Essentials for Clinical Practice in Chinese Medicine

Name: Essentials for Clinical Practice in Chinese Medicine
ISBN: 9787117070133

秦伯未People's Medical Publishing House2005

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Word count: 208K words
Chapters: 22
Series: Reprint Series of Famous Modern Veteran Chinese Medicine Masters (Series One)
ISBN: 9787117070133

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Summary

Essentials for Clinical Practice in Chinese Medicine is a clinical reference book by the modern Chinese medicine scholar Qin Bowei (1901–1970), first published in 1963 and later revised; in 2005 it was reissued by People's Medical Publishing House in the 'Reprint Series of Famous Modern Veteran Chinese Medicine Masters' (Series One). The book aims to help readers, after mastering the basic theories of Chinese medicine, learn to apply pattern differentiation and treatment in diagnosing and treating disease in clinical practice. For ease of clinical reference, it divides common clinical presentations by body region into twenty categories—general presentations, head and face presentations, eye presentations, ear presentations, nose presentations, lip presentations, tongue presentations, tooth presentations, throat presentations, neck presentations, shoulder and back presentations, chest, hypochondrium, axilla and breast presentations, lumbar presentations, abdominal and umbilical presentations, limb presentations, hand and foot presentations, anterior yin presentations, posterior yin presentations, internal organ presentations, and gynecological presentations—introducing more than four hundred common clinical presentations. For each presentation it analyzes its different natures in terms of cause and pathogenesis, in conjunction with the four examinations and other concurrent signs, and then lists in detail the corresponding treatments. The presentations are mainly internal medicine, with reference also to gynecology, pediatrics, surgery and the eye and throat specialties; treatments are mainly herbal formulas, with acupuncture, moxibustion and tuina added as appropriate. An appendix, 'A Brief Discussion of Pattern Differentiation and Treatment,' uses actual cases to show how to grasp the principal presentation, investigate the cause, determine the pattern and carry out treatment in clinical practice. The book starts from the analysis of presentations and lands on the integration of principle, method, formula and materia medica; its language is concise and succinct, giving it the function of a clinical handbook. To preserve the original, the reprint leaves terms such as 'presentations' unchanged.

Editor's review

中医临证，最难的往往不是记住方剂，而是在纷繁的症状面前理出头绪。秦伯未先生的《中医临证备要》正是为解决这一难题而写：它不按脏腑、不按病名，而是按“人身上什么地方不舒服”编次，从恶寒、发热、自汗、盗汗，到目、耳、鼻、舌、咽喉、胸胁、腰腹、四肢、手足，再到前后二阴与妇科证状，二十类四百余种证状逐一展开。每一条目都沿着“病因—病机—四诊兼证—治法方药”的思路推进，读来如同跟随一位老医生临诊：先辨其性，再定其法。篇末《辨证论治浅说》结合病例示范如何抓主证、探病因、定证候、施治疗，是全书方法的点睛之笔。本书初版于1963年，数十年来被中医临床与教学反复引用，被誉为“临床手册”式的实用之作。此次重刊保持原貌、文字简明，既适合案头随时翻检，也适合系统通读以训练辨证思维。对初学者而言，它是把理论落到临床的桥梁；对有经验的医者而言，它是一本可随时对照证状、查漏补缺的参考书。

Who it's for

A good fit for

中医院校本科高年级学生与研究生，用于把中医基础理论落到临床辨证
中医临床医师，尤其是内科门诊与基层医生，作为案头证状辨析手册
已系统学过中药、方剂、诊断，希望训练“抓主证、定治法”思路的读者
中医师承教育、西学中培训班的学员与带教老师
对中医辨证论治有长期兴趣、愿意细读原文的资深爱好者

Not a good fit for

完全没有中医基础、想找通俗养生读物或家庭偏方手册的读者
期望获得现代医学诊断标准、检验指标与指南式用药方案的读者
希望以针灸推拿为主攻方向、需要系统刺灸教材的读者

Reading tips

按形体部位顺序通读一遍建立索引式的框架，日后再按证状回查，效率更高。
读每一证状时先自问病因病机，再与原文对照，重点体会“同证异治、异证同治”的辨析逻辑。
配合《中医诊断学》《方剂学》使用，遇到书中所列治法方药即回头核对原方组成与加减。
把附篇《辨证论治浅说》放在通读之后再精读，并尝试用自己接诊或见习的病例复述其思路。

About the publisher

People's Medical Publishing House China · Founded in 1953

Founded in 1953, the People's Medical Publishing House is an important institution in China's medical publishing field, with publishing directions covering medical textbooks, academic monographs, medical journals, and popular science books. Its collection contains 2,503 titles, mainly classified under medicine. Representative works include the Complete Book of Chinese Nutrition Science (2nd Edition, 2 volumes), Guide to Clinical Practice with Medical Records, the Golden Mirror of Medicine (Volume 1), Chinese Medical Imaging: Head and Neck Volume (3rd Edition), and the Essentials of the Golden Cabinet from the Collected Clinical Chinese Medicine Must-Read Series (Collector's Edition), spanning both modern medicine and classical Chinese medical texts. Representative authors include Yang Yuexin, Ge Keyou, Ye Tianshi, Su Li, Wu Qian, Zheng Jinsheng, Wang Zhenchang, and Xian Junfang, covering fields such as nutrition, Chinese medicine, and medical imaging. With a publishing approach that balances textbooks and academic monographs, the press has established the "Renwei" brand.

1. General Presentations
2. Head and Face Presentations
3. Eye Presentations
4. Ear Presentations
5. Nose Presentations
6. Lip Presentations
7. Tongue Presentations
8. Tooth Presentations
9. Throat Presentations
10. Neck Presentations
11. Shoulder and Back Presentations
12. Chest, Hypochondrium, Axilla and Breast Presentations
13. Lumbar Presentations
14. Abdominal and Umbilical Presentations
15. Limb Presentations
16. Hand and Foot Presentations
17. Anterior Yin Presentations
18. Posterior Yin Presentations
19. Internal Organ Presentations
20. Gynecological Presentations
Appendix: A Brief Discussion of Pattern Differentiation and Treatment
Index

FAQ

这本书初版于哪一年？现在常见的是哪个版本？

本书初版于1963年，由人民卫生出版社出版。目前流传最广的是2005年人民卫生出版社重刊本，收入“现代著名老中医名著重刊丛书”第一辑，ISBN 为 9787117070133，约20.8万字。此外中国医药科技出版社2021年也出版过整理本，内容体系相同。

《中医临证备要》是方剂书还是诊断书？

两者都不是纯粹的。它以证状为纲，先分析病因病机、结合四诊与兼证辨明性质，再列出相应治法与方药，落点在理、法、方、药的结合，更接近一本以证状为入口的辨证论治临床参考书。

全书收录多少种证状？

按形体部位分为二十类，分别为全身、头面、目、耳、鼻、口唇、舌、牙、咽喉、颈项、肩背、胸胁腋乳、腰、腹脐、四肢、手足、前阴、后阴、内脏、妇科证状，共介绍临床常见证状四百余种。

书中只讲内科吗？

以内科为主，同时择要结合了妇科、儿科、外科以及眼、喉等科的证状。治法以方药为主，也斟酌附入针灸和推拿等治法，作为临证的一般参考。

书中的“证状”写法是否是错字？

不是。本书成书较早，原用“证状”一词，重刊本为保持原貌未作改动，今日通用写法为“症状”“证候”，阅读时按原义理解即可。

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About the author

秦伯未 Author

Qin Bowei is an author active in the field of traditional Chinese medicine, though details of his life—such as his native place, dates of birth and death, and medical training—are not clearly recorded in publicly available sources, and public information is limited. Judging from the 58 works collected here, his writing centers on the fundamentals of traditional Chinese medicine and the organization and annotation of clinical medical texts, covering introductory guides, annotations of classics, and compilations of medical talks. Representative works include Zhongyi Rumen (Introduction to Traditional Chinese Medicine), which concisely outlines basic concepts and diagnostic approaches for beginners; Neijing Leizheng and Jinkui Yaolue Jianshi, which reflect his careful organization of classical texts by syndrome and item-by-item explanation; and the collected medical talks of Xu Lingtai, Yu Jiayan, and Zhang Shiwan, which show his attention to and desire to transmit the clinical insights of physicians across dynasties. Overall, Qin Bowei's writings are practical and accessible, emphasizing readability and usefulness, and have had a lasting influence on the popularization of traditional Chinese medicine and the organization of classical literature.