The Medical Cases of Huang Weilin

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Summary

Huang Weilin's Medical Cases is a case-based work documenting the clinical diagnostic and treatment experience of the modern-era Chinese medicine practitioner Huang Weilin, compiled into book form by Qiu Sheze. The book preserves, in the form of individual case records, Huang's clinical reasoning in pattern differentiation, his prescriptions and medicinals, and follow-up notes, making it a typical Chinese medical text that "carries method within cases": it neither lays out systematic theory nor offers textbook-style generalizations, but instead presents real clinical conditions, pulse and pattern presentations, treatment methods, formulas and medicinals, and outcomes side by side, allowing readers to grasp the logic of pattern differentiation and the calibrated modification of formulas and medicinals through concrete cases.

From the available evidence, Huang Weilin's cases were once included in a contemporary compilation of proven cases in hepatobiliary disease by distinguished senior Chinese medicine practitioners, where a dedicated case of his appears under the category of "acute icteric hepatitis." This indicates that his clinical strengths lay chiefly in hepatobiliary disease and miscellaneous internal medicine conditions, with treatment methods established according to the pattern and modified as the pattern evolved, and with attention to the relationships among damp-heat, qi movement, and the transport and transformation functions of the spleen and stomach.

The value of such case collections lies in their authentic clinical record: the descriptions of conditions derive largely from outpatient records, and the dosages, administration methods, and treatment courses are relatively complete, making the book useful both as a reference for pattern differentiation among clinical Chinese medicine practitioners and as material for Chinese medicine learners to compare against formula texts and verify theory and method. It should be noted that this book has circulated among the public mainly in the form of digital compilations and scanned copies, and its formal publication details and original editorial history remain to be verified; readers should understand it in light of modern diagnostic and treatment standards and must not substitute the individual cases in the book for proper medical diagnosis and treatment. The content described in this entry is limited to what the title and transmission clues can support and does not involve unverified details of specific cases.

Editor's review

《黄伟林医案》这类书，最打动人的往往不是“名医”二字，而是案中那种不加修饰的临床现场感：发热几日、黄疸深浅、舌苔厚薄、二便如何，一步步写下来，再落到某方某药、几剂加减。读它不像读教材，更像跟在老医生身后抄方，看得见判断是怎么形成的。黄伟林的治验曾在当代名老中医肝胆病验案的汇编中现身，说明其案经过同行筛选，在疗效与辨证代表性上有一定分量。对已经熟悉方剂、正在临床上摸索“同病异治”的中医读者，这类个案集是很好的对照材料：同一证型下不同医家的取舍差异，往往比理论条文更能打开思路。不过要提醒的是，本书多依托民间电子整理本与扫描本流传，版本的完整性、编校质量与原始出处都需要读者自行比对；它适合当作参考与印证，不宜当作规范化的诊疗指南。适合慢慢读、反复读，边读边翻方书，收获会比通读一遍大得多。

Who it's for

A good fit for

已具备中医基础理论与方剂知识、希望从真实个案中体会辨证思路的学习者
从事中医内科、肝胆病方向临床工作，需要参考名家治法与用药加减的医师
对近现代中医临床文献、民间医案整理感兴趣的研究者与收藏者
中医专业在读学生，用于配合方剂学、内科学课程做案头对照

Not a good fit for

完全没有中医基础知识、希望靠一本书自学治病的普通读者
期望获得标准化诊疗方案与明确用药剂量指导的西医或基层全科医师
把医案个案当作可照搬照用的处方集、自行抓药服用的人
不适于作为疾病诊断流程或急诊处理的依据

Reading tips

先读病案原文，自己拟出证型与治法，再看书中处方，对照差异，比直接记结论更有效。
准备一本方剂学与中药学放在手边，遇到加减变化随时回查，弄清每一味药的去留理由。
注意记录病案中的剂量、服法与复诊转归，个案的价值往往藏在这些细节里，而非仅在一张方子上。
阅读前先确认所持版本的来源与完整性，扫描本的缺页、错字会影响对案情的判断，必要时与同类肝胆病验案汇编对照。
将书中个案视作思路参考，临床用药务必结合现代检查与现行规范，不可径行照搬。

FAQ

《黄伟林医案》是一本正式出版的图书吗？

目前可检索到的多是民间流传的电子整理本与扫描本，由邱畬泽整理，正式出版社、出版年与ISBN暂未能核实，因此本条目的相关字段留空。读者若要引用，宜先确认版本来源与原始出处。

黄伟林擅长诊治哪些病证？

从现有线索看，其医案曾被收入当代名老中医肝胆病验案汇编，在急性黄疸型肝炎等病证下列有专案，可见其临证所长偏于肝胆病及内科杂病，治法重视湿热、气机与脾胃运化。

没有中医基础能读懂这本书吗？

阅读门槛较高。医案以脉证、治法、方药行文，缺乏基础理论时很难判断取舍用意，建议先具备中医基础理论与方剂知识，或配合教材与方书对照阅读。

书中的处方可以照着自己抓药吗？

不建议。医案是个案记录，同一病名在不同体质、病程与兼证下用药差异很大，且所载剂量与炮制方法未必适用于他人。用药须经执业中医师辨证，并配合必要的现代检查。

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About the author

黄伟林 Author

Huang Weilin is an author about whom limited public information is available, whose work centers on the regional literature of Guangxi. Judging from the 18 titles held in the collection, the multi-volume A Century of Guangxi Multi-Ethnic Literature (1919–2019), which he edited or co-edited, spans poetry, novellas, short stories, and drama, arranged in two periods, 1919–1949 and 1949–2019, offering a systematic survey of a century of multi-ethnic literary development in Guangxi. He is also the author of A History of Guangxi Literature (Middle School Edition), which introduces local literature to younger readers. His works fall under categories such as literary appreciation, social culture, folk literature, and film and television, reflecting an approach that combines documentary sorting, anthology compilation, and accessible reading, and contributing to the preservation and dissemination of Guangxi's multi-ethnic literature.