Chinese history (sui tan period) (serial 47)

The third quarter sickness learn summary. Cause

TCM etiology theory, in the six dynasties in spring and autumn, the development of medical science hecny has basically formed a disaster, not "thousands more three" concept, has established "three because theory" basis. Six evils which is content on external cause theory, the theory of seven emotions for content and internal worm beast, atrioventricular, blade for content not injured and external cause doctrine. Sui and tang dynasties in medical work necessary for the diseases, also can have the whole "and good (nest yuan square the theory of" the pathogenic syndrome. People's medical publishing house, sequence (1955) spirit, in medical practice in the new exploration, etiology and disease in climatic significantly progress. Its features: developing a disease a syndrome research, the attention objective certificate shape description: with syndrome classification, note the same; syndrome differential between etiology combining with and viscera, syndrome, and note the prognosis of contact analysis.

One disease research, and explore the cause

To cause syndrome study, sui · nest yuan square "the pathogenic achievement of the theory of" Hudson most of excellence. The book is divided into 67 of door, load of disease resistant syndrome, which was our earliest 1739 the pathogenic syndrome learning monographs. The YaoFang "and" a thousand thousand JinYiFang "and" the secret "is much also platform of etiology syndromes, first of zhongjings prescriptions, after treatment for clinical vaious immunity-lower disease wide accept to steal, every disease and syndrome in one in-depth study, found the causes of, or more for its new understanding, puts forward quite conforms to the actual inference, is China's earliest pathogenic syndrome learning monographs. "Daughter" and "a thousand YaoFang JinYiFang" and "the secret" is much also platform of etiology syndromes, first after the treatment of Assyria zhongjings prescriptions.

(a) the grumpy old gas doctrine

The theory of "the pathogenic syndrome of typhoid fever, WenBing teats, etc, they found by" the disease caused by the gas "grumpy old, such as, typhoid, teats, temperature in the sui discussed before, is there in the elbow backup nasty scholar-officials mentioned in the party", "the age of WenBing is sick gas and carry ghost poison phase note" and into, number yue hapen gas, but has not yet fully carry ghost poison, the ghosts to a disease from superstition viewpoint. The theory of "the pathogenic syndrome differentiation already disgruntled six evils to explain the disease will be the exterior syndrome WenBing, typhoid fever and all who were clearly attributed to the gas" feel "soured and cause disease, climate temperature cool dishonor is a cause, and realize these disease have infectivity.

(2) bug pathogenic doctrine

Worm, as one of our predecessors refers to the cause, the visible caused worm bite the sting of. If the centipede sting injury, bee stings and so on, such as necessary to sui Zhu corpses note, ghost diseases, leprosy are considered "bug" cause of disease, it surmount forefathers the breadth and depth of knowledge, and endow with at "bug" said deeper meaning of updates.

Death note to corpse note, Zhu, ghost, flying carcasses of illness (similar to today as the TB), the theory of "think is weathering resistant man without asking for" little big, internal body body are insects. For sexual avoid worm, take lead the pericardium evil, were donated pollution "with (1) (47, P, roll and the 250). The authors believe that corpse note, ghost note, and other diseases because of a "corpse insect" and the objective existence. The origin, the worm for "people sick note the dead, to its home, disease and the dead, and as for death, similar to others, so complex easy death note" as, obviously, this is caused by the contact transmission; "People died three years, the soul because god made outside their journeys, the sick man, the name", and this has wind note involving air spray infection: "enjoy, and has sat khin breath of malicious attacks with diet.... so the five zang-organs as food for after the note" diet enteron to infect, the author of "the pathogenic wait theory by long-term observation and clinical research on infectious disease, and other body note the logical way of judgment.

In addition, it is worth noting, they JieChong lifelike to describe, about "" syndrome" "pinworms white worm scientific thesis syndrome", proof they observed the in-depth research.

(3) constitution difference doctrine

As more realized the specificity and the theory of "the pathogenic wait for some people, and points out that the" hold gie seasick by qualitative natural, not shut out "(nest disease is also carrying out the disease of the $party concerning" volume 10, syndrome P217, P219, people's medical publishing house, 1955). In addition, the narration of lacquer boils explicitly pointed out that such due, the present constitution difference in different situation.

Second, focus objective observation and describe the symptoms

The understanding of the disease sui physicians showed high levels in their writings, the symptoms of illness objectively and meticulous in-depth description, and find, to learn and treat symptoms during this period studied levels to new heights.

"The wind for the long", thus diseasess of medical illness in Kyoto, attach importance to the necessary research is particularly meticulous sui. Compared with the previous generations for detailed description Fei PianKu, wind is the wind, the wind taken (wind), especially for sun simiao will cognize juxtaposed, reflects his among the disease understanding, show that the writer has already realized PianKu, wind Fei, wind taken these three now considered cerebrovascular accident disorders, have its weight different types, meanwhile, also exist inner link, this is not sui medical record before understanding.

The cla for virtual, the pathogenic disease syndrome in theory ", is expounded in 75 theory of remedies for the most detailed and imaginary labor. Except the part referred for disease content after, weak and are most syndrome with tuberculosis each period or each corresponds, such as virtual fatigue night sweats, virtual fatigue bone steaming, virtual fatigue cold, virtual fatigue cough, virtual fatigue salivary blood, hematemesis, food, blood and actions can sleep in the lungs etc, not nuclear initial, infiltrating period can happen; And virtual fatigue and dysentery, virtual fatigue secret acerbity (constipation), virtual all his CARES abdominal pain occurred in tuberculosis; Virtual fatigue remove lump for mesenteric scrofulous; Virtual fatigue pee pee difficult, or YuLi, urinate BaiZhuo, virtual fatigue urinetoplasma ratio for urinary tract tuberculosis is a common disease, virtual fatigue syndrome is without children germline tuberculosis. Virtual fatigue cause no child, this is also the etiology of new discoveries. And will night sweats, cough and spitting blood, dysentery, nixie etc are to be different from general virtual fatigue of the disease, night sweats, cough for virtual fatigue understanding is also the subject of the tang dynasty CuiZhiTi progress, French bone steaming meridan "is yue" bone steaming sick, also name corpse,... its for shape also, hair dry and song, or gather or points, or a block, or brain abdomen after a brief summary, nearly next both sides deserve and even five or six, or night lying fellowship with demons, dream, night, although visual distinct but aching, or on gas food less, gradually will sink, longitudinal delay, we finally as "roy-henry. (the secret to outside Taiwan "volume B, P351 ~ 352, people's medical publishing house, 1955), objectively reflect the chey theory carcinectomy tuberculosis and department scrofulous of symptoms.

The tang dynasty to attach Miao do think discussion of bone examined from the description of the objective symptoms looks, "such as sore is not bad, sent a relapse, the hole in the bone, called a bone examined". With modern medicine and sigmoidal course of basic understanding, clinical symptom, is therefore necessary consistent with sui can be examined and other bone diseases such as slow last ZeiFeng etc BiaoJu and examined, distinguishes, reflected the diagnosis standard rise.

In addition, beriberi, clear thirsty have card shape also have detailing. For gall disease symptoms "gall DuanQi", "on the gall," "gall pneumothorax full face is swollen" (sun simiao gas YaoFang "volume the daughter, the people's health P441 21st, press, 1955), is the first of the TCM literature to reverse the load, the description (nests spent boils the pathogenic weathering the $party concerning" volume 35, P187, people's medical publishing house, 1955), is the earliest record of carcinoma syndrome, the Lin that Daniel renewal of broken party wounds, first proposed "tetanus" any, make the pre-qin period of many describe tetanus since terms as "injury", "hair spasm spasm JinChuang know", "mouth", "JinChuang spasm of stroke JiaoGongFanZhang" wait to have a stroke unified, and continue to use up to now.

Three, syndrome classification and identification

Sui tang physicians in describing syndrome, are noticed, and the classification of syndromes in the reasonable classification and identification of similar between process, know got to deepen. Sun simiao achievement reflects this feature.

First, sun simiao in typhoid syndrome, highlighting the finishing with bar, "party card than class its attached" sun simiao again with viscera dialectics, will syndrome according to the viscera classification. Interesting is only take five zang-organs, five sun-style astringing, this and now consistent than anatomical concepts. As in the lungs syndrome, in addition to the general common cough, lung pant, confused, lung carbuncle, vomit the symptom such as purulent blood, chest pain are back lead to lung narrative outside, still will fly corpse ghost Zhu also into the lungs, fly of categories of Zhu corpses ghost such as tuberculosis and sun-style will be negotiated in the lungs, like implied he has realized that the disease with pulmonary relevant.

In the sui in its classification of syndromes, but also pay attention to identify similar between. Such as surgery than BiaoJu (similar to the finger of this abscessing inflammation) and generation refers to put the same (paronychia) are described in the class card, but the author clearly points to both, since at that time difference with BiaoJu each healers who for generations, the author described means syndrome, and points out that different chance for refers to the edge and claws armour, sepsis, thus making clear disease the differential diagnosis. (sun simiao "prepare urgent daughter to" volume 22, p. 106 people's medical publishing house in 1955), and as ZeiFeng and attach bone examined the detailed and, sun simiao vivid description, and points out that the similarities and differences between ZeiFeng pain without hot, long not rotting and examined with bone pain and strong hot, long is rotting these characteristics, convincing will two kind of different diseases, and distinguishes clearly made these differential diagnosis is necessary syndrome sui in-depth study of the results of the bluff, to grasp the differential diagnosis with beneficial enlightenment.

Four, pay attention to the prognosis analysis

Sui tang physicians still very heavy view research and outcome of disease prognosis for accurately, which sent the application is very meaningful. "Cure is not ill" thoughts in huangdi neijing that have been proposed. And rule of the connotative meaning without disease, namely predict various of disease development, thus prevents early may, prompting them to good aspect to block the transformation, strive for the development of the downside. Sui tang inherited the physicians, and puts forward a glorious thought and control methods of warning.

Disease sugar metabolism disorders, because the body immunity and easy to people infections, and easy to the occurrence of sepsis. 1400 years ago sun-style namely keen observation and this and puts forward the prevention, marvelous.

"The cause of" syndrome, also noticed prognosis, if the yue "(preeclampsia.lipopolysaccharide Da syndrome) black black Da shape, the bitter alvine disease of body, do yellow, forehead against black, one step hot, defecate black. Is Da, Cardiff jaundice, wine, billowing Da more female labor Da", i.e., a male appear many clinical jaundice, wine Da and female labor day long Da, not more, all can become black Da, but a prolonged illness or kidney, liver and kidney empty failure, stasis turbidity teasing of resistance. This is tough. Treat

(serial, to be continued)