Case Number 61
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.
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