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סקירות היסטוריות רבות הדנות ברפואה הסינית מציינות את ההבדל בין הרפואה העתיקה לבין הרפואה הסינית המודרנית המכונה "מסורתית". בכל אופן, שינויים ותמורות כבירים היו נחלתם של המרפאים בשושלות שונות של ההיסטוריה הסינית. לדוגמה, במהלך שושלת סוֹנְג הצפונית[1], מלומדים בעליי עניין ברפואה ששאפו להפוך לרופאים גדולים הגבילו את עצמם לנושאי לימוד כגון פרשנויות וסידור חומרי לימוד באופן שיטתי. בהתאם לכיוון שהתווה הממשל הקיסרי באותה עת, הכוונות שלהם התמקדו בנימוק, הצדקה ושיפור דרכי הרפואה. במהל
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