The Research On The Law Of Clinical Use Of Ginger, Cassia And Aconite Root Of Fu Yang School

Objective:To analyze the medical records and the works of Fu Yang School, with the guide of theory from Treatise on Cold Damage, combined with mathematical statistics, to study the law of use of ginger, cassia and aconite root of Fu Yang School.Methods:Collects 424 medical cases,969 prescriptions, including 424 newly diagnosed prescriptions,545 referral prescription from five TCM physicians of Fu Yang School.18 items are extracted from the materials. They are source text, disease and syndrome names, tongue, pulse (including fingerprints), symptoms, medical records of all prescription medicinals (including initial and subsequent visit), dosage, administration, preparation, the ratio of ginger and cassia, the proportion of cassia and aconite root, the proportion of ginger and aconite root, the proportion of ginger, cassia and aconite root, dosage change of ginger, cassia and aconite root in subsequent visit, reaction after the medication, medication season, gender, age. Among the data, the symptoms, medicinals name, dosage were standardized processing. Four information and data tables were set up based on the unified and standardized data. Four tables include:①medical records data sheet;②symptoms specification table;③initial and referral prescription form;④table of dosage change of ginger, cassia and aconite root. Statistical analysis was carried out based on these four tables.Results:The results are concluded base on the five physicians' experience:1.There are 2 to 17 medicinals in the prescriptions. The preparations are decoction, pills and wine preparation.2. The frequency of gan jiang (Rhizoma Zingiberis), gui zhi (Ramulus Cinnamomi), zhi fu zi (Radix Aconiti Lateralis Praeparata) list top three in the prescription. The dosage range and the commonly used dose are as follows:①GingerGan jiang (Rhizoma Zingiberis) dosage range:1.5～500g, commonly used dose:4.5-60g. Sheng jiang (Rhizoma Zingiberis Recens) dosage range:3～240g, commonly used dose: 6-62g.Wei jiang (Rhizoma Zingiberis Rose.) dosage range:6-12g, commonly used dose:9g. Pdo jiang (Rhizoma Zingiberis Praeparatum) dosage range:31～20g, commonly used dose of 9～30g.jiang tan (Rhizoma Zingiberis Carbonisatus) dosage range:1.5～50g, commonly used dose: 4.5～15g.Sheng jiang pi (Cortex Zingiberis Rhizomatis, Exodermis Zingiberis Recens) dosage range: 4.5～60g, commonly used dose:9g.Sheng jiang zhi (Succus Rhizomatis Zingiberis) dosage range:10 to 20 drops, or half a teaspoon to one teaspoon, commonly used dose:10 drops.②CassiaRou gui (Cortex Cinnamomi), dosage range:0.9～24g (decoction),10～60 (pills). Commonly used dose:1.2～10g.Gui zhi (Ramulus Cinnamomi), dosage range:1.8～50g (decoction), or can be used to 60g (pills). Commonly used dose:4.5～15g.Gui xin (Lignum Cinnamomi), dosage range:3-9g, commonly used dose:3-6g.③Aconite RootZhi fu zi (Radix Aconiti Lateralis Praeparata), Aconite system dosage range:1.5～500g, commonly used dose:4.5-60g. Dose of initial visiting:4.5～250g, common starting dose: 9～100g.Sheng fit zi (Radix Aconiti Lateralis), used only once, dose:18g, boil for two hours. Tian xiong, dosage range:60～150g, commonly used dose:60g.Chuan wu (Radix Aconiti Praeparata), dosage range:6～15g, commonly used dose:9～15g. Cdo wu (Radix Aconiti Kusnezoffii Praeparata), dosage range:4.5～10g, commonly used dose:6g.As to the administration, fu zi and wu tou are decocted first; rbu gui is added later or infused.3. Law of modifications during subsequent visit①Law of modifications during subsequent visit in frequency:the frequency of gan jiang, zhi fit zi increased use are greater than reduction frequency, the frequency increased use of sheng jiang is less than reduction frequency.②Law of remaining the same dosage during subsequent visit in frequency:the frequency of Wu Pei-heng, Xu Xiao-pu and Zhu Wei-ju Guifu using original dosage of ginger, cassia and aconite root are 40% or more, while the frequency of Fan Zhong-lin are less than 40%. The frequency of Tang Bu-qi using ginger and cassia is less than 40%, while the frequency of using zho fu zi is more than 40%.4. The ratio and dosage①Common ratio between ginger and cassia, cassia and aconite root, ginger and aconite root.Common ratio between ginger and cassia are:1:1,3:1,2:1, all kinds of ginger dosage are greater than or equal to the cassia. Common ratios between cassia and aconite root are:1:10,1:2,1:3,1:6, the amount is less than or equal to cassia. Common ratios between ginger and aconite root are:3:10,1:2,3:5,1:1, all kinds of ginger dosage are less than or equal aconite root.②By analyzing the ratio of ginger, cassia and aconite root through five practitioners, the common law of dosage is:the dosage of aconite root is greater than or equal to ginger dosage, all kinds of ginger consumption amount is greater than or equal to the cassia.③The ratio between similar medicinals When gui zhi is using with rou gui, the dosage of gui zhi is greater than or equal to the dosage of rou gui. When all kinds of ginger are using with each other, the dosage of sheng jiang is greater than or equal to the other kind of ginger.5. Characteristics of prescription and medicinals①When Fu Yang physicians use ginger, cassia and aconite root, usually combine acrid-warm, sweet-neutral, sweet-warm, bitter-warm, acrid-hot medicinals in natures and flavors.②Wu Pei-heng, Fan Zhong-Lin and Tang Bu-qi, who live in Sichuan province often use fu zi with gan cao (Radix et Rhizoma Glycyrrhizae), while Zhu Wei-ju and Xu Xiao-pu who live outside Sichuan province often use fu zi with Yang subduing medicinals such as ci shi (Magnetitum), long gu (Os Draconis), mi li (Concha Ostreae) and sedative medicinals such as suan zao ren (Semen Ziziphi Spinosae) and fu shen (Sclerotium Poriae Pararadicis).③The spleen fortifying and dampness removing medicinals are often used with ginger, cassia and aconite root.Conclusions: 1. Gan jiang, gui zhi and zhi fu zi are commonly used medicinals for warming and supporting Yang qi in Fu Yang School.2. The dosage range, dose and administration are concluded, which can provide the foundation and ideas for pattern differentiation, treatment and prescription.3. When practitioners of Fu Yang School use gan jiang and zhi fu zi to warm Yang, they often increase the dosage gradually after the prescriptions worked. The starting dose of sheng jiang is usually high. Sheng jiang is often used to treat Yang deficiency with exogenous cold. Its dosage reduced or replaced by gan jiang to warm the interior after the exterior pattern is removed. Wu Pei-heng, Xu Xiao-pu and Zhu Wei-ju often maintain the original dosage of ginger, cassia and aconite root in the subsequent visit, while Fan Zhong-lin makes more modifications. Tang Bu-qi makes modification when using ginger and cassia, but remaining the original dosage of aconite root.4. The same law of dosage when the Fu Yang practitioners using ginger, cassia and aconite root is:the dosage of aconite root is greater than or equal to ginger dosage, all kinds of ginger consumption amount is greater than or equal to the cassia. Amount decreasing order:aconite root, ginger, cassia.5. The prescription and medication of Fu Yang School reflects a common emphasis on Yang qi. Physicians in different regions show different characteristics of medications.In summary, The usage of ginger, cassia and aconite root in Fu Yang physicians have different characteristics and the common laws of the dosage, compatibility, modifications in subsequent visit as well as the ratio.