The Physician-Physician-Physician cover

The Physician-Physician-Physician

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Summary

The Physician-Physician-Physician (Yi Yi Yi) is a medical treatise in three volumes by the Qing-dynasty physician Meng Jinshi (Yu Jin, also known as Yu Kui, courtesy names Xintian and Jintian, sobriquet Fengba). It opens with prefaces by others and the author's own account, was completed in the Jiyou year of the Xuantong reign (1909), and was once included in the San San Yi Shu collection as a letterpress edition. The three-character title means "the medicine that heals physicians": the author's focus is not on prescriptions or acupuncture but on the ills of the medical profession itself—he sets out to write a "prescription for healing physicians." The book unfolds in three tiers: Volume One, "The Court's Prescription for Physicians," discusses how the court and its institutions should treat medicine and physicians, arguing for raising physicians' status and for selection, examination, reward, and punishment, so that the way of medicine and the way of governance may be linked; Volume Two, "The World's Prescription for Physicians," criticizes social mores that prize wealth over life, indulge in luxury and excess, and shun doctors and medicine, noting that patients too must examine themselves; Volume Three, "The Physician's Prescription for Healing Himself," directly indicts doctors who are ignorant and incompetent, perfunctory, and profit-seeking, demanding that physicians turn inward and cultivate themselves. The writing compares medical principles to the art of governance, repeatedly asserting that "governing the people is like treating illness, and deploying medicine is like deploying troops" and that "a good minister is no different from a good physician, and a famous physician may serve as a famous general," while advocating that the way of medicine and the way of governance are one, and that everyone should know a little medicine and be able to treat themselves. The book also assesses the contemporary fashion of favoring Western medicine, acknowledging the strengths of anatomy, experiment, and pharmacy while insisting that the principle of qi transformation cannot be discarded. Its arguments are broad and its language impassioned, with many incisive insights; it stands apart among late-Qing medical treatises and still offers lessons today for thinking about medical ethics, doctor-patient relations, and medical education.

Editor's review

薄薄三卷,谈的却不是药方,而是「医生这一行该怎么治」。晚清医家孟今氏把医界弊病分成三层来诊治:制度如何待医、世人如何待医、医者如何自待。他敢把良医与良相比并,敢说「用药如用兵,名医即可为名将」,也敢直斥同行不学无术、以医牟利。这种把医学放进治道与世风里通盘审视的眼光,在古代医论中并不多见。 书中一些主张今天读来仍不陈旧:医生须先自治而后治人,医德不是附加项而是医术的一部分,患者重财轻命的风气同样需要「医治」。它同时是一份晚清思想史料——作者评议中西医学的取舍、设想变通医官与振兴医学之法,字里行间可见那个时代读书人的焦虑与抱负。篇幅短、文言浅近,中医爱好者、医学生、研究医德与医学史者都可在半日内通读,且常读常新。需说明的是,本书为医论性质,不载具体方药,也不是临床诊疗手册。

Who it's for

A good fit for

  • 对中医医德、医患关系与医界风气问题感兴趣的读者
  • 学习中医医史文献、晚清思想史的高校学生与研究者
  • 有一定文言阅读基础、想读原典小品的传统文化爱好者
  • 中医从业者,尤其是关心行业自省与职业伦理的人

Not a good fit for

  • 仅想查找具体方剂、验方或临床辨证用法的读者
  • 完全没有文言阅读经验、又不愿借助注释的入门读者
  • 希望用本书自我诊断、自我用药的人士

Reading tips

  1. 先读卷首序与自叙,弄清「医医医」这一题名的用意,再进入三卷正文。
  2. 三卷可分别对照当下:制度与医学教育、患者心态、从业者自律,边读边记下可讨论之处。
  3. 遇到「治道」「气化」等概念不必强解,先把握其议论逻辑,再回看中医基础理论相关章节。
  4. 可与吴鞠通《医医病书》对读,两者同为「医医」之作,可见清代医家自省的两种路径。

FAQ

《医医医》这个书名是什么意思?
三字连读意为「医治医者之医」。作者认为医界自身有病——制度不善、世风苟且、医者不学,因此需要一本专门给医生和医界「开方」的书,而非普通方书。
这本书是哪一年、谁写的?
一般著录为清代孟今氏撰,成书于宣统己酉年(1909)。孟今氏即于今,又名于夔,字新天、今天,号风八;部分辞书据内容推断其撰述始于1902年前后。
书中收录了多少方剂?
几乎没有。本书属医论著作,重在议论医界弊病与医德医风,卷一论朝廷、卷二论世风、卷三论医者自身,不载具体方药,不宜当作临床方书使用。
现在能读到什么版本?
原书有宣统年间铅印本,收入裘吉生所辑《三三医书》;此外维基文库等平台收录有全书文本,可免费查阅。选购时请以具体出版信息为准。
和《医医病书》是同一本书吗?
不是。《医医病书》为清代吴鞠通所撰,二卷,辨内科杂证诊治之弊;《医医医》为孟今氏所撰,三卷,议论范围更偏向制度、世风与医者自律,两者立意相近而作者、内容均不同。

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About the author

孟今氏 Author

Meng Jinshi is an author about whom very little biographical information is publicly available: his real name, nationality, and dates of birth and death cannot be verified. All that is known is that he wrote one work, Yi Yi Yi (roughly "Medicine, Doctors, and the Healing Art"), which is commonly classified under medicine. The repeated character in the title suggests a reflective or critical approach—likely a discussion of medical practice, physicians, and medicine itself rather than a mere recipe book or clinical manual. Because this is the only known work and there are no prefaces, publication records, or author biographies to draw on, his writing style and intellectual background cannot be assessed in detail. What can be said is that the book belongs to the medical category, indicating content related to drugs, medical theory, or healing practice, and that its distinctive title gives it some recognizability among similar texts. For those studying obscure medical works or traditional medical literature, Meng Jinshi and Yi Yi Yi are worth noting as a lead.

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