Knowing practice : the clinical encounter of Chinese medicine

List of Tables and Illustrations . . ix
Acknowledgments . . xi

Introduction: "We Take Practice to Be Our Guide" . . 1

1 Chinese Medicine as Institutional Object and Historical Moment . . 9
The Institutionalization of Chinese Medicine . . 12
Senior Doctors . . 14
Scientizing . . 17
Chinese Medicine Beyond the Institutions . . 19

2 Preliminary Orientations: Sources and Manifestations, Unity and Multiplicity . . 23
Chinese Medicine's Challenge to Comparison . . 24
Cosmogony and Transformation . . 28
Sources and Manifestations . . 32
Understanding Clinical Action . . 36

3 The Clinical Encounter Observed . . 41
Three Case Histories . . 46
Three Illnesses: Translations of Case Histories . . 47
The Temporal Form of the Kanbing Process . . 55

4 Description and Analysis in Kanbing . . 61
Describing: The Four Examinations (Sizhen) . . 62
Analyzing: The Major Classificatory Methods . . 70
Eight Rubrics (Bo, Gang) Analysis . . 76
Illness Factor (Binjyin) Analysis . . 86
Visceral Systems (Zangfii) Analysis . . 91
Four Sectors (Wei Qi Ting Xue) Analysis . . 107
Six Warps (Liujing) Analysis . . 119
Concluding Remarks on Analysis . . 131

5 The Syndrome-Therapy Pivot . . 147
Defining the Syndrome (Zheng) . . 148
Differentiating the Syndrome (Bianzheng) . . 154
Determining Treatment Methods (Lunzhi) . . 161
The Archive, the Past, the Doctor as Agent . . 169

6 Remanifesting the Syndrome and Qualifying the Therapy: Formulary and Materia Medica . . 175
Remanifesting: Formulary and the Production of Prescriptions (Fang) . . 175
Qualifying: Materia Medica (Bencao) . . 190

7 Classification, Specificity, History, and Action: An Overview of the Clinical Encounter . . 201
Illness In, Drugs Out . . 202
Speech and Silence . . 203
Specificity . . 207
Short Forms of the Clinical Encounter . . 211
Yinyang Reexamined . . 217

Conclusion . . 221

Appendix A: Romanization Conversion Table . . 231
Appendix B: Chinese and Pharmaceutical Names of Drugs Used in Cases 1-3 . . 233
Glossary of Chinese Terms . . 237
Bibliography . . 245
About the Book and Author . . 253
Index . . 255