Gynecological Questions and Answers cover

Gynecological Questions and Answers

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Chapters
4
Series
Gynecological Secret Writings: Eight Works
ISBN
9787800131677

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Summary

Gynecological Questions and Answers is a specialized work on gynecology in traditional Chinese medicine written in a question-and-answer format. It was formerly attributed to Chen Jiayuan and others of the Qing dynasty. The original text preserves only the line "Secretly Transmitted Gynecology of the Zheng Lineage: A Question-and-Answer Formula Book on Menstrual Disorders, Prenatal, and Postpartum Conditions," so it is generally believed to come from the Zheng lineage of gynecology; the author's life and deeds are no longer traceable. The book is divided by syndrome into four major parts: eighteen questions on menstrual disorders, thirty-four on prenatal care, thirty-four on postpartum care, and forty-three on miscellaneous disorders, totaling 129 questions. Each question first raises a specific clinical problem, then gives, under "Answer," an analysis of etiology and pathogenesis along with formulas and medicines—for example, amenorrhea is differentiated into blood deficiency and qi stagnation, treated with formulas to nourish rong and tonify the kidneys or to smooth qi and generate blood; typhoid during pregnancy is treated with the Zisu Drink to disperse wind pathogens; postpartum muteness is treated as the heart orifice being blocked by static blood. The book sets out separate theories and prescriptions for the amenorrhea of maidens, widows, and prostitutes according to their different circumstances. The formulas mostly use common medicines such as danggui, chuanxiong, xiangfu, and chenpi, with simple combinations and clear dosages, reflecting an emphasis on harmonizing qi and blood, visceral pattern differentiation, and clinical practicality. Though short, the book is an important unique-copy source for studying the transmission of the Zhejiang gynecological schools and the clinical thinking of traditional Chinese gynecology. It is now included in the punctuated and collated edition of Eight Secret Gynecological Writings, published in the same volume as Gynecological Secret Formulas, Zhang's Gynecology, Gynecological Secret Writings, and Eighteen Discourses on Postpartum Care.

Editor's review

《妇科问答》的分量并不在篇幅,而在于它的“可见性”。作为未经刊刻的抄本,它长期只在少数藏家与医家之间流转,直到被收入《妇科秘书八种》点校出版,才第一次以整理本的面貌与读者见面。全书以一百二十九问串起经、胎、产、杂四大门类,一问一答,问题提得非常具体:经事过期而来该服何药、胎前忽聋忽盲是何缘故、产后玉门不闭如何收摄、阴户生疮用什么外治。答语不绕圈子,直接落到病机与方药上,读者循目录即可按症索方,非常贴合临证查检的需要。书中对室女、寡妇、娼妇等群体分别立论,虽有鲜明的时代烙印,却也从侧面保存了古代女科对特殊人群生理与情志的观察,值得带着辨析的眼光去读。点校本附有校注,对异体字、药名与错讹有所说明,可作为研读原文的辅助。对于研究浙江女科流派、考察古代妇科问答体医书体例的读者,这是一份不可替代的一手材料;对于临床中医师,它更接近一本可以随手翻检的方证备查册,而非系统教科书。

Who it's for

A good fit for

  • 从事中医妇科临床、希望拓展古代方证思路的医师
  • 研究浙江女科流派与中医古籍版本的中医文献学者
  • 中医专业高年级学生及研究生,用作古籍研读的辅助读本
  • 对古代妇科医案、医方感兴趣的传统文化爱好者

Not a good fit for

  • 希望获得现代循证医学指导的普通读者,本书不提供现代诊疗标准
  • 没有任何中医基础、企图照方自行用药的读者,方药需专业辨证
  • 期待系统教材式讲解的读者,本书体例为问答条目,缺少系统论述

Reading tips

  1. 先读前言与校注说明,了解原书抄本来历、残缺情况与点校原则,再进入正文。
  2. 按经症、胎前、产后、杂症四部分顺序阅读,每部分先通读问题目录,建立病症索引。
  3. 遇到方药可与《妇科秘方》《张氏妇科》对读,比较同一病症在不同女科文献中的处理差异。
  4. 书中古方剂量与药名不可直接照搬,临床使用须经专业医师辨证与现代规范折算。

About the publisher

In addition to collating ancient texts, the Traditional Chinese Medicine Ancient Books Publishing House also extends its publishing into popular health and lifestyle topics. Its current collection in this catalog contains four titles, covering categories such as fashion, health and medicine. Books such as "Reverse Growth: Decoding the Secret of Ageless Youth," "A Different Perspective on Medical Aesthetics" and "Reshaping Beauty" show the press's attention to accessible writing on beauty, anti-aging and medical aesthetics, while "A Different Perspective on TCM: Discovering the Spiral Force Within the Body, from Illness to Recovery" reflects its effort to popularize TCM views of the body and rehabilitation experience. Relevant authors include Chen Meng, Shen Yuting, Zhang Bingqiang, Wang Mailiang, Wang Baosheng and Hu Ke. Because public information is limited, the overall scale and series structure of its popular publishing remain unclear; this introduction is based mainly on the directions shown by the books held in the catalog.

Contents

  1. Eighteen Questions on Menstrual Disorders
  2. Thirty-Four Questions on Prenatal Care
  3. Thirty-Four Questions on Postpartum Care
  4. Forty-Three Questions on Miscellaneous Disorders

FAQ

《妇科问答》的作者是陈佳园吗?
旧题清代陈佳园等编,但原书仅存“郑氏女科秘传经症胎前产后问答方书”一句,一般认为出于郑氏女科一脉,作者生平无考。陈佳园之名更多来自《妇科秘书八种》整理本的著录,宜理解为丛书编者而非确证的个人作者。
这本书是独立出版物还是丛书中的一种?
《妇科问答》篇幅较短,通常不单独刊行,而是作为《妇科秘书八种》中的一种出版。中医古籍出版社1999年版(ISBN 9787800131677)与2014年校注本均属该丛书,需与其余七种同册阅读。
全书共有多少问?
据通行目录,分为经症十八问、胎前三十四问、产后三十四问、杂症四十三问,合计一百二十九问。其中个别条目存在原删或缺文情况,不同整理本页码与条目编号可能略有出入。
书中的方药现在还能直接使用吗?
不建议。书中方药为古代度量与炮制体系,部分药材名称、剂量与今日规范不同,且辨证思路带有时代局限。应作为文献与思路参考,实际用药须由执业中医师辨证后按现代规范处理。
应该选1999年版还是2014年版?
两版同属《妇科秘书八种》。1999年版为早期点校本,市面多为旧书;2014年版收入“100种珍本古医籍校注集成”,校注更完备、印装更新,一般优先选择2014年版,若作版本比对则可两版并置。

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