Liao, xia, TCM history (77)) (the serial period

Three, pediatrician

Jinyuan period, medical by nine to ten three to families of pulse named little square, like pediatrics and other subjects play well as many new. During this period, the main pediatric physicians and health CengShiRong and "living with is young heart book 3 coil, the mouth of live young 20 volumes counsellor. In addition, LiuWanSu, ZhangZi and LiDongYuan, SongDanXi four physicians, in pediatric academic aspects, and also has different degree of elaboration, especially in pediatric disease and syndrome cure aspects have obvious progress than before.

Jinyuan aiming at the social subject of spoiling for signs of the disease and the children, and puts forward the method and requirements of scientific way. CengShiRong also said, do not make children clothing too warm, food too full, infantile health growth guarantee is one of the important measures. He was a "infantile enterprise" song: "ever-green to pediatric Ann, often to a points with cold" (the hunger heart book volumes activities to promote his parenting methods), pode welcomed, still afloat. To maintain the healthy growth of pediatrics, undoubtedly have positive significance.

During this period, the syndrome differentiation and treatment of pediatric diseases has made great achievement. About measles, slippery longevity through long-term meticulous observation, discover the pediatric measles, often "born before BaiZhu tongue out if, tried, greatly is born, the palate gum mouth" (the measles encyclopedia "), slippery longevity in this discovery is described marked measles buccal mucosa first man. For measles and other illnesses early differential diagnosis is very important. The treatment of ZhangZi about measles, and put forward early with qingrejiedu, essien should be cool clear solution is given priority to, hair rash period appropriate heat through rash; Skin rash is received and accept no clear lung nourishing, use. And particularly pointed out that, in the course of "must prevent herpes pant", namely note prevent measles merger pneumonia.

JingFeng evidence of treatment, without physicians has its unique gold. If ZhangZi and use JingFeng attack evil method in the treatment room, LiDongYuan Abram, sealed in "infantile door" governance setout, put forward "theory" jing outside objects surprised, appropriate town in heart, heart, if coptis sedative pills to surprised, appropriate pneumatic stone cold water nerves pill "treatment.

Gan product, zhang of reason in and the things close, "not only discusses the Gan hot body thin a disease differentiation and treatment, such as Gan, YaGan eye also Gan card a detailed elaboration, heave scattered, benefit yellow dew scattered, four flavour fat son pill, five Gan disinfection wandeng prescription, has been used for posterity. Jinyuan period of herbal treatment Gan card LiDongYuan already quite rich, only the orchid room cache "carrying thick bowel pills, pills and elimination of the new away full marks for long to wait for more than 10 first; The original rev micro $Gan card that for maintenance of diet disorder, with tuckahoe, claims caused dishonor infiltration wet soup, liters LongDanCao Chen YinZi etc, in order to sun Microsystems fall Yin.

In addition, zhu Dan creek also use a "sound" to describe high squads pneumonia asthmatic cough symptoms lung closed, in the Chinese medical literature or first used "pneumonia" one word. CengShi for children TuXie also have research. He will spit into cold vomit vomit vomit, deposition, hot and cold cough vomit vomit, breast, and wound diarrhea is divided into cold will diarrhoea, hot diarrhea, hurt food diarrhea, watery diarrhea, accumulate diarrhea, spleen diarrhea, wind diarrhea, dirty cold diarrhea, Gan diarrhoea so as to accumulate stuff TuXie discussed, deepen the understanding of the etiology pathology. The treatment of pediatric TuXie ZhangZi and proposes the use of bolus, dew drinks, five scattered, benefit yuan) scattered treatment such as sudden diarrhea or watery diarrhea than; For long shot with raising spleen diarrhoea more than; Use the diaphragmatic pill governance bezoar body heat: these experience spit TCM greatly enriched the contents of pediatric therapeutics for the later development of pediatrics and lay the foundation.

Four, surgery and dermatologist

(a) surgical emergency technology:

As stated above, since qidan nationality area, in northeast liaohe remains in the 10th century northern and establish ruled China for years, liao dynasty confrontation with battle for the family of privet in 1125 gold by the destroyer. 13 century, Mongolian arisen, successively in the song with gold, continuous combat finally unify China, establishing yuan. In these three, four hundred years of continuous mutual war, surgical medical technology development and the cultivation of professional and technical personnel in liao, xia, jin, yuan ruler, got more attention, especially surgical emergency medical technology. Below we cited a few pieces of historical to illustrate the surgical medical emergency at level of technology. "Cloth FenShen LiZhan, wisdom son in sagittal body count, too group at the pro is pulling its full body bolts, blood, stuffy and several rejected. TaiZu life took a cow, cutting its abdomen, naboo in cattle abdomen, wisdom son, when baptized blood move;" suichuan Sue "Suddenly lost Lin camp under, sagittal... shock rain, and his body was 33 and zadok, into the clan. Zu around out its life, with its power of medical smell"; "Leader...... for loss of penetration angular, dial, it out over its foot of EMian dial, look as"; "LuanBing burning with fire, smoke, people dead by the mother also (hao with honey. The death Zu juice with cold drink, definitely mother tooth, namely, Sue"; "LiTing... attack shayang, new city, gun injury left costal, break its outside fort, after ZhongBao, falling in the chest, penetration, sagittal vertical BoYan rejects, gas profile of life on the buffalo abdomen, very long is Sue," "(zhang) xi body, a Zu eighteenth sagittal penetration abdomen, stuffy sagittal rejects recovery, yue: have to drink blood dried blood, ShiZu sensibilities that can be born, take blood dried, the men went to heal sent, boils the both"; "Zhao tray stab also Zu changling three gen, not a centre-left shoulder sagittal, kipchak cherish its warriors, take two death-row Kui, depending on the shoulder, the joints shallow depth, know can cut it out, namely, dial for the Zu out and stabbed, cartridge for movement"; look "Cursed is the MaTong, have to foot have disease.... called (make) because of the frame into visual", "way before the throne, fathers recording, rong lu doctor, cla award bit too hospital things"; "LiZhan even aired in sagittal huan, and act three, who was seen and the military, frets sagittal pulled its life, tied cattle bare and profile within the abdomen, the cow belly, very long but Sue," (song lian "yuan history" volume 123, 135, 150, 157, 162, 165, 168, 169, 833pp JiaoDian this 1974), the above lead eight historical data shows in the yuan dynasty surgical emergency technology has its obvious characteristics. An example of three cases using abdominal viscera profile cattle, trauma injury complicated shock into cattle celiac method, is not only a kind of can avoid undesirable stimulation security measures, the more important is this method has excellent insulation effect, can promote shock, especially in the battlefield won under the condition of rare more. And like to make Zu pulling from shoulder of sagittal, with the joint requirements first anatomical and mutual relationship, then make scientific understanding of Zu injured by sagittal how should take the correct direction with the method, a pulling the scientific basis and accurate judgement, in order to improve the guarantee of success.

(2) understanding and the medical and surgical operation:

This period surgery though not very high level of development, but in qidan nationality, their, privet clan and Mongolian regime medical operation level of surgical, with its original technology is obvious improvement.

About scrotal seeper, Kim ZhangZi and narrative said: "water hernia its shape renal cyst pain, Yin sweat out, or cyst and shape as crystal, or capsule itch and dry out, or by vermeer yellow underwater acoustic... appropriate to the agent of suichuan under water, the needle to water leakage, many may not its law". Zhang about water hernia theory, explicitly pointed out that its symptoms diagnosis "shape as crystal," "masterpiece," the ammonium water treatment technology emphasized "missing needle to water person" (ZhangZi and the reason things club "volume 2, the necessary of epitaphs of TCM, ancient books press, 1986) photocopy. Drop needle, according to test and neijing described, its design similar cartridge needle biopsy already with today actually in principle of water is phase approximation. The above understanding of the zhang at that time is already should be said that high level of, special treatment with the water first, don't chase after conservative treatment effect with needles (water leakage, but also needle) very advanced medical technology.

About RuXianYan causes and prevention method, yuan · zhu Dan pointed out that the occurrence of carbuncle breasts brook is that the "qiao impassability and milk may not out" relations, therefore, in his emphasis on "prevention and cure measures since the beginning, this should be very reluctantly knead slightly soft suck make juice through dissipate. Since can lose this does not treat, shall be made a carbuncle furuncle". These theories and control methods are accord with scientific principle.

About the ZhangZi tumor surgery: when reciting the glue tumors and said: "a woman who is not the eighteen, two are from a tumor, a horn, chicken, wrist can't Chuan shot of XiangMingWang TaoJiao but, like, to abandon, wear janet saw for the yue: on the back of hand, adhesives with in facial for these atheromatous plaques, this glue tumor, also shows the) needle cross (Pierce, according to the HuangJiao pus saaml spoon, made ping. Tumor more no longer be, nuclear complex, the grain into marriage, who dare to use this method the ZhangZi and" do "(reason things close, volume 8, Chinese ancient set photocopy of epitaphs, the press, of the subject of 1986), by their theory is a comparison of the synovial cyst on the right or the accounts, zhang manipulation treatment principle and method is more scientific, reason is achieved good effect. And as this threat also Lin's small body in the treatment of great interest sarcoma is when melanoma discussed with enterprise, namely "law purify... spend root beaten with a dip take juice in a night, half or tumor and the line is that fell out of the" (dangerous also Lin to effect square "volume and parallel 19, si ku quan shu this), such an operation in this period have described the medical literature, and the simple and feasible and can obtain good curative effect and has great effects of Ming and qing dynasties.

About the pharyngeal foreign bodies (penny) with medical apparatus eliminated art design: the reason things YiXiaoEr mistakenly loaded "kiss" swallow a money, not all of the pharynx, medical neither take, also cannot, dai people think today, suddenly a strategy, with net table paper, make roll real like chopsticks, with a knife, cut the disorderly JiDuan ensemble Peng Seng made the shape, and don't take a chopsticks, tied needle JiDuan, make not hook to take off, first swallow, light carry light suppression, sleep hooked into the pubs in money, and then taking the opening of the pharynx, paper roll, and hook, pointed, sleep hook pointed shelf of the paper roll, not hinder the muscles, carry out of." (ZhangZi and the reason things close "volume 7, si ku quan shu this), zhang hook take in the instrument design swallow ratios is bringing etc method and scientific, pity not get promotion improvement and development. Yuan JiDe in, deep ulcers dosing, he created and modern syringe similar silver needle bobbin. Notes: "with spindle method goldsmiths, with silver fine cheese, about thirty inch a vow to with the needle, sores pain, after to fine silver in medicine in tube son, pushed in the home" (JiDe surgical essence "volume of physicians, si ku quan shu, TCM ancient books press, 1986), combined with ZhangZi and gen leak needle biopsy scrotal seeper, see not hard put in creating the surgery necessary jinyuan period ideas or medical devices very active.

(3) surgery and anesthesia and hemostatic:

About surgery, the passing of ZhengGu have effect square, Zu secco gold "secret", in "the belly of the split, with linen wisp of line or beat white mulberry, also used for line online, fu stamen stone scattered from must be used in heavy (layers) sew belly, not sew heavy leather, leave skin outside to open, drug use," its infiltration raw methods, steps and requirements of the scientific nature and the sui dynasty nest yuan party than improvement and enhancement, surgical success rate of discretion, and anesthesia effect has close relationship, this period of the development of the main performance, as with the depth of anesthesia in relations between exposure leels of understanding and utilization, also emphasizes the differences between individual different tolerance, bleeding, such as how many differences between dangerous also discussed by Lin, "use first anesthetic uniform, until the latter may lay where after undeniable. Or take Massachusetts, can add datura flower and grass, udinese with good wine five money with clothing, tone some less if people like drunk, namely, do not add medicine. Was injured there is old, young, a weak, blood out hourly phase worse, drug use, not too much into degree. Also have weighed, if see linen, and spin the undeniable, add some more not fall. Added wine tone takes a little, already fell, they live medicine, must not too much". Because of surgical trauma, and bleeding may cause patients collapsing, stimulation, he emphasizes the attention to in a patient with salt soup or brine "with clothing made waking", this is a very important original.

Surgical success rate of discretion, also has close relationship with hemostatic technology, former generations for surgery clearly emphasize bleeding does not see more; Dangerous also expanding Lin the strapping hemostatic and modern in bleeding proximal place with the broken blood source tied bleeding completely the same. Externally, topical convergence force strong keel, blood, seek, and at the end of three technological suture is more reliable than hemostatic effect. Although did not outline for surgery, but surgery with bleeding ought to saying of par for the course. Dangerous also Lin also recorded the drug oppression, he "bleeding method choosing to very soft, Massachusetts by rubbing wounds, tied in bleeding." set All the effective hemostatic technology clinical application, common for this period surgical hemostatic created better conditions for surgery, the success of trauma care, especially larger increased more assurances.

In addition, about inguinal hernia "this kiss" reason things are thoughtful, says: "fox hernia, its shape is like tile, lie in the lower abdomen, line made alvine into the bag while today with hook bells in..." (ZhangZi and is also the reason things close "comeback" si ku quan shu of TCM, ancient books of its photocopy, 1896) press. The so-called "hook bells, which compiled with such as wire (cover) hernia. Jiangsu liao Yin Ming tomb of excavated silver is probably the hernia mask, Kim zhang written in and ", or "hook bells the improvement and development.

Skin disease know level: academic debate and necessary jinyuan spirit of innovation, but also promote the motherland medicine theory and practice about skin disease in many aspects, diagnosis or treatment stepped to a higher level, and far-reaching influence for later generations.

Kim promoted after element theory ", "main fire has expanded the scope of fiery disease, many skin disorders in the pathogenesis, also elucidated.

Many of the necessary jinyuan new formula, greatly enriched the treatment of TCM dermatologist LiDongYuan learn content such as the tonic for treatment of liver soup diarrhea caused by hot liver bet the Yin is swollen, Yin itching, wet pussy dermatitis such disorders such as eczema, lee's lifeline disinfection BuFeng hot drink treatment front-man plague poison as erysipelas. "Dan stream of neo-confucianism, with the second wonderful scattered to effect square" parallel cangzhu contained scattered, composition and attending the same, heat treatment, dry wet to the sores, wet used today, the effect is obvious.

Pustular sore: "Dan stream of neo-confucianism was covering surgical drug law" life "pus sores to hot dry wet primarily." And said: "sores has 3 kinds, pus, mainly for hot bubble sores." This is the first saw any load. In "the daughter YaoFang" have "wind hot poison", "the candle sore" describe flood resemble the disease. WangJi "surgery, Daniel the name is also examples of sepsis with sores, equivalent to modern medicine bubble fester dermatosis pustules sores.

(serial, to be continued)