Four Stages
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Ye Tianshi (1667–1747) was a Chinese medical scholar who was the major proponent of the "school of warm diseases". His major work, ''Wen-re Lun'' (Discussion of Warm Diseases) published in 1746, divided the manifestations of diseases into four stages: ''wei'' (defensive phase), ''qi'' (''qi''-phase), ''ying'' (nutrient-phase), and ''xue'' (blood-phase).


Life

Ye Tianshi was born in 1666. His father as well as his grandfather, Ye Shi, were also
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
s. He learned medicine from his father and, following his father's death, from his father's pupil of the surname Zhu.


Work

Ye Tianshi wrote little and most works attributed to him were compiled by his followers after his death. He is best known for proposing that feverish diseases progressed along four stages, a theory he laid out in his book ''Discussion of Warm Diseases''. Those stages are ''wei'' (defensive phase), ''qi'' (''qi''-phase or active ''qian'' phase), ''ying'' (nutrient-phase), and ''xue'' (blood-phase). The characteristics of ''wei'' are
fever Fever, also referred to as pyrexia, is defined as having a body temperature, temperature above the human body temperature, normal range due to an increase in the body's temperature Human body temperature#Fever, set point. There is not a single ...
, sensitivity to cold, headache, and rapid pulse. Next ''qi'' is the phase of most active disease, characterized by high fever, sweating, dry mouth, and rapid pulse. ''Ying'' is characterized by rising fever at night, agitation, confusion, and weak pulse. Finally, ''xue'' consists of agitation,
rash A rash is a change of the human skin which affects its color, appearance, or texture. A rash may be localized in one part of the body, or affect all the skin. Rashes may cause the skin to change color, itch, become warm, bumpy, chapped, dry, cr ...
, and in some cases vomiting of blood or blood in the stool or urine. In his treatments for feverish diseases, Ye recommended cooling substances.


References


Further reading

* {{DEFAULTSORT:Ye, Tianshi 1667 births 1747 deaths 18th-century Chinese physicians Writers from Suzhou Qing dynasty science writers Physicians from Jiangsu 17th-century Chinese physicians