Differentiation of the Six Meridians
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Summary
This book is the sixth of sixteen volumes in the Self-Study Path to Chinese Medicine series. It was edited by Tianjin College of Traditional Chinese Medicine and reviewed and written jointly by eight institutions: Beijing College of Traditional Chinese Medicine, its branch college, Hebei College of Traditional Chinese Medicine, Heilongjiang College of Traditional Chinese Medicine, Changchun College of Traditional Chinese Medicine, Liaoning College of Traditional Chinese Medicine, and the Department of Traditional Chinese Medicine at Inner Mongolia Medical College. It was published by Tianjin Science and Technology Press in 1990. The book takes the six-meridian differentiation system created in Treatise on Cold Damage as its framework, structured as a general introduction plus chapters on the six meridian diseases. The introduction first clarifies the concepts of the six meridians and six-meridian differentiation, explaining that the six meridians are not six channels but a diagnostic framework summarizing the patterns of exogenous disease, and sets out the transmission patterns of six-meridian diseases, their treatment principles, and the meaning of the term cold damage; it then presents chapters on Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, and Jueyin diseases in turn. Each chapter first gives the pulse and pattern outline, then classifies principal patterns, concurrent patterns, transformed patterns, and similar patterns, explaining one by one the pattern identification, treatment methods, and formulas for representative formula patterns such as Guizhi Tang, Mahuang Tang, Baihu Tang, Chengqi Tang, Xiaochaihu Tang, Lizhong Tang, Sini Tang, and Wumei Wan, with a summary for each chapter. At about 79,000 characters, the book is concise and clearly organized, focused on revealing the logic and patterns of pattern identification rather than piling up original text. It is suitable as an introductory reader for beginners building a six-meridian framework, and as supplementary material for relevant courses in Chinese medicine colleges.
Editor's review
《伤寒论》难，难在原文古奥、方证繁多，初学者常一头扎进条文里出不来。这本小册子的可贵之处，是先帮你把“框架”立起来：什么是六经、六经与经络有何不同、六经辨证和八纲辨证怎样配合使用、病邪如何在六经之间传变——这些最容易被跳过、却最要命的问题，概论部分用了不到二十页讲透。 正文按六经分篇，每篇先给脉证提纲，再把本证、兼证、变证、类似证一一拆开，方证之下点明辨证眼目与用药逻辑。全书不到八万字，一册小32开，通读一遍不过数日，却能把太阳病的表虚表实、阳明病的热证实证、少阳病的半表半里、三阴病的寒化热化串成一条线。 本书由八所中医院校集体审阅，内容依据当时高等中医药教材的深度与广度取舍，既不失规范，又刻意压缩了冗繁重复，真正做到深入浅出。对自学者而言，它更像一张地图：先按图走一遍，再回头读《伤寒论》原文，方证自然各归其位。
Who it's for
A good fit for
- 正在自学《伤寒论》、需要在读原文前建立六经框架的初学者
- 中医院校学生，用作伤寒论或中医基础相关课程的辅助读物
- 基层医务工作者、西学中人员，希望系统梳理外感病辨证思路
- 对经方与方证辨证感兴趣、想从整体上把握六经体系的中医爱好者
Not a good fit for
- 希望直接查阅《伤寒论》原文逐条详注的读者，本书以归纳体系为主
- 临床多年的资深中医师，本书内容深度定位在初学与中级层次
- 寻找病案医案实录的读者，本书偏重理论体系而非个案记录
Reading tips
- 先通读概论部分，弄清六经概念、传变规律与治则，再进入各经病篇，不要跳读
- 读每一篇时对照《伤寒论》相关条文，把书中的方证归类放回原文语境中验证
- 重点整理一张六经—主证—代表方证的对应对照表，读完后自行默写复盘
- 遇到兼变证部分可先记结论，待六经本证熟悉后再回头精读，避免一开始负担过重
About the publisher
Tianjin Science and Technology Press
China · Founded in 1979
Tianjin Science and Technology Press is a science and technology publisher whose main publishing areas are the natural sciences, engineering and technology, medicine and health, popular science for everyday life, and science and engineering textbooks, with a particular strength in medicine and health, health care, and traditional Chinese medicine books. Its catalogue covers popular science, social sciences, medicine, finance and economics, and philosophy; it includes classic translations such as The Nine Chapters on the Mathematical Art, On the Origin of Species, and Euclid's Elements, alongside popular science and finance titles such as Hallucinations, Parasite Rex, The Six Numbers, and The Man Who Solved the Market. Its TCM health titles include a two-volume work on Li Dongyuan's spleen-and-stomach theory. Authors and translators represented include Zhang Cang, Charles Darwin, Oliver Sacks, Luo Dalun, Carl Zimmer, and Martin Rees. Public information is limited, so this profile focuses on the publishing directions reflected in the catalogue.
Contents
- Editor's Note
- General Introduction
- I. The Six Meridians and Six-Meridian Differentiation
- II. Transmission Patterns of Six-Meridian Diseases
- III. Treatment Principles for Six-Meridian Disease Patterns
- IV. The Meaning of Cold Damage
- Taiyang Disease
- I. Pulse and Pattern Outline of Taiyang Disease
- II. Classification of Taiyang Disease
- III. Pattern Identification and Treatment of Taiyang Disease (Taiyang wind-stroke exterior deficiency pattern, cold damage exterior excess pattern, mild exterior constraint pattern)
- IV. Concurrent and Transformed Patterns of Taiyang Disease (heat pattern, deficiency-cold pattern, water retention pattern, blood retention pattern, chest bind pattern, zang bind pattern, stuffiness pattern, upper heat and lower cold pattern)
- V. Similar Patterns of Taiyang Disease
- VI. Summary of Taiyang Disease
- Yangming Disease
- I. Outline of Yangming Disease
- II. Causes of Yangming Disease
- III. Pattern Identification and Treatment of Yangming Disease (Yangming heat pattern, Yangming excess pattern, Yangming jaundice, Yangming blood pattern)
- IV. Summary of Yangming Disease
- Shaoyang Disease
- I. Outline of Shaoyang Disease
- II. Pattern Identification and Treatment of Shaoyang Disease (Minor Bupleurum Decoction pattern and contraindications)
- III. Concurrent and Transformed Patterns of Shaoyang Disease
- IV. Heat Entering the Blood Chamber
- V. Summary of Shaoyang Disease
- Taiyin Disease
- I. Pulse and Pattern Outline of Taiyin Disease
- II. Signs of Impending Recovery in Taiyin Disease
- III. Principal Patterns of Taiyin Disease
- IV. Concurrent and Transformed Patterns of Taiyin Disease
- V. Summary of Taiyin Disease
- Shaoyin Disease
- I. Pulse and Pattern Outline of Shaoyin Disease
- II. Treatment Principles of Shaoyin Disease
- III. Principal Patterns of Shaoyin Disease (cold transformation pattern, heat transformation pattern)
- IV. Prognosis of Shaoyin Cold Transformation Pattern
- V. Concurrent and Transformed Patterns of Shaoyin Disease
- VI. Shaoyin Sore Throat Pattern
- VII. Summary of Shaoyin Disease
- Jueyin Disease
- I. Pulse and Pattern Outline of Jueyin Disease
FAQ
这本书是《伤寒论》的白话注解吗？
不是。它不以逐条注解原文为主，而是把《伤寒论》的辨证内容重新按六经病篇编排，先列提纲，再分本证、兼证、变证、类似证，讲清辨证思路与代表方证，属于体系梳理型的入门读物。
没有中医基础能直接读吗？
可以读，但会更吃力。书中频繁使用表里、寒热、虚实、营卫、脏腑等概念，建议先了解八纲与脏腑经络的基本内容，或在同套丛书中先读《八纲与八法》《脏腑经络学说》再回来读本书。
书中的方剂需要背下来吗？
初读不必强背方药组成，重点是记住每个方证对应的证候特征与辨证眼目，即“什么证用这个方”。方药细节可在熟悉体系后结合原著和方剂书逐步补足。
这本书和现在市面上的六经辨证书相比有什么特点？
它成书于1990年，由八所中医院校集体审阅，篇幅仅约七万九千字，文字精简、体例整齐，胜在框架清晰、门槛低，适合作为入门第一本；对条文考据与后世各家发挥涉及较少，深度不及当代专著。
这是丛书中的第几册，需要买整套吗？
本册为《自学中医之路丛书》十六分册中的第六册《六经辨证》，可独立阅读。若想补齐辨证方法，可再配合同系列的《八纲与八法》和《卫气营血辨证》，形成完整的辨证体系认识。
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