Excerpt - Evil Kernels Under the Skin

10 downloads 0 Views 3MB Size Report
“Here we find mention of E-hê [è hé 惡核] meaning 'malignant bubo' which disease is described as 'coming on abruptly with high fever together with the ...
(Excerpt) Evil Kernels Under the Skin • Lymph Node Swellings in Medieval China Rodo Pfister ICTAM IX, Kiel 2017 ❷



• 984 CE

Ishinpō 醫⼼⽅ Tamba no Yasuyori 丹波康賴 (912-995) Ishinpō 16.9 ❶-❼ A, A’, C (adults) Ishinpō 25.128 ❽ (children)

Wu Lien-teh, Chun W.H., Pollitzer Robert, Wu Chang-Yao eds. (1936)

Plague: a manual for medical and public health workers.

Shanghai: Weishengshu, National Quarantine Service. page eleven paraphrases the passage 31.C.7 of Chao Yuanfang’s Zhu bing yuan hou fang (610 CE): “Here we find mention of E-hê [è hé 惡核] meaning ‘malignant bubo’ which disease is described as ‘coming on abruptly with high fever together with the appearance of a bundle of nodes beneath the tissues. The size of the nodes ranges from a bean to a plum. The skin and muscles around are dry and painful. The nodes may be felt to move from side to side under the skin. If prompt treatment is not given, the poison will enter the system, cause severe chill and end in death.” (Cited in McNeill 1976: 293 n. 81; and Benedictow 2004: 41, who comments: “Significantly, this source does not refer to epidemic plague, and appears to reflect endemic plague, the sporadic incidence of plague cases contracted by casual contact with diseased wild rodents.”)

Source text

Testimonia

Voice

Zhang Zhongjing Ishinpō 16.9 ❼ Zhang Zhongjing fang 張仲景⽅ 張仲景 • unknown date, 2nd/3rd c. CE, or later (?) (not in Shang han lun 傷寒論)

(fl. 196-220, Hou Han)

• early 4th c. CE (?)

attrib. Ge (283-343)

testimonia Ge shi fang 葛氏⽅

rifacimento 葛仙翁肘後備急⽅ (Ming) • 5th c. CE (?)

Seng Shen fang 僧深⽅

Hong

Ishinpō 16.9 ❸

Formulas (fang)

❼ 2 fang • (use of paper) • Evodia

❸ 3 fang

no. 233a-c (compare 5.36: 92)

Ishinpō 16.9 ❺ ❺ 3 fang Shi Sengshen (1st: moxibustion) 釈僧深 (fl. 420-502 no. 86a-c Theory C CE, Liu Song/ Southern Qi)

• second half of 5th c. CE (?)

Xiao pin fang ⼩品⽅

Chen Yanzhi 陳延之 (?, 5th c.

Ishinpō 16.9 ❷ ❷ 2 fang Theory A • Five Aromas & Forsythia Decoction 五⾹連翹湯 • Salvia Paste 丹參膏

CE, end of Eastern Jin)

Liu Juan zi fang 劉涓⼦⽅

Gong Qingxuan 龔慶宣

Ishinpō 16.9 ❻

(劉涓⼦鬼遺⽅) • dates unknown, 5th-6th c. CE (Nan Bei chao ?)

probably

Ishinpō 25.128 ❽ ❽ 1 fang (children)

• preface, 499 CE

Chan jing 產經

De Zhenchang 德貞常 (?)

❻ 1 fang

(continued) • 610 CE

Zhu bing yuan hou lun 諸病源候論 • between 624-643, 7th c. CE (Tang)

Lu yan fang 錄驗⽅

Chao Yuanfang 巢元⽅ (fl. 605-610, Sui)

Ishinpō 16.9 ❶ none Theory A’ A’ 31.C.7 (specific) B 31.C.8 (generalized)

Zhen Quan 甄權 Ishinpō 16.9 ❹ (541-643!)

(Gu jin lu yan fang 古今錄驗⽅)

• 652 CE, print 1147

Bei ji qian jin yao fang 備急千⾦要⽅ • 984 CE

Ishinpō 醫⼼⽅

Sun Simiao 孫思邈

22.6 Theories A’’, D

(581-682, Tang)

Tamba no Yasuyori 丹波康賴 (912-995)

Ishinpō 16.9 ❶-❼ A, A’, C (adults) Ishinpō 25.128 ❽ (children)

❹ 1 fang • Five Aromas Decoction 五⾹湯

Butler, Thomas (1983) Plague and other Yersinia infections. (Current topics in infectious disease) New York; London: Plenum.

4.1

4.2

4.4

4.5

74: Figure 4.1. A left inguinal bubo consisting of a cluster of lymph nodes with overlying erythema of the skin and edema extending medially. Smaller secondary lymph nodes are present below in the femoral area. 76: Figure 4.2. A left axillary bubo is very sensitive to motion of the arm. Skin of abdomen shows ulcer of presumed flea-bite site. 80: Figure 4.4. A pustule surrounded by erythema on the right thigh of a patient with a right femoral bubo. Both the pustule and bubo aspirate yielded a culture of Y. pestis. 81: Figure 4.5. A subcutaneous abscess with overlying eschar below the right eye of a patient who also had a right submandibular bubo. Both pus from the abscess and a bubo aspirate yielded cultures of Y. pestis.