The Original Meaning of the Medical Classics cover

The Original Meaning of the Medical Classics

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Summary

The Original Meaning of the Medical Classics (Yijing Yuanzhi), in six volumes, was compiled and annotated by the Qing dynasty physician Xue Xue (courtesy name Shengbo, sobriquet Yipiao, later style Saoye Shanren). It was completed and first printed in the nineteenth year of the Qianlong reign (1754) and comprises about fourteen chapters. Xue Xue was a native of Wu County (present-day Suzhou, Jiangsu) and, alongside Ye Tianshi, a representative figure of the warm-disease school; he also wrote A Treatise on Damp-Heat and On Damp-Heat. The book is the fruit of his rereading of the Huangdi Neijing: dissatisfied with Zhang Jingyue's Leijing, which he found "half doubt and half belief, unable to discard the ornate and preserve the substantial," he rearranged the original text of the Suwen and Lingshu, cut the redundant and highlighted the essential, and reorganized it into nine categories—nurturing life, yin and yang, visceral manifestations, pulse and complexion, channels and network vessels, root and branch, qi and flavor, treatment, and disease—to seek the original intent of the medical classics, hence the title "Original Meaning." Volume One covers nurturing life, yin and yang and visceral manifestations; Volume Two covers pulse and complexion and channels and network vessels (part one); Volume Three covers channels and network vessels (part two), root and branch, qi and flavor, and treatment; Volumes Four through Six cover diseases, moving from pathogenesis, pathogenic qi, deficiency and excess, and seasonal factors to the five qi, emotions, wind, reversal, cold damage, cold and heat, malaria, cough, panting, sweating, drum distension, fluids, water jaundice, impediment, flaccidity, mania, abscesses and ulcers, the five reversals, and times of death. The disease section accounts for about half the book and is the most fully developed. The annotations draw widely on the views of past masters, especially Zhang Jingyue and Zhang Zhicong, with the author's own views added where the principles remained incomplete; because acupuncture has its own specialized texts, that material is treated briefly. The annotations are concise and the discussions terse and sharp, making the book an important reference commentary for studying the Neijing; its shortcoming is that cited passages are not individually marked by chapter. This entry refers to the 1987 China Bookstore photo-offset reprint of the Qing edition (two thread-bound volumes).

Editor's review

读《内经》的注本很多,但绝大多数出自经生或文献家之手;《医经原旨》的特别之处在于,作者薛雪是一位天天看病的临床大家。他以温病名家、与叶天士齐名的身份回头注解《素问》《灵枢》,看到的东西自然与考据家不同:他关心的是这条经文在病床上怎么用得上。 所以此书有三个可圈可点之处。其一,体例清醒。他承认《内经》非黄帝亲笔,因而"何妨割裂",按自己的理路重编为九类十四篇,把散乱的经文收拢成一条可读的脉络。其二,注文简峭。薛雪不喜堆砌,能一句话说清的绝不说三句,读来常有"直指枢要"之感。其三,疾病部分极重。卷四至卷六论病机、厥、疟、咳、痹、痿、痈疽,占全书近半,是全书最见功力也最实用的部分。 当然它也有短板:引经文不标篇目,查对不便;针灸内容刻意从简,不适合当针灸书用。中国书店1987年影印本为线装二册,保留了清刻面貌,适合一边读一边对照《类经》《类经图翼》与《素问》《灵枢》白文,看薛雪在哪些地方与张景岳唱反调——这正是本书最耐读的地方。

Who it's for

A good fit for

  • 已通读《素问》《灵枢》部分篇章、想进阶看注本的中医学习者
  • 对张景岳《类经》体例熟悉,想比较不同注家取舍的读者
  • 研究温病学派、关注薛雪学术思想的医史与文献研究者
  • 喜欢藏读影印古籍、看重版本原貌的中医藏书爱好者

Not a good fit for

  • 完全没有文言与中医基础、想找白话入门读物的初学者
  • 想系统学习针灸取穴与刺法的读者,本书于此刻意从简
  • 希望有逐句今译、注释和习题的应试型考生

Reading tips

  1. 先读卷首绪言,弄清薛雪为何不满《类经》而重编,再进入正文,可免于迷路。
  2. 读时手边备《素问》《灵枢》白文与《类经》,凡薛注与张注不同处随手标出,这些分歧点最见学术价值。
  3. 把卷四至卷六疾病部分当作重点,配合《湿热条辨》对读,可看出薛雪临床思路的来路。
  4. 影印本字小行密,宜每次只精读一篇,做摘录笔记,不求通快。

About the publisher

China Bookstore Press China · Founded in 1983

China Bookstore Press is a professional publisher of ancient books based in Liulichang, Beijing, known for woodblock printing and the photocopy reproduction of classical works; it also publishes studies in literature, history and philosophy as well as popular books on traditional culture. The roughly 33 titles in the database indicate directions that include world classics, foreign literature, canonical works, culture and history. Representative books include Zhu Shenghao's translation of The Complete Tragedies and Comedies of Shakespeare (five volumes) and its individual volumes Tragedy I and Tragedy II, volumes from Cai Dongfan's Popular Romance of the Dynasties covering the Ming, Song and Qing, Shen Fu's Six Records of a Floating Life, and The Complete Works of Wang Yangming. Authors represented include Shakespeare, Cai Dongfan, Shen Fu, Mao Xiang, Yu Shimei, Jiang Tan and Chen Peizhi. As public information is limited, a full account of its publishing scale and catalogue structure is not possible; the above briefly describes the directions reflected by the books in the database.

Contents

  1. Preface
  2. Volume One: Nurturing Life, Part One
  3. Volume One: Yin and Yang, Part Two
  4. Volume One: Visceral Manifestation, Part Three, Above
  5. Volume One: Visceral Manifestation, Part Three, Below
  6. Volume Two: Pulse and Complexion, Part Four, Above
  7. Volume Two: Pulse and Complexion, Part Four, Below
  8. Volume Two: Meridians, Part Five, Above
  9. Volume Three: Meridians, Part Five, Below
  10. Volume Three: Branch and Root, Part Six
  11. Volume Three: Qi and Flavor, Part Seven
  12. Volume Three: On Treatment, Part Eight
  13. Volume Four: Diseases, Part Nine (Pathogenesis, Pathogenic Qi, Yin and Yang)
  14. Volume Four: Diseases, Part Ten (Meridians and Viscera, Deficiency and Excess, Seasonal Timing)
  15. Volume Five: Diseases, Part Eleven (Five Qi, Emotions, Wind, Reversal, Cold Damage)
  16. Volume Five: Diseases, Part Twelve (Cold and Heat, Malaria, Cough, Wheezing, Sweating, Drum Distention, Body Fluids, Water Jaundice, Heat Jaundice)
  17. Volume Six: Diseases, Part Thirteen (Pregnancy, Blood Dryness, Mania, Sudden Pain, Impediment, Impediment and Hernia, Flaccidity, Intestinal Slip, Hidden Beam, Five Transformations, Pathological Changes, Miscellaneous Diseases)
  18. Volume Six: Diseases, Part Fourteen (Tears and Mucus, Confusion, Forgetfulness and Hunger, Sleep, Dreams, Abscess and Gangrene, Scrofula, Loss of Guard, Five Reversals, Time of Death, End of Meridians)

FAQ

《医经原旨》是薛雪写的还是张景岳写的?
是清代薛雪(字生白)撰注,成书于1754年。张景岳(张介宾)写的是《类经》,薛雪参考并批评了《类经》的编排与取舍,二者常被混淆,网上不少介绍甚至张冠李戴。
这本书和《类经》是什么关系?
薛雪沿用《类经》分类重编《内经》的思路,但认为《类经》"疑信相半,未能去华存实",于是删并增损、自定九类十四篇,注文取张说较多,也有不少与张景岳相左之处。
书里为什么针灸内容很少?
薛雪在绪言中明确说"针灸一法,另有专书,故略收一二,余多节去"。这是他自觉的取舍,不是残缺。要学针灸需另找专书。
中国书店1987年版是什么形态?
据图书馆书目著录,该版为北京中国书店1987年出版,线装二册,19厘米,属清刻本的影印本。若手头是电子扫描本,多半即源于此类影印本。
看不懂文言能读吗?
正文是经文加注文,注文本身已算简明,但仍需一定文言底子。建议先读《内经知要》或带今译的《素问》选本打底,再来读本书收获更大。

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About the author

薛雪 Author

Xue Xue is an author included in this catalog, though publicly available information about the person remains limited: basic details such as biography, place of origin, and dates of birth and death have not been clearly recorded. The catalog currently holds one work by this author, titled Wenre Lun · Shire Lun (A Treatise on Warm Heat and A Treatise on Damp Heat), commonly classified under medicine. Judging from the title and classification, the book likely concerns warm-disease and damp-heat patterns in traditional Chinese medicine, a genre that typically addresses causes and mechanisms, key points of pattern identification, and treatment methods and formulas, with writing that tends toward clarity and clinical practicality. Because so little verifiable material about the author is available, further comment on academic lineage or personal experience is difficult; nevertheless, the work itself offers readers a textual basis for understanding approaches to diagnosing and treating the relevant patterns, and remains the main clue for knowing Xue Xue today.

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