| ObjectiveThe doctrine of the stomach is an important component part of the theory of Zang, and their representative Li Dongyuan, who live in the Jin and Yuan Dynasties. Li Dongyuan advocated internal injuries Spleen and Stomach, having great impact on his period and future generations. clinical guidance of this theory certainly has some effect, so it is worth mining and improve. As one of the Jinyuan four, Li Dongyuan started from the stomach to syndrome differentiate, and linked the occurrence of the disease and stomach weakness from this perspective, which is a major breakthrough in medicine at that time. Li Dongyuan's serious attitude on life and rigorous scholarship makes him a model of both medical ethics and medicine. Aout the value, Zhu Danxi says:"Zhongjing emphasized external contraction, but li dongyuan more paid attention to inner hurt." We could understand the achievement of Li Dongyuan as he was said with ZhangZhongJing by Zhu DanXi. Therefore, to Mining the value of Li Dongyuan and improve it to some extent become very important. That's the first purpose of this paper.Jin and Yuan Dynasties is carried out in the heyday of Chinese medicine theory. Li Dongyuan as a representative figure of "schools of benefit earth", he thought " a lot of diseases come from dual deficiency of the stomach-spleen", which was a flower of his period and had a great influence on the future. So the doctrine about the stomach of Li DongYuan is emphasized by the follower just as shanghan to Zhang Zhongjing. Xue Ji,Zhao YangKui, Li ZhongZi,ZhangJingYue,Ye TianShi and so on living in Ming and Qing dynasty prize the theory of Li DongYuan. Now more and more scholars study stomach base on his theory. Tu renjie says:" dongyuan's view of spleen and stomach is that it can help water and food up to the lung, then spread four viscera。 If the stomach is ill, the spleen cannot get fluid and humor from the stomach, then it cannot transport the qi to viscera and bowels, so the disease come. The genuine qi is the innate essence, only stomach qi can nourish. Stomach qi is guqi. and rongqi,yunqi,shengqi,qignqi,defence qi,stomach qi,yangqi,zongqi,tianqi,renqi,diqiand triple energizersqi, these all are stomach qi. This point enrich 《huangdi neijing)), and methods to treat spleen-stomch is in detail. So people know the importance of spleen-stomach. Though many doctors research spleen-stomach, but the methods still in li dongyuan's range. And the benefits is large." Though the follower of Li DongYuan improve his theory, the basement still haven't change. The second target is to illustrate the improvement of the follower.The reason why the theory of LiDongYuan could innovate is that he give us a frame for deep study. It seems there is no change for our knowledge on healthy and unhealthy for thousand years, however, the changes comes as the climatos and the life habit changes greatly. So the disease of today is different from hundred years ago. If we guide clinical caring of today by the theory of past, there is too much consideration. Just as ZhangYuanSu said,"today is different from yesterday, how can we solve problems by same methods". In practice, we couldn't keep the old ways now and then. Change is the spirit of TCM. My tutor Liu YouZhang professor agree with the theory Li DongYuan, and practice it in the clinical, and the effect is very clear. The paper's third purpose is to analyze the experience of the professor of Liu YouZhang about his inheritance and improve.Methods1.literature research method:it contains literature searching, literature finding,data collection,screening,sorting and compilation.Literature collection is the first step to start a thesis. Accordingto the research purpose, the scope of research materials was clearly defined. As Li Dongyuan's academic thinking is well expressed in two books of his works, the 《neiweishang bianhuolun》 and the 《piwei lun》, which are main references for this dissertation. Besides, other books of him such as 《dongyuan shixiao fang》,《lanshi micang》 were referred too.Because there have being a lot of people study on Li Dongyuan's doctrine of spleen and stomach. To possess comprehensivematerials, we collected most of their books and dissertations on this topic, which contain not only the paper versions, but also the electronic versions that found on CNKI, WANFANG DATA, CQVIP Web net and any other web tools.2. Theoretical Extraction Method:As it comes to the studies of doctors later on, their inheritance and innovation on Li Dongyuan's doctrine of spleen and stomach have been theoretically refined and summarized. In this paper, theoretical methods of various famous academic thought, even belonging to different schools, were summarized,which range from the "Neijing" to the "Classic", fromZhang Zhongjing to Li Dongyuan, famous physicians from Ming and Qing dynasty to the modern society, have beenwell refined and summarized.3. Method of Clinical research:In this study,30cases of myasthenia gravis patients'data were collected. To explore the clinical application of the relatedtheory of five internal organs andthe character of disease identification and treatment of Professor Liu You Zhang, conditions of main syndromes, accompanied syndromes, tongue, pulse and medication of these patients were well studied.4. Statistical methods:It is mainly designed for the30cases study, resorting to EXCEL software, we sort them according to the gender, age, symptoms, signs, syndromes, treatment rules, administrations, we put the corresponding data into the EXCEL table, and then use the it for statistical analysis. All these we do is to explore the way of the tutor in his diagnosis and treatment of disease, the therapeutic principle and medication regularity, to give clinical support to the inheritance and development of Li Dongyuan's doctrine of spleen and stomach.ResultsThis research is divided into three parts. the first part is the theoretical research of Li Dongyuan's theory of spleen and stomach, which is mainly discussed from Dongyuan's theory's establishment and theoretical framework. The second part is the influence of Dongyuan's theory of spleen and stomach to later generations. It mainly contains the theory elaboration of warm and tonify the spleen-stomach in Ming and Qing dynasties, and all the doctors'improvement to theory of spleen and stomach in modern times. The third part is professor Liu's viewpoints explained by specific medical cases. It discusses the development of TCM theory of spleen and stomach from the perspective of heritage and creation. And the last part is the study of a lot of medical records. From patients treated by professor Liu Youzhang, I select30samples, which are all MG. Puting related data and using statistical methods to analyze professor Liu's characteristics of treatment. And explain his academic thinking according the objective data.1. Theoretical research of Li Dongyuan's theory of spleen and stomachTheory of spleen and stomach grew out of 《neijing》,《nanjing》. It was developed by Zhang Zhongjing and Zhang Yuansu, in the end the basis of Dongyuan's theory of spleen and stomach was constructed. The physiological and pathological discussion of spleen and stomach in Nei jing constitutes the foundation of TCM theory of spleen and stomach. As a whole, spleen and stomach bear a close relationship to body itself and external world. Its relation to the body lies in its domination to muscle and limbs. Mouth is its hole orifices, and its nutrient qi performances in thelip. Thought is the zhi and spleen has the function of controlling blood. It has spleen meridian and stomach meridian. Its relation to external worldlies in five elements—earth (spleen is dampness and stomach is dryness), four seasons—thriving at the end of four seasons and leading long summer, six excesses—dampness. The flavor is sweet. And the color is yellow. Its taste is incense. And its sounds is song. The animal is cow. And the grains is swichgrass. Neijing takes each part of the body as a whole and puts spleen and stomach in zang-fu system and meridian system, which forms the basis of TCM theory of spleen and stomach. Moreover, Neijing has contained the idea that treats spleen and stomach differently.《taiyin Yangminglun》says:Like the appearance and the inside, lunar and yangming belong to spleen-stomach vessles. But they produce different diseases, why? From this question by Huang Di, he obviously takes spleen and stomach as two different objects, one of which is spllen vessle, the other is stomach, lunar and yang ming are in a exterior-interior relationship, which causes different disease,《zangqi Fashi Lun》 further describes the symptoms of spleen. That is, more weight and hungry,less musle, no strength, foot pain. If the spleen weak, you will abdominal distension, bowel, diarrhea. And the food cannot be digested. We can use lunar,yangming and shaoyin meiridian and collateral.Zhang Zhongjing contributed to the theory of spleen and stomach. Listed as follows, firstly, he proposes to treat spleen and stomach in different ways. Although Ye Tianshi made the largest contribution in this respect, Treatise on Febrile Diseases analyzes and reasons in greater detail and describes the principles and prescription in a more perfect way. Secondly, he improved the syndrome differentiation system of spleen and stomach. Nei jing just gives a implicit description of spleen-stomach, while Treatise on Febrile Diseases elaborates causes of disease, pathogenesis, treatment principles and prescriptions because of the disorder of spleen-stomach. Thirdly, viscus and bowel correlation's differentiation system was enriched by him. He applied theory of spleen and stomach to indentify the symptoms with the names of six chanels and others. Li Dongyuan was profoundly influenced by the view of" the strong spleen can defend pathogen in all the year" in 《jingui yaolue》 written by Zhang Zhongjing.The contributions that Zhang Yuansu made mainly reflected in directional functions of his Viscera differentiation model and unique drug system to the treatment of spleen and stomach. Zhang Yuansu attaches importance to syndrome differentiation of viscera. He treats pathogenesis according to viscera's actual situation and forms a set of unique diagnostic method. And he presented his viewpoints that "using the ancient priscription to treat the disease now is not right". He maintained that prescription should vary from season and person. He emphasized warming and recuperating in treatment and that the smell of drug should harmonize with pathogenesis in making a prescription. He came up with theories of channel tropism of medicine which believe that if drugs can be absorbed by corresponding channels, the effect will be concentrated and great. Li Shizhen praised him that he promoted medical knowledge and was the only genuine doctor after Lingsu.Li Dongyuan brought theory of spleen and stomach into a golden period. Because of his achievements in medicine, theory of spleen and stomach gradually took its shape. Starting with theory of spleen and stomach, his unique perspective to disease and remarkable curative effect in a clinical context made Li Dongyuan a great master in his times. He had immeasurable impact on his times and doctors in later generations. Zhu Danxi made an evaluation that Zhongjing's book majoring in external inflection, while Dongyuan's book focusing on internal injury.The core of Dongyuan's theory of spleen and stomach is that a hurting spleen and stomach will bring about ills. When seeing a patient, the first thing is to distinguish between internal injuries and external inlection, which has been done by Dongyuan in his thirteen distinguishments that elaborates the special features of internal injuries. Internal damage diseases is the deficiency syndrome. Clinical manifestion are less srongth and like to be in bed. This damages qi and should tonify the maternal. Diseases produced in dietary irregularities,overexertion and fatigue,seven emotions involve five viscera. The key is more pathogenic qi and less yuan qi. The normal state is the movement of qi is in order. So if the yuan qi is less, the state must be disorder. In details, using warm and sweet herbs to tonify the spleen and replenish qi. And then using the wind herbs to help upbearing and effusion yang qi. And in the last, using sweet and cold herbs to defend the heat.2. The influence of Li Dongyuan's theory of spleen and stomach to later generationsAS the great value of LiDongyuan's theory, he was gave a big hand by Collowers, including his students:WangHaoGu, LuoTianYi, Xueji, ZhangJieBin, ZhaoXianKe, LiZhongZi, YeTianShi and so on. There are two characters of Li's theory:firstly, deep understanding about disease and caring on stomach; secondly, developing warm and tonify to nourishi spleen yin and stomach yin, make the theory more completely.WangHaogu emphasis the internal cause, constructed "nei shang san yin li", which linked the theory of internal damage and shanghan theory. He talked about cold, based on the heat. LuoTianYi tell us about the difference of drink and eat. Overexertion and fatigue shoule distinguish cold and heat.There are two innovations in ming and qing dynasty:the one is complement of warm and tonify theoy, the other is complement of spleen yin, stomach yin. This is not only development of li dongyuan's theory, but also the result of viscus and bowel correlation's theory, which emphasizes on "kidney, sp1eon (stomach)" some famous person are:Xue Ji, Zhang Jiebin,Zhao Xianke, Li Zhongzi.Miao Xiyong adds the theory of spleen yin. And Ye Tianshi adds the theory of stomach yin.Now, the theory of stomach is developing still. That ZhangYuansu said "using the ancient priscription to treat the disease now is not right" is suitable for today's situation. Now the related famous scholars include Shi Jinmo, Dong Demao, Li Congpu, Deng Tietao, Dong jianhua, Li Yuqi, Guan Youbo, Li Qiangou and so on. From inheriting to innovation, everyone has his difference:Shi JinMo think more about regulating the spleen and stomach; Dong Demao, who is an excellent student of Shijinmo, developed his theory about diverting the liver; LiCongfu analyzed five viscus's weakness and strongth around the stomach and constructed the treatment of five ciscus's weakness and strongth in the center of spleen-stmach; DengTieTao advocated "viscus and bowel correlation",which try to make up the five elements's defect; Dongjianhua walked out the limit of "tong methods", he added many methods to the tong methods and developed its meaning; LiYuqi merge the change discovering from gasproscope, caring Atrophic gastritrs with "carbuncle", which is based on the traditional chinese theor; GuanYoubo combined qi and blood dialectical method with bagang. he explained pathology and treatment from uncommon qi and blood. And he was good at treat liver diseases according treat spleen.;LiQiangou added pathology mode. And put forword to distinguish syndrome type according primary and secondary. And developed the application in A&E.3. research about Liu YouzhangProfessor Liu's thoughts can include as follows:stomach is the centre and viscus and bowel correlation; emphasis dampness and heat, offensive method; like use wind herbs and lingnan's herbs. Inherit the LiDongYuan's theory, mainly in the follow parts:stomach is the base of body,the resource of qi and blood producing,the criticize part of up and down; stomach is in the five viscus system, which is related the other four viscus closely; emphasis the relationship of man and nature. our body have its way justlike there are changes in the nature; caring for disease always add herbs to tonify the spleen-stomach, major or second; good at using wind herbs to up yangqi, disspate hire and remove dampness. Professor Liu's main ahievment are expand the range of the theory of stomach and improve the meaning of "viscus and bowel correlation". He think more about dampness and heat, which deepen the reasons and also developed the thoughts on the relationship of man and nature. Liu probe the "offensive" method, add more ways to caring disease. As he emphasis disease from dampness and heat, he like use lingnan's herbs.4. Clinical research reports for30MG patientsSpleen-stomach's weakness and damaged is for the main symtoms. Higher correlation with liver and kidney and less higher with heart. Damp-heat type is also more common. On the treatment and herbs used,warming spleen,liver and kidney are common methods, and also wind herbs. According these methods,we achieved good results.ConclusionsThe theory of spleen-stmach is derived from 《nei》,《nan》,zhongjing proposed "spleen can fight against disease because of its strong","if you see the liver disease, you should know it will pass to spleen, so you must tonify the spleen",then the theory begins its shape. In Jin and yuan dynasties, li dongyuan proposed" internal damage spleen-stomach can lead to disease", the theory about spleen-stomach fully formed.I,i dongyuan creat a precedent, which is from internal damage to identify and treat disease. The main point is "internal damage spleen-stomach can lead to disease". Yuan qi is the essential qi, which depends on the nourish of the spleen-stomach qi. If the spleen-stomach is ill, yuan qi cannot get nutrition, so yin fire goes up, and a person is ill. The treatment is "warm and tonify the spleen and stomach." His representative of the prescription is buzhong yiqitang. This theory had a profound impact on future generations. Wenbu and wenbing schools created their own special theories on the basis of above in ming and qing dynasty. The pioneer is Xue ji. He linked spleen-stomach and kidney. Zhao xianke focued on kidney, which had been thought the fundament for life. Zhang jiebin belived yinqi and yangqi must balance, he chiefly observed water and fire,which is weak in the kidney system. Li zhongzi put forward to thesis, which is"kidney is the root of innate endowment and spleen is the root of acquired endowment". Ye tianshi advocated spleen and stomach should be treated separately. Attention to stomach yin is the salient features of their academic thinking.After ming and qing dynasty, it has further developed. Shi Jinmo played the spleen's up and down in an important place,; Dong Demao was good at regulating the liver to treat spleen;LiCongfu analyzed five viscus's weakness and strongth around the stomach and constructed the treatment of five ciscus's weakness and strongth in the center of spleen-stmach; DengTieTao advocated "viscus and bowel correlation"; GuanYoubo combined qi and blood dialectical method with bagang. he explained pathology and treatment from uncommon qi and blood. And he was good at treat liver diseases according treat spleen.;LiQianGou put forword to distinguish syndrome type according primary and secondary. And developed the application in A&E. The theroy of "viscus and bowel correlation" DengTie Tao refered completely improved the stomach system. LiuYouZhang, who is Deng's excellent student, practice for many years under the theory of stomach and have many different experience, so we should analyze his thoughts deeply. In this paper, my tutor's prospects about disease, on disease identification and treatment and hesitant using, LiDongYuan, meanwhile, for the differences on period,teacher and self-experience and so on, he develop Li's theory on the follow parts:he not only emphasis warm and tonify the spleen and stomach, but also other viscus and bowles, which expand the range of the theory of stomach and improve the meaning of "viscus and bowel correlation". He think more about dampness and heat, which deepen the reasons and also developed the thoughts on the relationship of man and nature. Liu probe the "offensive" method, add more ways to caring disease. As he emphasis disease from dampness and heat, he like use lingnan's herbs.
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