Medical Errors in Practice
Tags
Summary
Medical Errors in Practice is a monograph on misdiagnosis and mistreatment in traditional Chinese medicine, compiled by He Xueze. First published in 1986 by Shaanxi Science and Technology Press, it was reissued in 2010 by China Press of Traditional Chinese Medicine. The author consulted hundreds of medical texts ancient and modern and thousands of medical journals, gathered more than six hundred cases of misdiagnosis and mistreatment, and selected the more typical ones for case-by-case analysis. The reissue added over a hundred cases to the original, bringing the total to more than three hundred. The cases come from the works of ancient physicians and papers by modern experts, as well as from TCM journals and Japanese Kampo medical magazines; among them are cases of students treating wrongly and teachers misdiagnosing. Breaking with the conventional case-record format and drawing on the strengths of the TCM medical essay, the book gives each case its own title, most titles paired in parallel, such as "High Blood Pressure: Misreading the Organs and Meridians" answering "Low Blood Pressure: Relying Solely on Shiquan Dabu." Each case unfolds in three parts: the course of the error and its consequences, an analysis of the cause, and the author's reflections and the correct approach. The author traces errors to incomplete four-diagnosis examination, neglected etiology, wrong pattern differentiation, improper treatment principles, inaccurate formula selection, and inflexible drug use, covering such specific problems as mistaking cold for heat or deficiency for excess, unclear organ and meridian identification, medicine overshooting the disease, inappropriate dosage, and rigid assumptions about age and constitution. Apart from a few fatal cases, most patients recovered after renewed pattern differentiation and treatment, so the book offers both cautionary lessons and successful experiences in rescuing severe and complex cases. Professor Jiang Chunhua wrote the preface.
Editor's review
医案之书汗牛充栋，几乎都在讲“我如何治好了病”；肯把自己和同行的失手摊开来细细剖析的，少之又少。《医林误案》填补的正是这块空白，因此姜春华教授为之作序，出版后多家中医药报刊报道选载。它的价值不在猎奇，而在“反面教材”的现场感：一个三岁患儿，苦寒重剂后转虚寒，附子理中一剂好转，再剂即烦躁不安——药是对的，剂量与时机是错的；一例“低血压”患者，十全大补、归脾、补中益气一路补下去，血压不升反添胸闷纳呆，改用芳香化湿而愈。这类例子读完，最难受的不是记住了哪个方，而是发现自己脑子里也藏着同样的“套法成方”。全书三段式的写法也很见功力：先讲误案，再剖原因，最后谈体会，篇幅短小却自成小论文；标题多两两对仗，编者把六大失误环节——四诊不全、忽视病因、辨证错误、立法不当、选方不准、用药不活——贯穿始终，读久了能连成一张“避错地图”。再版本增补一百余例，案例来源遍及古今医籍、期刊乃至日本汉方杂志，兼收挽救成功之案，正反对照。它不是让人一读就会开方，而是让人在动手之前多问一句：我这步辨证，是不是已经漏了四诊中的某一诊。
Who it's for
A good fit for
- 已系统学过中医基础、中药方剂，正在读医案的中医院校高年级学生
- 有临床经验、常遇久治不效病例的临床中医师
- 师承或自学中医、希望校正自身辨证思路的研习者
- 中西医结合专业及对误诊误治研究感兴趣的读者
Not a good fit for
- 完全零基础、尚未掌握四诊与常用方剂的入门读者，易被误案搅乱思路
- 只想按病名索方、寻求对号入座验方的读者
- 期待现代医学诊疗规范与循证依据的读者
Reading tips
- 先读姜春华序与作者自述，理解“检讨过去治疗作为前车之鉴”的立意，再进入具体案例
- 每读一案先遮住辨析部分，自己判断误在何处，再对照原文，收获最大
- 按寒热虚实、脏腑经络、药过病所等主题归类整理，逐步形成自己的避错清单
- 把书中案与自己的临床或课堂病例对照复盘，重点看“为何第一步就错了”
About the publisher
China Press of Traditional Chinese Medicine
China · Founded in 1989
China Press of Traditional Chinese Medicine focuses on publishing books in traditional Chinese medicine, covering Chinese medical classics, clinical medicine, acupuncture and tuina, materia medica and formulae, and medical history and literature; its catalogue includes 3,277 titles. Representative books include Xiao Er Yao Zheng Zhi Jue, Shang Han Lun, Yi Xue Zhong Zhong Can Xi Lu, Zhen Jiu Da Cheng, Yi Zong Jin Jian, and Guo Aichun's Annotated Huangdi Neijing Suwen (Second Edition). These works involve writings by historical physicians such as Qian Yi, Zhang Zhongjing, Wang Shuhe, and Zhang Xichun, as well as documentary studies compiled by contemporary authors including Zhao Xin, Zhen Xueyan, Zhang Yongtai, and Wang Xiangang. In terms of publishing characteristics, the press emphasizes collation and annotation of original Chinese medical classics and the systematic presentation of famous physicians' works, balancing the transmission of ancient editions with reference for clinical application. Public information is limited, and no other publishing fields are covered here.
Contents
- Deaths from Excessive Sweating That Deplete Yang
- Deaths of Children from Heavy Cold and Heat Prescriptions
- Do Not Treat Edema by Diuresis Alone
- Kidney Tonification Fails in Nephritis
- Migraine Mistreated with Acrid Dissemination
- Repeated Mistreatment of Vertex Headache
- High Blood Pressure: Misreading the Organs and Meridians
- Low Blood Pressure: Relying Solely on Shiquan Dabu
- Cholecystitis: Mistaking Cold for Heat
- Gallstones: Purging Harms the Liver and Spleen
- Impotence: Forgetting Damp-Heat as the Cause
- Seminal Emission: Unaware of Worm Accumulation Draining Yin
- Blood Deficiency: Unaware of Hookworm Infection
- Phlegm Patterns: Ignoring the Source of Phlegm
- Hemiplegia: Misuse of Buyang Huanwu
- Frequent Urination with Heat and Pain: Wrongly Using Daochi San and Bazheng San
- Damp-Warm Mistreated by Purgation: Profuse Diarrhea and Clouded Spirit
- Error upon Error: Unceasing Slippery Diarrhea
- Incomplete Four-Diagnosis Examination: Famous Physicians Misjudge
- Misdiagnosis and Mistreatment: The Patient Changes Doctors
- Laxatives Fail: Neither Cold Purging nor Heat Purging Works
- Blood Patterns: Both Deficiency-Excess and Cold-Heat Mistaken
- Metrorrhagia: Stopping and Astringing Fail
- Fire Stagnation Mistaken for Yang Deficiency
- Prolonged Use of Zhishi: Qi Escape and Death
- Excess Dog Kidney: Fire Transformed into Bloody Vomiting
- Exterior Pattern in the Deficient: The Error of Reinforcing the Excess
- Gastric Distension with Yellow Coating: Mistaking Cold for Heat
- A Slip of the Pen: Five Qian of Dahuang Becomes Five Liang
- Seeking Anti-Inflammation: Mistaken Use of Huangbo Causes Hernia
- Double Contraction of Cold Damage Mistaken for Intestinal Abscess
- Double Contraction of Cold Damage Resembling Heat Strangury
- Yin Summerheat Mistreated with Yang Summerheat Drugs
- Yang Summerheat Mistaken for Yin Summerheat and Dispersed
- Malaria Mistreated with Da Chaihu Tang
- Damp-Warm Disease Mistreated with Baihu Tang
- Hiccups: Both Warming and Clearing the Stomach Fail
- Autumn Dryness: Mistaken Sweating and Tonification Create a Broken Pattern
- When Root and Branch Do Not Match, Pathogenic Qi Will Not Submit
- Unclear Differentiation: A Large Formula Achieves Nothing
FAQ
这本书和一般的名医医案集有什么不同？
一般医案集多收治愈成功的案例，本书专收误诊误治案例，先述误治经过与后果，再辨析失误原因，后谈正确思路，是中医出版史上较早系统总结反面经验的医案专著。
2010年版与1986年初版有什么区别？
初版1986年由陕西科学技术出版社出版，约收录161案；2010年中国中医药出版社再版时增补一百余例，误案总数达三百余例，并附作者研究误诊误治医案的论文与后记。
书里的医案都来自哪里？
作者查阅古今医籍数百部、医学期刊数千册，案例出自古代名医著作、近代专家论文、中医药期刊以及日本汉方医学杂志，也有学生错治与老师误诊之例。
没有临床经验的学生能读吗？
建议先具备中医基础理论与方剂功底。书中案例涉及辨证层次与用药细节，基础不牢时容易只记住“某方治某病错了”，反而形成新的机械对应。
这本书的字数和篇幅如何？
2010年版约39.2万字，500页左右，32开平装；每案篇幅短小，可分次阅读，适合作为长期反复研读的案头书。
Comments
Find this book
This site is an index: you start “Search all sources” in your browser, and the entries it lists all point to third-party sites; please judge their availability yourself.
