Japanese abdominal diagnosis or Fukushin is the diagnostic art developed in medieval Japan based on the canonical writings by Zhang Zhongjing. Careful inspection of the Shanghan Zabing Lun reveals countless references to abdominal conditions that could only have been diagnosed by actual palpation of the abdomen. The skill however never fully developed in China but flourished in Japan. Throughout history, two major trends and types of abdominal diagnosis developed, being the Nanjing and Shanghan Lun schools, which respectively diagnose the abdomen in service of either acupuncture or meridian treatment, and herbal treatment. Fukushin refers specifically to Shanghan Lun style of abdominal diagnosis developed by Japanese scholars during Edo period (1603-1867 CE) for the purpose of prescribing the Han dynasty formulas of Zhang Zhongjing.
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The Treatise on Cold Damage shanghan lun is the oldest surviving clinical handbook in the history of Chinese medicine. Written by Eastern Han dynasty (circa 200 CE) imperial envoy Zhang Zhongjing, it is an integral part of his collective writings once labeled the Treatise on Cold Damage and Complex Diseases shanghan zabing lun. But the contents of the Shanghan Lun as we know it in current day is far from complete. The present versions studied in Chinese medical schools as well as in the West, do not include the original first three chapters of Rules for Pulse Differentiation bianmai fa, Rules on Pulse Assessment pingmai fa and Cold Damage Outline shanghan li. Regardless whatever motivation was behind the historical deletions of these passages, of the aforementioned chapters, the chapters on pulse instructions are crucial for anyone desiring to fully grasp Zhang Zhongjing’s clinical instructions. Especially since the pulse patterns maizheng form the core diagnostic parameters in the establishment of the formula patterns fangzheng by which the canonical clinician categorizes disease and therapy.
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The Shanghan Zabing Lun or the Treatise on Cold Damage and Complex Diseases is considered the forefather of all formula books. The original work was lost to the tooth of time, but most of its contents are preserved in two extant works called the Treatise on Cold Damage shanghan lun and the Concise Essentials of the Golden Cabinet jingui yaolue. The first work primarily addresses externally triggered disorders while the latter work describes the pathology and treatment of complex diseases generated internally.
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During this course, a strict system of clinical modification will be taught. The system was developed by Dr. Versluys over the course of the last ten years by analyzing both Zhang Zhongjing’s prescriptions as well as the characteristics of the Tian-Zeng lineage’s clinical practice. It is fully grounded and based in the classical writings of the original designer of the formulas, Zhang Zhongjing. The system is organized along a hierarchical system of formula modifications and provides a failsafe method for modification to adapt to a broader collection of complex clinical manifestations as often encountered in Chinese medicine clinic in the West. A waterproof modification system forms the basis of classical herbal practice and the elimination of random clinical variables which are the greatest cause for failure in clinic.
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The Shanghan Zabing Lun is the first historical manual to teach the treatment of both acute and chronic complex diseases that have been triggered externally or have arisen from internal damage. Though a classical work, it is of great clinical value for modern day practice.
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This is the authoritative instruction of the etio-pathology and treatment of over 70 complex diseases recorded in the Essentials of the Golden Cabinet or Jingui Yaolue. During these two weekends, virtually all illnesses of the original text are discussed in great detail, allowing the student to gain an ultimate and conclusive insight into the pathomechanisms behind these often chronic, recalcitrant and debilitating illnesses. The formulas used in the Jingui are taught in their respective clinical contexts.
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This is the authoritative instruction of the etio-pathology and treatment of over 70 complex diseases recorded in the Essentials of the Golden Cabinet or Jingui Yaolue. During these two weekends, virtually all illnesses of the original text are discussed in great detail, allowing the student to gain an ultimate and conclusive insight into the pathomechanisms behind these often chronic, recalcitrant and debilitating illnesses. The formulas used in the Jingui are taught in their respective clinical contexts.
Find out more »
This is the authoritative instruction of the etio-pathology and treatment of over 70 complex diseases recorded in the Essentials of the Golden Cabinet or Jingui Yaolue. During these two weekends, virtually all illnesses of the original text are discussed in great detail, allowing the student to gain an ultimate and conclusive insight into the pathomechanisms behind these often chronic, recalcitrant and debilitating illnesses. The formulas used in the Jingui are taught in their respective clinical contexts.
Find out more »
Japanese abdominal diagnosis or Fukushin is the diagnostic art developed in medieval Japan based on the canonical writings by Zhang Zhongjing. Careful inspection of the Shanghan Zabing Lun reveals countless references to abdominal conditions that could only have been diagnosed by actual palpation of the abdomen. The skill however never fully developed in China but flourished in Japan. Fukushin 腹診 refers specifically to the style of abdominal diagnosis developed by Japanese scholars during the Edo period (1603-1867 CE) for the purpose of prescribing the Han dynasty formulas of Zhang Zhongjing.
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Diagnosis in Han-dynasty was primarily done by taking the pulse. Every formula can be identified through one or more pulse patterns presenting in the patient. Though many pulses are mentioned in the Jingui Yaolue, crucial detail is often hidden, and it is as if this knowledge is merely implicitly present, as if it were embedded. Therefore, the Tian Heming Canonical Formula lineage’s main strength and contribution to the field of Chinese medicine to have made this advanced knowledge on pulse diagnosis crystal clear and evident. This knowledge has never been recorded in any book, but was rather transmitted orally from Dr. Tian Heming through Dr. Zeng Rongxiu to Dr. Arnaud Versluys. The latter of which has been teaching this material around the world in more systematized and structured format since a few years.
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The Shanghan Zabing Lun is the first historical manual to teach the treatment of both acute and chronic complex diseases that have been triggered externally or have arisen from internal damage. Though a classical work, it is of great clinical value for modern day practice.
Find out more »
