Doctors in the late Ming Dynasty

He ​​Liangchen cheered loudly. He was very satisfied if Wang Minghe and Shen Yourong followed him to Ji Town.

A few days passed quickly, and Wang Minghe also returned to Jingwei Martial Arts School, while Shen Yourong stayed at the club obediently. Without them, more teenagers would go to the dungeon.

Zhang Jiebin continued to study and live in the Tai Hospital day after day. During this period, except for the lecturers who occasionally gave classes to everyone, most of them were led by doctors.

In the South Langfang Lecture Hall, Yan Pingzhizheng and Dafangmai were chatting.

Yan Pingzhi said: "Your foundation is the best, and we don't have to follow the rules. Let's do this. If you have any questions, you can ask them on the spot. If I can answer them, if I can't answer them, ask all the instructors."

"That's good. What I hate the most is following the textbook. The teachers teach whatever they want, not what we want to learn." Zhang Chang was very happy.

Zhang Jiebin suddenly asked: "Brother Yan, I have a question. Confucianism has three principles. The king guides the ministers, the father guides the son, and the husband guides the wife. So, do doctors have a guideline, and what are they?"

"Well, I haven't thought about this question yet. There must be something. As for what it is, I can't think of it for a while. I'll write it down for now. Is there anything else?"

Yan Pingzhi frowned and thought for a moment, shook his head, said that he hadn't thought of it yet, and asked the next question.

Zhang Jiebin did not hesitate, nor did he look disappointed, and then asked the second question: "The disease has both exterior and interior cold, heat, deficiency and excess. I would like to ask what the symptoms are?"

Yan Pingzhi breathed a sigh of relief and replied with a smile: "Junior brother Zhang finally stopped embarrassing senior brother. If the syndrome is superficial, evil energy comes in from the outside, and the disease is caused by the external symptoms. Any wind, cold, heat, dampness, fire, dryness, and abnormal qi are all superficial syndromes. ”

Zhang Jiebin asked: "Brother mentioned wind, can cold and stroke be considered as symptoms?"

"Colds and strokes, even though they have the name of wind, cannot be regarded as symptoms. They need to be dialectical."

"For colds, the wind comes from outside and can be dispersed or warm, which is the symptom."

"Although the symptoms of stroke are similar to wind, it is actually caused by internal injury and has no external evil, so it cannot be treated based on symptoms. There are many specific examples, so I will not give examples one by one. I will talk about it when I encounter it in the future. Junior Brother Zhang, please give me some examples. Any questions?"

Zhang Jiebin hurriedly said: "Thank you, senior brother, for clearing up the confusion. I still have questions. I read the prescription book before and found that the symptoms of head, mouth, throat, internal organs and yin-fire are all caused by wind-heat, and most of them use both lifting and lowering methods, and both reverse and reverse methods." ."

"Don't you worry that those who ascend will hinder their descent, and those who descend will hinder their promotion? Don't you worry that those who follow will be afraid of being rebellious, and those who are rebellious will be afraid of following?"

Yan Pingzhi was asked again. After thinking about it carefully, he still didn't know how to answer. So he said.

"Well, what Junior Brother Zhang asked is all on point. They are all things that I have never thought of. Alas, that's all, that's all. With your level, I'm not qualified to teach you. You study on your own first, and I'll go see who the lecturer is. If you have time, please come and teach you."

After saying that, he asked everyone to read quietly, and then he went to invite the lecturer. Yan Ping was so calm that no one looked down upon him. Because medicine is different from others, treatment can only rely on experience, but if you want to summarize it into a theory, it is not that easy.

.

Everyone was looking at Yan Pingzhi and Zhang Jiebin asking, frantically taking notes, and couldn't bear to interrupt. Now Yan Pingzhi went to invite the lecturer, and they became even more excited.

Soon Gong Tingxian walked in, followed by Yan Pingzhi, standing aside.

Gong Tingxian looked at everyone and said with a smile: "Ping Zhidu told me that you are very powerful, and you actually stopped all my protégés."

"It was true that we didn't think carefully before and treated you as newly enlightened doctors. If you have any questions now, you can ask them directly and see if I can answer your questions."

Zhang Jiebin asked the previous question again.

Gong Tingxian nodded and said: "The Sutra says: Those who are high suppress it, those who are low lift it, those who are cold are hot, and those who are hot are cold."

"It is also said: If the disease originates from the inside, treat the yin first, and then treat the yang. If the opposite is true, the benefits will be greater. If the disease originates from the yang, treat the outside first, and then treat the inside. If the opposite is true, the benefits will be greater. This has not been the case since ancient times.

Change makes sense."

Everyone nodded, but Zhang Jiebin didn't say anything, just stared at him.

Gong Tingxian continued: "So the principle of my cube is that if it is suppressed, it will fall, and if it is lifted, it will rise, so the effect will be quick and there will be no delay."

Zhang Jiebin nodded and continued: "There was still a question before. Confucianism has a program, but do doctors have a program?"

"Yes, when diagnosing and treating a disease, one must first differentiate between yin and yang. This is the principle of medicine!" Gong Tingxian replied directly without even thinking about it.

Zhang Jiebin's eyes lit up when he heard this, and he was overjoyed: "Hey, the yin and yang of medicine are indeed much more practical than the three cardinal principles and the five constant principles."

Next, Zhang Jiebin finally didn’t ask and gave the opportunity to others.

Tang Xinglu said: "I heard Jiebin mention stroke before, and Xinglu also had questions: There seems to be a slight difference in stroke between ancient and modern times, whether it is "Nei Jing", "Difficult Classic", "The Origin of Disease", "Qianjin", or Zhang Zhongjing, Liu He

During the period, Li Dongyuan and Zhu Danxi both knew each other. Can Master Gong tell us?"

Gong Tingxian nodded and said: "Doctors in ancient and modern times have talked about stroke a lot. In fact, it is very simple to understand. No matter which family's statement it is, you only need to compare it with stroke, which is wind, superficial syndrome, and internal syndrome, and you will know naturally."

"Wind has true wind and wind-like wind, which must be distinguished. Any wind-cold caused by external factors is a stroke, which is also true wind. There are also those that are not caused by external factors, which are also called wind. As the pathogenesis says: all violent and stiffness belong to wind; all wind-induced colds are all wind.

Dizziness all belongs to the liver. This is not an external wind evil. We call it wind evil."

"The true wind is the external syndrome, and the genus wind is the internal syndrome of internal injury."

Speaking of this, Gong Tingxian asked: "Have you understood stroke, wind attribute, external syndrome, and internal syndrome?"

Everyone replied: "I understand."

Gong Tingxian said: "Let's look at Liu Hejian and Li Dongyuan after we understand these."

"The theories of Dongyuan and Hejian have similarities and differences. For example, the understanding of Zhongfu and Zangzang is the same, but Dongyuan also talks about Zhongxue, which is a little different."

"For example, Xuming Decoction is used by Hejian to treat diseases of the internal organs, while Dongyuan uses it to treat blood vessels. Sanhua Decoction, Hejian is used to treat the middle viscera, and Dongyuan is used to treat the middle viscera. This is another difference."
"Different reasons may be that treatment is based on the syndrome, or each has its own merits, so we don't care."

"Each school has different learning and understanding, and the names are confused and indistinguishable. Some say yes or no, and they are vague between right and wrong, so you are at a loss."

When Gong Tingxian said this, everyone couldn't help but start talking.

"Yes, there are so many famous people from ancient and modern times, I don't know who to listen to."

"I think it's because we didn't read it thoroughly and didn't understand it properly."

"But not everyone can distinguish clearly."

"It would be great if someone could sort it out for us, absorb hundreds of schools of thought, and formulate a new one. It would save doctors all over the world a lot of effort."

"No, no, no, what you see on paper is ultimately shallow. Only your own perception is the truth."

"By the time you have finished realizing this, decades will have passed. How can you continue to study and not practice medicine?"

……

Such a debate.

Zhang Jiebin was also thinking, looking at the invisible library in the west, and suddenly asked: "Master Gong, how many medical books do we have in our library?"

"Yilin collects more than 3,000 kinds of ancient and modern medical works and more than 60,000 volumes." Gong Tingxian said.

Seeing Gong Tingxian speak, everyone fell silent, obviously shocked by the collection of books in the medical forest.

Many of them came from medical families or prefectures and counties, and they all had medical books in their collections. Some only had dozens of kinds and hundreds of volumes. The few only had three or four kinds and dozens of volumes. Have you ever seen such a large collection of books?
The so-called reading of more than 10,000 volumes can be regarded as well-read, and now the number of medical books alone is 60,000 volumes.

"Three thousand kinds, 60,000 volumes, that's a lot of books!" Zhang Jiebin sighed with emotion, and asked curiously: "How many kinds of books did Xu Bo's "Ancient and Modern Medical Traditions" refer to?"

Gong Tingxian smiled and said: "Brother Ru Yuan really said that he consulted nearly four hundred kinds and nearly ten thousand books."

Zhang Jiebin said: "The reference books must be carefully selected, right? Think about it, how many books did Master Xu read and how many years did it take to write a book? Now we just look through it.

, compared with the hard work of the forefathers, do you still find it troublesome?"

Everyone thinks that this is indeed the case, and they are still worried about the different opinions of the sages and doctors, but who has thought about how difficult it is to publish each book.

It can take decades, but a book can last a lifetime.

Gong Tingxian said: "It is even more difficult to write it out, delete it, edit it and compile it into a volume. I was still editing medical books in the middle building just now. To be honest with you, these are my father's medical notes. My father returned to his hometown for retirement in old age. I took over the arrangement and compiled it in Tai Hospital.

With the help of colleagues, it took several years to achieve initial results. This is evident from this."

Liu Ji was also very emotional: "The predecessors said, who knew that every grain of food on the plate is hard work. Now we know that books are not easy, and every word is the product of hard work."

"Master Gong, I have one last question." Zhang Jiebin said.

Gong Tingxian looked at him and said, "What's the problem?"

Zhang Jiebin felt a little embarrassed, looked at everyone, gritted his teeth, and asked: "I would like to ask... what level our medical skills are currently at."

After hearing this, everyone looked at Gong Tingxian expectantly, obviously wanting to know.

Gong Tingxian thought carefully for a while before he said: "Your medical skills are obviously much higher than those of the previous doctors. As for what level. Well, most of them are at the level of township doctors!"

"Ah, so low?" Zhang Jiebin was shocked.

Everyone was astonished. They thought they were at least county-level doctors, but they didn't expect that they were only middle-level village doctors. How could they convince everyone?

Gong Tingxian smiled and said: "Pay attention, I said famous doctors, not places. A famous doctor can stay in the countryside, but do doctors who stay in prefectures and counties must be famous doctors?"

"My father, I, and my nephews are all in the county, but they are all at the national level. Can you believe it?"

Everyone laughed when they heard this.

"A dignified imperial physician deserves the title of a national-level doctor."

"So we are already considered low-level famous doctors?"

"Hey, no matter how low-level he is, he is still a famous doctor!"