A Study On The Law Of Syndrome Differentiation Of "numbness" In Ancient Literature

Objective:"Numbness" is a common symptom in clinic. This thesis attempted to classify research representative ancient Chinese medicine books.lt is necessary for us to study the academic history of it. Meanwhile, we analysed and studied the drug law and characteristics with the aid of stastistical methods and tried to summarize and systematize the treatment based on syndrome differentiation about "numbness", and provided reference and guidance for the use of modern scientific research and clinical.Methods:1. By computer retrieval, with the "Chinese medical classics" as the main search target, we collected73ancient documents from Qin Dynasty to Qing Dynasty.2. By documentary method, we analyzed the origin of "numbness" and standardized its connotation, as well as classified and analyzed the related documents about "numbness".3. We found that ancient physicians had independent "numbness" from other diseases since the Jin-Yuan Dynasty, so we explored respectively the syndrome-treatment rules and characteristics of "numbness". By means of statistical methods, we established the database from the high frequency of drug, drug efficacy, flavor, property and channel tropism.Results:1."Numbness" as a medical term first appeared in the Jin Dynasty "A-B Classic of Acupuncture and Moxibustion"."Bu ren" expressed "numb" before Jin Dynasty. A lot of words expressed "numb", such as "Rou ke", or "Ma bi","Wan ma","Wan bi","Wan hou","be benumbed and unresponsive" were expressed similar symptoms. 2.The etiology and pathogenesis of "numbness" was complex, including the Qi and blood deficiency, Yang deficiency, yin deficiency, six exotic evils, emotional upset, phlegm, blood stasis, endogenous pathogenic heat, and the wind evil into the endopenia, evil into the deficiency of kidney as well as cold-dampness due to deficiency of Yang. Its pathogenesis was two aspects:no nutrition may bring about numbness and stagnation may bring about numbness. The key pathogenesis lay in the Qi and blood could not be normal transport to muscle and skin which couldn’t be warm and nourish.3.The physicians before Jin-Yuan Dynasty used medicine for rheumatism and diaphoretic mostly, supplemented tonic medicine. The medicine flavor was pungent mostly with the channel tropism into the liver and heart. Physicians in the Jin Yuan Ming-qing Dynasty used tonic medicine mostly, supplemented expectorant. The flavor was sweet and pungent mostly, with the channel tropism into the spleen and liver. The property was warm mostly in all dynasties.Conclusion:1."Ma" means the feeling of formication or shock or micro needle stab on the skin,"Mu" refers to the skin feeling loss."Ma mu" includes "Rou ke", or "Ma bi","Wan ma","Wan bi","Wan hou","be benumbed and unresponsive".2.The etiology of "Numbness" was deficiency and excess. Its pathogenesis is two aspects:no nutrition may bring about numbness and stagnation may bring about numbness. We could make syndrome differentiation of numbness through that we handled clearly the nature of etiology.3.The physicians before Jin-Yuan Dynasty dispelled wind, cold and dampness mostly and tonify deficiency secondarily to treat numbness. The physicians in the Jin Yuan Ming Qing Dynasty replenished qi and blood mostly and reduced phlegm secondarily. The most common syndrome were wind-cold-dampness stagnation syndrome, qi deficiency with evil syndrome, qi and blood deficiency syndrome and phlegm retention syndrome.4.The preliminary summarization on syndromes:Qi deficiency syndrome, Blood deficiency syndrome, Yin deficiency syndrome, Yang deficiency syndrome, Phlegm retention syndrome, Blood stasis syndrome, Qi stagnation syndrome, Damp-heat syndrome, Wind-cold-dampness stagnation syndrome, Wind-heat invasion.