Research By Fang Fang Gastrointestinal Bleeding Based On Certified Document Zhongjing Blood Academic Thoughts

The theory of typhoid miscellaneous diseases of zhang zhongjing created TCM (Traditional Chinese Medicine) dialectical system of syndrome differentiation of the six meridians for posterity to explain the process of clinical disease development.The study analyzes and discusses zhongjing’s thought on diagnosing and treating hemorrhagic syndrome with the system of six-channel differentiation. We believe it is closer to original intention and essence of hemorrhagic syndrome.Gastrointestinal bleeding belongs to the category of hemorrhagic syndrome of traditional Chinese medicine. zhongjing’s hematemesis and hemafecia two disease differentiation roughly reflected his academic thoughts of gastrointestinal bleeding,which formed an important content of the modern TCM clinical digestive tract hemorrhage cure,and deserves should be the guidance rules of gastrointestinal bleeding of ancient and modern.On the basis of understanding zhongjing’s academic thoughts on hemorrhagic syndrome and discussing zhongjing’s differentiation ideas on gastrointestinal bleeding,this study begins to research the correspondence between prescription and symptom of zhongjing’s jingfang about gastrointestinal bleeding with xiexin decoction and huangtu decoction as representative.Through frequency analysis,combined with professional knowledge of Chinese medicine,we obtained the frequency of occurrence from high to low of symptoms,signs,tongue body,tongue coating,pulse condition in xiexin decoction’s and huangtu decoction’s Fangzheng-corresponding.There is a relatively large data gap between Some symptoms and signs,referring to the result of chi-square test and professional comparative analysis,we think that the characteristic syndrome difference factors can interpret the phenomenon,because in the2decoctions one is cold and tonic.the other is hot and catharsisal Referring to the result of chi-square test and professional knowledge,we regard6kinds of common symptoms,which is bright red bleeding,dark red bleeding,vomiting,abdominal pain, dizziness and anorexia,as essential elements for diagnosing gastrointestinal bleeding. They can be the reference for clinical diagnostic criteria of gastrointestinal bleeding. Comparing hematemesis disease with hemafecia disease,we found that bright red bleeding,vomiting and bitter taste are more closely related to hematemesis disease,which is related with stomach; dark red bleeding, abdominal pain,anorexia and hot eyes have close relation with hemafecia disease,which associated with intestinal.Through factor analysis,we concluded that xiexin decoction fangzheng and huangtu decoction fangzheng’s symptoms are divided into four categories.In the research of all the drugs in the digestive tract hemorrhage of zhongjing’s jingfang,we identified in the xiexin decoction fangzheng and huangtu decoction fangzheng,their original prescriptions have9kinds of drugs,and there are34kinds of compatibility of medicines.After chi-square we found that the25kinds of drugs have not obvious difference,and there are9kinds of drugs having significant or extremely significant difference.we think the main reason attributes to the characteristic compatibility of medicines in the two prescriptions.By analyzing the43kinds of drugs classification,we found that hemostatic drugs reach up to22kinds,heat clearing drugs and tonic drugs have6kinds respectively,diaphoretic drugs have3kinds,astringent drugs have2kinds,beyond that,there are respectively1kind of cathartic drug,warm drug,qi medicine and drugs for promoting blood circulation and removing blood stasis.After analyzing the43kinds of drugs’condition which meridians they get to,we found that they can reach internal organs of the body. The total occurrence frequency is112times.Give priority to five zang-organs,they occur80times,accounted for71.43%,in which liver is highest,accounted for26.79%,and stomach inner parts accounted for11.61%.By comparing the ancient and modern medicine in the zhongjing’s jingfang treating hemorrhagic disease,we found that zhongjing’s gu fang have38prescriptions,in which the drugs are76kinds,with28kinds of drugs having hemostatic function, accounting for36.84%. Nowadays in Chinese medicine clinical,the original prescriptions of xiexin decoction fangzheng and huangtu decoction fangzheng have9kinds of drugs,and there are34kinds of compatibility of medicines,In other words,it is a total of43kinds of drugs,with26kinds of Chinese medicine having blood management functions (60.47%).There are4drugs having hemostatic function in zhongjing’s gu fang.In present jingfang the same function drugs are22kinds,other blood management medicine only4kinds. Zhongjing’s gu fang is mostly clear with promoting blood circulation to remove blood stasis.There are10kinds of tonic drugs in zhongjing’s gu fang,today only6kinds.It can be seen that the variety of Chinese medicine in Zhongjing’s gu fang make rings round the scope of current clinical medicines.With the development of traditional Chinese medicine, and the variations of ancient and modern understanding of disease physiological and pathology and the variety of Chinese medicine,the law using medicine is undergoing profound changes,and it deserves to be further studied.