The Theory And Literature Research Of Xinyang And Kidney

ObjectiveThe emergence and the enriching of the theory of yin and yang of the five internal organs is a long-term process. Among them, the heart yang and kidney yang is particularly important in the yang of five internal organs, however, for a long time, the connotation and the denotation, physiological functions, the distinction and connection of heart yang and kidney yang is indistinct. Moreover, we lack a clear systemic identification theory of heart yang deficiency and kidney yang deficiency, mainly on the respects of the etiology, pathogenesis and manifestation, which related to the lack of a clear theoretical basis for diagnosis and treatment. Therefore, distinguishing heart yang and kidney yang, heart yang deficiency and kidney yang deficiency for a better guiding of the clinical treatment of heart yang deficiency and kidney yang deficiency syndrome is very necessary. Through researching ancient and modern literature related to heart yang, kidney yang systematically, clarify the "heart yang" and "kidney yang" of the concept, functions and the relations between them, as well as the evolution of their connotation in the process of TCM development. Clear the connotation, extension, identification and treatment of medical law of heart yang deficiency and kidney yang deficiency syndrome, and provide theoretical guidance for clinical syndrome differentiation treatment.MethodsUsing traditional methods of philology, firstly, sort out the origin and developments of heart yang and kidney yang theory, and t study the modern clinical literature about heart yang deficiency and kidney yang deficiency, then conduct statistical analysis about their clinical prescriptions and drugs.Results1 Through the systematic study of ancient and modern literature, clarified the "heart yang" and "kidney yang" of the concept, functions and relations between them, as well as the evolution of their connotations in the development process of TCM.2Through summing up and analyzing ancient and modern clinical data, the characteristics, etiology, pathogenesis and common diseases of heart yang deficiency syndrome and kidney yang deficiency syndromes have been clear.3 Through statistical analysis of the clinical prescription medicine date and curative effect date of heart yang deficiency and kidney yang deficiency syndrome, the treatment laws of heart yang deficiency syndrome and kidney yang deficiency syndrome have been Summed up, which provide theoretical guidance for clinical syndrome differentiation and treatment.Conclusions1 Heart yang is the dominator of the yang of the whole body, which can warm body, warm veins and make them smooth, as well as manage mental activity etc; kidney yang is the root of yang qi, with the function of steaming water fluid, promoting reproductive function, and contributing to the functions of other viscera. Heart yang is the commander in chief of kidney yang, moreover, heart yang can warm kidney yang, while kidney yang has an effect of generating and supporting heart yang.2 Heart yang deficiency syndrome and kidney yang deficiency is the asthenic and cold syndrome that with heart yang and kidney yang insufficient, the warming and promoting functions of them are weakened, bringing about a series of symptom that the body fails to warm. Both heart yang and kidney yang deficiency have a performance of failing to warm the whole body. However, they are different in pathological characteristics. Heart yang deficiency syndrome mainly influences systemic functional activities, the supplying and flowing of blood, as well as the spirit of heart. If heart yang vanishes suddenly, the life activity of the whole body will be seriously affected. The kidney yang deficiency syndrome mainly affect the reproductive function and growth, lead to disorders of gasification of liquid water metabolic, as well as make the spleen yang and yang of other viscera can not be warmed and supported. To treat heart yang deficiency, we should not only warm and supplement heart yang but also propel veins or warm heart spirit according to particular conditions. When heart yang vanishes suddenly, rapid actions should be taken to remedy and replenish heart yang. When treating kidney yang deficiency syndrome, there are different methods such as warming kidney yang, warming and promoting kidney yang, warming kidney yang to promoting diuresis, warming the kidney to control exhaustion, strengthening fire to benefit earth etc. At the same time, the kidney yang is primordial yang, so we should pay attention to protecting it, and it is hard to supplement it rapidly.3 The treatment of heart yang deficiency in modern times mainly supplies qi of heart and excites heart yang, and cassia twig and prepared licorice root are the most commonly used drug, and representative prescriptions are Guizhi Gancao Decoction and Shenfu Decoction; For the treatment of kidney yang deficiency syndrome, people mainly focuses on warming Yang, the most commonly used drug is prepared aconite root, and representative prescriptions are categoty of Shenqi Pill and Yougui Pill.