Summarizing Study On "the Treatise On Exogenous Febrile Diseases" In Recent 50 Years Of Taiwan

"The treatise on exogenous febrile diseases" was written in the end of East Han Dynasty. It was a time with many epidemic diseases. The book once had been immerged until compiled by Wang shuhe of East Jin Dynasty. Various scholars were affected by this treatise in the subsequent thousands of years. Thus, for our TCM doctors, it is a treatise which needs profound investigation."The treatise on exogenous febrile diseases" is refined in words, profound in logic, perforated in reason, method, prescription and herbs. It is an effective guide for study basic TCM, construction of thinking with differentiation of symptoms and signs and prescription of clinic.Taiwan lies in subtropical zone and has marine climate. The average air temperature is high. It is damp and abounds with rain. Thus many TCM doctors think it belongs to areas with epidemic febrile diseases. But in clinic, the application of classical prescriptions is widespread.In recent 50 years, many TCM doctors in Taiwan have made new ground in clinic with application of "The treatise on exogenous febrile diseases". The aspects included symptoms, pathology, diagnosis, prescription, acupuncture, symposium on medical topics and medical records, etc. Just as Jiang zhuojing said, "it is an integrated book and can be used for thousands kinds of diseases. " At the age of holding by Japan, the medicine in Taiwan was totally westernized. It totally damaged TCM. Only herb application in folk was saved. Some prescriptions were only spread in temples. Only after the recovery of Taiwan in 1945 and the immigration of TCM doctors from main-land of China, TCM began to recover and develop in Taiwan.This study was mainly discussed the researches and developments on "The treatise on exogenous febrile diseases" in Taiwan of recent 50 years. It divided into 4 parts.Firstly, it introduced some representative figures in this area, such as Jiang zhuojing, Wu guoding, Yun zhiyu, Zhang butao, Yang weijie and Pan huankui,etc. The aspects included all their life, history of pursing their studies, works, clinical medical records and proved recipes, etc. We mainly brought forward their theoretic exertion, proved medical cases and their explanation of "The treatise on exogenous febrile diseases".Secondly, it introduced some research communities and academic achievements of "The treatise on exogenous febrile diseases" in Taiwan area. The unique higher education institute of Taiwan is Private Chinese medical college of Taizhong It came into existence in fifty decade. The institute of Chinese medicine and Chinese material medica was brought into being in eighty decade. As to academic researches on "The treatise on exogenous febrile diseases" , it included literature sorting, basic theory, clinic medicine, analysis of prescription, discussion of herbal ingredients, application for modern diseases, pharmacody of prescriptions and animal experiments, etc. In addition, Taiwan paid much attendance to TCM in recent years. This was partly affected by the development of TCM in main-land of China. It pushed on the investigation developing of the related health agencies.In Taiwan, many large hospitals began to constitute TCM department. At the same time, many TCM researches were doing in institutions of higher learning. This study particularly gathered annual reports of Taiwan committee of TCM, research reports of Chinese institute of TCM and researches on epidemiology, etc. Certainly, we overviewed their researches. Findings Thirdly, this study discussed the prescription application of "The treatise on exogenous febrile diseases" in Taiwan area, especially under the civil health insurance system.With the development of pharmaceutical techniques in TCM, we inducted Japanese concentration techniques of TCM in sixty decade of last century. It turned decoction of TCM into "scientific TCM". This provided another selection for doctors and patients. It was a new stage for formulation of prescriptions. It saved time for boiling herbs and was convenient for emergency and for taking and reserving. At the same time, the safety and stability of TCM was maintained by this formulation. This was in favor of evaluation of clinical curative effect of TCM. It was also in favor of the deeply investigations on "The treatise on exogenous febrile diseases". Researches on "The treatise on exogenous febrile diseases" in Taiwan mainly used this formulation of "scientific TCM". According to the regulation of health insurance system in Taiwan, TCM doctors, who take part in the health insurance system, must usethe formulation of "scientific TCM". As to the namelessness, we must take stand on ICD-code in order to be consistent with modern names of diseases. It is important for general investigation and statistics of epidemiology.According to the data of national health institute from the year of 2000 to 2002, we found out that there was quite difference between modern prescriptions applications of "The treatise on exogenous febrile diseases" and traditional "the six channels differentiation". To count according to names of diseases, our study could get correlation of the kind of common aliment and prescriptions of "The treatise on exogenous febrile diseases". It could also get the prescriptions ratios in different seasons. We got the common 30 prescriptions and its ratios in different seasons. We also got its main symptoms for these prescriptions. At the same time, we discussed the difference in opinion and its background for using classical prescriptions in Taiwan area.Fourthly, we introduced exotic affections on Taiwan investigation of "The treatise on exogenous febrile diseases". After 1949, there was about 40 year's isolation between Taiwan area and main-land of China. Thus the exotic affections mainly came from Hong Kong area and Japan. In Hong Kong area, the most famous scholar of "The treatise on exogenous febrile diseases" was Tan shuqu and Lu jueyu. They were famous for using the warm-natured prescription of sini tang. Their exertion was mainly on the three yin syndrome. Their works tried to use western medical theory to explain syndromes of "The treatise on exogenous febrile diseases". As to Japan, after Meiji reform in Japan, TCM was dying out actually.But at the beginning of last century, Japanese scholars improved the prescription application and formulation. They gave some creative ideas in the application of classical prescriptions from the view of both TCM and western medicine. The representative doctors were shisu daoming and dazhong jinjie. In Japan, they firstly did diagnosis on the basis of diseases, and then treated patients by its symptoms and signs. They constructed a unique model for use classical prescriptions. In the TCM formulas published by Japanese ministry of health, classical prescriptions take more than two thirds. In Japan, western medical doctors mainly use "The treatise on exogenous febrile diseases" as a guide for TCM. In addition, as to the application of "The treatise on exogenous febrile diseases", Japanese doctors have abdominal palpation diagnosis and stress on relations of prescriptions and syndromes.As a whole, TCM investigations in Taiwan area have prodigious difference with main-land of China. This is because of its scare manpower, tightness of money, late starting and small size in investigations. So we find less works and investigations on "The treatise on exogenous febrile diseases". In recent years, one after another, a great deal of books investigating "The treatise on exogenous febrile diseases" has been published in Taiwan area. And there are more and more scholarly communication between Taiwan area and main-land of China. Certainly, it will force the scientific development and investigation of "The treatise on exogenous febrile diseases*. This will benefit the common people of both sides.