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Chinesehistory 中医史话 >>
Chinesehistory 中医史话
2011年05月24日
Chinese history (sui tan period) (serial 51)
Five, the pediatric
The sui tan period, Chinese medicine pediatrics has developed rapidly, its main features are: pediatric professional preliminary form of pediatric experience, makes a systematic summary and finishing.
According to the tang six Canon ", "new tang book," recorded in baiguan volunteers, tang cure too much department under that no medical department, namely, the "rumblingly.the tracks" for pediatric, visible, early in the seventh century, namely on in our medical branch of the pediatric as an independent discipline, and started by fostering special pediatrician. With the development of medical science, its diagnosis of pediatric sui experience conducted a series of finishing research work, appeared a lot of pediatric monographs or Canon. According to history record bibliography have 11 kinds of 67 volumes, unfortunately, are already existent earliest were the pediatric monograph cranial Xin the sutra. Generally considered the works of tang dynasty. About "pulse method" and "disease and syndrome", has much to recommend it. In the sui medicine, there are some great length of the pediatric now. Such as "cause" volume 45 to 50, pediatric care, focuses on the hou, miscellaneous diseases of polio, is the earliest of 255 discussed the climatic special disease resistant. The tang dynasty sun simiao attaches great importance to the children, that "the way either Cardiff o to feed small great." In his the compilation of YaoFang for urgent daughter, following the woman later, column "Ru party" rumblingly.the tracks baby again, old age 1 (JinYiFang "written" a thousand, which added a lot of pediatric material, wrote the "raise children first" and "second" miscellaneous diseases pediatrics outside Taiwan: the secret to "is a medical literature, the rational book also compare the systematic arrangement of the tang dynasty and before tang pediatrics fed the achievement," infantile disease "two volumes, quite can reflect the development of TCM pediatric in the tang dynasty level.
A, pediatric care
Pediatric primary, sun simiao proposed reducing the broken hilum infected tetanus method and to prevent neonatal aspiration pneumonia method, "children born wrapped in cotton, first, wiping son mouth and refers to the evil tongue bruise on clay,... if not anxious blood to wipe, crow, namely into the abdomen into sniper diseasess yi." If children born to you, then with "set slowly lash pediatric back, help children establish spontaneous breathing.
Sui quack home think, pediatric tender skin, should undertake instrument, sunbathing exercises, improve the ability to adapt to the environment changes. The theory of "the pathogenic syndrome" raise children roll forty-five, "said Hudson, skin not born children beginning to see FengRi",... appropriate. At the same time, also think children "no clothing, warm warm clothing makes bones and muscles slow weak", advocate "thin clothes", and introduces the method of thin clothes ", namely the autumn began dressing, the less from polio gradually adapted to habit, according to enhance children's constitution is a good solution.
Neonatal feeding is also very important, claim, the YaoFang breast feeding expensively specially "also lists" choose her method ". "Born in the abdomen" section points out, if there is fever, nurse, a drunken under new vomit, anger, bridal chamber, are not as overfatigue lactation, otherwise, it is apt to cause the pediatric disease. The number of lactation, posture, lodge milk's treatment, prevent choke milk, the detail and specific provision.
Second, the child growth laws are discussed
The necessary for newborns sui growth rules were careful observation and study, the summary is: "every 60 days after birth, pupil son into, can and should cough laugh; empress ren meridian become, 108 days repeatedly; since Kao bone into, can sit alone; 210 10, can spread into Fu operation; third, empress can independently; patella into 10 360 knees into, can do it." (the daughter YaoFang "volume 5) children are commonly sun-style think this normal development process, if abnormal namely is illness, treatment is required to be carried out.
Children as "pure Yang" body puts forward, began in tang dynasty. The cranial Xin via "opens with the namely said:" every child already three years old, call for pure Yang, qi not scattered ". So-called pure Yang, qi gathered means not scattered speaking. Later XuDaChun QianYi, qing dynasty by the song dynasty, the king dishes English people sheds. "Pure Yang" said some development, and as the guiding of clinical application a pediatric theory.
Three, infantile it
Children WangShuHe the veins of jin pulse, the "LunLie, tang has Xin" is the cranial by more clearly points to several children law of pulse syndrome with adult different. "If there is a vein, we must inch syndrome, and shall not take with adult children discretion," think out of the pulse of the absorption to three to, pulse, respiration to three to one to, this is fixed rate. "without suffering from Children in the tang dynasty, the earliest fingerprint it necessary to life (wang zhen years) in the immortals of water mirror figure tactic, the book has been put forward, but the later generation pediatric works are somewhat reprinted.
Fourth, the common recognition and issuing polio treatment
Sui tang of smallpox, scarlet fever and necessary pediatric common infections such as tuberculosis pathogenesis syndrome have relatively clear understanding. The theory of "roll the pathogenic syndrome, describes" typhoid seven put bean sore "say:" typhoid hot gas quickly, multiple blister boils boils, its white or red color, hair to skin, and head make the Biao pulp. DaiBai pus, the poison, lighter, faint as root galleries, the poison in muscles, its "is heavy" common scab. Its Ban judah though fall Yan, or bump up ", similar smallpox meat a pandemic.
Surprised intraoperational "four disease" is one of pediatrics. The theory of "the pathogenic wait wait, wait list intraoperational was discussed, in general include all-cause twitching, convulsions kind of disease. The daughter YaoFang "induction" intraoperational method "20 the syndrome from the symptoms, signs, the differential diagnosis, make the doctor's easy to master. And the proposed surprised diagnostic criteria, severe intraoperational holding Jane yu numerous, convenient clinical, understanding made beneficial exploration convulsions. Sun-style also advocate using clear heat, composed, XiFeng, sedative therapy, such as a tonic soup convulsions. The secret to "volume outside Taiwan 35 is exhibiting various moxibustion, and puts forward" if the wind disease big move, as the lot, longitudinal limbs, and ten fingers limbs jiu jiu. "this festival They put forward the principle of the treatment measures and intraoperational jing, still has reference value.
Sui and tang dynasties, pediatric treatments are rich and colorful, basically have internal and external treatment and acupuncture orally drug dosage form three categories, a soup, cream, Dan, bolus, powder, etc; Accelerate the bath, besmear has Xin, apply the umbilical, cream, intranasal, choke (to dispatch generation needle) method, such as sun simiao once used for twelve taste cold stone scattered the pediatric skin, treatment, puff of zhuang medicine sickness; heat can't Acupuncture has reduced pressure concentration, needle jiu, especially moxibustion in the sui used more necessary, such as sun simiao moxibustion 40 pediatric various diseases, partition is widely used.
Six, surgery
Sui and tang dynasties, cure too much agency, marks a refreshing mouth dental separated from the department already ent exist, formal independence is very important to the development of surgery. The first YaoFang for urgent daughter of the eye otolaryngol total called "babbled disease, make facial 7" disease symptoms had more closely the classification form. YanKeShi early important monograph on the theory of "dragon tree eye advent, righteousness and assembling more reflects the eye ophthalmic achievement many tang dynasty.
(a) ent diseases of the early summary
When the sui, the epa, the theory of "Hudson square", "the daughter of the secret to Taiwan before books, to the facial symptoms for scattered systematically summarizes the facial, deals with already amounted to more than 100 kinds of sickness, needle, rosefinch mesh, have no opinion on risks prolapse welwitschiales (BiNv, nose, sores, ear sores, born Ding ears, air-cooled burst, headed by lending and disease are inter-cooled load.
From local syndrome, is understanding ent disease performance of this period in the important characteristics. Such as the theory of "the pathogenic syndrome" man have day and blind eye bright, to see the thing, "is the sparrow eye." (nest misdirected, etc: the theory of "the pathogenic syndrome, volumes 28, P119, people's medical publishing house, 1955), photocopy of the day and night vision nyctalopia with the regular change of different, appear very clear observation. The secret to "outside Taiwan contained in the" brain flow green blind eyes, points out that "the disabled for QingBaiSe" (China) is clouded lens to correctly describe the earliest. The cataracts
(2) pays attention to accelerate the five seconds disease
The daughter square ", "the secret of Taiwan" proprietary about 600 first monographs ent, acupuncture prescription, accelerate the 40 takes absolute superiority, and internal medicine therapy, its reason when relatively little about the disease with facial features.
Eye treatment in order to apply the law, most commonly used embalm wash, eye drops, hook and accelerate the cut of surgery, wash on using supine method, and strength in continous note item, salt soup wash washing with cotton item, eye, or by drug droplets form new brush will powder and that many local, within the use of dosing method. "The secret" in Taiwan "brain flow green blind eyes" (cataract) is put forward in "... the appropriate USES gold after Bi breaches... a needle, suddenly Open Day "cloud seen. This is China's medical work performed about lily dial the earliest record handicapped. "DuMu (803 ~ 852)" FanChuan memoirs "also remember having a good at two of the disabled art to dial ophthalmologist, their position within the disease's dialogue, the color, the operation indications, operation time, complications have raised with rich experience at that time many famous poet. From the poetry of the tang dynasty also points to having cataract surgery is quite ordinary. To dial orally should be pointed out that the" divine qi-deficiency shot "(i.e., later famous magnetic zhu for early shot), with white is effective in tang dynasty. In addition, apply a variety of animals for doctors to mingmu eye disease liver treatment is very seriously.
Nasal disease treatment to plug the nasal primarily, room with a blow nose, irrigation nose, topical etc method. Ear disease treatment to plug ear primarily. Also have a few points ears, blow ears, filling the ear side, laryngeal disease treatment with containing pharynx including wash method is given priority to, and a heat scorching, containing wash and stab ShouDa pointed out that blood etc.
This period, contained a detailed prescription ent the drug processing processing phase manufacturing methods. Ophthalmic drugs already stressed beaten again after the first screen, or to grind mian, etc, reflects the filter for special requirement already ent drug deposition has certain experience.
(3) the assembly of righteousness eye
Tang dynasty, China has assembly of righteousness eye. As for the history of wu and yue: "don WuXuan recorded with ball, made than whether it can immediately, buy iron hook in the ball is hit, with rod (week) treasure in choice. For the taste vintage iron hook a yard, and give the miserable sun-and-rain stack... instead of wood, wood eye to eye don't know HeMu also bright", depending on, according to exam. ZhouBao is TangWuZong (840 ~ 71) contemporaries. Known in the 9th century in China can be righteous eye assembly. And image is clear. Eye on such as true.
(4) "dragon tree eye theory"
Eye of the northern and southern dynasties, China's earliest monograph began in directory documented eye already lost book, pity. The theory of "dragon tree eye for eye classics, history of influence of first eye monographs, also are. Once ZhengQiao, shown in the history of art, bai juyi slightly BingYan poetry "in the case of aimless, box spread dragon tree in JueMing pill" hollow storage is also mentioned, visible when spread more widely. There's been speculation for FoXueGu sui TuoMing India between people and medical "dragon tree" (for bodhisattva's name) said, and that the learning of zhongjings prescriptions assorts the dragon "carries the bodhisattva eye theory" tree is that they XiangKao book, stay.
(serial, to be continued)