Study On Ye Tianshi’ Academic Characteristis Of Diagnosis And Treatment Of Spleen And Stomach Diseases

Objective:Based on the medical record of Clinical Syndrome Guide and Wen Re Lun,this paper discusses the academic origin,etiology and pathogenesis,diagnosis and treatment,medication characteristics,etc.this paper systematically combs and analyzes Ye Tianshi’s academic thought on differential treatment of spleen and stomach diseases,excavates its academic characteristics,and provides reference for modern clinical practice to guide the clinical diagnosis and treatment of spleen and stomach diseases.Methods:By using the method of literature review and theoretical discussion,this paper reviewed Ye Tianshi’s theory of epidemic febrile disease and relevant medical records of treating spleen and stomach diseases,and sorted out their academic origins and characteristics,Ye Tianshi’s understanding of etiology and pathogenesis,diagnosis and treatment methods and medication characteristics of spleen and stomach disease were systematically summarized,and the enlightenment of his academic thought to modern clinical practice was studied.Results:The research of spleen and stomach disease and Ye Tianshi’s academic thought were traced,13 methods of diagnosis and treatment of spleen and stomach disease in wen re lun were sorted out,and 30 cases of relevant medical records of spleen and stomach disease were treated in clinical syndrome guide medical records,from the aspects of etiology,pathogenesis,treatment,diagnosis and medication,this paper systematically summarized the academic characteristics and clinical enlightenment of Ye Tianshi’s treatment of spleen and stomach diseases.Conclusion:Following the tenet of the canon of medicine,Ye Tianshi respected the Shang Han Lun of the book,followed the important points of the sages of the Song Dynasty,Jin dynasty and Yuan dynasty,Ye Tianshi had profound knowledge and extensive quotations.He could find the source of all the prescriptions he used,and according to their own understanding,integration through,is really a generation of clinical everyone.He integrated the theory of epidemic febrile disease into the syndrome differentiation and treatment of spleen and stomach disease,and treated the disease with meticulous thinking and meticulous treatment:1.Characteristics of diagnosis: the first recommendation of tongue,combined with dental examination,pay attention to pulse.2.Characteristics of treatment: including spleen and stomach treatment,re-nourishing stomach yin,points away from the drain,Tongbuyangming,from the stomach and collaterals treatment,civil treatment,treatment from the lung,body and use of the same tone,and other aspects.3.Characteristics of medication: Ye Tianshi treatment of spleen and stomach disease with the same distinctive features,such as good use of the smell theory(spleen and stomach deficiency,gan to fill it;Qi imbalance,bitter to drop it;spleen and stomach damp,aromatic light dampness;cold,stomach collaterals,Xin to Tongluo);Active use of classical prescriptions(active use of greater pinellia decoction to Tonify Yangming,active use of banxia xiexin decoction to re-regulate qi,active use of Lizhong Pill to spleen and stomach,active use of WUMEI pill to civil harmony,active use of Mai Men Dong decoction to treat stomach from the lung);Like to use the right medicine;good use of light medicine;longer than the fresh medicine;static and dynamic combination;commonly used insect medicine;soup pills and soup pan pills and so on.Ye Tianshi has provided some examples for the clinical treatment of spleen and stomach diseases from the aspects of etiology and pathogenesis,diagnosis and treatment methods,medication characteristics,etc.The diagnosis of tongue inspection by observing teeth has its own characteristics,which makes the diagnosis of tongue more clear and clear,showing the severity of the disease and making up for the deficiency of pulse diagnosis,and the teeth are closely related to stomach and kidney,dental examination can see the changes of the disease in the stomach and kidney,with the system of Wei-qi-ying-xue syndrome differentiation,so that the diagnosis is more clear.He paid special attention to the regulation of Qi and Qi,which embodied the importance of qi and qi and had a far-reaching influence on later generations.Ye Tianshi’s medication is very unique,often can combine different drugs,in order to achieve the greatest clinical efficacy,especially the smell of the compatibility of drugs,can be called a must:Xinganhuayang,sweet and warm Qi,acid and sweet yin,bitter Tongjiang,acid and bitter heat release,light infiltration and damp,aromatic dampness,Xinwen Tongluo,xinrun Tongluo,Xinxiang Tongluo,etc.there are also worm medicine Tongluo,good use of fresh drugs are distinctive features,for the future treatment of spleen and stomach disease medication has a great guiding significance.