| Li Dongyuan,a famous physician in Jin and Yuan dynasties,put forward the method of tonifying qi and rising yang(hereinafter referred to as "Dongyuan tonifying qi and rising yang")was called the main treatment of the school of tonifying earth.in his works,the object of use and the principle of medication are discussed in detail.At present,the research on this treatment is mainly based on clinical case reports,but the theoretical discussion is not sufficient;and there are still deficiencies in the specific analysis of the prescription for tonifying qi and rising yang and the summary of modern disease diagnosis and treatment experience under the guidance of this theory.Therefore,taking Li Dongyuan’s complete Book of Medicine as the main research material,combined with relevant TCM ancient books,modern data analysis tools and tutor’s clinical medical records,this paper makes a systematic study on the theoretical discussion,prescription compatibility and clinical application of this treatment,in order to better guide clinical practice.Research purpose:The purpose of this study is to comb the theory of Dongyuan’s method of invigorating qi and yang,explore the rules of prescription and medicine,and summarize the clinical experience of the tutor,clarify the application of the method of tonifying qi and yang in modern clinical diseases,and provide clinical treatment for "internal injuries"."Sexual"diseases provide the direction and ideas of Chinese medicine.Research methods:Using the literature research method:consult the ancient and modern Chinese medicine literature in the China Knowledge Network and the library of the China Academy of Chinese Medical Sciences related to the "invigorating qi and yang method",sorting out and summarizing the theoretical sources,later developments,and future developments of the Dongyuan method of invigorating qi and yang.Specific connotation,function,etc.;on the basis of the existing theoretical research,use data analysis to analyze Dongyuan’s "relevant prescriptions for the method of invigorating qi and raising yang":first,the "Internal and External Injury Distinguishing Theory" representing Li Dongyuan’s academic thoughts All the prescriptions in the three books of "Spleen and Stomach" and "Lanshi Secret Store" were screened to find the prescriptions with the effect of invigorating qi and raising yang,and then using the traditional Chinese medicine inheritance auxiliary platform(V2.5)software to do further prescription analysis,including four qi,Five flavors,return to the meridian,frequency,drug pair,drug group compatibility,etc.;collation and induction:organize the clinical medical records of the tutor,and analyze the tutor’s experience in using the method of invigorating qi and yang with the help of typical medical records,includin g the scope of adaptation,syndrome differentiation methods,and medication Features etc.The whole paper uses the collation and induction method to organize and summarize the theories of invigorating qi and promoting yang,the compatibility of prescriptions,and modern clinical applications in an orderly manner.Research result:1.Theoretical research resultsDongyuan’s theory of the method of invigorating qi and yang is derived from the"Huangdi Neijing"(hereinafter referred to as "Neijing"),and was influenced by Zhang Zhongjing,Wang Shuhe,Qian Yi,Zhang Yuanyuan and other medical experts in specific medication.The theoretical connotation and clinical application of the method of invigorating qi and raising yang will continue to develop in later generations.During the Ming and Qing Dynasties,the development was most abundant.Comprehensive medical books such as"Compendium of Jiyin" and "Pujifang",etc.,have a large number of excerpts from Li Dongyuan’s "Internal and External Injury Discrimination Theory","Spleen and Stomach Theory",and "Lanshi Secret Store" about invigorating qi.The original exposition of Shengyang and the application of prescriptions;"Wenbu school","Vulcan school" and other schools extend the indications of Dongyuan Qi and Yang Method from "spleen and stomach deficiency" to the spleen and kidney,from invigorating Qi and Yang to Focusing on tonifying yang,especially tonifying kidney yang;Wang Qingren founded Buyang Huanwu Decoction and Huangqi Taohong Decoction,extending Qi and Yang Yang to invigorate Qi and Yang and Activating Blood,clarifying the promoting effect of Qi and Yang on blood;Huang Yuanyu founded Huang Yuanyu Prescriptions such as Yatang and Shenqilinggui Ganjiang Decoction concentrate the yin-yang rise and fall theory of Dongyuan to the rise and fall of Zhongqi;Zhang Xichun’s "Sinking Series Prescriptions" have further enriched the theory and medication ideas of qi depression.Integrating the theoretical sources and later developments of Dongyuan Qi-enhancing Yang Method,summarizing the connotation of Dongyuan Qi-enhancing Yang Method,it mainly includes three aspects:"sweet warming and invigorating Qi","wind medicine for raising Yang" and "micro-reducing Yin and fire".In addition to qi and yang,through the flexible compatibility of qi medicine,wind medicine and other medicines,it can also play a role in tonifying yin,blood and blood.The function of strengthening the body and eliminating evils;according to the composition of the medicine,the prescriptions with the effect of invigorating qi and yang can be divided into qi and yang and yin and blood,and qi and yang and eliminator,and qi and yang formulas focus on The medicinal properties and compatibility ratios of the drugs,tonifying qi includes tonifying yin,tonifying blood,and eliminating evils.For example,Dongyuan Buzhong Yiqi Decoction focuses on tonifying Qi and promoting Qi,Qingshu Yiqi Decoction,Qi-yin double-toning,Danggui Buxue Tang qi and blood Shuangbu,nourishing the spleen and stomach,reducing the fire and yang,strengthening the body and eliminating evil.2.Prescription analysis resultsAccording to the results of prescription analysis,139 prescriptions with the effect of tonifying qi and increasing yang were analyzed,among which the drug frequency≥ 20%were Radix Astragali,Angelica sinensis,Cimicifuga,Bupleurum,Ginseng,grilled Glycyrrhiza uralensis,etc.The meridians were mainly spleen,lung,stomach,liver,heart and kidney meridians.The drugs are mainly warm,cold,flat,pungent,sweet and bitter,and the drug pairs are "astragalus-angelica","astragalus-Bupleurum","cohosh-Chaihu","ginseng-astragalus"and so on.The main effects of the drug pairs are "tonifying qi" and "rising yang".The prescriptions including "astragalus-angelica-Shengma-Bupleurum" include both deficiency-tonifying prescriptions and evil-dispelling prescriptions,which are the core medicine group of Dongyuan’s method of tonifying qi and rising yang.3.Summary of the tutor’s clinical experienceBased on the theory and prescription analysis of Dongyuan’s method of invigorating qi and yang,summarize the types of diseases treated by the instructor using the method of tonifying qi and yang,and the thoughts of differentiation and treatment,and the experience of medication.In terms of disease types,the instructor believes that internal injuries are diseases of Qi deficiency or due to deficiency,such as dizziness,tinnitus,hyperlipidemia,hypertension.fatigue syndrome and other diseases,where the patient has fatigue,fatigue,pale complexion or Symptoms caused by qi deficiency or qi blockade,such as dullness,can be flexibly adjusted and subtracted with Dongyuan Replenishing Qi and Rising Yang Recipe;Analysis of disease and the partial victory of good and evil.Pay attention to the sublingual collaterals.If the sublingual collaterals of the internally injured have slender bruises,the qi deficiency or qi stagnation can be judged according to the relaxation of the collaterals.Combining the Dongyuan pulse method,pay attention to the patient’s right hand ulnar pulse,which is in line with the pulse condition of the method of invigorating qi and yang.The right ulnar pulse is mainly composed of thin pulses,slippery pulses,and astringent pulses,most of which are combined pulses,such as thin and slippery pulses,thin and astringent pulses,Pulse count.During treatment,weak pulses and weak pulses are deficient.The prescription focuses on replenishing qi and promoting yang and removing the solid;the number of pulse strings,the number of slippery pulses,and the number of pulses are solid,and the prescription is mainly on removing the solid and replenishing qi Rising sun.Commonly used treatment methods include invigorating qi and promoting yang,promoting blood circulation and removing blood stasis,invigorating qi and promoting yang and replenishing kidney,invigorating qi and promoting yang to consolidate the surface,invigorating qi and promoting yang and soothing the liver,invigorating qi,promoting yang and purging fire,invigorating qi,promoting yang and eliminating dampness;In terms of medication experience,the instructor made good use of"Dangshen-Astragalus","Astragalus-Danggui","Chosimum-Bupleurum" and other drug pairs,which are consistent with the high-frequency drug pair results of the Dongyuan Qi-yangyang method related prescriptions analyzed by the platform.In terms of the amount of medicine,the wind medicine is used in large doses and large quantities to disperse the fire,expel wind and dampness,and regulate the Qi machine.In addition to the above medication characteristics,the instructor combines modern diseases and modern medical knowledge on some chronic diseases,adheres to the combined use of Chinese and Western medicines during diagnosis and treatment,follows the use of traditional Chinese medicine characteristics of medicine,pays attention to guiding patients to take medicines intermittently,and emphasizes lifestyle guidance to help patients.Fight the disease.Through the research of the whole Dongyuan method of invigorating qi and yang,we put forward at the end of the article the main points of Dongyuan’s differentiation of qi deficiency.There are three viewpoints that the method of invigorating qi and yang has significant advantages in the treatment of modern diseases.Explore.Conclusion:The method of replenishing Qi and increasing Yang in Dongyuan has a profound theoretical foundation and has been continuously improved and developed by later generations.Dongyuan is good at tonifying yin and blood from the point of view of tonifying qi.Although the prescription is based on the spleen and stomach,its effect on the five internal organs is mainly tonifying,but not pure tonifying,but it is sparse in tonifying,purging in tonifying,invigorating and dispelling evils.It is worthy of our further study in modern diagnosis and treatment.The tutor uses the basic idea of the method of tonifying qi and rising yang to be based on replenishing qi,being good at rising yang,and paying attention to expelling evil and strengthening upright.in clinical diagnosis and treatment,there are both inheritance and innovation in the method of tonifying qi and rising yang in the aspects of pulse method,prescription,medicine and so on.in particular,the method of replenishing qi and rising yang is combined with the characteristics of modern diseases,which provides a train of thought for the treatment of modern internal traumatic diseases.Through the study of the whole Dongyuan method of tonifying qi and rising yang,it is pointed out that the main points of syndrome differentiation of qi deficiency are cold and heat stagnation and diarrhea.different "tonifying" and "benefiting",and the method of tonifying qi and rising yang has significant advantages in the treatment of modern diseases. |
PDF Full Text Request