Supplementary Essentials of the Medical Profession

赵濂Qunyan Publishing House · ChinaJun 2024

3.3

Word count: 56K words
Chapters: 266

Summary

Yi Men Bu Yao (Supplementary Essentials of the Medical Gate) is a comprehensive medical book in three volumes, written by Zhao Lian in 1883 during the Qing dynasty. The first and middle volumes are 'supplementary essentials of medical methods,' discussing the symptoms, treatment methods, and formulas for various internal and external diseases. The lower volume is 'veritable records of observed symptoms,' containing 196 treatment cases that reflect the author's clinical experience in various departments. Zhao was bold in innovation in treatment methods and placed considerable importance on surgical treatment of miscellaneous external diseases, external therapies, and effective folk formulas. At the end of the book are appended three pieces, including 'Secret Methods of the Former Sages for Observing Life and Death.' The whole book is concise in content and practical in application. Qing block-printed editions survive; after 1949 there have been typeset editions.

Editor's review

Yi Men Bu Yao is a comprehensive medical book written by Zhao Lian in 1883 during the Qing dynasty. Its first two volumes discuss the symptoms, treatment methods, and formulas for various internal and external diseases, while the lower volume presents the author's clinical experience through 196 recorded treatment cases; three pieces, including 'Secret Methods of the Former Sages for Observing Life and Death,' are appended at the end. Its distinctive feature is bold innovation in treatment methods, with particular attention to surgical handling of miscellaneous external diseases, external therapies, and effective folk formulas; the content is concise and practical. For readers, the value of this book lies not only in its formula entries but even more in the clinical judgment process shown by the treatment cases: how to grasp the main symptoms, how to choose between internal and external treatment, and how to seek flexibility beyond convention. When reading, one may treat the first two volumes as a framework of treatment methods and the lower volume's cases as corroborating examples; comparing them back and forth better reveals the author's thinking. Because the book was written long ago, content involving surgery and external therapies should be used as reference for medical history and lines of thought, not copied directly in practice.

Who it's for

A good fit for

TCM clinicians concerned with miscellaneous external diseases and external treatment approaches
Researchers of TCM medical history and literature seeking to understand Qing dynasty clinical practice
Students at TCM colleges as supplementary reading for case studies and treatment methods
Primary-level medical workers drawing on concise and practical pattern-differentiation treatments

Not a good fit for

Ordinary readers without a medical background, who would find it hard to judge the boundaries of applicability of treatments
Readers seeking modern standardized diagnostic and treatment guidelines
Those unaccustomed to the case-record genre of ancient medical texts and needing systematic textbooks

Reading tips

First read the first two volumes to establish a framework of diseases and treatments, then read the lower volume's cases for comparison
When reading a case, first judge the pattern and treatment oneself, then compare with Zhao's plan
Mark doubtful points in external treatment and surgical content and understand them prudently in light of modern knowledge
Organize the cases by disease pattern and summarize the author's preferences in medication and external treatment

About the publisher

Qunyan Publishing House China · Founded in 1989

Founded in 1989, Qunyan Publishing House has long been committed to publishing academic and educational books for mid- and high-level readers, and has built up a certain presence in Eastern philosophy, classical literature, and classic works. Representative titles available in the database include Records of the Grand Historian, Dream of the Red Chamber, Selections of Refined Literature, Complete Song Ci, Strange Tales from a Chinese Studio, Record of Daily Knowledge, Taiping Huimin Hejiju Fang, and The Collected Works of Wang Yangming, covering common categories such as ancient poetry, medicine, and examinations. Its author resources include Sima Qian, Cao Xueqin, Xiao Tong, Li Shan, Pu Songling, and Gu Yanwu. The press also offers distinctive series such as the Biographical Series of the China Democratic League and the Historical Documents Series of the China Democratic League, and publishes research on historical documents, biographies, memoirs, and textbooks and academic works by League members. Public information is limited, and its overall publishing scale and complete catalogue require further verification.

版权信息
医门补要
自序一
自序二
卷上
外症用刀针法
火针不可轻用
治筋缩法
治足筋缩法
浮皮兜脓须剪开
升药所忌
背部湿痰块
痔漏
疮
鸡胸症
龟背症
虚人有病易昏愦
病挟气郁宜审
治少壮妇女病要法
治孕妇病法
时疫捷法（先看两肩有红点）
产后治法大略
温病舌验
诊妇人宜先问
病退缓进饮食
杨梅疮发源
湿温辨
老人病治法
诊外感起初法
耳痔
鼻痔
虚火鼻衄
虾蟆瘟
痹症
似痹非痹
阴斑阳斑宜辨
寒湿肿腿
解颅
瘰
拔脓管式说
鹅口疮
虚火牙疳
痞块治分虚实
腿胫湿热
发物忌食
病后口疮
妇人腹痛宜辨
注痰块
似注痰非注痰
大麻风认法
大麻风针法
久旱疫
久雨疫
喉痧论
疗疮食荤味散黄
伏毒梅疮
梅毒乳痈
梅毒疮
野杨梅
下疳
霍乱时邪宜辨
用降药条宜审
不可用三品一条枪害人
HT皮疮
治外吹乳法
冬温辨
夏日伤风辨
先审病患禀性用药
痧痘后与病后宜戒口味
小儿叠发风疹
烂皮野痘
虚火牙衄
毒药不可入口腹
审病用药不拘日期
炼白降丹法
看外症内陷法
结喉疽
瘌痢头
病中大便下黑血
戏药
经络滞痛似痹
针后劳动病转重
骨槽痈
疥疮结毒成
破皮疮
辛香气味宜避
治疤孔法
铁针入肉
骨伤断
鸦啖疮
经水倒行
囊痈自烂卵落可治
肢肉伤治不可迟
咯血圆点不治
抓碰成恶疮
气虚成瘤
病时病后要省劳节欲
病中转病
砒霜切不可用入药
人忽反常
卷中
鼻渊
下疳宜食淡味
肺热极便烂臭
脓气味如臭蛋
肾气游风
赤白游风
狗咬毒易走散
辨痧疹腹痛
头面颈项外症不可针灸
粗筋多处忌针
外症忌食燕窝
湿香港脚（又名肾脏风）
干香港脚
外疡腐肉脱时凶象
腰痛日久成龟背痰
吸洋烟人病难复元
胁肋生核
痔疮
孕妇病须保胎
血瘀格食
上格
粪毒致病
湿水归肾囊
眼肿难睁
取牙宜慎
多骨症
疔症复肿
疯犬咬
不敬鬼神致病
眼疾食荤生翳
胃绝舌鉴
肌肉如铁
足底僵疔
时感忌贴温窜膏药
乳不浮肿
温病反常
龟头皮裹
痈疽肿硬如石
溃痈
痈疽正气虚
食疸
交节令发旧病
病似痨怯
肾绝死病
虚晕
赤游丹
小孩头颅浮软非痈
脾虚身面淡黄
烂皮毒痈
皮肤串痛
肋疽
小儿溃疽哭则淌血
肝郁筋梗
黑壳刺下疳
甘疽内溃
内膜穿破
乳心坚肿
虚人劳动痿症
病死牛肉有毒
肛脱不收
病中忌食诸豆
孕妇水肿
婴儿舌连下唇
肛门皮包
病久目瞎背跎足跛手软
肝痈
肝火冲肺作咳
阴湿鼓胀
水泡风
虚人劳力伤气音哑
伤食症
痈疽溃串过大难敛
肾囊用刀针法
真黄病
舌苔验
痔漏挂线法
禁食宜辨
骨槽风不治症
踝骨疽坏症
手臂痈疽治法
炼升药法
降药不痛配法
用刀针宜审
针灸饮酒忌症
合药说
验肺痈法
流注初起治法
痈疽验脓法
溃脓难敛处
颈断治法
盘舌痈
肛痈辨
恶阻似病，只顺胎即平
辨痿症
时邪四季辨
梅毒喉疳
痈疽逆象
疯犬毒述
乳心疽
铁钩入肛门
虚人外症当补
小孩不可食孕妇乳
大小便结胀及肾囊肿亮
用药宜审分两为先
龟背症治法
痈疽溃后能收功不能收功法
肛门内生虫奇痒
湿邪困脾
不先辨症乱用药引
眼中生翳舐法
止血涌射法
救人被跌压法
肾囊痈烂落卵子可治
应用诸方
补遗方
卷下
医案
附载\采集先哲察生死秘法
头部
面部
目部
鼻部
唇部
口部
齿部
喉部
耳部
舌苔部
身部
胸部
腹部
手足部
死诊
五色诊
五行病诊
五脏见症
五脏绝症
六腑绝症
看法
闻声
辨症
问因
孕妇生死
诊暴病绝脉
五实
五虚
十年干化气图
逐年主运图
逐年客运图
推司天五运十年干客气法
十年干化气主病
逐年主运主病
逐年客运主病
子午二年六气主客图
丑未二年六气主客图
寅申二年六气主客图
卯酉二年六气主客图
辰戌二年六气主客图
巳亥二年六气主客图
五运六气述
切脉捷诀
脉象主病
脉象吉凶
六脉配节气预知病诀
脉受克死期

FAQ

What is special about the treatment cases in the lower volume of Yi Men Bu Yao?

The lower volume, 'Veritable Records of Observed Symptoms,' contains 196 treatment cases and is a direct presentation of Zhao Lian's clinical experience, covering various internal and external diseases. Unlike mere lists of formulas, the cases show how the author differentiated patterns and chose among treatment methods, reflecting an innovative awareness especially in external treatment and surgical handling. When reading, one should focus on the judgment process rather than merely memorizing formulas and medicines.

Can the surgical content in the book be followed directly?

No, it cannot be copied directly. Surgical descriptions in ancient texts are limited by the conditions of their time, and ideas of disinfection, anesthesia, and anatomy differ greatly from today's. Readers should treat them as material for medical history and reference for lines of thought, understanding their external-treatment orientation and spirit of flexibility; actual clinical operations must follow modern standards and be performed by professionals.

Is this book suitable as a formula handbook for reference?

Not very suitable. Although it contains formulas and medicines, its organization centers on disease patterns, treatment methods, and cases, and systematic formula retrieval is less convenient than in dedicated formula books. To look up established formulas, one may use works on formula science; this book is better for appreciating the choice of treatment methods and clinical thinking, especially experience in external treatment and miscellaneous diseases.

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About the author

赵濂 Author

Zhao Lian, whose dates of birth and death, native place, and personal history are unknown, is represented by a very limited body of public information. All that is currently known is that three medical works are attributed to him, of which Yi Men Bu Yao (Supplementary Essentials of the Medical Profession) is the most representative. The other two, Die Da Mi Fang (Secret Formulas for Injuries from Falls and Blows) and Die Sun Miao Fang (Wondrous Formulas for Falls and Injuries), appear from their titles to belong to the tradition of traumatology, and like Yi Men Bu Yao they are classified under medicine. Judging from these surviving works, Zhao Lian's writing is practical in emphasis, centering on clinical experience and the recording of formulas and drugs rather than on expansive theoretical discussion. He aimed to give practitioners a reference for diagnosis and treatment, an orientation especially evident in Yi Men Bu Yao. Because historical sources are scarce, his native place, career, and intellectual lineage cannot be reliably determined; only through these three works can something of his practice and authorship be glimpsed. Readers wishing to learn about him should rely chiefly on the contents of these books and consult them alongside relevant medical literature.