The Theoretical Study And Clinical Application Of The Therapy Of Opening With Acrid Agents And Descending With Bitter Agents To Cure Internal-injured Spleen-stomach Diseases

The article started at collecting and sorting the physicians of past generations' related statements about spleen-stomach and the spleen-stomach diseases,and their experience of clinical practice with therapy of opening with acrid agents and descending with bitter agents,in combination with the tutor's academic views and clinical experience,put forward that the spleen and stomach both locate in middle-jiao, and they have the contrary characteristic,they are playing an important part in the human's life activity.According the difference of the etiology,the spleen-stomach diseases should be divided into external and internal injury spleen-stomach diseases, and in the internal injury spleen-stomach diseases,both spleen and stomach are injured at the same time,manifested as that the spleen-stomach's functional activities of qi is disordered,then produced the pathological products including phlegm and fluid,damp-heat,retained food,blood stasis and so on.The therapy of opening with acrid agents and descending with bitter agents is the fundamental method to cure internal injury spleen-stomach disease.The first part of the article,by means of sorting documents,summarized the physicians of past generations' statements of the characteristics of spleen-stomach, and their physiological and pathological functions,considered that the relation of the spleen and stomach is very especial,they both locate in middle-jiao,and they have the contrary characteristics,which is absent in the other organs which is exterior and interior each other.It showed that spleen-stomach plays an important part in the body.The second part of the article discussed that the spleen-stomach disease should be divided into external-damaged and internal-damaged spleen-stomach diseases,because they are much deferent in the etiology,pathogenesis and clinical manifestations.In exogenous spleen-stomach disease,spleen or stomach can be damaged separately,in the tai-yin or in the yang-ming,but as for the internal injury spleen-stomach diseases, spleen and stomach are both ill at the same time,mixing up of cold with heat, asthenia with sthenia,damp with drying.Then produced the pathological products including phlegm and fluid,damp-heat,retained food,blood stasis and so on.So the therapy is different.The third part of the article dissertated the origin and development and the clinical application of the therapy of opening with acrid agents and descending with bitter agents,thought that this therapy belongs to the category of mediation method,in which the pungent-warm and bitter-cold drugs are both used,applied widely in clinical practice,and could cure many diseases of various systems.In view of the features of internal-injured spleen-stomach diseases,the therapy of diarrhoea, vomiting and catharsis,warming,antipyresis concurrent reinforcing method are not suitable for it,the best therapy is acrid-bitter herbs.Consequently the purport of the article is put forward:the therapy of opening with acrid agents and descending with bitter agents is the fundamental method to cure internal-injured spleen-stomach diseases.The forth part of the article was the clinical application of the therapy of opening with acrid agents and descending with bitter agents to cure internal-injured spleen-stomach diseases,sorted and analyzed the clinical cases which belongs to the therapy,summarized that the internal-injured spleen-stomach diseases includes all kinds of systems in western medicine,the main characteristics of the symptom is that the spleen-stomach's functional activities of qi is disordered,the main herb is Huanglianwendan Medicinal Broth,and put forward above academic viewpoints.