Zábìng zhìlì 雜病治例

Treatment Examples for Miscellaneous Diseases by 劉純 (Liú Chún, Zōngwèn 宗文, c. 1340–1412)

About the work

A compact one-juǎn handbook of zábìng 雜病 (miscellaneous, i.e. non-Cold-Damage internal complaints) organised as concise zhìlì 治例 — treatment exemplars — per disease category. Liú Chún, a fourth-generation transmitter of the Zhū Dānxī tradition through his father’s lineage, condenses key syndromes, indications, and prescriptive policies into a usable apprentice’s reference. The work is preceded in the printed tradition by the Lánshì jí · Yījiā shíyào 蘭室集·醫家十要 (ten ethical maxims for physicians, attributed to Zhū Dānxī).

Abstract

Liú Chún composed the work in Gānzhōu 甘州 (modern Zhāngyè 張掖, Gānsù) where he served as yīguān 醫官 to the early-Míng frontier garrison. Composition probably belongs to the years between Hóngwǔ 12 = 1379 (the earliest defensible date for Liú’s mature output) and Yǒnglè 6 = 1408 (when his second major work Yùjī wēiyì 玉機微義 reached completion); the Zábìng zhìlì is the earlier of his two principal medical works. The first printed edition appeared decades after Liú’s death — 蕭謙 Xiāo Qiān’s preface dated Chénghuà jǐhài 成化己亥 = 1479 commemorates the editio princeps.

Liú belonged to the early-Míng circle of scholar-physicians who carried the Yuán Dānxī tradition into the new dynasty. He inherited the medical practice from his father, a direct disciple in the Zhū Dānxī line, and his second major work Yùjī wēiyì 玉機微義 — the better-known of his two — was completed from a draft by 徐彥純 Xú Yànchún. The Zábìng zhìlì belongs to the same intellectual project of consolidating the Yuán Four-Master tradition for early-Míng pedagogical use.

The work is shorter and more practical than the Yùjī wēiyì, organised symptom-by-symptom with the editorial conceit that for each disease one or two zhìlì — paradigm cases of treatment — should give the apprentice physician the operative principle. Its style is condensed, almost terse, and the work was used as a primer in early-Míng medical training.

Translations and research

  • Hinrichs, T. J. and Linda L. Barnes, eds., Chinese Medicine and Healing, Cambridge, MA: Harvard Belknap, 2013, p. 146 — places Liú Chún as exemplar of the early-Míng scholar-physician self-regulation; cites Leung 2003.
  • Angela K. C. Leung, “Medical Instruction and Popularization in Ming-Qing China,” Late Imperial China 24.1 (2003): 130–152.
  • Zhōngguó yījí dàcídiǎn 中國醫籍大辭典 entry on the Zábìng zhìlì.
  • No standalone English translation located.