Study On Li Dongyuan’s Diagnosis And Syndrome Differentiation

Objective Through a detailed review of Li Dongyuan’s five works,Summing up the characteristics of Li Dongyuan’s four diagnostic methods of observation,listening,questioning and pulse-taking and his thoughts on the diagnosis and treatment of diseases.So that Li Dongyuan’s experience can be better used in the clinical practice.Method This paper focuses on literature research.The definition of "four diagnoses" in the 9th edition of "Chinese Medicine Diagnostics" is used as the standard to analyze the relevant content.The five works of Li Dongyuan mentioned above are taken as the main research data,the systematic study of the diagnostic methods and dialectical methods,the content of the close combination of the original detailed comb,in order to avoid and diagnostics of TCM content repeat,only the more typical and characteristic of each it detailed interpretation.Then the information obtained from each diagnosis method is analyzed comprehensively,and summarized the characteristics of Li Dongyuan in this respect.ResultsLi Dongyuan’s four diagnosis and dialectical methods have the following six characteristics:1.Li Dongyuan’s four diagnosis and dialectical theories are derived from classics such as Neijing,Nanjing,and Yixueqiyuan,and he put it to good practice.For example,in the aspect of observation,a simple method is proposed to take only the patient’s disease qi surplus and deficiency,regardless of the form qi surplus and deficiency,which is of great clinical reference significance.In the aspect of listening diagnosis,the abnormal number,turbidity and height of the patient’s voice is used to distinguish the diagnosis of internal injury and external sensation.In the aspect of questioning: to the diet injury of cold,heat,hard and soft and other aspects of different inquiry,get the cause of the disease and pathogenesis,so as to give the corresponding treatment;In the aspect of pulse-taking diagnosis: the method of Ren ying qi kou pulse from the original used for the diagnosis of pathological meridians to develop and use in the diagnosis of internal injury diseases;In the aspect of palpation,it is emphasized that whether the umbilical cord has dynamic qi is an indispensable condition for the diagnosis of gastric diseases.2.Formed a complete diagnosis and syndrome differentiation system of internal and external injury,in the internal and external injury cited a total of 13 in the first volume of diagnostic methods to detect internal injuries and diseases,in addition to the first distinguishes the "Yin and Yang syndrome differentiation" not specifically listed diagnosis method,the remaining has the appropriate method,or by pulse diagnosis,or distinguish from the syndrome,from four angles,discusses the different internal injuries and diseases.3.Some symptoms caused by "Yin fire" follow the rule of "hot at the beginning,cold at the end".For example,during the observation,the appearance of tongue coating in the initial stage is the heat symptoms of the tongue,and at the end of the period,the tongue appears as "cold".4.Li Dongyuan stressed that "if you want to cure a disease,you should first examine its source and first anticipate its pathogenesis".If you can do these things,you can get a good curative effect.Otherwise,"the disease has passed,life will be difficult to complete."5.On the use of the dialectical method,give priority to with syndrome differentiation of zang-fu viscera,and pay attention to the spleen and stomach,in combination with main and collateral channels,six-channel differentiation and differentiation of tri-jiao in the dialectical methods such as the advantages of flexible according to the patient choose corresponding method on syndrome: In clinical treatment,the first to distinguish between exogenous diseases and internal injuries,if exogenous diseases,then the six channels of syndrome differentiation,combined with other methods of syndrome differentiation for specific analysis;In the case of internal injury disease,the diagnosis and treatment are mainly based on differentiation of zang-fu organs,combined with differentiation of meridians and collaterals.However,when the disease shows obvious syndromes of the meridian and collaterals,it is mainly based on the differentiation of the meridian and collaterals.Of course,this is only a train of thought when the evidence,must not be rigid apply it.ConclusionLi Dongyuan corrected the mistake that doctors at that time were easy to distinguish internal injury as external injury,and formed a complete diagnosis and syndrome differentiation system of internal and external injury,combined with clinical practice and to develop,the overall form the theory of Yin and Yang as the sum of it,stress the four diagnosis first diagnosis of Yin and Yang syndrome,which distinguish exogenous and internal injuries,with pulse card again close integration between syndrome differentiation and treatment system of it.In clinical diagnosis and treatment,Li Dongyuan do not stick to the use of a syndrome differentiation method,but flexibly choose the appropriate syndrome differentiation method according to the different diseases presented by the patients.