Chapter 19 Section 8 Zhang Jiebin, the pillar of medicine

Zhang Jiebin (approximately AD 1563-1640), named Huiqing, nicknamed Jingyue, and nicknamed Tongyizi, was a famous medical scientist in the Ming Dynasty.He was smart and eager to learn since he was a child. He went to the capital (Beijing) with his father when he was 14 years old, so he was able to meet many knowledgeable elders when he was young.He once studied medicine from Jin Mengshi, a famous doctor in the capital.He not only studied medicine, but also dabbled in a wide range of books, was proficient, and had research on astronomy, rhythm, and art of war.Zhang Jiebin was the first to be recommended by a doctor with profound knowledge and solid medical foundation in the Ming Dynasty.He has been diligent in writing since his middle age, and has left many works of high academic value to later generations. Only one "Lei Jing" has been repeatedly pondered and revised for decades. Neijing is an indispensable reference book.In addition, he is also the author of "Lei Jing Tu Yi", "Lei Jing Fu Yi", and "Jing Yue Quan Shu", a masterpiece of clinical medicine integrating internal medicine, gynecology, pediatrics, and surgery.These books collect opinions from the public and summarize personal opinions and experiences. The scale and rich content of these books are rare in the book forest of the Ming Dynasty.In his later years, he also wrote "Question Records", handed down from generation to generation, which specifically "discussed and corrected their mistakes" on the paranoia of the Jin and Yuan schools on medicine, and also wrote about the inappropriate points in his early works. corrected.The medical theories in the book further carry forward the academic propositions of the "Warming and Tonic School".

A new malpractice appeared in the medical field in the Ming Dynasty. Due to the great influence of the Jin and Yuan "cold and cool schools" and "yin nourishing schools", some doctors were paranoid about bitter cold medicines, which often caused damage to the spleen and stomach, suppressed true yang, deficiency syndrome, Cold syndromes are coming up.The Warming and Tonic School was born in the midst of criticizing the unhealthy medical ethos in the society that abuses nourishing yin and reducing fire.Representative physicians of this school include Xue Ji, Sun Yikui, Zhao Xianke, Li Nian'e, etc. Zhang Jingyue is the backbone.

Zhang Jiebin emphasized the important role of Yang Qi in life activities.In terms of syndrome differentiation and treatment, attention is paid to the innate kidney, the gate of life, and the acquired spleen and stomach, and more sweet and warm medicines are used, which has played an important role in correcting the abuse of bitter cold.Theoretical elucidation has made outstanding contributions to the study of "Vital Gate".In terms of diagnosis, his "Song of Ten Questions" made the interrogation standard, which has been passed down to this day and has become a mode of interrogation.In terms of syndrome differentiation, his "two principles of yin and yang" and "six changes of exterior and interior, cold and heat, and deficiency and excess", which we call "eight principles" today, have become the program of dialectics.In terms of prescriptions, his "Eight Strategies" classification method became the basis for the classification of prescriptions in later monographs on prescriptions.He also created many new prescriptions, such as Dabuyuan Decoction, Zuogui Pill, Yougui Pill, Yiyin Decoction, Sanyin Decoction, Wuyin Decoction, etc., which are still commonly used clinical prescriptions.He likes to use Shudi, so that later generations jokingly call him Zhang Shudi.Special attention is paid to the "four dimensions of medicine" when using medicine: ginseng and rehmannia glutinosa are good looks; aconite and rhubarb are good generals.Four-dimensional tonic, diarrhea, cold and heat are all available.His "Treatise on Febrile Diseases", "Miscellaneous Zhengmo", "Women's Regulations", "Children's Rules", and "Surgery Seal" (all in "Jingyue Quanshu") explained the clinical characteristics of each department and the specific treatment methods , has guiding significance for medical practice in various specialties.Therefore, it is very reasonable for many people in later generations to praise him as the "pillar of medicine".