Shānghán jiān zhèng xī yì 傷寒兼證析義
Analytical Treatise on Cold Damage with Comorbid Syndromes by 張倬 (Zhāng Zhuō, zì Fēichóu 飛疇, fl. early Qīng)
About the work
A one-juan specialist Qīng treatise on cold damage co-occurring with comorbid (兼證 jiān zhèng) miscellaneous-disease conditions, by the Wújiāng 吳江 physician Zhāng Zhuō 張倬 (字 Fēichóu 飛疇), younger son of the eminent Qīng physician 張璐 (Zhāng Lù, author of Zhāngshì yītōng 張氏醫通 (KR3e0095)) and brother of 張登 (Zhāng Dēng). The work tackles the clinically intractable problem of Shānghán episodes superimposed on chronic underlying conditions (中風, 中血脈, etc.), and supplies dialogue-format expositions of how the Shānghán treatment principles must be modified to address concurrent pathologies.
Abstract
Composition window 1671–1715 is bracketed by the productive period of Zhāng Lù’s medical circle in Wújiāng. The work is framed as a literati conversation: the opening “中風兼傷寒論” 中風兼傷寒論 (Treatise on Wind-Strike Combined with Cold-Damage) sets the scene in winter — Zhāng’s wake on a snowy morning, a visitor’s “苦雪” 苦雪 (bitter-snow) poem, and a cǐ qǐ kēfā 此其可發 series of dialogue exchanges on the doctrinal and clinical problems of treating concurrent disease. Each section poses a question (中經絡兼傷寒, 中血脈兼傷寒, etc.) and answers it in terms of the modification required to canonical Shānghán prescriptions when superimposed on a pre-existing condition. The work circulates with Zhāng Lù’s Zhāngshì yītōng (KR3e0095) and is one of the principal early-Qīng contributions to the literature on comorbidity.
This text appears in the Kanripo catalog twice: as KR3ef057 (the Shānghán-section listing) and as KR3e0094 (the general-medicine listing). They are the same work.
Translations and research
- No substantial English-language treatment located.
- The work is discussed in standard Chinese-language surveys of early-Qīng Shānghán clinical literature.
Links
- See KR3e0094 (alternate Kanripo listing of the same work).
- See KR3ef001 (parent Shānghán lùn).
- 傷寒兼證析義 jicheng.tw
- Kanseki DB