I would like to share with you a famous ancient medical case report.
It was recorded in the ancient history book “Records of the Grand Historian” (史記 Shǐjì) written by Sima Qian (145 or 135 – 86 BC)
en.wikipedia.org/wiki/Records_o … _Historian
The doctor’s name is “Bian Que” (扁鵲; ca. 500 B.C)
The article below came from here: english.eastday.com/e/zx/userobj … 59567.html
Bian Que’s real name was Qi Yueren (秦越人). He was reputed to be an excellent diagnostician, excelling in pulse taking and acupuncture therapy. He is ascribed the authorship of Bian Que Neijing (Internal Classic of Bian Que). Han Dynasty physicians claimed to have studied his works, which have since been lost. Credited with incredible healing knowledge, stories of his life and treatments are used in teaching and known to all Chinese medicine practitioners today.
In Sima Qian’s book Shi Ji, in Bian Que Chronicles, An Ancient Miracle Doctor: Bian Que (I), Sima Qian described that Bian Que obtained his medical skills from personal teachings by Chang Sangjun. Sima Qian also recorded three specific medical cases that Bian Que handled. In the first case, he diagnosed Zhao Jianzi’s illness by feeling his pulses. In the second case, he kept track of the state of the illness of the Crown Prince Guo through consulting, examining and feeling the pulse and finally brought Crown Prince Guo back from death. In the third case, Bian was able to describe the developing illness of Marquis Qi Huan by simply looking at him.
[color=#000080]Once Bian Que, along with an apprentice, went to the Kingdom of Guo (what is now part of Henan province) as a traveling physician. There they saw that the people of the city were busily running around and discovered that a funeral was being prepared for the king’s son. Bian Que went up to the door of the palace, asked someone what had happened. He learned that the king’s son passed away from a sudden illness and had already been dead for a half day. Bian Que asked in detail about the circumstances of the prince’s illness and death and came to believe that it was not certain that the prince was dead.
He requested to be let into the palace to examine the prince. After he entered the palace, Bian Que palpated the thick part of the prince’s thighs, and discovered that they were warm. He also detected a very slight sound in the prince’s ears, and diagnosed the prince as “body collapsed” (quite similar to shock), not dead. He then instructed his apprentice to set a single acupuncture needle, in the Baihui point (Du 20) on the head, and the prince regained consciousness. They then boiled some herbal medicine and used it for compresses applied to the prince’s armpits, after which he was able to slowly sit up. The prince was then prescribed boiled herbal compounds to be taken for twenty days, and fully recovered his health. Word of this spread, everyone was saying that Bian Que could bring the dead back to life. Bian Que said “No, I can’t bring the dead back to life, the prince wasn’t dead. I only treated his illness, and that’s what brought him around.”[/color]
Since the English translation do not include the detailed thinking process of Bian Que, I found the original record written in classical Chinese.
For those who might be interested in this case:
Here’s the same record in brief written in modern Chinese: changjk.pixnet.net/blog/post/199 … B%E6%A1%88
This medical record makes us realize how good the doctors are in ancient China and we should not only [color=#FF0000]take a detailed history[/color] but also[color=#FF0000] exam our patient comprehensively[/color]. The most important thing is get to know the [color=#0000FF]mechanism[/color] of how people get sick and treat accordingly.