TDS first in the card to treat essence" 
 
 
Yong-can Chen Zhejiang institute of traditional Chinese medicine 
 
 
China's traditional Chinese medicine to 

    For the first time in the word "syndrome differentiation" literature of traditional Chinese medicine is the certificate for essential, gujin suanxue congshu in 1775, than the earliest known record of the phrase "medical door bang" (chapter XuGu written in 1825) to move forward for 50 years.
 
    The certificate for essential author Chen when services of "syndrome differentiation" specific content is clear, and the modern highly close to the connotation of the term expression.
 
    Recently read Mr Zhang Xiaoxia masterpiece "the origin of the syndrome differentiation and treatment" (traditional Chinese medicine in China, April 2, 2015), is like a spring breeze stroke, make the author of "syndrome differentiation" more clear of historical context. In recent years, the author in the state administration of traditional Chinese medicine TCM ancient books protection and utilization of capacity building project of the card to treat essence "in the process of finishing the research found that the word" syndrome differentiation "as early as in the qing dynasty when Chen for the card the essential governance, and has a more specific discussion to its connotation, rather than Mr. Zhang's first appeared in 1955.
 
    "Syndrome differentiation" evolution
 
    Modern traditional Chinese medicine will be "syndrome differentiation" refining for the basic features of TCM academic, considered to be the basic principles of understanding and treating diseases of traditional Chinese medicine, and put forward the "card" is the body in a certain stage of disease development process including function and quality, and the generalization of pathology and clinical treatment disease "card" as the core, "card" and differentiation, which is the unique characteristics of TCM theoretical system is different from the other medical disciplines, also reflects the traditional Chinese medicine of traditional Chinese medicine (TCM) clinical thinking mode and the inherent law of academic development.
 
    "Syndrome differentiation", however, the formation of the academic characteristic of traditional Chinese medicine is not between overnight, but past dynasties doctor after a long and repeated clinical practice and theory, summarize the practice and explore deposition in the classics of traditional Chinese medicine of rich and thick.
 
    Mr Qing-yun meng in the syndrome differentiation and treatment of the does not take the place of "long (traditional Chinese medicine in China Daily on February 29, 2012, and March 1) one in mawangdui textbooks" fifty-two diseases party "and the huangdi neijing, 12 square as an example, the proposition" symptomatic treatment rates with syndrome differentiation and treatment of simple way or primary form ". In the eastern han dynasty, doctor zhang zhongjing "typhoid miscellaneous disease theory", to open the "syndrome differentiation" academic thinking system formation process, also be our back to the origin "syndrome differentiation".
 
    Generations of medical books also appear more similar to the word "syndrome differentiation", such as doing the song dynasty in "three pole for a disease card theory" pointed out that "due to illness with syndrome differentiation, with the policing"; Jin Dailiu HeJian "element asked mystery the original disease, pathogenesis, camera ShiFang, advocate the pathogenesis differentiation; The yuan dynasty by the stream will be summed up as TCM clinical treatment process "pulse for the cure", the master specialized finishing compilation book vein for the cure; In the Ming dynasty physicians Xu Chunfu in the ancient and modern medical series of proposed "policing" due to illness; In the Ming dynasty physicians Zhou Zhigan column in the "ShenZhai letter" have "evidence-based medicine" section, think "see disease healing, doctor taboo", "but see a certificate and evaluates its certificate is, of course, this can know yi". In Ming dynasty, doctor zhang jingyue in "JingYue encyclopedia" treats "confirmed", sums up the yin-yang as the outline, the table, the actual condition and fever for syndrome differentiation method, make the train of thought for Chinese medicine diagnosis and therapy process more concise and clear; Qing dynasty doctor Xu Ling tire "typhoid class party" is a "policing" see disease; Chapter doctor in qing dynasty XuGu in "medical door bang" in the word "syndrome differentiation".
 
    "Syndrome differentiation" as a specification, however, the connotation of TCM term, is Mr Ren should fall advocate in the 1950 s, and the TCM clinical syndrome differentiation and treatment "system to give a comprehensive elaboration.
 
    First in the card to treat essence" 
 
    TCM academic circles at present it is generally believed that the earliest put forward that the word "syndrome differentiation" is XuGu chapter doctor in qing dynasty, in his book "on medical door bang · JingYue said:" I view Mr Yue, only a macro, for hundreds of thousands of words... unknown six works with the change of the gas, syndrome differentiation and treatment, can good! Six gas could change, the unknown to the principle of Yin and Yang is also."
 
    Three years ago, I had the opportunity to participate in the state administration of traditional Chinese medicine of TCM ancient books protection and utilization of capacity building projects, taking zhejiang project team of the card to treat essential medical books study, collation, glad to see "syndrome differentiation" four words that appear in the card cure essence ". Determined by way of textual research, "syndrome differentiation" as early as in the card to treat essence ", by the doctor Chen when we first put forward in the qing dynasty. When Chen service, word huimin, fuzhou qing dynasty emperor kangxi to qianlong period (now jiangxi linchuan), life of more than 70, but the birth year is unknown.
 
    "Card cure essence" mentioned in the "syndrome differentiation" two phrases: one in volume seven "prescription", the open book cloud: "this sets a total of three hundred and eighty-seven before and after the party, for the ancients a Fang Kezhi tens of disease, and a number of disease and fang, to repeat, so the other hui. In front of the public square column, zhongjing after the side columns of the famous doctor. Every concentrated treatment based on syndrome differentiation, beside Si Angle circle, is a prescription, careful check of the see." A in the first yuan "Syria," the cloud: "if the knowledge of xi huimin, syndrome differentiation and treatment, wonderful YiTianKai, can make the healer, also can cause of disease, is active in the livelihood of the people."
 
    Preface to the book, when Chen services around the qianlong 28 years (1763 years) to complete the ten volumes of the authors of the cure essence, into a draft after 3 times of modification, after 9 years, finally by their friends in qianlong sanpo bnri katsurou (1775) published forty years. According to TCM ancient books catalogue of the People's Republic of China, the certificate for essential existing version has forty years qing qianlong b not photocopy (1775) and qing qianlong fifty years b the third HuiMinTang (1785). I now find that HuiMinTang photocopy editions for the Shanghai library, well-preserved, organizing is clear, or written neatly, its publication has been in the past four jia, the appearance of the word "syndrome differentiation" just 240 years ago.
 
    Book medical door bang, known by the author in chapter XuGu written in 1825. Compilation publication of calculation shows that the card cure essence "than" medical door bang "exactly 50 years ahead of schedule. Visible, for the first time in the word "syndrome differentiation" literature of traditional Chinese medicine is the card cure essence ", rather than a "medical door bang"; "Syndrome differentiation" appellation when Chen was the first person business, rather than XuGu chapter.
 
 
 
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