英文摘要 |
It is important for traditional Chinese medicine to have a knowledge stock of medical cases. The format and terminology of traditional Chinese medical cases remains inconsistent, leaving many objective issues unresolved. It is often stressed by medical historians that medical cases are publications by doctors to demonstrate their social, economic, or academic status. By analyzing the disease of Empress dowager Cixi in 1880-1881, this article explores and presents the medical connotation of medical cases. The irregular menstrual cycles of the Empress Dowager Cixi are found in the diary of Weng Tonghe and backed up by records from the medical archives of the Qing palace. This leads to the diagnosis of menopausal syndrome. It was the Guipi Decoction that was the main treatment for menopausal symptoms in the imperial era, but Ma Peizhi's diagnosis of ''Yin and blood deficiency'' and the treatment of nourishing yin and clearing heat was much more effective. Even after months of treatment, the Empress Dowager still experienced many uncomfortable symptoms. It was due to this shift in medical team's proposition, led by Xue Fuchen, that Empress Dowager Cixi's symptoms worsened and she had two menstrual cycles in a month. With the arrival of winter, however, weakness in the spleen and stomach caused by Empress Dowager Cixi's gluttony of fruits gradually overtook the original cause of menopause syndrome and became the focus of treatment. The prescription for ''Warm and tonify kidney yang'' was lifesaving at this time. Based on the most comprehensive medical records available, this study illustrates the complex structural level of visceral and meridian pathogenesis, and the changes in pathophysiology over time and seasons. In order to thoroughly analyze and research traditional Chinese medical cases, it is necessary to begin with the basic skills of composing medical records and understanding pathogenesis. |