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[The academic characteristics of Qian Zhe Wang Chunyuan Yi An Cun in the period of the Republic of China]. [民国时期钱哲王春元一安村的学术特征]。
Q4 Medicine Pub Date : 2025-11-28 DOI: 10.3760/cma.j.cn112155-20250428-00060
A R Luo, T Chen

Qian Zhe Wang ChunYuan Yi An Cun was written by Wang Chunyuan in the period of the Republic of China, as medical case recordings, currently collected in the library of China Academy of Chinese Medical Sciences. It contained 143 prescription formula, fully mirroring scholarly principles and clinical experiences. These medical cases in the book included internal medicine, surgery, pediatrics and gynecology, showing the author's particular expertise in diagnosing complex internal disorders. They reflected that the prescription formulas in the book were flexibly adjusted according to symptoms, demonstrating his exceptional skill in modifying formulas. They also showed that the author was particularly good at drawing on 'ingredients added to enhance the efficacy of a dose of medicine', in particular, warm substances such as ginger for this purpose. They revealed that the author paid sufficient attention to pulse diagnosis, the combination of acupuncture with medication and the use of both decoctions and pills. They also showed that the formulas integrated both cold and warm properties of herbs, underlying tonification and making the best of couplet medicines. The book preserves invaluable diagnostic and therapeutic models for the following generations and also provides significant insights and references for contemporary practitioners in prescribing and formulating medications.

《钱哲王春元一安村》是民国时期王春元所著,为医学病历,现藏于中国中医科学院图书馆。它包含143个处方配方,充分反映了学术原则和临床经验。书中的这些病例包括内科、外科、儿科和妇科,显示了作者在诊断复杂的内部疾病方面的特殊专长。他们反映出书中的方剂根据症状灵活调整,显示出他在修改方剂方面的高超技巧。他们还表明,作者特别擅长利用“添加的成分来增强一剂药的功效”,特别是为了达到这个目的而使用的温性物质,如姜。由此可见,作者对脉诊、针药结合、汤剂丸剂并举等方面都给予了足够的重视。他们还表明,这些配方结合了草药的寒性和温性,潜在的滋补和最好的对联药物。这本书保留了宝贵的诊断和治疗模式,为子孙后代,也提供了重要的见解和参考,为当代从业者在处方和制定药物。
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引用次数: 0
[Examining syndrome differentiation and treatment of 'Gu Zhang' and 'Xue Ku' in Fu Zhong Lun, Su Wen]. [论《扶仲论》、《苏文》中“骨张”、“血库”辨证论治]。
Q4 Medicine Pub Date : 2025-11-28 DOI: 10.3760/cma.j.cn112155-20250905-00148
P J Zhu, L Feng

The syndrome differentiation and treatment of'Gu Zhang'() and 'Xueku' () in Fu Zhong Lun, Su Wen was examined with the approach of exegesis and textual criticism. The four findings were as follows. 'Guzhang'() in the section of Fu Zhong Lun in Su Wen should be a misnomer. The key pathogenesis of this disease lies in the failure of food transforming into heat and the deficiency and weakness of spleen-stomach. Therefore, Ji Shi Li has to be used for treatment to help digestion, clear heat, tonify essence and replenish Qi. Then, the definition given by later-generation to 'Gu Zhang' () as one of the four intractable diseases including wind, consumption, tympanites and diaphragmatic obstruction is inadvisable, so is its clinical treatment of using rooster droppings and sweet wine for cirrhotic ascites. Additionally, 'Xue Ku' is neither simply the scarcity of menstruation nor equivalent to diseases such as infertility, but can be categorized into the field of consumptive diseases in later generations. Finally, the medicine for'Xue Ku' is Siwuzhegu Yilüru Wan (Four Sepia Bones and One Lvru Pill). It pioneered the therapeutic method of tonifying deficiency and resolving blood stasis for treating consumptive diseases in later clinical practice. The 'Lü Ru' in the prescription seems to be either madder or platycodon grandiflorum, but not rubia cordifolia.

运用释经和考据的方法,对《赋中论》《学库》的辨证论治进行了考察。调查结果如下。《苏文》《赋中论》一节中的“古章”应该是用词不当。本病的主要病机在于食不化热,脾胃虚弱。因此,在治疗中必须使用纪实理,以帮助消化,清热,补精,补气。那么,后人将“顾张”()定义为风、耗、鼓、膈梗阻四难治性疾病之一是不可取的,其临床用鸡粪加甜酒治疗肝硬化腹水也是不可取的。此外,“病苦”既不是单纯的月经不足,也不等同于不孕症等疾病,而是可以归入后人的消耗性疾病范畴。最后,治疗“血苦”的药是四物zhegu一il如丸(四黑骨一绿丸)。在后来的临床实践中开创了补虚化瘀的治疗方法。处方中的“Lü Ru”似乎是茜草或桔梗,而不是桔梗。
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引用次数: 0
[Yi Jian Fang Lun by Cheng Lvxin]. [易建芳伦,程绿欣]
Q4 Medicine Pub Date : 2025-11-28 DOI: 10.3760/cma.j.cn112155-20250609-00089
X W Chen, S H Wang, S Y Liu, Z G Wang, X Lu

Yi Jian Fang Lun, also titled Cheng's Yi Jian Fang Lun, was compiled by Cheng Lvxin, a doctor in the Xin'an medical school in the late Ming and early Qing Dynasties. It was found that the book, as the version of Kang Xi, was published at Zi Mu Tang in the thirty-second year of the Deca You in the period of Kang Xi (1693). The version of Jia Qing was published in the twenty-second year of the Ding Chou in the period of Jia Qing (1817) by Shi Yunyu at Du Xue Lu in the Wu County. The Jia Qing version retained the "Preface of Mao Jike" from the Kang Xi version, deleted other prefaces, but added a "Preface of Shi Yunyu," and reversed the order of the bibliography with the "Cited Examples". The versions of Wen Hui Tang and Qiu Wo Zhai appeared in the year of twenty-four Jia Chen (1844) in the period of Dao Guang based on the version of Jia Qing. A copy of the transcript based on the Kang Xi version was found in Japan, containing volume III and IV. As a book of formulas, Yi Jian Fang Lun summarized the theory and application of formulas and the rationales of predecessors. It provides an effective practical paradigm for the following generations.

《易建方论》,又称《程氏易建方论》,是明末清初新安医学院的程绿心医生编著的。经考证,该书为《康熙》本,出版于康熙年间德祐三十二年(1693年)子母堂。《贾青》于贾青年间定愁二十二年(1817年)由石云玉在吴县杜学路出版。嘉庆版本保留了康熙版本的“毛继科序”,删除了其他前言,但增加了“石云玉序”,并将参考书目的顺序颠倒为“引例”。《文会堂》、《丘和斋》是道光年间贾辰二十四年(1844年)根据《贾庆》改编的。在日本发现了一份根据康熙本抄本的抄本,其中包括第三卷和第四卷。作为一本公式书,《易建方论》总结了公式的理论和应用以及前人的基本原理。它为后人提供了一个有效的实践范例。
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引用次数: 0
[Examining 'Ao Tou' format in ancient traditional Chinese medical texts]. [检验古代中医文献中的“鳌头”格式]。
Q4 Medicine Pub Date : 2025-11-28 DOI: 10.3760/cma.j.cn112155-20250614-00093
X Liu, J Wang, Q Luo

The 'Ao Tou' format refers to a distinctive type of book format, characterized by its two-section layout with a line to separate the page. This format came from a private printing bookshop and became became popular in the area of Jianyang around the Wanli period in the late Ming dynasty. It, then, was widely used in the book format of Chinese medicine until the Qing Dynasty. With archival research and fieldwork, it was found that a total of nine medical books were printed with 'Ao Tou' format and forty similar medical texts. This study systematically categorized these works by dynastic period and stylistic features, analyzed the relationship between the upper and lower sections of the layout with an editorial perspective of book merchants, and classified the medical texts with the 'Ao Tou' format into four types. It was found that this version demonstrated meticulous editing and engraving while some of them looked rough. The format also had a certain influence on the development of printing in Japan. Therefore, the medical texts with the 'Ao Tou' format had great bibliographical and documentary value as well as cultural significance in the historical advancement of medicine.

“鳌头”版式指的是一种独特的图书版式,其特点是分为两部分,用一条线将页面分开。这种形式起源于一家私人印刷书店,并在明末万历时期左右在建阳地区流行起来。因此,直到清代,它被广泛应用于中医书籍格式中。通过档案研究和实地考察,发现以“鳌头”格式印刷的医学书籍共有9本,类似的医学文本有40本。本研究以朝代和文体特征为分类标准,以书商的编辑视角分析了医书上下两段的版面关系,并将医书“鳌头”格式分为四类。我们发现这个版本的编辑和雕刻非常细致,但有些版本看起来很粗糙。这种版式对日本印刷业的发展也产生了一定的影响。因此,“鳌头”格式的医学文献在医学的历史发展中具有重要的文献价值和文化意义。
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引用次数: 0
[The Beiping Pharmacy Evening School: the pioneer pharmaceutical vocational training in the period of the Republic of China]. 北平药学夜校:民国时期药学职业培训的先驱。
Q4 Medicine Pub Date : 2025-11-28 DOI: 10.3760/cma.j.cn112155-20240205-00018
Z Zhu, B Zhang, Y Tang, D Mei, D K Li

The Beiping Pharmacy Evening School (BPES) was established in 1929, with the support of Beiping Municipal Health Bureau and the North China Pharmaceutical Association. The school quickly received reputation in vocational pharmacy training because of the participation and teaching of Meng Moody, Tu Wanheng, He zhidong and Feng Zhidong from the Department of Pharmacology at the Beiping Union Medical College (PUMC). Additionally, the school was greatly supported by John Cameron, Dean of the pharmacy at the Peiping Union Medical College Hospital, with five major textbooks. The great contribution to the school came from their teaching theories, professional training, textbooks, instruction, assessment and teaching management. In particular, Tu Wanheng, as an instructor and administrator, played a crucial role in driving the development of the vocational training course and witnessed the arduous process of the school development from 1929 to 1952. The school became a model institution for vocational pharmacy training among those emerged in cities such as Nanjing, Shanghai, and Hangzhou in the 1930s and 1940s.

北平药学夜校是在北平市卫生局和华北药学会的支持下,于1929年创办的。由于北平协和医学院药学系孟穆迪、涂万恒、何志东、冯志东等人的参与和教学,学校在职业药学培训方面迅速树立了良好的声誉。此外,北平协和医院药学院院长约翰·卡梅伦大力支持,提供了五本主要教科书。他们在教学理论、专业培训、教材、教学、考核、教学管理等方面为学校做出了巨大贡献。特别是屠万恒,作为一名教师和管理者,对职业培训课程的发展起到了至关重要的推动作用,见证了1929年至1952年学校发展的艰辛历程。20世纪三四十年代,在南京、上海、杭州等城市中,这所学校成为职业药学培训的典范。
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引用次数: 0
[Examining the cultural implications of oyster shells from the Han Tombs at Mawangdui]. [考察马王堆汉墓牡蛎壳的文化内涵]。
Q4 Medicine Pub Date : 2025-11-28 DOI: 10.3760/cma.j.cn112155-20241010-00139
K Z Zhao, G Song, T L Zhang

The purpose of this paper is to explore the cultural meanings of the oyster shells unearthed from No. 3 Han Tomb of Mawangdui in Changsha, Hunan Province, by analyzing the relevant literature recordings of oysters in the pre-Qin and Han Dynasties and the unearthed situation of oysters in other early tombs. It was found that oyster shells unearthed in Mawangdui may also have the role of dispelling evil, and help people become 'immortal gods' after death, aside from the use for medicine. It was believed that the three factors were interrelated, indicating the feature of natural transforming from one shape to another. Oyster shells were then believed to be a part of nature and societal system, demonstrating the consistence between nature and human, based on the observation of the natural properties of oysters. The further exploration of medical use of oyster shells and its cultural indication with the three factors indicates the understanding and thinking of human towards nature, human and society in a peculiar historical and cultural context.

本文通过对湖南长沙马王堆3号汉墓中牡蛎的相关文献记载和其他早期墓葬中牡蛎的出土情况进行分析,探讨其出土的牡蛎壳的文化意义。据发现,马王堆出土的牡蛎壳除了可以治病外,还可以辟邪,帮助人们在死后成为“神仙”。认为这三个因素是相互关联的,表明了自然从一种形状转变为另一种形状的特征。根据对牡蛎自然特性的观察,人们认为牡蛎壳是自然和社会系统的一部分,证明了自然与人类的一致性。利用这三个因素进一步探索牡蛎壳的医学用途及其文化意义,表明了人类在特殊的历史文化语境中对自然、对人、对社会的认识和思考。
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引用次数: 0
[The discourse and prospect of traditional Chinese medicine in the perspective of social and cultural history]. [社会文化史视野中的中医话语与展望]。
Q4 Medicine Pub Date : 2025-11-28 DOI: 10.3760/cma.j.cn112155-20250425-00056
X Y Dong

Medical case research in traditional Chinese medicine has made great achievements, driven by "Turning to Practice" in the field of scientific history. The medical case research in traditional Chinese medicine in terms of social cultural history started in the 1990s. Up to now, these achievements demonstrate progressive development, from examining and explaining the internal theories of medical case research in traditional Chinese medicine, centering on narration and cognition with descriptions and case studies, to exploring cross-cultural comparative research between China and European and other countries and areas. This research, while widely developed, derived a variety of problems from virtual differentiation in terms of generative logic, cultural sources and practical features between the medical case research in traditional Chinese medicine and in Western medicine. For instance, the compatibility of medical cases, the risk of "interpreting medical cases in traditional Chinese medicine with those in Western medicine", and weakening clinical experiences. The future of medical case research in traditional Chinese medicine has to consider problems and explore the following perspectives: exploring the comparative study and stratigraphic analysis in historical dimension, breaking through single explanations of models in cross-cultural comparisons, and exploring the historical value of folk medical cases.

在科学史领域“转向实践”的推动下,中医医学案例研究取得了巨大成就。从社会文化史的角度对中医医学案例进行研究始于20世纪90年代。时至今日,这些成果呈现出渐进式的发展,从检验和阐释中医医学案例研究的内在理论,到以描述和案例研究为主的叙事和认知,再到探索中国与欧洲等国家和地区的跨文化比较研究。本研究在得到广泛发展的同时,也衍生出了中西医学案例研究在生成逻辑、文化渊源、实践特征等方面的虚拟分化问题。例如,病例的相容性,“以西医解释中医病例”的风险,以及弱化临床经验。中医药医学案例研究的未来必须从历史维度的比较研究和分层分析探索、跨文化比较模式的单一解释突破、民间医学案例的历史价值探索等方面思考问题和探索。
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引用次数: 0
[Medical history research guided by the materialism of history]. 【历史唯物主义指导下的医学史研究】。
Q4 Medicine Pub Date : 2025-11-28 DOI: 10.3760/cma.j.cn112155-20250109-00008
H C Nong, R X Chen, Z R Wang

The materialism of history is the fundamental principle of Marxist historical thinking and the ideological tool that guides the development of historical science and social research. It is the basic principle that guides the research of medical history in terms of the fact that the materialism of history focuses on the objectivity of history, the interaction between social and historical factors and social components, society and nature, the progressiveness of historical development, the necessity of analyzing specific problems, the ultimate decisive role of economic factors in social development, and the inevitability of the emergence of outstanding figures in the era based on the historical creation activities of humanity. It was found that the use of materialism of history as an analytical method can guide history research and interpret the influence of economic factors in history research, making it objective and easy to understand, while medical history research does not directly involve economic issues.

唯物史观是马克思主义历史思维的基本原则,是指导历史科学和社会研究发展的思想工具。历史唯物主义关注历史的客观性,关注社会和历史因素与社会成分、社会和自然的相互作用,关注历史发展的进步性,关注分析具体问题的必要性,关注经济因素在社会发展中的最终决定性作用,是指导医学史研究的基本原则。以及基于人类历史创造活动的时代杰出人物出现的必然性。研究发现,以历史唯物主义为分析方法,可以指导历史研究,解释经济因素对历史研究的影响,客观易懂,而医学史研究并不直接涉及经济问题。
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引用次数: 0
[The thinking of 'Zhu Po Zhu Bu' and its influence on the formula of traditional Chinese medicine in the Ming and Qing Dynasties]. 【明清时期“朱婆朱布”思想及其对中药方剂的影响】。
Q4 Medicine Pub Date : 2025-11-28 DOI: 10.3760/cma.j.cn112155-20240930-00135
Y K Wang, Z Z He

'Zhu Po Zhu Bu' () means to complement each other in the formula of traditional Chinese medicine. It came from the idea of refining gold liquid or elixir with similar materials, like lead or mercury, in spagirism in Zhou Yi Sen Tong Qi in the Eastern Han Dynasty. It was used to guide the practice of regimen with the innate essence, such as Qi and spirit as drugs in the late Tang Dynasty. It was used to assist the practice of spagirism with grass, wood, blood and flesh products as the main tonic formula, making up for the loss of innate essence (i.e., Yuan Qi) in the latter part of life in the Song Dynasty. It was also used by the medical practitioners, who were good at the principles of health care in terms of 'Zhu Po Zhu Bu', to explain tonic formula which resulted in the formation of a new concept guiding the formula and the use of medicines. Until the Ming and Qing Dynasties, this idea was applied by the physicians, who were good at the idea of 'Zhu Po Zhu Bu', to health maintenance and clinical practice, with insight into the understanding of regimen and reinforcing drugs. With the accumulation of the experience of the Ming and Qing physicians, the use of 'Zhu Po Zhu Bu' has covered the treatment of miscellaneous diseases and drug processing.

“补补补补”在中医方剂中是相互补充的意思。它来源于东汉《周易森统齐》的意粉中,用铅或汞等类似物质提炼金液或长生不老药的想法。晚唐时期以“气”、“灵”为药,用以指导养生实践。它被用来辅助以草、木、血、肉为主要滋补配方的意面练习,以弥补生命后期先天精华(即元气)的损失。精通“朱婆朱布”保健原理的医生也用它来解释滋补方剂,从而形成了一种指导方剂和用药的新概念。直到明清时期,这一思想被擅长“祝婆祝补”思想的医生运用到养生和临床实践中,对养生和补药有了深刻的认识。随着明清医家经验的积累,“诸婆诸补”的使用已经涵盖了杂病的治疗和药物的加工。
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引用次数: 0
[Interpreting the function of Pinellia-Prunella as a sleep aid]. [半夏-夏草助眠作用的解读]。
Q4 Medicine Pub Date : 2025-09-28 DOI: 10.3760/cma.j.cn112155-20250708-00106
X Zhang, Y R Wang

This paper examined the related literature of Pinellia ternate and Prunella vulgaris, summarised the syndrome and treatment characteristics of refractory insomnia and analysed the clinical cases of refractory insomnia treated by modern well-known doctors. It was found that Pinellia ternate and Prunella vulgaris have unique advantages in treating refractory insomnia caused by phlegm and fire stagnation (TanHuo YuJie). In addition, it was found that the interpretation of this medicinal function in terms of sleep aid changed from 'regulating Yin and Yang' to 'treating based on syndrome differentiation'. This elaborated the influence of Chinese traditional culture and current clinical requirements on the functions of herbs. It indicates that the value and meaning of such a change in interpreting the function of Pinellia ternate and Prunella vulgaris on sleep aid is the in-depth integration of traditional Chinese culture and clinical requirements. This lays the groundwork for empirical research of the efficacy of traditional Chinese medicine.

本文查阅了夏半夏和夏枯草的相关文献,总结了难治性失眠的证候及治疗特点,并分析了现代知名医生治疗难治性失眠的临床病例。发现夏半夏、夏枯草治疗痰火郁结难治性失眠有独特优势。此外,研究发现,从助眠角度来看,这一药用功能的解释从“调节阴阳”转变为“辨证论治”。阐述了中国传统文化和当前临床需求对中药功能的影响。说明这种变化对半夏、夏枯草助眠作用的解读价值和意义是中国传统文化与临床需求的深度融合。这为中医疗效的实证研究奠定了基础。
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引用次数: 0
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