Which book had firstly recorded about the diabetes and cataract surgery？

哪一本书首次记载糖尿病尿甜症状，记录治疗白内障的“金针拨障术”？

Question

Which book had firstly recorded about the diabetes and cataract surgery？

哪一本书首次记载糖尿病尿甜症状，记录治疗白内障的“金针拨障术”？

BlackTom AI · Accepted Answer

Wai Tai Mi Yao (外台秘要) explicitly records the classical Chinese description of diabetes as “sweet urine” (尿甜) and preserves the early operative description of cataract management using the “golden needle” (金针拨障术), making it the first known text to combine both of these specific records.

1) Relevant knowledge points and concepts
- “Xiao-ke” (消渴) corresponds to the traditional description of diabetes; a key symptom cited in ancient texts is甜尿 (sweet urine).
- 白内障 (cataract) historically was treated by needling or displacing the opacity; the term 金针拨障术 (golden-needle technique to displace the obstruction) denotes this early surgical approach.
- Chinese medical literature must be compared chronologically and textually to identify first records.

2) Step-by-step reasoning
- Survey the three candidate works for the presence of the two target items: (A) explicit mention of sweet urine as a diabetes symptom, and (B) the named cataract needling technique.
- Verify whether each work contains both items and whether any earlier work records them together or separately as first occurrences.

3) Intermediate findings (textual comparison)
- Wai Tai Mi Yao contains passages describing 消渴 with the specific phrase 尿甜, and it also includes a description of cataract treatment using a needle technique called 金针拨障术.
- Qian Jin Fang (千金方) and Zhu Bing Yuan Hou Lun (诸病源候论) are major earlier/contemporaneous works that discuss wasting-thirsting and ophthalmic disorders, but neither is credited in bibliographical histories as the first to record the combination of the 尿甜 symptom and the named 金针拨障术 procedure.

4) Why the correct answer is correct
- Because bibliographical and textual scholarship attributes the earliest explicit record of both the sweet-urine description of diabetes and the golden-needle cataract technique to Wai Tai Mi Yao, it is identified as the first source preserving these specific items.

5) Why the other options are incorrect
- “Qian Jin Fang” contains extensive clinical material but is not credited with the first explicit record of 尿甜 plus 金针拨障术.
- “Zhu Bing Yuan Hou Lun” focuses on causes and manifestations but likewise is not the first to document those two specific entries together.

6) Conclusion
- Therefore the correct choice is "Wai Tai Mi Yao" 《外台秘要》, which matches the provided answer.

Which book had firstly recorded about the diabetes and cataract surgery？哪一本书首次记载糖尿病尿甜症状，记录治疗白内障的“金针拨障术”？单项选择题

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Which book had firstly recorded about the diabetes and cataract surgery？ 哪一本书首次记载糖尿病尿甜症状，记录治疗白内障的“金针拨障术”？单项选择题