Yi Bian

Name: Yi Bian
ISBN: 9787802316676

何梦瑶China Press of Traditional Chinese Medicine2009

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Word count: 392K words
Chapters: 14
ISBN: 9787802316676

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Summary

For those seeking a classical medical text that both lays a foundation and directly guides clinical practice, He Mengyao's Yi Bian is a highly suitable choice. Completed during the Qianlong reign and modeled on Wang Kentang's Zhengzhi Zhunsheng, it condenses that vast and "abstruse and difficult to read" work into seven juan, selecting the essential and employing it broadly. Its prose is clear and concise—"brief in words yet rich in meaning, profound yet accessible"—making it well suited as a transitional reader for moving from theory to clinical practice. The structure of the book is quite complete: the first four juan cover basic theory and miscellaneous internal diseases, ranging from the zangfu, yin-yang, the six qi, and yunqi to zhongfeng, epidemic disease, phlegm-fluid retention, swelling and distension, and blood disorders; juan five is devoted to the four diagnostic methods of inspection, listening and smelling, inquiry, and palpation, originally teaching material He used when serving as magistrate of Si'en to instruct the county's physicians, and is especially convenient for beginners; juan six and juan seven classify and collect formulas, making it easy to find formulas by disease. Even more valuable is that the author does not indulge in empty talk: having long lived in Guangdong and Guangxi, he has distinctive insights into the differentiation and treatment of warm-heat diseases and epidemics, and dares to directly criticize the contemporary abuse of warm tonification, maintaining that "when pathogenic qi prevails, it should be suppressed regardless of cold or heat"—a reading that carries a forceful, forthright tone. It should be noted that this is a Qing-dynasty medical work, and its dosages and disease names do not fully correspond to modern clinical practice; it must be used in conjunction with modern standards and under the guidance of a teacher. The edition in the China Press of Traditional Chinese Medicine's "Library of Chinese Medical Classics" has been collated and annotated, with a clear version and convenient portability, making it suitable as a readily available desk copy for careful study.

Editor's review

想找一本既能打地基、又能直接指导临床的古典医书，何梦瑶的《医碥》是很合适的选择。它成书于乾隆年间，蓝本是王肯堂的《证治准绳》，但何氏把这部“奥博难读”的巨著压缩成七卷，取精用宏，文字清简，“言简而意赅，深入而浅出”，正适合作为由理论走向临床的过渡读物。本书的结构颇为完整：前四卷讲基础理论与内科杂症，从脏腑、阴阳、六气、运气一直讲到中风、瘟疫、痰饮、肿胀、血证；卷五专论望闻问切，原本是何氏任思恩知县时教县中医生的教材，入门尤便；卷六、卷七分类收方，按病索方十分顺手。更难得的是作者不尚空谈：他久居两广，对温热病、瘟疫的辨治别有心得，又敢于直指当时滥用温补的时弊，主张“邪胜无论寒热均当抑”，读来颇有金石之气。需提醒的是，这是一部清代医著，方药剂量、病名与现代临床并不完全对应，必须结合现代规范与师承指导使用。中国中医药出版社“中医经典文库”本经校注整理，版本清晰、携带方便，适合作为案头常备的研读本。

Who it's for

A good fit for

中医院校学生与规培医师，需要一本体系完整、由理论通向临床的清代综合性医书。
中医临床工作者，尤其从事内科杂病、温热病诊治，希望参看何氏辨证思路与方药。
中医文献与医史研究者，关注《证治准绳》在清代的传播与岭南医学。
有一定古文阅读基础的中医爱好者，愿意逐卷细读经典者。

Not a good fit for

完全没有中医基础、只想找现代通俗养生读物的一般读者。
打算照书自行抓药治病的人，书中方剂需专业医师辨证化裁。
希望读到现代药理实验与循证医学数据的研究者。

Reading tips

先读自序、赵序、凡例，理解“医碥”取阶梯与针砭二义，把握何氏的著书立场。
按卷一理论、卷二至卷四病证、卷五四诊、卷六卷七方剂的顺序通读，边读边对照《证治准绳》相关篇目。
每读一病，用四诊条目梳理辨证要点，再把所用方剂对应到卷六、卷七，形成自己的笔记。
注意书中对温补流弊的批评与岭南温热病经验，结合现代临床规范与师承讲解加以核对，不自行套用方药。

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.

Preface
Content Summary
Notes on Collation and Annotation
Xin's Preface
Zhao's Preface
Author's Preface
General Rules
Juan One: Miscellaneous Disorders: On the Zangfu; On the Pericardium and Sanjiao; On the Five Zang and Their Correspondence with the Five Phases and Eight Trigrams; On Water and Fire; On the Mingmen; On the Mutual Generation and Restraint of the Five Zang; On the Five Evils; On the Twelve Channels and Their Correspondence with the Three Yang and Three Yin; On the Six Qi; On Yunqi; On Deficiency, Excess, Cold, and Heat; On Tonifying and Reducing; On Reverse Treatment; On Root and Branch; On Exterior and Interior; On Yin and Yang; Distinguishing Hidden Yin in Summer; Qi; Blood; Fever; Tidal Fever; Aversion to Cold; Cold and Heat; General Discussion of the Various Zhong; Zhongfeng; Zhonghan; Zhongshu; Zhongshi; Zhongqi; Zhongshi (Food); Zhong'e
Juan Two: Miscellaneous Disorders: Shangfeng; Tetanus; Shangshu; Shangshi; Shangzao; Spring Warmth; On Epidemic Diseases; Malaria; Cough; Panting and Asthma; Shortness of Breath and Scanty Qi; Belching; Hiccough; Yawning and Sneezing; Injury from Food and Drink; Inability to Eat; Injury from Overexertion; Deficiency and Consumptive Disease; Fire; Depression; Phlegm; Glomus and Fullness; Accumulation and Gathering; Worms; Poisoning
Juan Three: Miscellaneous Disorders: Swelling and Distension; Jaundice; Flaccidity; Lung Flaccidity and Lung Abscess; Bi; Numbness; Tetany; Sweating; Vomiting and Retching; Counterflow of Food, Dysphagia, and Other Conditions
Juan Four: Miscellaneous Disorders: Diarrhea; Dysentery; Strangury; Turbid Urine; Seminal Emission; Blood Disorders; Gynecological Diseases and Diseases of the Five Sense Organs and Other Conditions
Juan Five: The Four Diagnostics
Juan Six: Catalog of Various Formulas
Juan Seven: Various Formulas

FAQ

“医碥”的“碥”是什么意思？

“碥”本指上下车马所踏的石块、石阶，何梦瑶借喻此书是初学医者的入门阶梯；同时因书中力斥当时滥用温补之弊，也有人认为“碥”当作“砭”，含针砭时医之意，何氏在自序中笑而不言。

这本书成书于什么时候？

《医碥》成书并刊行于清乾隆十六年，即1751年，自序署“乾隆十六年岁次辛未季春望日南海何梦瑶书于乐只堂”。

全书共几卷，各卷讲什么？

全书七卷：卷一论脏腑、三焦、命门、六气、运气、阴阳虚实等基础理论及部分杂症；卷二至卷四分述内科杂症及妇、儿、五官诸疾；卷五专论四诊；卷六、卷七为诸方目录与方剂。

本书与《证治准绳》是什么关系？

何梦瑶推崇王肯堂《证治准绳》，但认为其过于奥博难读，遂以其为主要蓝本，删繁就简、参以己见编成《医碥》，时人辛昌五在序中称其“羽翼”《证治准绳》。

中国中医药出版社这个版本信息如何？

该本属“中医经典文库”，2009年12月第1版，平装大32开，521页，约39.2万字，ISBN 9787802316676。

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About the author

何梦瑶 Author

He Mengyao, whose nationality, dates of birth and death, and other basic biographical details remain unknown, has only limited publicly available information. Judging from the three works held in the collection, he was an author devoted to organizing and popularizing classical Chinese medicine. His representative work, Jinyan on the Treatise on Cold Damage, offers an exposition of Zhang Zhongjing's Treatise on Cold Damage and belongs to the tradition of annotation and study within cold-damage scholarship. A separate work, the fully collated and annotated edition of Jinyan on the Treatise on Cold Damage with related studies, builds on the former by providing full textual collation, annotation, and accompanying research, reflecting solid philological care. His Medical Stepping Stone is a comprehensive medical work covering the theoretical foundations of Chinese medicine and clinical diagnosis and treatment, and is an important window into his medical thought. Overall, He Mengyao's writing emphasizes the collation and annotation of classical texts and the systematic organization of medical knowledge; his style is practical and pragmatic, suited to readers studying classical Chinese medicine and to clinical reference.