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Ancient Formulas for Modern Illnesses

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Summary

Ancient Formulas for Modern Illnesses is a manuscript of clinical case records left by the renowned Northeast Chinese physician Hu Xingyuan (1866–1945), organized by Wang Guoli in the early 1980s and printed by the Shenyang Institute of Traditional Chinese Medicine and Materia Medica. The book is modest in length and records, by illness and syndrome, the author's actual cases of using ancient formulas—especially the classical formulas of the Treatise on Cold Damage and the Essentials of the Golden Cabinet—to treat the common and difficult diseases of his time: first the patient's symptoms and pulse signs, then the prescribed formulas with modifications, and then the effects and outcomes after taking them, in the typical "explaining formulas through cases" format. The book's deepest effort lies in connecting "ancient formulas" with "modern illnesses": for the same formula used against seasonal diseases, miscellaneous diseases, and various stubborn male, gynecological, and internal conditions of the time, how to adapt it to the syndrome and how to adjust dosage and combination—all can be seen in the author's thinking in the case notes. Many of the recorded cases are unexpected, such as using Danggui Sini Decoction with Evodia and fresh ginger to treat penile retraction and failure to ejaculate after intercourse, arguing from "cold congealing the liver meridian," a case repeatedly cited by later physicians. This book is an internally organized and printed record of an old doctor's experience, with a limited print run; copies in circulation are mostly scans, so its value lies mainly in the original case records and the author's diagnostic eye rather than in systematic textbook-style theoretical exposition. It is suitable as a desk reference for clinical practitioners of classical formulas.

Editor's review

民国以来的经方医家中,东北一支常被忽略,胡星垣和他的《古方今病》正是被低估的一环。今人整理近现代经方谱系时,往往把这部小书与《张岫云医案百例》《陈会心医案》并列,视为东北经方传承的源头之一,足见分量。 它的好处在于“实在”。全书只有七十余页,却几乎每一案都落在具体方证上:什么证候、取哪首古方、加减何药、服几剂、效与不效,交代得干脆,没有多余的铺陈。想学“方怎么用在今天的病人身上”,这样的一手记录远比通论有用。 需要说明的是版本。本书1981年由沈阳市中医中药研究所内部印行,无公开ISBN,流通中多为扫描本,版式与用字不甚精整。读者若以收藏或引用为目的,应留意来源;若只求临床思路,则瑕疵并不妨碍阅读。作为一部被引用率远高于知名度的医案小册,它值得被认真翻一遍。

Who it's for

A good fit for

  • 正在学习经方、希望看到真实医案的临床中医师与中医学生
  • 对近现代东北医家与经方流派传承感兴趣的研究者
  • 有一定中医基础、想了解古方随证化裁思路的进阶爱好者
  • 从事中医文献整理、需要民国时期医案原始资料的人员

Not a good fit for

  • 完全零基础、希望先系统掌握中医理论的入门读者
  • 期待按病名查方、需要现代剂量与用药规范的读者
  • 偏好图文科普或健康养生读物的普通大众读者

Reading tips

  1. 先读一案,合上书本自己拟方,再对照原案的解释,最容易看出差距在哪里。
  2. 遇到不熟悉的方,随手查《伤寒论》《金匮要略》原文,把方证与案中脉证对读。
  3. 本书为扫描本,字号偏小、个别字迹模糊,建议配合电子放大或纸本打印阅读。
  4. 可与《经方实验录》《范中林六经辨证医案选》等对读,比较不同医家对同一方的用法。

FAQ

《古方今病》和《古方今病:“现代病”的中医解读》是同一本书吗?
不是。后者是林丽珠、薛暖珠编著,2012年科学技术文献出版社出版的中医科普读物,属“通俗中医药丛书”。本词条指的是胡星垣著、1981年由沈阳市中医中药研究所整理印行的经方医案集,两者作者、性质与读者对象完全不同。
这本书有正式书号和公开出版版本吗?
据现有资料,本书1981年11月由沈阳市中医中药研究所印行,作为老中医经验整理资料,未见公开ISBN。流通中多为扫描电子本,页数约77页。购买或引用时建议核实来源版本。
胡星垣是谁?
胡星垣(1866—1945),近现代东北地区经方医家,被整理近现代经方谱系的研究者列为东北流派代表人物之一,《古方今病》即其临证医案遗稿,由王国礼整理成书。
零基础能直接读这本书吗?
不太合适。书中直接以脉证、方名、加减展开,不做方剂与病机的基础讲解。建议先读《中医入门》或《伤寒论》讲义类读物,再来读医案收获会大得多。

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