doctor | Shen Kuo |
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alias | styleCun-zhong |
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Shen Kuo, courtesy name Cunzhong (AD 1031-1095, the ninth year of Tiansheng reign of Emperor Renzong of the Northern Song Dynasty to the second year of Zhao Xu and Shaosheng reign of Emperor Zhezong of the Northern Song Dynasty) was born in Qiantang County, Zhejiang Province (now Hangzhou City, Zhejiang Province). He was a famous politician, thinker, scientist and medical doctor in the Northern Song Dynasty of China. He is also very knowledgeable in astronomy, mathematics, calendar, geography, literature, history, philosophy and other subjects. When he was mentioned in the past dynasties, he was described as "erudite, omniscient, and especially skilled in medicine." It enjoys a high reputation not only in Chinese history, but also in the history of world science and technology.
Shen Kuo's medical academic thoughts are concentrated in some chapters of his Sushen Liangfang, "Lingyuan Prescription" and Mengxi Bitan. Seeking truth from facts and not following others' opinions is a major characteristic of Shen's medical treatment. He was very much against the "overflow" of subjectivism. He said: "Those who give so-called "good prescriptions" must witness their test and start writing them in the article." In other words, when he compiled "Good Prescriptions", he had a standard, that is, it must be repeatedly verified in clinical practice and it is actually effective. Only those who do can enter the book, and vice versa. This scientific attitude toward scholarship is worth learning from future generations.
Under the guidance of scientific ideas, he hopes that the medical community will adopt a serious and prudent attitude in treating diseases and using drugs. He pointed out: "There are five difficulties in treating diseases, namely, it is difficult to identify the disease, it is difficult to cure the disease, it is difficult to drink medicine, it is difficult to prescribe and it is difficult to prepare the medicine." In his preface to "Good Prescriptions", he demonstrates the five difficulties separately and points out that these five are closely coordinated. To treat these five difficulties, we must give full play to the active role of doctors, fully consider all factors related to the occurrence of the disease, and "keep eyes on the sight, ears on the sound, and hands on the pulse" like "catching cicadas on a tree." " Only by concentrating on it with such superb skills as "carving a female monkey on a very thin branch" can you give the medicine.
Shen's medical treatment is very comprehensive. He has conducted research in various medical disciplines, including internal medicine, external medicine, gynecology, pediatrics, five sense organs and other subjects, which he studied and studied, no matter what the predecessors (such as Zhong Jing, Sun Si-miao, Wang Tao et al.), or the medical experience of unknown contemporary folk. He studied them all, clinically verified them himself, and attached them to verified cases (some were his own, some were collected, and some were witnessed by others). Although most of the "Good Prescriptions" recorded were created by others, each prescription has his own performance and unique insights. For example, the "Five Accumulations Powder" recipe, the basic medication is the same as the Five Accumulations Powder of Hejiju Fang. However, in terms of indications, it has been used to expand the scope of the original prescription. On the basis of affirming the clinical effect of this prescription, Shen pointed out that this prescription can be used for spontaneous sweating of yang deficiency and cold limbs caused by severe cases of external wind-cold, internal injury, and cold condensation (i.e., in a state of shock). ), not fully adapted. Therefore, it is proposed to treat it with Wuji plus Shunyuan San.
Sushen Liangfang is a medical collection compiled by people in the late Song Dynasty who collected Shen Kuo's medical experience and Su Dongpo's miscellaneous medical treatises. Its style is similar to a medical essay. The whole book is divided into ten volumes (other historical books contain fifteen volumes. Another one says eight volumes). The scope of discussion covers two aspects: pharmacology and therapy. In terms of therapy, it involves internal, external, and The subjects of gynecology, pediatrics, and five sense organs are mainly based on effective folk prescriptions. The book is accompanied by many test cases and discusses some practical moxibustion and so on. In addition, he also wrote twenty volumes of "Lingyuan Prescription".