Selected Medical Cases cover

Selected Medical Cases

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Summary

This is a book often overlooked because its title is too brief. Its value lies not in its size—just over 200 pages and 160 cases—but in whose hands it came from. The cases were compiled from clinical records of various departments at Longhua Hospital Affiliated to Shanghai College of Traditional Chinese Medicine. Those who wrote the prescriptions include a group of Shanghai physicians such as Ru Shimei, Xu Zhongcai, Xu Songnian, Wang Yurun, and Xu Boyuan. Today most of these names appear only in bibliographies and lineage records, yet the actual pulse records, tongue presentations, and modifications of formulas and drugs from those years remain on the page as they were. The most immediate benefit of reading this book is that one can see the process of thinking. Each case begins with the symptoms, distinguishes cold and heat, deficiency and excess, determines the treatment method, and then settles on specific formulas, drugs, and dosages; at follow-up visits it shows how the prescription was adjusted according to the pattern. The chain is complete. For readers who have already memorized formulas and can identify basic patterns, such a complete chain calibrates clinical judgment better than reading ten textbooks. In addition, the book covers all departments—internal medicine, gynecology, pediatrics, surgery, traumatology, dermatology, ophthalmology, and acupuncture—making it well suited for examining one's outlook beyond one's own specialty. One caveat is the mark of its era: the writing style, terminology, and certain expressions of the time all carry the flavor of the 1970s; some cases lack modern investigative support, and evaluations of efficacy are brief. It is a document to be read with judgment, not a manual whose prescriptions can be copied directly. With this in mind, the reader will gain much more from turning its pages.

Editor's review

这是一本常常被书名列得过简而错过的书。它的价值不在体量——全书不过二百余页、一百六十则医案——而在“来自谁的手”。医案由上海中医学院附属龙华医院各科诊疗记录整理而来,写方的人包括茹十眉、徐仲才、徐嵩年、王玉润、徐伯远等一批沪上医家,如今这些名字多数只出现在文献索引与师承谱系里,而当年真实的脉案、舌象、方药加减却原样留在纸上。 读本书最直接的收益,是看得到“想的过程”。每则病案从症候入手,辨其寒热虚实,定其治法,再落到具体方药与剂量,复诊时又如何随证调整,链条完整。对已经背过方剂、能辨基本证候的读者来说,这种完整链条比读十本教科书更能校准手感。此外,本书分科齐备,内、妇、儿、外、伤、皮肤、眼、针灸皆有收录,正适合用来检视自己在本专业之外的眼界。 需要说明的是它的年代印记:行文风格、术语用法、某些当时的表述,都带着七十年代的底色;部分病案缺乏现代检查佐证,疗效评价也较简略。它属于“带着判断力去读”的文献,而非可以照方抄用的手册。对这一点有心理准备,翻起来收获会多得多。

Who it's for

A good fit for

  • 已掌握中医基础理论与方剂,希望校准辨证思路的临床医生
  • 中医院校高年级学生与规培阶段住院医师,用于研习完整脉案写法
  • 研究近现代上海中医流派与龙华医院学术传承的医史文献读者
  • 对老中医治验方药感兴趣、具备一定辨别能力的中医爱好者

Not a good fit for

  • 完全没有中医基础、想用来自行开方抓药的普通读者
  • 期待现代循证医学证据与标准化疗效数据的读者
  • 需要教材式系统讲解、条理化知识框架的备考学习者

Reading tips

  1. 先按科别通读一遍留印象,再按自己所属专科细读,比较同一病证在不同医家笔下的辨治取舍。
  2. 每则医案读到处方前先掩卷自拟治法方药,再与原文对照,找出思路分歧点,比单纯抄方有效。
  3. 注意复诊记录中的方药加减,那往往是原书最见功力的部分,可另纸摘录形成自己的加减病例簿。
  4. 阅读时随手核对方剂出处与药物用量,对存疑或与今说不合之处作标记,避免照搬照用。

About the publisher

Shanghai People's Publishing House China · Founded in 1951

Shanghai People's Publishing House is a comprehensive publisher whose list focuses on academic monographs and general-interest titles in philosophy, social sciences, politics and law, economics and management, and history. Among its books are Wei, Jin, Southern and Northern Dynasties History in the Chinese Dynastic History series; The Hobbit and The Lord of the Rings trilogy in foreign literature; the Wenjing Classical Translation Illustrated Edition of The Complete Greek Tragedies of Euripides; and works of social theory such as Max Weber's Economy and Society and Dialectic of Enlightenment: Philosophical Fragments. Its authors include Wang Zhongluo, J.R.R. Tolkien, Luo Niansheng, and Zhou Zuoren.

FAQ

这本书是只有一位老中医的医案吗?
不是。它是上海中医学院附属龙华医院集体编选的院内各科医案汇编,署名是医院而非个人。书中治验方药出自茹十眉、徐仲才、徐嵩年、王玉润、徐伯远等多位医家之手,属于一批人的临床记录合集。
全书收录了多少则医案?覆盖哪些科?
据书目资料,全书共收录医案一百六十则,分布在八个临床学科:内科、妇科、儿科、外科、伤科、皮肤科、眼科以及针灸科。正文二百一十四页,三十二开平装,署明字数约十五万二千字。
1977 年的书,现在还能买到吗?
原书于 1977 年 10 月由上海人民出版社出版,首印后未大量重印,目前主要靠旧书市场与图书馆藏本流通,旧书网上偶有九品左右的单本出现,价格视品相差异较大,购买时需留意是否为私藏自然旧。
它有正规 ISBN 吗?
该书出版于中国 ISBN 制度普及之前,原书使用统一书号 14171·239 标示,并不具备今日的十三位 978 开头 ISBN。部分数据库或旧书信息中出现的编码不能等同于现代 ISBN,引用时应当注明原始统一书号。
没有中医基础能读懂这本书吗?
可以看懂字面,但很难用得上。医案写作常省略推导前提,直接给出证型与方剂,若未掌握基础理论与常用方剂,容易只见方不见理,甚至误将个案当作通则照用,因此不建议零基础读者以本书作为入门书。

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