Chinese history (han dynasty) (serial 26)

The fourth quarter achievement in clinical departments

A, typhoid research, summarize and development

The "typhoid before qin dynasty and the concept of the tautology appears is almost tepid disease. It represents in medicine rise gradually, position the actual content contained a gradual extension, its theory system also gradually incline to mature. The eastern han period, typhoid pattern identification and treatment system of TCM clinical medicine reached the peak.

The theory of "miscellaneous diseases of typhoid fever than neijing, typhoid fever doctrine" difficult "has made progress in diameter. Because of typhoid fever Chang jue popular, the subject of this at that time when must attach importance to the research. ChunYuYi, hua tuo about fever therapy are discussed. Gansu s medical Jane also of han dynasty unearthed records have typhoid disease and symptoms. At that time, mostly from the chill theorize exogenous do many temperature treatment method. If shi-ji bian que who usually traveled everywhere storehouse of male biographical cadastral "is clearly put battery liquid soup," for all the fire, pursue hot. A drink and then drink hot as khan, three drinks disease has." Visible TCM clinical have indeed use at the treatment of typhoid fever to liquid form, when necessary for exploration and experience accumulation ZhangZhongJing research provides a good conditions.

Of course, ZhangZhongJing achievements are more than simple summarize experience at that time to be systematic and improve, but at that time, his work of rough comparison messy, typhoid fever theory and the treatment experience, the form is more normative, comparative complete, including science, law, square, medicine dialectical unity of typhoid doctrine treats system. From typhoid etiology and pathogenesis, development and transform rule, formulas, alopecia syndrome diagnostic system all aspects discussed. Since the typhoid miscellaneous diseases theory ", by jin dynasty • yiwen records, song WangShuHe, after such edits Lin billion formed "treatise on febrile diseases and synopsis of prescriptions of the two books. Its typhoid part concentrated in today we have seen in treatise on febrile disease.

(a) "treatise on febrile diseases the concept and theory of typhoid origin

Treatise on febrile disease, also have generalized in typhoid narrow the points. At that time to the generalized typhoid is the floorboard of exogenous heat illness, including a special typhoid, stroke, in cold, wind temperature, WenBing, rush dolphin, Yin and Yang yi, cholera, carbuncle pus, etc. In under the principle of six-channel differentiation. For every disease department put forward specific reason independant medicine.

"Treatise on febrile diseases zhong-jing academic origin as I said:" with grain asked, writes nine volumes, difficult, 81 and theory, tire Lu medicine catalogue, with flat for the typhoid pulse dialectical miscellaneous diseases theory "folded six volumes." Now looking indeed according to a "classic" and "difficult. The" Zhongjing is in neijing, dive into the sutra, the difficult, on the basis of understanding and the treatment of typhoid throughout the whole process, and combined with the experience and I later the practice, creatively developed typhoid doctrine.

"Treatise on febrile diseases is a remarkable characteristic of inherited in neijing for this thought. Auror He stressed: "if people can raise XieFeng dry, not to absolve them meridian,... atrioventricular don't make dried lack, take feed section hot bitter gedaliah the actions will decline, disease is fractal sports into its cou justified." mind The strength of the justice of the development of can decide typhoid, affects the treatment outcome of the effect. Therefore, in the treatment he attach great importance to protect vital qi regardless.

The etiology of zhong-jing for typhoid, from neijing, still the sutra, the difficult case. The chill outside feeling, But the change of feeling evil but after careful analysis and developed his own system. In addition, scattered in neijing, "difficult" the exterior-interior relationship between Yin and Yang semi-interior phase by unionizing dialectical and various therapies eight principles; In treatise on febrile disease also got more concentrated, comprehensive and systematic embodiment.

(2) three Yin SAN Yang six-channel differentiation system

"Treatise on febrile diseases with the six-channel differentiation meridians, zang-fu organs, eight principles closely together, used to represent the six kinds of disease types typhoid fever. Three Yin three Yang each type, have its typical syndromes performance, and the corresponding treatment transformation process. More than three positive disease for tables, solid, heat syndromes, reflects the internal evil is body contend the pathological changes is stimulated by removing pathogens, to the Lord; More than three Yin deficiency disease for, and cold syndrome, reflects the healthy body already damaged pathological changes, cure to the centralizer primarily. So, the three Yin Yang in typhoid treatment three plays the role of followings.

It must be pointed out that the "treatise on febrile diseases three Yin Yang concept and three TCM meridian theory of three Yin SAN Yang concepts are different. If both mechanically to correspondence, will lead to wrong understanding of the "treatise on febrile diseases. Zhongjing of six-channel differentiation system also don't like the WenBing school later tri-jiao and blood gas camp defended diagnostic systems that have a clear "level" and "stage" meaning, three Yin SAN Yang disease is not necessarily one between in relay.

(3) for card cubic, testimony with square treatment principle

"Treatise on febrile diseases of six-channel dialectical quite flexible. Three Yin SAN Yang every disease can have a variety of different syndromes expression, and the same syndrome expression is often can appear in different ill. However, the one party in treatise on febrile disease corresponding relationship of one certificate are fairly certain. Book each party stands for certain syndromes performance, there are strict and certain indications, thus see is card, can use is square, not what disease by the restrictions. For example, whether the sun disease and less Yang disease, Yang disease, or illness, as long as there's a costly Yin semi-interior phase correspondence, bosom is full or pain, ou stalking such card, then available entrapement soup. Due to the "treatise on febrile diseases with Chinese and certificate from the corresponding relation, zhongjing I begin, you will have a square indication of a square card called, such as guizhi certificate, entrapement certificate and etc, it is more common later.

Should explain, combination of disease is very important, for example the sun disease by issuing "body evil fumatory, strong wind, neck and blood full sash temperature and thirsty" and Yang disease by issuing "hair muggy fumatory loose stools, urinate, since can chest full not to" stalking is obviously different. Can say, the role of disease differentiation is to understand the course of the disease and internal evil are both struggle to determine treatment, detection of disease development trend. The role of syndrome differentiation is to determine the specific place where, by what medicine. Because of the syndrome differentiation and treatment for clinical practice is more direct guidance, facilitate the doctor near disease mastering principle in later age regulations, thereby more attention, forms for a feature of TCM.

(serial, to be continued)