Study On Syndrome Differentiation And Treatment Of Damp Heat About Kong Bohua

"Damp heat" is an important part of the theory of traditional Chinese medicine.It first appeared in Huangdi Neijing and prevailed in the Jin and Yuan Dynasties.In the Ming and Qing Dynasties,the theory gradually enriched,covering the etiology,pathogenesis,disease syndrome and many other contents,and the relationship between exogenous and internal dampness heat,dampness heat and febrile disease,constitution,as well as the law of disease transmission and development are improving day by day.Kong Bohua is one of the four famous doctors in Beijing.With the outstanding academic characteristics of "integration of typhoid and febrile diseases,and integration of Hejian and Yishui",he is committed to the cause of traditional Chinese medicine education and is famous for his good treatment of warm heat diseases.On the basis of the sages’ theories,Mr.Kong attached great importance to the theory of Qi and Yang,and put forward the viewpoint of "gan re pi shi",which was widely used in clinical treatment,with good results,and made important theoretical and clinical contributions.In order to further inherit and develop their experience in the treatment of dampness and heat,the descendants of Confucius also set up the Research Office of Kong Bohua,the research and inheritance studio of dampness and heat syndrome.Purpose:This paper systematically summarizes Kong Bohua’s academic thoughts on the treatment of damp heat syndrome,and studies the connotation of damp heat and the law of syndrome differentiation and treatmentResearch methods:Using the methods of literature and information science,hermeneutics,logic and so on,this subject takes "complete collection of four famous doctors of Kong Bohua"and "preserving truth of Kong Bohua’s medical records",which is the integration of thousands of valuable medical records in his later years,as the main research object,and combines with the classical theory of traditional Chinese medicine to deeply analyze his medical records,medical words,and medical cases,and mainly launches the theoretical tracing of Kong Bohua’s academic thought of damp heat Then,the basic concept and connotation of Kong Bohua’s theory of damp heat are clarified.Furthermore,it provides a scientific basis and train of thought for clarifying the basic concept and connotation of KongBohua’s theory of dampness-heat,and constructing his theoretical system of differentiating and treating the syndrome of dampness-heat by integrating"principle,method,prescription and medicine".The results are as followsStudy 1:the theoretical origin and connotation interpretation of Kong Bohua’s academic thought of damp heat1.The historical evolution of the connotation of damp heat in traditional Chinese medicine,"Damp heat" appeared as compound words,which was first seen in Huangdi Neijing.It began to be popular in the Jin and Yuan Dynasties,and was significantly improved in the Ming and Qing Dynasties.In Huangdi Neijing,damp heat is more focused on the connotation of pathogenesis,which is the interaction between dampness evil and Yang Qi,and the combination of heat and dampness;the related concepts in Huatuo shenfang are basically in compliance with the idea of Huangdi Neijing,mostly referring to pathogenesis;in Jin and Yuan Dynasties,Liu Wansu creatively proposed that "fire heat can produce earth dampness",which expanded the relationship between dampness and heat,that is,not heat " Only dampness depression can transform heat,fire heat depression can easily generate water dampness,and combined with dampness heat.Zhu Danxi’s "dampness and heat are diseases,nine times out of ten" is a new chapter of dampness and heat causing diseases;in the Ming and Qing Dynasties,with the gradual completion of the theory of febrile diseases,the relationship between dampness and heat and febrile diseases was gradually clear.Ye Tianshi put forward the view that damp heat is different from temperature,and thinks that damp heat is evil.Xue Xue not only points out that damp heat is different from warm disease,but also discusses the treatment of damp heat disease and concurrent syndrome from the perspective of triple energizer,which establishes a systematic theory for the treatment of damp heat disease.Wu Jutong also discussed the treatment of dampness and temperature from Sanjiao.Tracing back to the source of these classic expositions about damp heat is the theoretical basis for understanding Kong Bohua’s academic thought of syndrome differentiation and treatment of damp heat.2.The connotation of Kong Bohua’s theory of damp heat.According to the theory of dampness and heat at that time,Confucius emphasized that dampness and heat were very specific.The specific connotation of Mr.Kong Bohua’s theory of dampness and heat is that dampness evil enters into the interior and dissipates heat,warm heat and dampness,liver heat and spleen deficiency.In exogenous diseases,damp heat,as a pathogenic factor,mainly includes warm heat with dampness,heat dampness,dampness heat combined with pathogenic factors,and dampness evil entering the interior from Yang to heat;in internal injury diseases,sir mainly emphasizes the pathogenesis connotation of dampness heat,especially the pathogenesis characteristics of "liver heat and spleen dampness" in many internal diseases,gynecology,pediatrics and other miscellaneous diseases.Study 2:the rules and characteristics of Kong Bohua’s syndrome differentiation and treatment of damp heat disease1.Kong Bohua’s treatment of damp heat syndrome.This topic divides Mr.Kong Bohua’s medical records into two parts:exogenous and internal injuries.On the whole,he followed the treatment principle of dividing dampness and heat into two parts,clearing heat and resolving dampness.Specifically speaking,combined with specific medical records,it is different according to the location and pathogenesis of the disease.In exogenous damp heat diseases,according to the severity of heat and different stages of the disease,there are Xinliang Xuanda,Qingqing touluo,Qingliang Fangtou,ganhan Qingzi,kuhan Xiehuo and Yangyin Toure;for the elimination of dampness,there are Xuanqi Lishi,Tongjing Lishui,Sanjie Lishi,Yunpi Huashi,tonglizhoudu and Tongyang Huashi.For the treatment of internal injury of liver heat and spleen dampness,my husband also divided the treatment of liver heat and spleen dampness.Because heat is easy to hurt blood,phlegm and blood stasis,the method of clearing liver heat and removing phlegm and blood stasis should be combined,and the element body of deficiency of true Yin should be taken into account all the time.In the treatment of spleen dampness,according to different diseases and syndromes,the location of dampness and the amount of Yang Qi,there are three ways to clear channels and remove dampness,warm yang and remove dampness,and dilute infiltration and remove dampness And attack and expel phlegm.The treatment of liver heat and spleen dampness in pediatric and gynecological diseases is also basically in accordance with this method,and according to the constitution of children and women and the characteristics of disease and syndrome,it is modified.2.Medication rule.In the treatment of exogenous damp heat disease,Mr.Kong Bohua mainly selected Sangye,Bohe,Jinyinhua,Pugongying,Huangqin,Zhizi,Banlangen,Yujin,Angongniuhuang,zixuedan,Biejia,Zhimu,etc.according to the degree of heat.According to the degree of qi stagnation and the severity of the disease,Tongcao,Huashi,Fangji,bianxu,Qumai,Juhe,Daige powder are commonly used to remove dampness,and Wuyao is often used in combination to smooth Yang Qi and remove dampness;In the internal injury of "Gan re pi shi",Mr.Kong Qing gan heat is often based on the salty and cold Shijueming Different combinations of Yang,such as Yujin,Baijili,Yinchen,Longancao,Shigao,Longchi,Muli,Daimao etc.,and other diseases caused by liver heat,such as hemoptysis,restlessness of mind,women’s metrorrhagia,etc.,are added and reduced on this basis.For the treatment of spleen dampness,mainly on the basis of invigorating the spleen,according to the location of the disease,the pathogenesis of secondary phlegm and the deficiency and excess of Yang Qi,Yiyiren,Sigualuo,Mugua,Fuling,Zexie,Zhuling,Heichou,Baichou,Fuzi,Jingui Shenqi Pill and so on are selected.3.The main characteristics of Mr.Kong Bohua’s syndrome differentiation and treatment of damp heat disease.(1)Keep close to pathogenesis,multi diagnosis and mutual reference.It provides rigorous dialectical basis for legislative prescription.(2)We should stick to the treatment idea of guiding according to the situation,and determine the corresponding treatment according to the location and urgency of the disease.(3)Smooth the air and remove the dampness and heat.In the treatment of dampness heat disease,Mr.Zhang attached great importance to tiaochang Qi mechanism to help Qi to dispel dampness heat,focusing on Shuchang Sanjiao,Qi mechanism of liver and gallbladder,and Qi mechanism of spleen and stomach of Changyun Zhongjiao.(4)In the treatment of dampness and heat,the main method is exorcism,and the tonic methods are used skillfully,such as clearing tonic,smoothing tonic and eliminating tonic.(5)It’s a good way to use warm medicine.Although Mr.Wang clearly said that the use of pungent,warm and greasy products should be cautious,because dampness is Yin evil,he skillfully used warm drugs in the treatment to help Yang Qi.The specific usage and purpose are:Xin Wen Fang tou,Xuan Chang Qi Fen,such as Jiangcan;Ku Wen Tong Jiang,such as Banxia,Houpu;Xin Wen Kai Yu,such as Xixin.(6)Make good use of shijueming.Kong Bohua is known as "Shigao Kong"because he is good at using gypsum.But in the syndrome of "liver heat and spleen dampness",he is very good at using Shi Jueming,which is clear and flat.According to the degree of liver heat,Mr.Shi flexibly adjusted the dosage of Cassia obtusifolia,and combined with corresponding drugs in different diseases.In short,through tracing the origin and connotation of Kong Bohua’s theory of"dampness-heat" and summarizing his experience in treating dampness-heat syndrome,this study further formed a system of "Kong Bohua’s theory of differentiating and treating dampness-heat" integrating"principle,method,prescription and medicine".It is expected to provide a reference for enriching the theory of dampness-heat in TCM theoretically,provide new ideas for in-depth research from the perspectives of diseases,drugs and experiments,provide reference for the treatment of clinically related diseases,and open up a new research perspective for the inheritance of Kong Bohua’s academic thoughts and clinical experience.