Case Number 61

  • Asaf Goldschmidt
Part of the Archimedes book series (ARIM, volume 54)


In this case we find a long and detailed discussion between Xu and another doctor concerning differential diagnosis. The doctor correctly quotes the Treatise from memory, but Xu asserts that he misunderstood the quotation, which led to an incorrect diagnosis. Xu uses this case to show that although these symptoms seem to belong to the fatal kidney exhaustion syndrome, this was not the case. He shows why doctors must fully understand the pathology of the disorder and its diagnosis. In the latter, reading the pulse is crucial. The other doctor focused on symptoms whereas Xu began his examination with the pulse. He actually prescribes the same formula that the other physician quoted from the Treatise, with the addition of one ingredient. The larger point here is to show that in order to fully understand the Treatise one has to master the nuances as well as the general pattern.


Other Sources:

  1. Mitchell, Craig, Feng Ye, and Nigel Wiseman. 1999. Shang Han Lun (On Cold Damage); Translation and Commentaries. Brookline, MA: Paradigm Publications.Google Scholar
  2. Nie, Huimin 聶恵民, Wang, Qingguo 王慶國, Gao, Fei 高飛. 2001. Shanghanlun jijie: lidai yijia shanghanlun zhujie jiyao 傷寒論集解: 歷代醫家傷寒論注解輯要 [Commentaries on the Treatise: Summary of Annotations on the Treatise by Doctors in History]. Beijing: Xueyuan chubanshe.Google Scholar
  3. Scheid, Volker, Dan Bensky, Andrew Ellis, and Randall Barolet. 2009. Chinese Herbal Medicine: Formulas and Strategies. Seattle: Eastland Press.Google Scholar
  4. Yu, Bohai 于伯海, et. al. 1997. Shanghan jinkui wenbing mingzhu jicheng 伤寒金匮温病名著集成 [Collected Famous Works on Cold Damage, Golden Casket, and Febrile Disorders]. Beijing, Huaxia chubanshe.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Asaf Goldschmidt
    • 1
    • 2
  1. 1.Department of East Asian StudiesTel Aviv UniversityTel AvivIsrael
  2. 2.Visiting ProfessorRenmin University of ChinaBeijingChina

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