Secret Transmission of Medical Efficacy cover

Secret Transmission of Medical Efficacy

Rating 3.3
Word count
42K words
Chapters
4

Tags

Summary

A work on cold damage and warm diseases. Three juan. Attributed to Ye Gui (Qing) and edited by Wu Jinshou; some consider it a pseudepigraphic work. Published in 1831. The first two juan focus on differentiating cold damage and its various patterns, with discussion of multiple warm diseases, so that the distinction between cold damage and warm diseases may have a basis to follow. Also incorporates Wen Re Lun; juan three sets out the principles of yin-yang ascent and descent and the essentials of pulse examination and pattern identification; the end of the book appends 80 formulas. The discussion is concise and practical.

Editor's review

Attributed to Ye Tianshi of the Qing dynasty and edited by Wu Jinshou, this work centers on distinguishing cold damage from warm disease. The first two volumes take cold-damage patterns as their framework while also discussing warm disease, and incorporate the Wenre Lun so that cold-warm pattern identification has a basis to follow; the third volume discusses the ascending and descending of yin and yang and the essentials of pulse examination and pattern assessment, and the book ends with eighty appended formulas, clear in structure and concise in exposition. For readers studying Qing-dynasty cold-damage and warm-disease doctrine and seeking to clarify cold-warm diagnostic and treatment approaches, this book offers textual clues for comparison. Readers should note the question of authorship: scholars may regard it as a pseudonymous work, and it is best understood against the background of Qing medical textual transmission and the formation of warm-disease studies, drawing on its practical diagnostic and treatment experience while maintaining a critical textual eye. Suitable as a reference reader for Chinese medical literature and clinical practitioners studying cold-warm pattern differentiation.

Who it's for

A good fit for

  • TCM clinicians studying diagnostic and treatment approaches to cold-damage and warm-disease
  • Students and researchers in Chinese medical literature and medical history
  • Advanced readers seeking to understand the Qing-dynasty framework for differentiating cold and warm disorders

Not a good fit for

  • Beginners with no TCM background, for whom terminology and pattern-formula reasoning are a high barrier
  • Readers seeking only modern disease diagnosis and treatment guidelines
  • Textual scholars sensitive to authorship disputes who require confirmation of the original work

Reading tips

  1. Read the first two volumes on cold-warm differentiation first, then volume three on pulse patterns and the rise and fall of yin and yang, and finally review the patterns and treatments against the formulas at the end of the book.
  2. While reading, note the differences in symptoms and treatment between cold-damage and warm-disease, and compile a cold-warm comparison table.
  3. Read alongside the relevant passages of Wen Re Lun, noting where the supplementary sections of this book are placed.
  4. For formulas, keep materia medica and formula reference works at hand to check drugs and combinations, avoiding memorizing formulas in isolation.

About the publisher

Jinzhang Book Company (Jinzhang Shuju) China · Founded in 1901

Jinzhang Book Company (Jinzhang Shuju) was a private publishing and distribution house in Shanghai during the late Qing and early Republican periods, issuing traditional works by lithographic printing. Judging from the 1,194 titles in the collection, its publishing focused on classical poetry, Eastern philosophy, historical reading, traditional Chinese medical texts, and canonical works, along with books on literary appreciation. Representative titles include the poetry and prose collections of Du Fu and Ouyang Xiu; historical works such as the Book of Han and Zizhi Tongjian; classical texts such as the Book of Documents and Mencius; and specialized and literary classics such as Treatise on Cold Damage and Li Sao. Its author resources cover major figures across the ages, including Du Fu, Ban Gu, Sima Guang, Zhang Zhongjing, Qu Yuan, Ouyang Xiu, and Tang Shenwei, reflecting the house's characteristic reliance on traditional scholarship and medical literature while serving general readers. Public information on its early history and operational details is limited, so no conjecture is offered here.

Contents

  1. 版权信息
  2. 卷之一
  3. 卷之二\伤寒诸证论
  4. 卷之三

FAQ

Is this book really by Ye Tianshi?
It is originally attributed to Ye Gui of the Qing dynasty, with Wu Jinshou as collator, but the sources suggest some regard it as a pseudonymous work. When reading, separate questions of authorship from the content itself, value its approach to cold-warm differentiation and its documentary worth, and note the doubt when citing author information.
Can it be read directly without a foundation in cold-damage and warm-disease?
It is not well suited to reading straight through from zero. The book centers on differentiating patterns and prescribing treatment, involving considerable specialized terminology and pulse-pattern judgment. It is better to first acquire basic TCM theory and general knowledge of cold-damage and warm-disease, then read with annotations or reference works for smoother comprehension.
How should the eighty formulas appended at the end be used?
Use the appended formulas in conjunction with the patterns and treatments discussed earlier: first clarify the diagnostic and treatment approach for a given pattern, then consult the corresponding formula to understand its drug combinations and indications. Do not memorize formulas apart from pattern differentiation; for questions of dosage and processing, check formula-studies references.

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About the author

叶天士 Author

Ye Tianshi is a physician of far-reaching influence in the history of Chinese medicine. Publicly available information about his life is limited, and neither his dates of birth and death nor his nationality is definitively recorded, yet as many as nine works attributed to him survive. The titles collected here—Linzheng Zhi'nan Yi'an (Medical Cases as a Guide to Clinical Practice), Weikeben Ye Tianshi Yi'an (Unengraved Medical Cases of Ye Tianshi), Ye Tianshi Yi'an Jinghua (Essence of Ye Tianshi's Medical Cases), Yixiao Michuan (Secret Transmission of Medical Efficacy), and Xu Pi Ye Tianshi Wannian Fang'an Zhenben (A True Edition of Xu's Annotated Late-Life Prescriptions of Ye Tianshi)—are mostly records of medical cases and compilations of clinical experience, documenting diagnostic reasoning, prescriptions, and therapeutic insights in concise, practical prose. These works have long been valued by later students of medical case literature; they are classed among medical and classic works and are also often read for literary appreciation, showing that their accounts possess both medical value and readability. Given the limited sources, details of his life remain to be further investigated.

吴金寿 Author

Wu Jinshou's biographical details are extremely limited: publicly available sources contain no clear record of his native place, birth and death dates, education, or professional career, so a full life trajectory cannot yet be outlined. What can be confirmed is his connection with the compilation and writing of traditional Chinese medical literature. Two of his works are held in the collection, namely Sanjia Yian Heke (A Combined Edition of Medical Case Records by Three Physicians) and Yixiao Michuan (Secret Transmission of Medical Efficacy), both classified under medicine. The former is a compilation of medical case records, typically gathering clinical notes by several physicians for later students to consult and compare; the latter, judging by its title, focuses on the transmission of medical theory and effective prescriptions. Taken together, the two works show his concern with preserving clinical experience and spreading medical knowledge, with a practical orientation serving readers and learners of medicine. As the original texts and editions still require further study, no further inferences are made here.

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