Cheng Menxue's Medical Cases

Shanghai College of Traditional Chinese MedicineShanghai Scientific & Technical Publishers2002

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Chapters
40
Series
Selected Medical Cases of Jiangnan Famous Physicians
ISBN
9787532365227

Tags

Health and Medicine Gender Relations TCM Clinical PracticeTCM Case RecordsClinical ReasoningRenowned PhysiciansClassical And Modern FormulasSyndrome DifferentiationAcademic ThoughtCase Records

Summary

This book is a compilation of clinical case records by the renowned Jiangnan physician Cheng Menxue, edited by the Shanghai College of Traditional Chinese Medicine. Cheng Menxue was a disciple of Ding Ganren of the Menghe school; he practiced and taught in Shanghai for many years and was known for his broad learning and meticulous pattern differentiation. The book has two parts. The first is a "Brief Introduction to Cheng Menxue's Academic Thought," outlining his scholarly characteristics: integrating classical formula and contemporary formula approaches, emphasizing pattern differentiation to seek the cause, and prescribing concisely and lightly. The second part is the main body of medical cases, containing 168 verified cases from more than fifty years of practice, arranged by disease and pattern categories, including cold and heat, cough and wheezing, hemoptysis, palpitations, restlessness, insomnia, apoplexy-like conditions, dizziness and headache, deficiency patterns, spontaneous and night sweating, edema, and internal medicine categories such as the chest and epigastrium, abdomen, waist, limbs, anterior yin, posterior yin and miscellaneous conditions, with additional cases in gynecology, pediatrics, skin and external conditions, and diseases of the five sense organs. The selected cases are mainly common and frequently occurring internal medicine conditions, with some difficult and severe cases as well. Each case records the history, pattern differentiation, treatment method and prescription, with appended commentary and analysis, fairly completely embodying Cheng Menxue's clinical approach of clearly distinguishing causes, penetrating to the crux, maintaining both constancy and flexibility, and proceeding in orderly layers. It is valuable for learning how classical and contemporary formulas are combined and for appreciating the measure of light, agile prescribing.

Editor's review

如果想看真正“开方”的中医书，而非空谈理论，程门雪的医案是上佳选择。他出自孟河丁甘仁门下，又长期在上海中医学院执教，既是临床家也是教育家，医案写得清楚、讲得透彻。 本书的好处在于案后有分析：同一类病证收有多则病案，寒热虚实各有变化，读者能顺着案语看出辨证的着眼点在哪里，为什么用这张方、为什么减那味药。全案以168则的规模涵盖了外感时病、咳喘、心悸、不寐、虚证、妇科与儿科等常见门类，内科常见病尤其充实。 程门雪以“用药轻灵”著称，处方不堆砌峻烈之品，剂量配伍讲究分寸，对初学者而言比较容易理解其思路；对于已经临证的医生，也能借此检验自己思路是否圆活。 本次整理本前附学术思想简介，后有整理说明，正文按病证分类、条理分明，可作为案头长期翻阅的参考书。

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Reading tips

  1. 先读前面的学术思想简介，抓住程门雪辨证求因、用药轻灵的基本主张，再读医案会顺畅许多。
  2. 按病证门类读，同一门类几则病案对比读，注意辨证差异与加减变化，不必从头到尾通读。
  3. 遇到不熟悉的方剂与药量，配合方剂学、中药学工具书查阅，把案语中的思路落到具体药味上。
  4. 可准备笔记本记录每案的辨证要点与自己不同的处理思路，日后临证遇相似病证时回看。

About the publisher

Shanghai Scientific & Technical Publishers China · Founded in 1956

Shanghai Scientific & Technical Publishers is a publisher known for professional books in the natural sciences, engineering technology, medicine and health, and agricultural technology. Its catalogue of 759 titles covers popular science, examinations, medicine, agriculture and forestry, and social culture. Representative books include several editions of The Feynman Lectures on Physics by Richard Feynman, Robert Leighton and Matthew Sands; the first and second volumes of Morris Kline's Mathematical Thought from Ancient to Modern Times; and the fourth edition of Molecular Pharmacognosy by Huang Luqi. Other representative authors include Feynman, Wei Xian and Zhang Zhibin. The publisher has developed distinctive strengths in classic translated works in physics and mathematics as well as in medical and agricultural professional titles, while also publishing popular science, textbooks and teaching materials, and journals. Its author resources draw on internationally renowned scientists and domestic specialists.

Contents

  1. Brief Introduction to Cheng Menxue's Academic Thought
  2. 1. Cold and Heat
  3. (1) Severe Spring Warmth Case
  4. (2) Spring Warmth with Dampness Stagnation Case
  5. (3) Summer Syncope Case
  6. (4) Damp Warmth Case One
  7. (5) Damp Warmth Case Two
  8. (6) Damp Warmth Case Three
  9. (7) Damp Warmth Case Four
  10. (8) Externally Contracted Illness Case One
  11. (9) Externally Contracted Illness Case Two
  12. (10) Externally Contracted Illness Case Three
  13. (11) Case of Pathogenic Invasion with Dizziness
  14. (12) Malaria Case
  15. (13) Damp Heat Case
  16. (14) Case of Common Cold with Deficient Nutritive and Defensive Qi
  17. (15) Case of Common Cold with Yin Deficiency One
  18. (16) Case of Common Cold with Yin Deficiency Two
  19. (17) Case of Common Cold with Yin Deficiency Three
  20. 2. Cough and Wheezing (Appendix: Salty Phlegm)
  21. (18) Cough and Wheezing Case One
  22. (19) Cough and Wheezing Case Two
  23. (20) Cough and Wheezing Case Three
  24. (21) Cough and Wheezing Case Four
  25. (22) Cough and Wheezing Case Five
  26. (23) Cough and Wheezing Case Six
  27. (24) Cough and Wheezing Case Seven
  28. (25) Cough and Wheezing Case Eight
  29. (26) Case of Deficiency Wheezing
  30. (27) Case of Chronic Cough
  31. (28) Case of Chronic Cough with New Infection
  32. (29) Case of Dry Cough
  33. (30) Case of Salty Phlegm
  34. 3. Hemoptysis
  35. (31) Hemoptysis Case One
  36. (32) Hemoptysis Case Two
  37. 4. Palpitations
  38. (33) Palpitation Case One
  39. (34) Palpitation Case Two
  40. (35) Palpitation Case Three

FAQ

这本书是谁写的？程门雪本人执笔吗？ 本书由上海中医学院编，整理收录程门雪的临床验案，并非程门雪本人撰写的专著；前面的“程门雪学术思想简介”为纪念程老诞辰一百周年而作，由上海中医文献馆董其圣教授提供。
书中收录了多少则医案？ 共收录程门雪从医五十余年的验案168则，以内科常见病、多发病为主，也涉及妇科、儿科、五官与皮肤科，并包括部分疑难重病案。
这本书与2008年第二版有什么区别？ 2002年版为283页，ISBN 9787532365227；2008年第二版收入“江南名医医案精选”丛书，278页，约14.9万字，ISBN 9787532393572，内容框架相同，以版本与编排调整为主。
需要什么基础才能读得懂？ 建议先具备中医基础理论、中医诊断学与方剂学的基本知识，否则案语中的术语、方名和加减用意较难体会；有临证经验者读起来收获更大。
书中有没有方剂剂量与现代用量的换算说明？ 现有资料未见专门讨论剂量换算的章节，案中用药按原案记录。读者如需折算，宜参照专业文献与现行药典，并结合具体病情理解，不宜机械照搬。

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About the author

Shanghai College of Traditional Chinese Medicine Author

Shanghai College of Traditional Chinese Medicine is a collective author name, and its institutional nature is evident from the name itself. Publicly available information is limited, so its specific history and scope of functions are not elaborated here. As for the holdings in this database, five works are associated with this author, centering on the organization and transmission of clinical experience in traditional Chinese medicine, including Cheng Menxue's Medical Cases, Selected Clinical Experience of Veteran Chinese Physicians, and Cheng Menxue in the Series of One Hundred Notable Chinese Medicine Clinicians over a Century. These works consist mainly of medical case records and compilations of clinical experience, reflecting an editorial direction of organizing case records and summarizing experience. The common categories cover medicine and health as well as sexuality and related topics, and the readership consists largely of Chinese medicine practitioners and general readers interested in traditional medicine.