An Annotated Commentary on Treatise on Blood Syndromes

唐容川 / 裴正学 / Mao XinminPeople's Medical Publishing House1980

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Word count: 258 words
Chapters: 14

Summary

Treatise on Blood Syndromes, by the late-Qing physician Tang Rongchuan (Tang Zonghai), is the first monograph in the history of Chinese medicine to systematically discuss blood syndromes. Completed in 1884, it comprises eight volumes and covers general principles of blood syndromes; hematemesis; vomiting of blood; hemoptysis; spitting of blood; coughing of blood; epistaxis; hemorrhage below; hematuria; blood stasis; and dry blood, among other blood disorders. It selects more than two hundred formulas and proposes a four-step therapeutic method—stop bleeding, dissolve stasis, calm the blood, and enrich the blood—which later generations have regarded as the guiding framework for diagnosing and treating blood syndromes. The present book is an annotated commentary built upon that original work: the order of the main text follows the original, and each section of source text is followed by two parts, Notes and Commentary. The Notes examine difficult characters and phrases and trace the sources of cited literature; the Commentary distills the key points of each section, expounds on discussions of clinical guidance value, points out limitations and errors where objective evidence is lacking, and wherever possible offers comparative explanations drawing on modern medical theory. A general introduction to Treatise on Blood Syndromes precedes the book as an overall appraisal, tracing the intellectual thread of Tang Rongchuan's approach to blood syndromes and offering a relatively comprehensive and objective assessment of its content to help readers build a holistic understanding. The text is based primarily on the 1958 edition from Shanghai Health Publishing House, collated and punctuated with reference to the 1955 edition from Shanghai Jinzhang Book Company and other editions. The commentary has a distinctly clinical orientation: to make this late-Qing monograph on blood syndromes genuinely usable for pattern differentiation and prescription today.

Editor's review

读《血证论》最大的门槛不在文字，而在此书以气血水火立论，文辞简古、引证繁密，初学者常读得进去却落不到临床上。这个评释本就是为解决这道门槛而做的。它把原文逐节拆开：先注难字、典故与出处，免得读者卡在一句话上；再以评释提炼要点，指出哪些论述今天仍能指导处方、哪些受时代所限需要存疑，并尽量用现代医学的说法作对照。作为上世纪七十年代末由中医界集体完成的整理本，它既有旧学的功底，也带着那一代医家想打通中西的眼光，与今天偏重文献校勘的整理本读法不同。唐容川“止血、消瘀、宁血、补血”四步法，正是在这样逐节辨析中显出层次。1980年初版印数不多，如今多靠旧书流通，拥有一册实体书并不容易。手边有电子版者，仍值得对照原书细读。

Who it's for

A good fit for

中医内科、血液科临床医师，尤其常处理出血与血瘀证者
中医院校师生，需研读中医血证文献与注评体例者
中西医结合研究者，关注早期汇通派思路者
有一定医古文基础的资深中医爱好者

Not a good fit for

完全没有中医基础的入门读者，术语与方证密度较高
想直接查找现代出血性疾病诊疗规范与指南的读者
只想看白话解或现代医案的读者

Reading tips

先读卷前《血证论》概说，把握唐容川气血水火的整体框架，再回看正文。
逐节对照原文与〔注〕〔评释〕，重点记下自己临床会用到的方与法，不必平均用力。
留意评释中“指出局限”的部分，那往往是理解中西医汇通早期思路的入口。
可先挑吐血、鼻衄等最常见病类的章节精读，其余按需查阅，权当工具书使用。

About the publisher

People's Medical Publishing House China · Founded in 1953

Founded in 1953, the People's Medical Publishing House is an important institution in China's medical publishing field, with publishing directions covering medical textbooks, academic monographs, medical journals, and popular science books. Its collection contains 2,503 titles, mainly classified under medicine. Representative works include the Complete Book of Chinese Nutrition Science (2nd Edition, 2 volumes), Guide to Clinical Practice with Medical Records, the Golden Mirror of Medicine (Volume 1), Chinese Medical Imaging: Head and Neck Volume (3rd Edition), and the Essentials of the Golden Cabinet from the Collected Clinical Chinese Medicine Must-Read Series (Collector's Edition), spanning both modern medicine and classical Chinese medical texts. Representative authors include Yang Yuexin, Ge Keyou, Ye Tianshi, Su Li, Wu Qian, Zheng Jinsheng, Wang Zhenchang, and Xian Junfang, covering fields such as nutrition, Chinese medicine, and medical imaging. With a publishing approach that balances textbooks and academic monographs, the press has established the "Renwei" brand.

General Introduction to Treatise on Blood Syndromes
Author's Preface
Volume One: On Yin-Yang, Water, Fire, Qi, and Blood
Volume One: On Similarities and Differences Between Men and Women
Volume One: On the Pathogenesis of Zang-Fu Organs
Volume One: On Pulse, Signs, Death, and Life
Volume One: On the Suitability and Contraindication of Medications
Volume One: On the Remedial Aims of This Book
Volume Two: Hematemesis
Volume Two: Vomiting of Blood
Volume Two: Hemoptysis
Volume Two: Spitting of Blood
Volume Two: Coughing of Blood
Volume Two: Epistaxis

FAQ

这本书和唐容川原著《血证论》有什么区别？

原著是清末唐容川所写的血证专书；本书是裴正学主编的评释本，保留原书次序与原文，在其后加注疑难字句并逐节评析，还附有全书概说，性质相当于带导读与点评的整理本。

本书初版到底是哪一年、哪个出版社？

据书前版本信息，为1980年7月人民卫生出版社第1版第1次印刷，32开，约258千字，印数约3.42万册；2008年甘肃科学技术出版社另有裴正学署名的评释本，两者不是同一版次。

没有中医基础能读懂吗？

有一定难度，原文用文言且方证密集。但注释部分对疑难字句作了疏解，评释也多用现代语言，配合概说通读，基础较弱的读者可借助工具书与教材辅助理解。

书里的方剂今天还能直接用吗？

书中所收多为传统方，评释也结合了临床，但古今药材、剂量与炮制有别；实际用药须在医师指导下辨证加减，不宜照书自行服用。

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About the author

唐容川 Author

Tang Rongchuan is an author known in modern times for his medical writings; public information about him is limited, and his dates of birth and death, nationality, and English name are not definitively recorded. Judging from the four works held in the collection, his writing concentrates on traditional Chinese medicine, with particular emphasis on the diagnosis and treatment of blood disorders. Blood Disorders Explained (Xue Zheng Lun) is his representative work, discussing the causes, pathogenesis, and treatment of various bleeding conditions in a clear, well-organized manner that combines formulas with theoretical discussion, giving his writing a distinctive character within clinical and theoretical works on Chinese medicine. Materia Medica in Questions and Answers (Ben Cao Wen Da) discusses the properties and uses of medicinal substances in a question-and-answer format, in plain language that is easy to study. A further title, Understanding Blood Disorders Explained, appears to be a later interpretation of that book, reflecting continuing interest in his theories on blood disorders. Overall, Tang Rongchuan's writings are grounded in clinical practice, emphasize careful analysis, and value practical utility, offering reference value for the study and transmission of the field of blood disorders in Chinese medicine.

裴正学 Author

Pei Zhengxue is an author engaged in medical writing, though publicly available information about him is limited, and details such as his biography, education, and professional positions remain unclear. Judging from the three works held in the collection—Pei Zhengxue's Medical Notes, Pei Zhengxue's Medical Notes 2, and A Collection of Pei Zhengxue's Medical Talks and Case Records—his writing centers on the field of medicine. These titles suggest a style that combines the record-keeping quality of notes with the narrative character of medical talks and case records, likely touching on clinical observations and reading reflections as well as the organization and commentary of specific cases. Two of the works share the title "Medical Notes" and are numbered consecutively, indicating a pattern of sustained accumulation and publication in volumes. Overall, his works are aimed at medical learners and practitioners, presenting medical knowledge and practical experience through a personal mode of writing and serving as a reference for understanding his medical thinking.