Ren Zhai Zhi Zhi Fang is a classic work of traditional Chinese medicine written by Yang Shiying in the Southern Song Dynasty.

Brief introduction of the author

Yang Shiying, a doctor in Southern Song Dynasty. The word "father" is called Renzhai. Sanshan (one is Huai 'an, now Fuzhou, Fujian) people. A world doctor. Because quack doctors are not good, I studied medical books and pulse diagnosis. In the first year of Ding Jing (1260), Ren Zhai Xiao er Fang Lun (a guide to infant fingering) was written to classify the symptoms and analyze the treatment of the prescriptions. This book was also written by Zhong Jing and Zhu Jian, who wrote seven volumes of "Summary of typhoid fever books for the living". According to the prescription, with comments, each piece is arranged before.

On the basis of Pulse Tactics, I wrote a volume of Medical Zhenjing (1262), which was concise and novel, and attracted people's attention at that time.

His works on pulse science include Zhen Jing of Medical Pulse (or Zhen Jing of Medical Pulse), Ren Zhai's Direct Prescription of Pulse, and Summary of Pulse Diagnosis, but all the books have been lost. In five years, Ding Jing rewrote Ren Zhai Zhi Zhi Fang (26 volumes), mainly describing the syndrome differentiation and treatment of miscellaneous diseases in internal medicine. Pick up all kinds of effective prescriptions, refer to the experience of family members, give prescriptions based on syndrome differentiation, and show people the law. The title of the book is "Pointing", but "Understand that Xiao Yi is straight; Send a trace to show it. "

Later generations combined Yang Renzhai's three works with The Summary of Treatise on Febrile Diseases for Living People, Renzhai Xiaoer Fang and Renzhai Zhifang into one. In addition, I wrote 20 volumes of The True Solution of Medicine, which was lost today.

brief Introduction of the content

In this book, Yang's analysis of the source of the disease is very detailed, and there are many innovations in medical theory, especially in summing up his own experience in prescription and medication and using heirloom. This book is rich in materials, concise in selections and practical in content, which is enlightening to future generations.

1, researching and thinking, and expounding medical theory.

Qi is handsome as blood, and qi and blood are homologous. The book "On Blood" points out at the beginning: "People have this yin and yang, that is, this blood gas. Qi, Yang also; Blood, yin also. " Yang distinguishes qi and blood by yin and yang, which shows the physiological characteristics of interdependence and mutual utilization of qi and blood. In the article "On the Glory of Blood and the Health of Qi", it is clearly pointed out: "If Qi is covered, blood will be handsome; Pneumatic blood; When qi stops, blood stops; If the temperature is slippery, the blood will coagulate; If you don't move, your blood will fail. "

At the same time, the fifth volume "The Theory of Various Qi Formulas" further points out that "people are mainly qi, and if they don't breathe, they will be poor, and if they don't continue, they will be heaven" and "blood is popular, it is also qi", thus making it clear that qi is the driving force of blood circulation and plays a leading and commanding role in blood.

Before the Sui and Tang Dynasties, there was no obvious difference between phlegm and drinking, so Dan Jian said: "The drinking of Gai Gu Fang is thinner than phlegm, and the drinking of later generations is thinner and slightly. The philosophers only analyzed Yang Renzhai's books, and there was no difference in other works. " Yang listed phlegm, saliva, water, drink and vomit as seven volumes, which was quite enlightening for later generations to distinguish phlegm from drink.

The theory of emphasizing the spleen and stomach and not falling to the east originated from Neijing and became in Jin and Yuan Dynasties. Yang Shiying, who lived in the middle and late Southern Song Dynasty, discussed the theory of spleen and stomach almost at the same time as Li Dongyuan, one of the four masters in Jin and Yuan Dynasties, and applied it to medical practice.

2. Ask the disease based on syndrome differentiation, and examine the evidence to find the cause.

Emphasizing the reason for seeking medical treatment is Yang's special attention to seeking medical treatment. In view of the disadvantages of some patients at that time, such as "seeking medical treatment is to test the doctor's ability" and doctors "disdaining to seek medical treatment, seeking medical treatment is to rely on their own strengths", the article "seeking medical treatment" was specially set up in the first volume of the general introduction to emphasize it.

Pay attention to the reverse order of pulse disease. Yang attaches importance to pulse diagnosis. The article "On the Inverse Pulse Sequence" says: "We should distinguish the inverse pulse sequence early. Beggars are different in strength, but their pulse should be true; The pulse condition is different from the deficiency of yin and yang, but the disease should be real. The pulse condition is corresponding, not the opposite. Every ten thousand strokes are complete, and there are few mistakes. Good workers can't be smart. "

Yang pointed out in the article "On the Distressed Side", "Although it is a world of difference, there is no doubt that it is nothing." "Prescription for Drinking Water" says: "According to the symptoms, can we not investigate the source of the disease?" Yang attaches great importance to the exploration of the source of disease, and often adopts the method of classification and analysis of diseases and syndromes, which is both systematic and clear, and lays the foundation for syndrome differentiation and treatment.

3. Choose widely the famous parties and participate in their own effects.

Learning Zhongjing and flexibly tailoring Yang admired Zhang Zhongjing's theory and won its essence. Zhang Zhongjing's prescription is the treatment standard of clinical diseases and syndromes. According to statistics, among the 46 kinds of internal diseases listed in the book, 37 kinds used classical prescriptions. Yang is always flexible in clinical application, and is not completely limited to Zhang Zhongjing's original prescription.

Yang is good at learning from predecessors' experience, but he is not limited to Zhang Zhongjing's family. In addition to the classic prescriptions, the book also cites various prescriptions such as Qianjinfang and Sheng Huifang, among which more than 40 diseases and syndromes discussed are almost all selected by sages for clinical use.

Pay attention to summing up and make use of your own experience. Besides classics and times, Yang used a lot of space to record his clinical experience in the book. There are 53 outlines of syndrome differentiation and treatment in Volume 2, most of which are his clinical medication experience. For example, "Bupleurum is not as good as Scutellaria baicalensis Georgi", "Wuling Powder for treating kidney fever" and "Don't use warm medicine in restaurants" can be seen from the title of the article that it is a summary of Yang's experience.