Annotated Treatise on Cold Damage cover

Annotated Treatise on Cold Damage

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Shanghan Lun Zhu

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Summary

Shanghan Lun Zhu (Annotated Treatise on Cold Damage), in four juan, was compiled and annotated by the Qing physician Ke Qin (courtesy name Yunbo, sobriquet Sifeng, a native of Cixi, Zhejiang, 1662–1735) and completed in the eighth year of the Kangxi reign (1669). Ke Qin objected to the way earlier commentators mostly followed Wang Shuhe's old arrangement of the text, and he also criticized the exegetical method of Cheng Wuji and others, who "used the classics to explain the treatise." He therefore broke up the original order and reorganized the text around the principle of "naming chapters by pattern and grouping formulas by pattern": first a "General Discussion of Cold Damage" gathers and closely annotates the passages that treat cold damage in general, so that the reader grasps the overall picture of pulse and pattern at the outset; thereafter the text proceeds through Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, and Jueyin, each opening with an outline and then presenting chapters on the Guizhi Tang pattern, Mahuang Tang pattern, Gegen Tang pattern, Da Qinglong Tang pattern, Wuling San pattern, Shizao Tang pattern, Xianxiong Tang pattern, Xiexin Tang pattern, Didang Tang pattern, Zhizi Chi Tang pattern, Baihu Tang pattern, Chengqi Tang pattern, Chaihu Tang pattern, and others, grouping related passages by category and appending the modifications and annotations for each formula pattern. Throughout, the book advances the thesis that "Zhang Zhongjing's six channels legislate for all diseases, not for cold damage alone," focusing on discerning pathogenesis and the correspondence of formula to pattern from the original text; it is clearly organized and full of distinctive personal views. Together with the two-juan Shanghan Lun Yi and the two-juan Shanghan Fuyi, it forms the Shanghan Laisu Ji, an important work of the cold-damage school whose method of "grouping patterns by formula" exerted a profound influence on later generations.

Editor's review

读《伤寒论》,最难的往往不是记条文,而是弄不清条文之间怎么归类、怎么与方剂对应。柯琴的《伤寒论注》之所以被历代医家推重,正在于它把原文彻底打散重组:不按王叔和旧编次讲,而按六经为纲、方证为目,一条条文该归到哪里、为什么归到那里,一目了然。桂枝汤证上、下两篇,麻黄汤证及其变证、汗后虚证,白虎、承气、柴胡诸证依次铺开,读者可以顺着方证逐步掌握仲景辨证的思路。柯琴本人长于临床,注文中常有自己的判断与发挥,虽然时或立论峻急,如批评成无己等人「以经释论」,却也因此读来生气勃勃,并非敷演陈说。它与《伤寒论翼》《伤寒附翼》合为《伤寒来苏集》,前者讲方证条文的编次注释,后两者侧重六经理论与方剂配伍,三者对读,最能见柯氏伤寒学的全貌。对已通读《伤寒论》原文、想进一步理解方证体系的读者,此书是很值得反复研读的一家注本。

Who it's for

A good fit for

  • 已通读《伤寒论》原文、希望深入理解方证体系的读者
  • 中医临床医师,尤其是内科、外感热病方向的从业者
  • 中医药院校师生,学习伤寒学或做伤寒注本研究
  • 对方剂配伍与加减规律感兴趣的经方学习者

Not a good fit for

  • 完全没有中医基础、尚未读过《伤寒论》原文的入门读者
  • 只想找现代白话通俗讲解、不愿接触文言的读者

Reading tips

  1. 先读《伤寒论》原文与《伤寒总论》,再按六经顺序逐卷研读,不必强求一次读完
  2. 以方证为线索做对照表,把本书编次与宋本《伤寒论》条目相互对照
  3. 与《伤寒论翼》《伤寒附翼》对照阅读,理解柯琴六经理论与方剂学的完整主张
  4. 注意柯琴对前代注家的批评,可参阅成无己注本互相参校,避免只信一家之言

Contents

  1. Shanghan Laisu Ji

FAQ

《伤寒论注》和《伤寒来苏集》是什么关系?
《伤寒来苏集》是柯琴三部著作的合称,包括《伤寒论注》四卷、《伤寒论翼》二卷、《伤寒附翼》二卷。《伤寒论注》是其中对《伤寒论》条文重新编次并逐条注解的部分;现在市面上常见的是以《伤寒来苏集》名义合刊的本子。
这本书的注本有好几种,阅读时该认哪一位作者的?
《伤寒论注》同名之书历史上不止一种,最常见、影响最大的是清代柯琴的四卷本;另有清代王丙(字朴庄)六卷本,经陆懋修校正后改名《校正王朴庄伤寒论注》。选购时请先确认作者与卷数。
柯琴的注解有什么特点?
他主张「仲景之六经为百病立法,不专为伤寒一科」,采用以证名篇、因方类证的方法重编原文,每条后附注释,说明病机与方证对应关系,并常对前人注解提出驳正,个人见解鲜明。
没学过中医能读这本书吗?
不太适合。本书是文言写成的古代注本,预设读者已经熟悉《伤寒论》原文与基本中医术语。零基础读者宜先读通行本原文和现代讲解类读物,再来研读柯注。

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About the author

柯琴 Author

Ke Qin's biographical details are limited in publicly available sources; his dates of birth and death, nationality, and similar information are not clearly recorded. Judging from the works that survive, he was a medical author devoted to the study of the Treatise on Cold Damage (Shanghan Lun). Six of his works are held in the collection, including Annotated Treatise on Cold Damage, Collected Works on Cold Damage Laizhu, Supplementary Wings to Cold Damage, and Wings of the Cold Damage Treatise, as well as a guided-reading edition of Collected Works on Cold Damage Laizhu and an unannotated edition of Annotated Treatise on Cold Damage. These works revolve around Zhang Zhongjing's Treatise on Cold Damage, covering textual annotation, analysis of formulas and syndromes, and theoretical elaboration, and belong to the traditional literature of Cold Damage studies in Chinese medicine. His writing centers on annotating the classics and expounding medical theory, with a practical style that emphasizes clarity and pattern differentiation, and has exerted a certain influence within the Cold Damage school. His works are commonly classified under medicine and Eastern philosophy, reflecting a content that touches on both medical theory and classical philosophical thinking.

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