Jiùdétáng yīàn 舊德堂醫案
Medical Case Records of the Hall of Inherited Virtue by 李修之 Lǐ Xiūzhī (early-to-mid-Qīng), of Yúnjiān 雲間 (Sōngjiāng).
About the work
A single-juǎn early-Qīng casebook of the Sōngjiāng / Hǎiyī 海邑 physician Lǐ Xiūzhī, prefaced by his provincial-administrative patron 田元愷 Tián Yuánkǎi (字 Huáchén 華臣) of Western Qín (Shǎnxī), the guānfēng circuit-inspector of the Hǎiyī district.
Prefaces
The hxwd _000.txt carries three prefaces:
- The principal preface by 田元愷 Tián Yuánkǎi (字 Huáchén 華臣, Western-Qín), signed yú Yúnjiān shǔ zhōng (at the Yúnjiān administrative offices). Tián describes his arrival at Hǎiyī as guānfēng (circuit-inspector) where he encountered Lǐ Xiūzhī’s clinical reputation; in xīnchǒu autumn (= Kāngxī xīnchǒu = 1721, or possibly Qiánlóng xīnchǒu = 1781) Tián’s own father suffered a severe xièbìng (diarrhea-disease) that Lǐ Xiūzhī cured, prompting Tián’s gift of the studio-name 舊德堂 (Hall of Inherited Virtue) and his preface to Lǐ’s casebook.
- Lǐ’s zìxù 自敘 signed Yúnjiān Lǐ Xiūzhī fǔ shí 雲間李修之甫識. Lǐ argues that since the great ancient physicians (the Língshū / Sùwèn surgeons who could “wash the intestines, rinse the organs, slice the skin, untie the muscles, pull the vessels, knot the sinews”) have vanished, only after the Sāndài with tāngyè and fānglùn do regular clinical methods become possible. He cites 蘇軾 Sū Dōngpō’s dictum “Mài and zhèng are difficult to elucidate, and have given the ancients-and-moderns trouble”: extreme deficiency has full-state appearance, true excess has frail-and-spent appearance.
- A Xiǎoxù 小敘 by 唐廷翊 Táng Tíngyì of Zhōngjiāng 中江 (a disciple of Lǐ), framing the work in the 司馬遷 Sīmǎ Qiān-style Cānggōng zhìàn 倉公治案 lineage and praising his teacher as one who “drinks the water of the Shàngchí (Upper-Pond — the medical-myth pool of pure water)“.
Abstract
Lǐ Xiūzhī 李修之, fǔ (style 父), of Yúnjiān 雲間 (the literary name for Sōngjiāng 松江, now Shànghǎi). An early-Qīng scholar-physician of the Sōngjiāng cultivated-gentry milieu. The author bears the zì Xiūzhī 修之, and is referred to in the prefaces as Lǐ Fūzǐ 李夫子 (“Master Lǐ”) by his disciple 唐廷翊 Táng Tíngyì. The studio-name Jiùdétáng 舊德堂 was conferred by his patron 田元愷 Tián Yuánkǎi.
The opening case (申江 Zōu xiànyì 鄒邑侯 Zǐhán, mid-summer suffering diarrhea-with-fatigue, eventually progressing to xuànyùn with limb-spasm, sex-mouth-distortion, all-body cold, black face, contracted abdomen, no pulse at any of the six positions) is treated by Lǐ with a heavy RénshēnFùzǐ (ginseng-aconite) protocol — spleen as elevating-yáng office, stomach as qi-circulating prefecture, when kūntǔ is robust the clear-yang spreads, when qiánjiàn is lacking the turbid-yin obstructs — a textbook Sōngjiāng 李中梓 Lǐ Zhōngzǐ school bǔyáng prescription. The author’s signature is bold heavy-dosing of warming-tonifying drugs in the face of conflicting bedside mùyǒu (administrative-secretaries who fancied themselves physicians) advice.
The composition window 1680–1721 brackets a plausible early-Qīng clinical career through to the Kāngxī xīnchǒu (1721) preface date.
Translations and research
No substantial secondary literature located.
Links
- Sōngjiāng / Yúnjiān medical milieu: KR3ep081 Lǐzhōng yīàn by 李中梓 Lǐ Zhōngzǐ.
- Kanseki DB
- 舊德堂醫案