Knowing What Violation Caused Rebellion
Version 1.0.0 · Updated 2026-07-30
CORE DEFINITION
Detective thinking in Shanghan Lun. When seeing a patient, not only look at the current condition, but also deduce 'what mistake the previous doctor made'. Was it failure to induce sweating when needed? Or was purging wrongly applied when not indicated? 'Observe the pulse and symptoms, know what violation caused rebellion, and treat accordingly.'
SCAFFOLDING EFFECT
Reduce cognitive load
Iatrogenic error correction. Many difficult diseases are 'ruined cases' (made worse by treatment). When taking over a patient, first conduct an 'accident investigation'. If the pattern is chaotic due to mistreatment (e.g., excessive sweating damaging yang), first repair the consequences of the mistreatment, then treat the original disease.
Anchor fast decisions
When facing a complex 'ruined case' (a pattern disrupted by mistreatment), one must trace back previous interventions, determine which erroneous treatment led to the current syndrome (e.g., failure to sweat when needed, or purging when not indicated), and then repair according to the current pulse and symptoms. The core is 'accident investigation' style reverse causal reasoning.
MINIMUM ACTION
In progress 0/3Practice this model in one real situation:
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Source support: Explicit
- med.wanfangdata.com.cnhttps://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_zgzyyxdycjy201417005verified
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