ShěnYú yīàn héchāo 沈俞醫案合鈔
Combined Transcript of the Medical Case Records of Shěn and Yú by 俞震 Yú Zhèn (Yú Dōngfú 俞東扶, c. 1709–1793) and 沈又彭 Shěn Yòupéng (Shěn Yáofēng 沈堯封, fl. mid-18th c.), transcribed and edited by 巢元瑞 Cháo Yuánruì (字 Fèngchū 鳳初, fl. early Republican period).
About the work
A single-juǎn composite manuscript that joins fragmentary clinical case-records of two famous Jiāshàn 嘉善 (Zhèjiāng) physicians of the mid-Qīng — Yú Zhèn 俞震 (author of KR3ep071 Gǔjīn yīàn àn 古今醫案按) and Shěn Yòupéng 沈又彭 (author of Yījīng dú 醫經讀 (KR3ea043) and 傷寒論讀 傷寒論讀). The composite was assembled by Cháo Yuánruì in 1921 from a manuscript secretly held by his friend Jīn 金 of Jiāxīng 嘉興.
Prefaces
The hxwd _000.txt carries Cháo Yuánruì’s 1921 preface (民國十年辛酉端陽節) describing how he obtained the manuscript on long-term loan from Jīn, who had himself preserved it through “war and flame” 兵燹. Cháo notes that nearly all of Yú Zhèn’s casebooks were destroyed in the Tàipíng wars (1850s–60s), so what survives is “phoenix-feather and unicorn-horn rare.” A few cases of Shěn Yòupéng are appended at the end. A second preface, originally dating to Dàoguāng 30 (1850) and signed by 王文書 Wáng Wénshū (writing in Shěn family’s Tàinán villa), is also reproduced; it records how Wáng obtained scattered case-books of both physicians through book-traders in 1850 and assembled four manuscript volumes under the title 昔賢醫案 昔賢醫案.
Abstract
The text is significant for two reasons. First, it preserves otherwise-lost case material of Yú Zhèn, the compiler of the famous critical anthology Gǔjīn yīàn àn 古今醫案按 (preface 1778); the cases here are independent of the cases he selected and commented on in the Gǔjīn. Second, it documents the Jiāshàn school of late-Qīng practice — the lineage that worked in the shadow of Yè Tiānshì (葉桂) but maintained distinct local emphases on gānyáng 肝陽 management, channel-collateral diseases, and xuèyǎng 血養 doctrines. Cháo Yuánruì explicitly notes that both physicians “drew their strength from Xiāngyán Yè” (得力於香岩葉氏). The contents are arranged by syndrome: 中風 (with subdivisions 類中, 陰陽虛), 痢, 痞, 痰, etc. — a typical late-Qīng casebook organisation.
The dating bracket 1750–1921 reflects the long arc from the original clinical activity of the two physicians through Cháo’s editorial assembly. Yú Zhèn’s clinical career is conventionally placed in the 1750s–1780s; Shěn Yòupéng’s is roughly contemporary.
Translations and research
No substantial secondary literature located. Yú Zhèn’s Gǔjīn yīàn àn (KR3ep071) is discussed in Hinrichs and Barnes 2013, pp. 199–202.
Links
- Parent compilations: KR3ep071 Gǔjīn yīàn àn by Yú Zhèn.
- Related Jiāshàn / late-Qīng casebooks: KR3ep075 Sōngxīn yīàn bǐjì.
- Kanseki DB
- 沈俞醫案合鈔