Abstract
This case focuses on the differentiation and treatment of a disorder with the main symptom of uninterrupted vomiting. Xu provides no details about the patient and list no additional symptoms besides the vomiting. He does say that other doctors sweated her, a reasonable treatment for this disorder, but it caused her to vomit continually. Moreover, although the doctors attempted to stop the vomiting using standard therapy, they failed. Xu claims that the approach of the other doctors was flawed since they were unaware of remnant heat pathogen. He administered two rather rare formulas, both recorded for the first time during the Song. Although Xu does not take up this issue, sweating a pathogen of internal origin would worsen the condition of the patient, as in this case.
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Notes
- 1.
See Bensky, Clavey, and Stöger 2004, pp. 695–697, 1022–1024, and 473–476 respectively; saltpeter does not appear in this book.
- 2.
See Scheid et al. 2009, pp. 234–236. There it is recorded as a powder. This formula originated in the Imperial Pharmacy’s formulary, i.e. Taiping huimin hejiju fang, p. 43.
- 3.
Bamboo Shavings Decoction does not appear in Scheid et al. 2009. It was first recorded in the Japanese formulary Ishimpō or Yi xin fang (醫心方, Formulas at the Heart of Medicine), p. 102. Its main effect is to stop vomiting.
Bibliography
Other Sources:
Bensky, Dan, Steven Clavey, and Erich Stöger. 2004. Chinese Herbal Medicine: Materia medica. 3rd ed. Seattle: Eastland Press.
Scheid, Volker, Dan Bensky, Andrew Ellis, and Randall Barolet. 2009. Chinese Herbal Medicine: Formulas and Strategies. Seattle: Eastland Press.
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Goldschmidt, A. (2019). Case Number 70. In: Medical Practice in Twelfth-century China – A Translation of Xu Shuwei’s Ninety Discussions [Cases] on Cold Damage Disorders. Archimedes, vol 54. Springer, Cham. https://doi.org/10.1007/978-3-030-06103-6_71
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