Abstract
In this case Xu discusses the “Bandit Pathogen,” which he mentioned in case #84. This and his warning at the end of the case that incorrect medication can kill patients hint that Xu is concerned about his peers’ poor understanding of this syndrome. In any case, he affirms his own mastery. Once Xu has delivered his diagnosis, he gives the patient two modifications of White Tiger Decoction. The use of two prescriptions is not common in his cases, but it shows the flexibility that the Treatise expects. He does not explain his choice of medicine.
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Notes
- 1.
This is a manifestation type in which the patient is first affected by pathogen causing a hot disorder which in turn transforms into a damp disorder. This manifestation first appeared in the Canon of Problems, problem 58 (Unschuld 2016b, pp. 433–434). See Zhongyi da cidian, 2nd ed., p. 1774.
- 2.
See Scheid et al. 2009, p. 154.
- 3.
See Scheid et al. 2009, p. 154–155.
- 4.
This and the next two quotations are from the Canon of Problems problem 50, and the third from problem 58. See Unschuld 2016b, p. 398 and pp. 433–434.
- 5.
The term Five Pathogens 五邪 has a number of meanings in Chinese medicine. In this case, it refers to five specific pathogens appearing in the Canon of Problems, problem 50. For further information see Zhongyi da cidian, 2nd ed., p. 218. The order of the five pathogens explained below is based on Mutual Production and Mutual Conquest relationships of the Five Phases (See Sivin 1987, pp. 70–80).
- 6.
I was unable to trace this quotation to any of the surviving canons (which are only a fraction of those available in the Song period).
Bibliography
Other Sources:
Scheid, Volker, Dan Bensky, Andrew Ellis, and Randall Barolet. 2009. Chinese Herbal Medicine: Formulas and Strategies. Seattle: Eastland Press.
———. 1987. Traditional Medicine in Contemporary China. Science, Medicine, & Technology in East Asia 2. Ann Arbor: Center for Chinese Studies, University of Michigan.
———. 2016b. Nan Jing: The Classic of Difficult Issues With commentaries by Chinese and Japanese authors from the Third through the Twentieth century The Complete Chinese Text with an Annotated Translation. Berkley, CA: University of California Press.
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Goldschmidt, A. (2019). Case Number 88. 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_89
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