing on local traditional Chinese medicine clinical experience, gathering case records and medical talks for practitioners and enthusiasts of Chinese medicine. The book is co-credited to the Fuzhou Municipal Health Bureau and the Traditional Chinese Medicine Department of Fuzhou Second Hospital, indicating that such publishing work draws on local medical institutions and combines health administration with frontline clinical expertise. Overall, its publishing direction centers on medicine, health, and practical Chinese medicine, with an emphasis on preserving and disseminating local medical case records.

Contents

  1. Externally Contracted Wind Pathogen (1–4)
  2. Spring Warmth with Blood Accumulation (Acute Attack of Pyelonephritis)
  3. Spring Warmth Invading the Lungs (Lobar Pneumonia)
  4. Summerheat Warmth with Dampness (1) (Rheumatoid Arthritis)
  5. Summerheat Warmth with Dampness (2)
  6. Summerheat Warmth with High Fever
  7. Summerheat Warmth Injuring the Exterior
  8. Summerheat Warmth with Stagnation
  9. Summerheat Warmth with Diarrhea (Acute Gastroenteritis, Food Poisoning?)
  10. Warm Pathogen Latent in Yin (Septicemia, Rheumatoid Arthritis, Lobar Pneumonia, Rheumatic Fever?)
  11. Warm Pathogen with Dampness Stagnation (Upper Respiratory Infection, Leukopenia)
  12. Latent Summerheat with Dampness Stagnation (Cold with Fever)
  13. Latent Summerheat Injuring the Lungs (Acute Bronchitis)
  14. Latent Summerheat Disturbing Internally (Pyelonephritis)
  15. Postpartum Summerheat Injury (Staphylococcus aureus Septicemia)
  16. Threatened Miscarriage
  17. Liver and Gallbladder Stagnation (1–2) (Residual Gallstones After Cholecystectomy)
  18. Epigastric Pain (Duodenal Ulcer)
  19. Vertigo (1–2) (Hypertension)
  20. Jaundice (1–3) (Icteric Infectious Hepatitis)
  21. Head-Encircling Fire Cinnabar (Facial Erysipelas)
  22. Eruption (1–3) (Refractory Measles)
  23. Facial Paralysis
  24. Chyluria

FAQ

《福州医案医话》是正式出版物吗？有ISBN吗？ 它是福州市卫生局在20世纪70年代组织编印的内部资料性文献，非正式出版社公开出版物，通常没有ISBN与定价。网上流传的某些ISBN（如7507726266）与其他书籍信息混杂，不可轻信，购藏时以版权页与实物为准。
这套书一共有几辑？各辑内容有何不同？ 据旧书市场著录，全系列约编成七辑，1977年起陆续印行，各辑分册独立成书。其中第三辑为《刘少山医疗经验选》，1978年10月由福州市卫生局印行，刘昌兴、沈辉光整理，一版一印约2000册。其余各辑多按病证或医家专题编排。
书中的医案主要涉及哪些病证？ 现存第一辑目录显示，收录风邪外感、春温、暑温、湿温、伏暑等温病证治，以及痹证、眩晕（高血压）、胃脘痛、黄疸、面瘫、乳糜尿、胎漏等内伤杂病与妇科病证，部分案例同时标注中西医两种诊断。
阅读这些医案需要注意什么？ 一是剂量为旧制“钱”“分”，不可直接照搬；二是案例多成于20世纪70年代，部分西医诊断与疗效判断受当时条件限制；三是本书为临床实录，需在辨证论治框架下理解，不宜按病名对号入座套方。
普通中医爱好者适合读吗？ 需要一定基础。书中一案一按、辨证思路完整，但预设读者是具备中医基础理论与方药知识的人。零基础读者建议先读中医基础与诊断学入门书，再回来看这些医案，收益会明显不同。

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About the author

Fuzhou Municipal Health Bureau Author

The Fuzhou Municipal Health Bureau is a local health administration body, and its sole work in the library, Fuzhou Medical Cases and Medical Talks, is a medical and health title. The book takes medical cases and physicians' talks from the Fuzhou area as its subject, bringing together clinical records and practitioners' notes on diagnosis and treatment while also preserving local medical experience. Judging from its common classification, it touches on medicine, health, and related intimate-health topics, and addresses readers interested in medical practice and health knowledge. As an institutionally authored publication, it reads more like a compilation of materials and a summary of experience than a personal scholarly monograph. Public information is limited, so the bureau's founding date, specific functions, and the background of this book cannot be verified in detail, and biographical information about an individual author does not apply. What can be confirmed is simply that the institution took part in organizing local medical literature through this one work.

Department of Traditional Chinese Medicine, Fuzhou Second Hospital Author

The Department of Traditional Chinese Medicine at Fuzhou Second Hospital is a collective author, and publicly available information is limited, with no individual biography to report. As a clinical TCM department within a medical institution, it participated in book compilation, and its representative work is Fuzhou Medical Cases and Medical Talks. Judging from the title and common classification, the work is a medical and health reader centered on TCM case records and informal clinical discussions from the Fuzhou area, combining clinical documentation with reflective commentary and addressing readers interested in TCM diagnostic and therapeutic practice. Its style tends toward a blend of factual case records and essays, presenting diagnostic reasoning through specific cases and clinical insights, and offering some reference value for understanding the local character of TCM clinical practice. Since only one work is held in the collection and no further information on the institution's history or compilation responsibilities is available, its academic development and influence cannot yet be further assessed.