Shànzhèng jījù 疝症積聚

Hernia Patterns and Accumulations (Japanese: Sanshō shakuju) by 大橋尚因 (Ōhashi Shōin, 18th c., 江戶) — Edo-period Japanese physician of Owari (張藩).

About the work

A near-identical (but slightly expanded) parallel recension of KR3ek049 Shànqì zhèngzhì lùn — same subdivision (shàn zuò zhūzhèng shuō 疝作諸症說 / zhěn shàn fǎ 診疝法 / zhū shàn 諸疝 / zhū jī 諸積 / zhìyàn 治驗 / formulae). Some minor textual variants and a different title (Shànzhèng jījù biān 疝症積聚編 versus Shànqì zhèngzhì lùn 疝氣證治論). The catalog meta lists no author; internal evidence makes the identification with Ōhashi Shōin unambiguous: the 跋 reproduces the same Tō Iin postface of Anei 7 (1778), and the body matches KR3ek049 closely. The two together preserve both transmission-titles of Ōhashi’s hernia treatise; for cataloguing purposes they should be cross-linked and treated as the same work in different printed-edition lineages.

Abstract

This recension carries an authorial biānxù 編序 (absent from KR3ek049) signed Anei 7 wùxū chūn sān yuè zhāngzhōu Hǎixī Dàqiáo Shàngyīn zhù 安永七戊戍春三月張州海西大橋尚因著 — Anei 7 spring third month, by Ōhashi Shōin of Zhāngzhōu (Owari) Hǎixī. In this biānxù the author explains that he developed his shàn theory primarily from Wàitái mìyào 外台秘要 (Táng) — particularly the entries on shí shàn 石疝 and pán shàn 盤疝 — and Jīnguì yàolüè 金匱要略 (hán shàn 寒疫) descriptions; he found that many fùtòng 腹痛 cases responded to his protocols, but some recurred after months or a year, and he was unable to find a permanent cure. He nonetheless compiles the qíxiào 奇效 cases as a service to posterity. The Tō Iin postface again rehearses the “grain in a year of abundance” image.

The body is a near-identical (slightly expanded) parallel recension of KR3ek049, with the same subdivision and very similar formula content. Minor orthographic variants appear (e.g. quánjié 全竭 here for quánxiē 全蠍 in 049 — almost certainly a scribal slip in 050 with the radical confused). Some additional zhìyàn (case records) appear here that are not in 049, suggesting that Shànzhèng jījù is the author-titled version (matching the biānxù self-reference) and KR3ek049 is the alternative title under which it later circulated. Compositional date and content are identical with those of KR3ek049.

Translations and research

  • See KR3ek049 for shared resources.
  • No dedicated Western-language study located.

Other points of interest

The presence of both recensions in the Kanripo digitisation suggests that separate manuscript or printed-edition lineages of Ōhashi’s hernia treatise circulated in Edo Japan under different titles; the KR3ek049 / KR3ek050 doublet is a useful documentary trace of that bifurcation.