Introduction
Clinical Experiences, the fifth volume in the series "Practical Tradi-
tional Chinese Medicine and Pharmacology" joins with two others,
Medicifnal Herbs and Herbal Formulae, in providing practical applica-
tions of Chinese medicine. As such, it will be most useful if the reader
has a working knowledge of the theories and principles of traditional
Chinese medicine and pharmcalogy as presented in the first volume of
this series. An understanding of the physiology and pathology of
the human body, disease etiology, diagnosis, and differentiation of
symptom-complexes, including the theories of Yin-Yang, Five Ele-
ments, zang-ju, channels-collaterals, qi, blood, and body fluid, will
enable one to make the most efficient use of the information contained
here.
The contents of this volume are arranged according to the charac-
teristics and therapeutic methods of treating common diseases, both
internal and external. Each section begins with a brief description of
the disease. This is followed by a discussion of the disease's Etiology
and Pathogenesis. The next section includes two parts: (a) Syndrome
Differentiation, which identifies the characteristics of the disease; and
(b) Therapeutic Principles, which outlines the recommended therapies
for the various syndromes.
The Classification and Treatment section which follows is most
practical in that it includes detailed descriptions of the manifestations
of each syndrome, the therapeutic principles involved, and the prescrip-
tions recommended for treatment. These prescriptions list the Latin
name for each component as well as the quantity required in the
formula. In many cases, a Remarks section specifies slight alterations
which can be made to the formula to make it more effective in treating
a syndrome with unusual manifestations, and a section called Experien-
tial Prescriptions lists additional formulae. The presentation of the
material in this well-organized, step-by-step manner makes this volume
especially useful for self-study.
Finally, Clinical Experiences is unique. It brings together for the first
time the clinical experiences of ancient practitioners as well as those of
the finest doctors practicing throughout China today. Use of this
volume, with its practical applications, will enable readers and users of
this material to join in the long tradition of Chinese medicine and
pharmacology and thus help promote the development and dissemina-
tion of this ancient art and science.
Ms. SHANG XIAN-
MIN has been prac-
ticing, teaching and
researching tradi-
tional Chincse med-
icine since 1964
when she graduated
from the Beijing College of Traditional
Chinese Medicine. She currently works both
in the Collcge's First Afflliated Hospital and
as Associate Professor in its Department of
Internal Medidne. With a wealth of clinical
and teaching experiences behind her, Ms.
Shang is particularly distinguished in treat-
ing nephrosis and joint diseases and in the
study of chronic renal problems. She has
published many noteworthy papers in med-
ical journals and is author of the following
books Chinese Patent Medicine for Common
Use, Practical Manual of Traditional Chinese
Medicine, and Practical Chinese Patent Medi-
cine.
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说实话,刚拿到这书的时候,我还有点将信将疑,毕竟市面上打着“临床经验”旗号的书太多了,很多都是东拼西凑,缺乏真正的临床沉淀。但这本书的行文风格,却有着一种毫不矫饰的实在感,就像是听一位德高望重的长者在茶馆里娓娓道来他行医数十年的心得。它的价值,绝不仅仅在于罗列了多少罕见病例,更在于其中蕴含的那种“医者仁心”的哲学思想。比如,在谈到用药剂量时,作者反复强调了“审时、审地、审人”的重要性,指出即便是经典名方,也绝不能一成不变。他用非常朴实的语言,剖析了古代医家在炮制药材时所下的那些“笨功夫”对药效的实际影响,比如“朱砂入丸,必须细研至水飞方能收敛心神”。这些细节,在很多现代教材中往往被一笔带过,但恰恰是这些看似不起眼的环节,构成了中医学术的灵魂和力量所在。这本书让我深刻认识到,中医的“经验”二字,背后是无数次的失败、修正与对生命的敬畏。它不仅在教我如何治病,更在教我如何做一个有温度、有担当的中医人,那种对传统的坚守与创新之间的微妙平衡,处理得极为老道精妙。
评分我必须承认,这本书的知识密度非常高,初次通读时,我感觉像是在攀登一座知识的高峰,需要不断地停下来消化和回味。它并非那种可以“快速浏览”的书籍,它的魅力在于那种沉淀下来的智慧,需要读者投入相应的时间和精力去挖掘。与其他强调“速效”或“秘方”的书籍不同,这本书的核心思想是建立一套完整、严谨的辨证论治体系,它强调的是“理法方药”的有机统一。作者在书中对于一些经典方剂的“破法”和“合方”处理,尤其值得称道。比如,面对同一组方剂,他会用细微的剂量调整或配伍改变,来适应不同地区患者的体质差异,甚至细致到不同季节的用药侧重点。这种对细节的执着和对个体差异的尊重,体现了中医大家真正的功力。读完之后,我最大的感受是,中医的“经验”并非单纯的经验主义堆砌,而是在深厚理论指导下,经过千百次临床检验所提炼出的规律和艺术。这本书,无疑是理解和掌握这门艺术的一把关键钥匙,它让我对自己的临床实践有了更深一层的敬畏与期待。
评分这本书的价值,在于它成功地架起了一座沟通古代经典与现代临床实践的桥梁。对于我们这些常年与抗生素和西医检查报告打交道的群体来说,重拾中医的思维模式常常感到力不从心,总觉得“古人的病和我们现在不一样”。然而,这本书巧妙地避开了这种理论上的鸿沟。它选择聚焦于那些跨越时代的、人类共同面对的生理失衡状态,比如“气滞血瘀”或“阴虚火旺”,这些根本性的病理变化在千年间并无二致。作者用现代医学的某些概念(并非全盘西化,而是作为辅助理解的参照)来阐释中医术语的深层含义,使得那些原本听起来玄之又玄的理论变得触手可及。例如,在讲解“肝郁化火”时,他将现代心理学中的焦虑和应激反应融入辨证,使得治疗思路一下子变得更加精准有效。这种“古为今用,洋为中用”的开放心态,让这本书充满了生命力,它不是被供奉在神坛上的古董,而是可以随时拿在手上,解决眼前问题的实用手册。它的文字里,没有故作高深的辞藻,只有实实在在的经验教训,非常适合渴望将中医理论真正融入临床的实干派读者。
评分这本《**中医临床经验**》的封面设计和装帧风格着实让人眼前一亮,那种沉稳的墨绿色调,配上烫金的字体,一下子就抓住了眼球,透露出一种历史的厚重感和专业性。我原以为这会是一本纯粹的理论汇编,枯燥乏味,但翻开目录后才发现,它的编排逻辑非常清晰,像是请了一位经验老到的老师傅手把手在教你。书中对一些常见病症的论述,比如“湿热下注”或“肝郁脾虚”这类在中医界反复被提及的证型,作者没有停留在教科书式的定义上,而是通过大量的真实病例,将抽象的理论具象化了。特别是关于脉象的描述部分,简直是教科书级别的范本,细致到连“浮取无力,沉取应指”这样的微妙变化,都配上了详尽的图解和临床指征的对比,这对于我们这些还在摸索阶段的年轻医者来说,无异于雪中送炭。更让我惊喜的是,作者在探讨一些疑难杂症时,往往会引出几位不同流派大家的处理思路,这种多角度的辨析,极大地拓宽了我的临床视野,让我明白中医的精髓在于因人而异、灵活变通,而不是僵硬地套用公式。它不是一本能让你速成的秘籍,而是一本需要你静下心来,反复研读,并在实践中不断体悟的宝典。那种如饮甘泉、豁然开朗的感觉,是其他很多流于表面的书籍无法给予的。
评分阅读体验上,这本书的设计简直是为临床工作者量身定制的。开本适中,纸张选用的是那种不反光、久读不涩眼的米黄色纸张,长时间阅读眼睛也不会疲劳。布局上,它采用了非常清晰的“证候——病机分析——治法方略——实例印证”的结构,逻辑链条极其完整。最让我拍案叫绝的是它的“变通举隅”部分。很多中医书只会给你一个标准化的药方,但这本书里,作者针对同一个核心病机,却列举了至少三种截然不同的思路和用药组合,每一种都配上了详细的“对证思路分析”。这就像是给了我们一个工具箱,而不是一把固定的钥匙。我特别留意了其中关于“脾肾两虚,水湿内停”的论述,作者没有简单地使用“金匮肾气丸”或“真武汤”的加减,而是根据患者的年龄、生活环境(比如北方寒湿与南方湿热)进行精细化调整,甚至探讨了在现代高压生活下,如何通过调整作息和情志来辅助药物发挥疗效。这种深入骨髓的临床洞察力,是任何人工智能或快速学习方法都无法替代的,它充满了实践的智慧和对生命复杂性的尊重。
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