Analysis on the Diagnosis and Treatment Characteristics of Smallpox in Wanshi Zuanyao
10.16466/j.issn1005-5509.2025.02.013
- VernacularTitle:《万氏纂要》痘疹诊疗思想探析
- Author:
Jishu HE
1
;
Yan ZHAO
1
Author Information
1. 北京中医药大学中医学院 北京 100029
- Publication Type:Journal Article
- Keywords:
Wanshi Zuanyao;
smallpox;
treatment by stages;
forward,dangerous,reverse three syndromes;
WAN Quan;
diagnosis and treatment thoughts;
monkeypox;
principle-method-prescription-medicine system
- From:
Journal of Zhejiang Chinese Medical University
2025;49(2):207-213
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To examine the diagnosis and treatment characteristics of smallpox in Wanshi Zuanyao,with the intention of providing useful references for pediatric research and the clinical diagnosis and treatment of monkeypox with traditional Chinese medicine(TCM).[Methods]This study examines the compilation process,structural organization and content sources of Wanshi Zuanyao,summarizes the academic characteristics of Wanshi Zuanyao concerning smallpox diagnosis and treatment,analyzes the quantity and characteristics of selected prescriptions,and explores the academic thoughts.Furthermore,the study discusses the reference value of Wanshi Zuanyao for monkeypox diagnosis and treatment.[Results]The unique copy of Wanshi Zuanyao was a pediatric work written by XU Zhiyi during the Ming Dynasty.Based on WAN Quan's Douzhen Xinfa,it had been carefully revised,emphasizing essential elements while eliminating redundant contents.Moreover,it incorporated supplementary content from other notable pediatric works of the Ming Dynasty.The book introduced forward,dangerous,reverse three syndromes differentiation and six stages of treatment methods,incorporating five evolutive phases and six climatic factors,along with summarizing typical case studies.Critically inheriting WAN's theories and practices for smallpox diagnosis and treatment,Wanshi Zuanyao demonstrated rigorous prescription selection criteria;modified or supplemented prescriptions for each stage of treatment,and prioritized the preservation of children's primordial Qi by excluding medicines with strong side effects.[Conclusion]Wanshi Zuanyao introduced a new approach of three syndromes differentiation and six stages of treatment,thereby advancing the principles,methods and prescriptions in the diagnosis and treatment of smallpox.The book had distinct academic characteristics,offering a clear and precise exposition of theory,accurate syndrome differentiation,judicious selection of prescriptions,and closely aligning with clinical practice.It held significance not only for studying pediatric academic thoughts in the Ming Dynasty but also provided a reference for clinical diagnosis,treatment,and prognosis assessment of monkeypox.