Chinese history (sui tan period) (serial 50)

Three, orthopedics

(a) the trauma of the etiology and pathogenesis theory

About blood, blood stasis and pathogenesis: trauma can cause blood, and blood stasis. The theory of "the pathogenic syndrome that trauma of emptiness, blood can cause meridians wholeheartedly, or can cause death losses. Meanwhile, points out that the mechanism of trauma caused blood stasis; "If by falling injury, namely blood lines with bloody injury, causing the place, namely stop product; if into internal, also accumulate do not come loose pass into blood stasis", "Richard injury, and points out that the renewal of broken party for all swollen is blood", "namely traumatic cause local haq, all is caused by blood. This can lead to a series of local and even the whole body blood stasis precise definition of disease hou. Sui tang of "stasis" necessary TCM pathogenesis statement, become the core of formulary etiology theories theory.

The festering wound pathogenesis: on the theory of "the epa to open wounds syndrome, open fractures that no healing rotting infection by pathogenesis analysis is quite thorough, think pollution, or further pollution, bandage undeserved or improper, debridement not thoroughly suture, foreign body factors still has practical significance, and the Lin that Daniel renewal of broken party wounds after further discusses fracture caused by shift or malunion with function obstacle or waste.

(2) formulary disease diagnosis and treatment of development

Diagnosis: "about the internal cause of" JinChuang syndrome with "syndrome" all the ill 23 theory. Discussed the trauma of appearance, from the wound and secretion and were injured area, presumably, the prognosis of the injuries, and points out that such as vital organs in the head and wounds heal is not easy. Of the trauma, puts forward the bleeding from pulse condition to observe the prognosis. XiongFuQiang hemorrhage testimony, pointed out that is mainly chest stalking, and flatulence full, also describes the trauma that occur bleeding heart beat faster, emotional upset, pain, be agitated, thirsty etc card shape. The renewal of Daniel cut wounds emphasizes the internal party after first critical tone gas blood, pioneering "siwu soup" cure bloody injury certificate. Moreover, the book fell loss of internal special emphasis on syndrome differentiation and treatment is brought forward according to injury in the first 7 priorities for bloody injury steps order with law. Created by stasis, rock-hard do qi and activate blood circulation, raising blood activating blood, kidney zhuang sinew, JianGu treatment law and herbs. Its seven steps wounds law and, therefore, embodied in clinical so far.

About open wounds, open fractures treatment: the theory of "the pathogenic syndrome was recorded, open wound and various serious composite injury, such as internal rupture, bladder urethral injury, especially the first account of open damage healing arterial hemorrhage secondary, known as the" steal blood, "says that cannot be broken, broken die (" syndrome") JinChuang surprised spasm. Respectively of open fractures early complications, rotting infection period and modern called chronic osteomyelitis period stage diagnosis. These diagnostic classification method, is the great progress open fractures diagnosis. The theory of "the pathogenic syndrome is introduced first detailed the surgery and reinforcement debridement suture suturing surgery. Execute debridement surgery to put forward to in the early and stressed the trauma, "debridement debridement and Daniel" is broken party wounds renewal advocated to open fractures debridement reset can suture, also don't suture, external use splint fixed, but also put forward specific treatments and 14 steps 14 method is mainly is adopted, the complex debridement fixed and topical drugs later, it became the main method of treatment of open fractures.

(3) about a fracture-dislocation of diagnosis and treatment:

The Lin that bone and joint injury is divided into fractures and dislocations: open fractures and fractures and points two categories, and closed fractures the fracture is divided into usable for the first time with the reduction manipulation and cannot be the reduction manipulation.

For the first time described the Lin that shoulder dislocation and dislocation of the hip; And for the first describes the dislocation of the hip have two types before; Record the skull fractures, fractured ribs, femoral fractures, tibial fractures, forearm fractures peroneal double fracture, fingers (toe) [see "the renewal of Daniel broken party wounds formula).

For fracture dislocation of the diagnosis, Lin that hands touched hearts can be summarized CunDu MLT. "that is, emphasize" thinking to fracture displacement after inspection degree, direction, power, in treatment, such as using anaesthetic, debridement and reset, fixed, exercising and the internal and external medicine and so on six big steps and methods, think that the whole bone must first take drug, its drug called "common whole bone drug" udinese, from big top can lead to sleep, or with udinese, wooden turtle son grass of such can make out, thus up dizzy anesthetic action of the drugs.

Lin that closed gimmick reset with six and method, i.e. "phase degrees loss place", "pull out", "or forcibly bone", "na income is" four whole bone gimmick and "massage law", "guiding acrobatics method". Pioneering shoulder dislocation of the reset - chair type reduction method, dislocation of the hip reduction method -- hand sufficient pedal method. Lin that still applied open reduction etc surgical procedures and methods and techniques, etc.

Ge hong, the method of bamboo fracture fixation in the sui and tang dynasties time get rapid promotion. Lin that summarize and development of these experience, instead of Chinese fir skin splint made, covering technology and specific application of different parts of fixed and methods, especially emphasize not including the joint, plywood fixed method and can make joint flexion of silk cloth for bandaging joint activities, fully embodies the fixed law fractures fixed technology from the start, permeated with "combining static" point of view. In addition, LinShi advocated for the fracture restoration fixed the massage and function after exercise therapy.

Sui and tang dynasties time on fracture internal and external medicine, remarkable characteristic is copper kind, insect drugs using and attention of the syndrome differentiation and treatment. Lin flyover reconstructive, fixed, activity three fractures within seven steps for therapies and bloody injury method, great importance to the protection of the soft tissue of combining static and the internal and external medicine fracture therapy for experience, still followed by orthopedic medical.

Four, gynecology and obstetrics

Sui tang era, gynecology and obstetrics rapid development, has accomplished remarkable achievements. Its features are: starting from the medical range of differentiation, increasingly trend is specialized subject.

Sui tang, appeared a lot between obstetrics and gynecology works. According to the new tang book "and" old tang book "account, have six, who are already were 26 roll pity. The Zan YanZhu by effect "(847) produce treasure 3 (in China, is the earliest existing obstetric books. Book discusses the pregnancy, childbirth, postpartum more than 20 kinds of obstetrics common diseases such as issuing more than 260 prescriptions, monographs first. Some argument has a certain level, most simple practical formulas. Such as siwu soup general gynecological has more than 1,000 years, still for gynecology rejuvenation. In addition, in some comprehensive remedies, collection and storage of the abundant gynecology and obstetrics material.

Sun simiao known emphasizing maternity. He is deeply have gynecological necessary, set in the daughter of YaoFang, explicitly pointed out that, "woman disease, than the man." ten times difficult to heal 4-storey "woman party" three volumes, listed in the vaious immunity-lower disease, promoted to the further development specialist obstetrics and gynecology.

(a) in world processing

1, help puerpera stable mood. The tang dynasty already noticed its maternal psychological mental factors on the influence of childbirth, in order to eliminate its fear of giving birth tense, slow points to encourage pain and prevent during childbirth, specifically request by birth attendants attitude should be serious careful, language action gently.

2, avoid people YaoFang zhanquan, depending on the dry gold in travail "say:" that will produce, especially avoid people. But get 2 zhanquan, depending on the waterfront, three in giving birth, only by birth attendants, to keep on watch in quiet, calm maternal delivery emotions, and prevent environmental pollution and reduce neonatal infection. This provision, is necessary to accomplish modernization of the maternity ward.

3 and the nursing of fetal childbirth. Nest yuan square stressed: tetanus, because neonatal broken hilum bath not namely... Ventilation into injury is a "relation intraoperational. Sun simiao also have many original views, such as broken umbilical cord processing, requirements should be moderate, the length to six inches of advisable, because" long is hurt muscle, short criterion injury dirty. "" is the first bath, then, may cut the umbilical knife, shall be a single clothing bite the isolation and claims first." the pig bile after that wash bath, no doubt cut, it will reduce the umbilical cord infection.

(2) menstruation to common evidence

1, menstruation to be not mediate amenorrhoea dysmenorrhea "Taiwan" is the secret to further proposes air-filled, cold dampness, trauma, remove lump and sentiment are many factors such as things can cause menstruation; And think menstruation, time, then can lead to disease remove lump, infecund etc.

Amenorrhoea dysmenorrhea, etiology and pathogenesis of the theory of "the pathogenic syndrome still shut because of air-cooled qi unsmooth theorize that the daughter, the treatment of YaoFang roughly still follow the synopsis of prescriptions of the principle of promoting blood circulation, but given.it plot a relatively rich medicine experience.

2, the pathogenic ren "syndrome in theory of" train "collapse syndrome", under the leakage that its pathogenesis and ZhuZheng is: "blunt comments YaoZhi pulse is deficient, can't, so the menstrual blood." under the sometimes And according to the vagina is irregular haemorrhage, which is divided into leaks in and collapse, such as "the sometimes, dripping wet continuously, call," "suddenly leakage under the collapse" critical, ". Moreover, "a thousand of JinYiFang" symptomatic uterine and further description: "woman collapse under in red green black, leakage, a face not approach putrid black no color, skin bone connected." This and cervical cancer is very similar clinical manifestations of late. As for drug therapy experience, in the daughter YaoFang "and" thousands of JinYiFang, more abundant. As many as 40 with party application of the first, fang factors, astringent, to remove blood stasis, cool blood, hemostatic etc. Various therapies.

(3) the understanding about carry disease

Carry disease refers to women vaginal overmuch, color qualitative anomaly of disease and syndrome. This concept, the WangDao until tang dynasty to "just outside Taiwan secret recognized.

Qin han jin period, carry disease refers to the women below the waist, involving disease symptoms, including a wider range of gynecological diseases. To tang dynasty, the secret WangDao outside Taiwan ", with "woman take door". Contained a woman "in red white, leakage under below the belt colors" 11 first; And that brought the etiology and pathogenesis is due to illness, ChengXu into cytoplasm air-cooled in blood, make blood and damage into liquid and swore. And ancient down 36 disease raised will square, listed in the relevant gynecological disease respectively under. Since then, the concept of women who carry disease, namely the abdomen before the sui dynasty collectively, change is the lesion site shows vaginal abnormal symptoms, so that the illness, broadly down gynecological diseases, separated from the concept of serious illness, about down for the later accepted by most physicians, have been used for many years.

(4) pregnancy for common evidence

1, pregnancy and evil resistance and pregnancy edema

The theory of "the pathogenic syndrome of severe reactions to the first named evil pregnancies, column has" evil friction syndrome "monograph reluctance. The YaoFang "and then dry gold evil resistance manifestations of a brief description:" resistance, suffering from heart disease offers offers the first heavy eye dazzle limbs heavy, slack, and do not wish to hold dropped evil smell gas, desire then Pinocchio salty food, fruit acid within, the less "lie down to three, its akujiki already on April day, spitting, all big play, not since ShengJu also inverse." And that its occurrence mechanism is already closed, and the blood from W.P.A and hid in hiding, so upset XuanTong spirit not QiNi offers stuffy, vomit also, veins impassability, collaterals, the new limbs heavy unsmooth, pinches wind. "while also head dazzled And then the various treatment with formulas, such as treatment not evil resistance vomiting gestation application of square, the party feed the drugs had a green bamboo radha, orange, tuckahoe, ginger, sprouting, such as a simple and effective. "The effect of a train to produce treasure pregnancy hydrosphere body swollen abdominal distension square theory. Theory is that pregnancy edema, and by temper weak spleen caused by the application of water, to reconcile blood therapies. The daughter of carp soup monographs, still is the representative prescription treatment pregnancy edema.

2, leakage tire and quickened uneasy

The theory of "the pathogenic syndrome in" pregnancy leak tire syndrome "and" pregnancy to leak in "Hudson quickened womb, quickened the pathogenesis of unrest expounded briefly, who said:" the womb,...... blunt leak any deficiency, the tire internal leakage ". "The number of unease quickened labor strength or contact take cold heat, or diet ShiYi discomfort, or to live." "The effect from mother" is produced treasure the paper analyzes causes of unrest quickened. It says: "because the mother is ill with dynamic births, but healing, the female disease since Ann; also called quickened womb actuator Kennedy, not with his sick mother, but Chai womb is healing." mother Already realize threatening miscarriage happened because of pregnant women, or sick, or because of poor fetal growth. This treatment principle to later the formation of unease quickened with theoretical significance. The period also applied some effective Ann tire drug, such as "the secret" outside Taiwan moxa, renew the donkey-hide gelatine, broken, mistletoe, "the effect of eucommia ulmoides in the treasure.

(5) postpartum common diseases

1, postpartum XieYun

The validity of the proposed in treasure XieYun deficiency and postpartum empirical dialectical point is: "often ask their expectant mothers, know how much blood is under". On the outside Taiwan treatment "is the secret to use vinegar besmear first nose and mouth, or vinegar spray surface and so on, make its awakening emergency law; Ask again according to judge by, by syndrome differentiation with the principle of time, DingJing qi, sedative, nourishing line stasis, the method centered sputum variable modulation.

2, postpartum breast disease

Postpartum milk carbuncle in postpartum under month lactation women. The secret to the Taiwan "has been known to milk stagnant secretion of milk carbuncle unsmooth is postpartum main pathogenesis, points out: postpartum" unfavorable make juice livestock product not to ", otherwise there will be strong heat, big thirsty lead drinks, milk and hand shall not establish urgent pain, such as signs of mammary gland putrefying near. In treatment, except for a little, and application aratuses together epispastic or extrusion milk, wet hot compress and moxibustion therapy therapies, these treatments thereof is still used today.

After the occurrence, the lack of milk produced by the effect that was due to "precious" frail, meridian qi be not moved ", "daughter of YaoFang caused by studies on treatment for TongCao, leakage reed deficiency, dredging, melon basket under such as milk. "A thousand women JinYiFang" governance without milk needle jose, less liquid door, patio points.

(6) gynecological miscellaneous diseases

1, infertility its etiology

The theory of "the pathogenic syndrome that is due to amenorrhea, collapse of the other common remove lump belt, caused the biggest YaoFang" have further expensively immaterialism, point out: "mortal have no children, when for couples WuLaoQiShang fear has caused by deficiency diseases we." Already broke through the only that, the influence of women's party blame realize that men and women both parties can cause infertility sick, obviously, is a big progress; It will woman two categories, infertility summarized as marriage of infertility is lifelong whole infertility (primary infertility says because of sickness and long), and no conception Tucson (secondary infertility call to break.

2, uterine prolapse and former Yin diseases

The theory of "the pathogenic syndrome will uterine prolapse called Yin pretty or Yin take off, and puts forward its outbreak reason is because frail and childbirth usually caused by excessive force, the daughter of YaoFang more proposed" forbidden weightlifting, "" forbidden room fatigue" preventive measures. Also featuring Yin itch, Yin is swollen, Yin Yin disease before sores, etc. The daughter of YaoFang except continue to wash a law, vaginal ZuoYao outside, and then wash with the couch method (Yan packet), plaster, various accelerate the dressing.

(serial, to be continued)