One Ladle's Medical Cases cover

One Ladle's Medical Cases

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Summary

A Collection of Medical Cases by Yipiao is a compilation of clinical case records by the Qing dynasty physician Xue Xue. Xue Xue (1681–1770), courtesy name Shengbo, style names Yipiao, Saoyesharen, and Huaiyundaoren, was a native of Wuxian in Jiangsu (present-day Suzhou). A contemporary of Ye Tianshi and equally renowned in the Wu region, he was one of the representative figures of the Qing dynasty warm-disease school and the author of On Damp-Heat and The Original Meaning of the Medical Classics. The present book, named after his style name Yipiao, collects his clinical case records, covering consumptive exhaustion, cough and wheezing, phlegm-fluid retention, diarrhea, dysentery, malaria, summerheat-dampness, warm diseases, distention and fullness, epigastric, hypochondriac, and abdominal pain, seminal emission and strangury with turbid urine, atrophy and impediment, abscess and sores, and various gynecological disorders of menstruation and childbirth, with internal miscellaneous diseases and externally contracted seasonal illnesses predominating. The case commentaries are concise in wording yet penetrating in argument, typically analyzing the pathogenesis first, then determining the treatment method, and finally listing the formulas and drugs. In pattern identification, close attention is paid to differences in constitutional strength, seasonal climate, and regional soil and water; in drug use, he favored clear, nimble, light, and dispersing agents as well as nourishing, enriching, moistening, and descending ones, and was especially skilled at handling complex patterns in which damp-heat and yin deficiency intertwine. Traces of academic debate with Ye Tianshi are also visible in the book, making it an important document for studying Xue Shengbo's clinical experience and Qing dynasty warm-disease studies. The original work circulated under such titles as The Medical Cases of Xue Yipiao and The Medical Cases of the Yipiao Elder of Saoye Manor; a late Qing manuscript copy by Guo Wenjun survives in the Suzhou Library, and a four-volume Saoye Manor Medical Cases, whose content overlaps with it, is included in The Collected Rare Medical Books. The book has entered the public domain, and what is available on the market consists mostly of electronic editions, photographic reprints of old editions, and compilations, with considerable variation among editions.

Editor's review

读医案,最怕两件事:一是案语空洞,只报喜不报忧;二是方药堆砌,看不出思路。《一瓢医案》的好处恰在相反。薛雪下笔极简,往往寥寥数语便点出病机关键,如论虚劳“先天既弱而水亏,壮火复炽而金燥”,一句话把病位、病性、病势交代清楚,随后才出方。这种“先议病、后议药”的写法,正是学习辨证论治最直接的范本。 薛雪与叶天士同里齐名,二人由友生隙、以斋名相讥的旧事,是吴中医林著名谈资。读这本书,能隐约看到那种既相争又相通的气息:同样重视湿热,同样用药轻灵,却在取舍之间各有分寸。对于想弄懂温病学派内部差异的读者,这是一手的材料。 需要提醒的是,本书没有权威的现代整理排印本流行,市面上多为电子书或古籍汇编译本,标点、校勘与完整性参差不齐。建议以《珍本医书集成》本《扫叶庄医案》或图书馆藏抄本系统作对照阅读,方能见其全貌。

Who it's for

A good fit for

  • 中医临床医师,尤其是诊治湿热病、虚劳咳喘的从业者
  • 中医院校师生,需要研读清代医案与温病学原始文献者
  • 中医文献、医史研究者,关注薛生白与叶天士学术关系者
  • 有一定文言阅读基础的中医文化爱好者

Not a good fit for

  • 没有任何中医基础、想找通俗养生读物的普通读者
  • 希望照着书中方剂自行抓药治病的人,古方剂量与今制不同,须经医师辨证

Reading tips

  1. 先读《湿热论》了解薛雪的三焦湿热理论,再回头读本书医案,理路会更清楚。
  2. 遇到具体病例可对照《扫叶庄医案》《三家医案合刻·薛案》,比较同一医家不同传本的记载差异。
  3. 案中“聊以解嘲”“共博一笑”等语并非闲笔,往往暗含对前医误治的批评,值得细看。
  4. 书中所载方药剂量为古制,不宜直接照搬,重点学习其辨证思路与配伍取舍。

FAQ

《一瓢医案》和《扫叶庄医案》是同一本书吗?
二者关系密切但并不完全等同。《扫叶庄医案》四卷(又称《薛一瓢医案》《扫叶庄一瓢老人医案》)收入《珍本医书集成》,内容与《一瓢医案》大量重合,具体篇目与编排因传本而异,研究时宜两相对照。
这本书有现代整理排印的正式版本吗?
目前未查到广泛流通的现代整理本出版信息。市面上常见的是公共版权电子版、古籍影印本或收入大型中医丛书(如《珍本医书集成》系统)的版本,标点和校勘质量不一,购买前建议确认底本来源。
薛雪与叶天士是什么关系?
二人同为清初吴中名医,早年交好,后因学术与人际嫌隙生怨,相传薛雪以“扫叶山庄”、叶天士以“踏雪山房”互讥。二人均擅温病,学术各有特色,是清代温病学的重要双峰。
非中医专业读者能读得懂吗?
有难度。书中案语为文言,涉及大量脉证术语与方名,且无现代注解时较难理解。若仅对中医文化感兴趣,建议先读今人撰写的中医史或医案导读类读物,再进入原文。

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About the author

薛雪 Author

Xue Xue is an author included in this catalog, though publicly available information about the person remains limited: basic details such as biography, place of origin, and dates of birth and death have not been clearly recorded. The catalog currently holds one work by this author, titled Wenre Lun · Shire Lun (A Treatise on Warm Heat and A Treatise on Damp Heat), commonly classified under medicine. Judging from the title and classification, the book likely concerns warm-disease and damp-heat patterns in traditional Chinese medicine, a genre that typically addresses causes and mechanisms, key points of pattern identification, and treatment methods and formulas, with writing that tends toward clarity and clinical practicality. Because so little verifiable material about the author is available, further comment on academic lineage or personal experience is difficult; nevertheless, the work itself offers readers a textual basis for understanding approaches to diagnosing and treating the relevant patterns, and remains the main clue for knowing Xue Xue today.

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