中醫外科實錄曾記載，一名病患氣管、食管因自刎皆斷後，竟可以縫合救活過來！？這樣一則「反常手術」的病例，反映了中醫治療什麼樣的特色？又是從何時開始，中醫外科療法逐漸式微，而轉向以藥物治療為主呢？本書透過明朝「外科天才」陳實功的手術案例，探討中醫療法是在何種社會、文化背景下，由縫合手術轉變為藥物療法的過程，以及其所反映的中國醫學史遭遇的困境――明清時代外科「方脈化」的漫漫歷程。
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