A Study On The Literature Of "Post - Note" In Treatise On Febrile Diseases

This article studies the notes about prescription in the Treatise on Febrile Diseases’s edition of Song Dynasty.The article concludes the details by making a summing up of the current situation about the notes following the prescription of the Treatise on Febrile Diseases,such as name,processing,dose,formulation,compatibility,boiling,taking,modification,nurs ing and analysis of the prescription in the text of the Treatise on Febrile Diseases’s edition of Song Dynasty,to definite the notes as clinical rules and comment statement about the rules in text.The article divides three parts to discuss the notes.The first section mainly discuss the name and number of prescription with the origin and development,then classifys the processing,boiling and taking and nursing content of the notes,just like classification of the nursing content with observation,drug,diet,contraindication,salvation. The results showed that the drug property and the efficiency make different processing methods as well as the formulation, such as aconite and almond;The dose and the formulation change with syndrome accompanied by the boiling and taking, such as Di Dang Decoction and Di Dang Pill; The therapy of treatment property and abidance by triple pathogens is reflected obviously in the taking; The study of Substitutes such as prescription and drug recording in the notes of the Treatise on Febrile Diseases are very useful during therapy.Based on the induction, the paper analyzes the syndrome differentiation law of the notes by combining with the experience of the doctors living in different dynasties in which the Treatise on Febrile Diseases developed.For example,the doctor living in Jin and Qang dynasty which following Zhang Zhongjing who writted the most content of the Treatise on Febrile Diseases, recorded the name,processing,dose,formulation,boiling,taking and other contents of prescription which are similar with the notes of the Treatise on Febrile Diseases. The results showed the development characteristics of the notes in the different dynasties. For example, the nursing of Huang Qin Decoction, the boiling of Bai Hu Decoction and Gui Zhi Decoction developed different supplement to the Tang dynasty by the recording of similar prescription;The boiling method of powder is the Major change in the Song dynasty which Give priority to dose accompanied by a series of changes of formulation,compatibility,boiling and taking; The literature study about the notes of the Treatise on Febrile Diseases reached a level of power and splendor during the Qing dynasty,such as the study of associated prescriptions.The second part mainly discusses the addition and subtraction of the prescription and the relationship between each other. The result shows that herba ephedrae will be boiled first in the treatment of light syndrome, and the boiling time changes with the dose and the action in the prescription. Herba ephedrae don’t need to boil first by the way of compatibility in the treatment of severe syndrome. So the roast herba ephedrae’s boiling method made by the dose, compatibility to realize the symptomatic treatment; According to the Jin Gui Yu Han Jing, the combined use of cassia twig and the cinnamon can realize the symptomatic treatment by taking the taste seriously;The indication of dried ginger is cough in the treatment of Qi reverse slightly, and the indications of ginger are vomiting and the syndrome of Qi reverse severely. In the meantime, both of them can be exchange in the treatment of the Qi reverse syndrome except of serious deficiency-cold syndrome; The Selection type of Atractylodes related to the dosage form and syndrome; The processing method of aconite in decreasing toxicity is peeling mainly, so that the fire processing and boiling long time in decreasing toxicity may lead to the over-processing and reduce the efficacy of reviving yang for resuscitation.The paper concludes that the aconite is used in raw to reviving yang for resuscitation and the fire processing and boiling long time of aconite to warm yang and dispel the cold by taking the strong taste; The White Peony used in the treatment of abdominal Pain with the dose of Four twofold in the eastern han dynasty can be instead of red Peony according to the conducting circulation of Yin Meridian.The study of formula family and associated prescriptions shows the relationship among the prescription of the Treatise on Febrile Diseases by analyzing the plus-minus application of the prescription in Qing dynasty.For example,Gui Zhi Decoction as the core of the relationship among the prescriptions of the Treatise on Febrile Diseases make an influence during the development of syndrome; Chaihu associated prescriptions can treat exterior syndrome of three-yang with Chaihu which is the core drug in prescriptions; The composition rules of associated prescriptions of Si Ni Decoction and Li Zhong Decoction are developed into the combination of warming yang and supplementing essentials and blood, and thereupon the notes of the prescription of the Treatise on Febrile Diseases change with the development which based on the drug and syndrome, such as eating the gruel in nursing, boiling time and taking method.The second part mainly shows the notes of the prescription of the Treatise on Febrile Diseases including the study of drug plus-minus and the relationship among the associated prescriptions, change with the combination of the notes, such as the processing, dose, formulation, compatibility, boiling, taking and nursing following the syndrome to make the the optimal plan.The third part analyzes the theory of the notes of the Treatise on Febrile Diseases based on the modern study and the ancient development above. For example, the boiling of Ma Xing Gan Shi Decoction change following the syndrome with the different causes, and the boiling of round shaped rice change with the different syndrome to make fluid protecting stomach; the structure and variation of Chaihu associated prescriptions reflects the influence of drug and dose to the further decocting after removing the dregs and the structure and variation of Xie Xin associated prescriptions reflects the influence of compatibility and syndrome to the same boiling; The boiling and taking of three prescriptions to cure mild exterior syndrome with different combination have different meaning in clinical. The third part based the theory conclusion of the notes of the Treatise on Febrile Diseases investigate the influence of the drug, boiling, taking and dose factors to the classification results of prescriptions by Two-Step Cluster Method.The article conclude the mutual relationgship among the note’s content by analyzing drug and prescription of the Treatise on Febrile Diseases,such as Wu Ling San Decoction syndrome according to powder record, the difference between processing and raw Ephedra’s indications with different boiling, and the combination change of the notes such as dose, boiling, taking and formulation according to syndrome with which the drug of prescriptions mainly. In conclusion,the article analyze the treatment significance of the Treatise on Febrile Diseases’s notes based on syndrome differentiation to guide the clinical application.