A Study About The Rule Of The Treatment Based On Syndrome Differentiation To Arthralgia Syndrome Of The Ming-Qing Dynasty

BackgroundArthralgia Syndrome is one of the difficult and complicated diseases. Traditional Chinese Medicine have obvious,advantages in its prevention and cure.The experiments of curing Arthralgia Syndrome by the physicians of the Ming-Qing Dynasty are practical and effective.They also have influences in the curing methods of Arthralgia Syndrome to the physicians of later ages.But the research about.this area focus a few physicians of Ming-Qing Dinasty.So the experiments treating Arthralgia Syndrome by the physicians of Ming-Qing Dynasty are studied not widely and deeply enough.We should pay more attention to the other physicians of the Ming-Qing Dynasty.Their experiments about Arthralgia Syndrome are worth excavating deeper and arranging better.PurposeThis subject will study the documents and materials about Arthralgia Syndrome written by the major physicians of the Ming-Qing Dynasty by collecting, arranging,analyzing,concluding and appraising.And it will take statistics from the medicine cases about Arthralgia Syndrome written by the physicians of the Ming-Qing Dynasty.The pattern how the physicians of the Ming-Qing Dynasty understood and treated Arthralgia Syndrome will be hoped to get from all the work.The result of this research will be used in guiding the clinical work of TCM.It may raise the effect of the treatment of Arthralgia Syndrome.MethodSome medicine cases about Arthralgia Syndrome written by the physicians of the Ming-Qing Dynasty will be analyzed and imported into data base.The syndromes and using of herbs will be analyzed through mathematics and physics statistical methods.Then,physicians' original views and treatments about Arthralgia Syndrome in the Ming-Qing Dynasty will be collected,arranged.At last,combining the.literature research and medical case research,the rule of the treatment based on Syndrome differentiation to Arthralgia Syndrome of the Ming-Qing Dynasty will be analyzed,concluded and appraised.Result1.12 kinds of syndromes is divided from 318 cases about Arthralgia Syndrome of the Ming-Qing Dynasty,and the syndrome of wind-cold-dampness and dampness-heat is used mostly often.Deficiency syndrome takes 36.79%in 318 cases about Arthralgia Syndrome of the Ming-Qing Dynasty while excess syndrome which takes 63.21%.The extensional herbs used mostly are Radix Angelieae Sinensis,Poria,Ramulus Cinnamomi,Radix Gentianae Macrophyllae,Ramulus Mori, Sinomenium Acutum,Raidix Saposhnikoviae,Semen Coicis.2.The syndrome of wind-cold-dampness has the feature:ache transmigration, severe ache,heaviness-immobility,lt can be managed by expelling wind, removing cold and dispelling dampness.The extensional herbs used mostly are Radix Angelicae Sinensis,Ramulus Cinnamomi,Poria,Sinomenium Acutum,Raidix Saposhnikoviae,Radix Oentianae Macrophyllae,Ramulus Mori,Radix Angelicae Pubescentis.3.The syndrome of summer hygrosis has the feature:heat,heaviness and pain.of the body,feeling upset and thirsty.It can be managed by light clearing and leaking.The extensional herbs used mostly are Semen Coicis Sinomenium Acutum PericarDium Citri Reticulatae Semen Armeniacae Amarum,Medulla Tetrapanacis,Raidix Saposhnikoviae,Henon Bamboo Leaf,Ramulus Mori,Hyacinth Dolichos Leaf.4.The syndrome of heat has the feature of heat,redness,swelling and pain of the arthrosis,sudden and violent ache.lt can be managed by cooling heat.The extensional herbs used mostly are Fruetus Gardeniae,Cortex Moutan,Radix Angelicae Sinensis,Rehmannia Dride Rhizome,Gypsum Fibrosum,Ramulus Mori, Cornu Saigae Tataricae,Caulis Lonicerae.5.The syndrome of Phlegm -water pathogen has the feature:slippery pulse, dizzy vertigo,vomiting and nausea,lt can be managed by eliminating phlegm, depriving the evil wetness.The extensional herbs used mostly are Pericarpium Citri Reticulatae,Poria,Rhizoma Pinelliae,Radix Angelicae Sinensis,Radix Scutellariae,Cortex Phellodendri,Rhizoma Atracylodis,Rhizomza Seu Radix Notopterygii,Radix Clematidis,Flos Carthami. 6.The syndrome of dampness-heat has the feature:heat,redness,swelling, heaviness and pain of the arthrosis,lt can be managed by excreting dampness and cooling heat.The extensional herbs used mostly are Sinomenium Acutum, Ramulus Mori,Semen Coicis,Rhizoma Dioscoreae Septemlobae,Poria,Gypsum Fibrosum,Radix Gentianae Macrophyllae,Ramulus Cinnamomi,Radix Angelicae Pubescentis.7.The syndrome Of nutrient QI and blood asthenia has the feature: tendon and vessel contracture,unfavourable flexion and extension with thin pulse.It can be managed by nourishing blood to stop wind,eliminating wind and activating collaterals.The extensional herbs used mostly are Radix Angelicae Sinensis,Raidix Paeoniae Alba,Radix Gentianae Macrophyllae, Rehmannia Pride Rhizome,Ramulus Mori,Cortex Eucommiae,Herba Taxilli,Fructus Tribuli.8.The syndrome of yang asthenia has the feature:arthrosis crymodynia, chilly with minute or sunken,slow pulse.It can be managed by warming through and reinforcing fire from water.The extensional herbs used mostly are Radix Aconiti Lateralis Preparata,Ramulus Cinnamomi,Rhizoma Atractylodis Macrocephalae,Radix Rehmanniae Preparata,Poria,Cortex Eucommiae,Radix Glycytthizae,Cornu Cervi Pantotrichum,Fructus Lycii,Rhizoma Cibotii,Radix Angelicae Sinensis.9.The syndrome of QI-blood asthenia has the feature:after perspiration or childbirth,or physically weak,or invalidism with thin-weak pulse.It can be managed by replenishing qi and blood.The extensional herbs used mostly are Radix Angelicae Sinensis,Radix Astragali,Radix Ginseng,Rhizoma Atractylodis Macrocephalae,Raidix Saposhnikoviae.10.The syndrome of liver-Kidney asthenia has the feature:waist,leg, knee or foot ache and arthrentasis.It can be managed by tonifying essence, filling marrow,strengthening bone and musculature.The extensional herbs used mostly are Radix Angelicae Sinensis,Cortex Eucommiae,Cornu Cervi Pantotrichum,Poria,Radix Rehmanniae Preparata,Semen Cuscutae,Fructus Lycii, Fructus Psoraleae.11.The syndrome of qi stagnation has the feature of taut pulse and hypochondrium distending pain.It can be managed by dispersing the depressed liver-energy and regulating qi.The extensional herbs used mostly are Radix Angelicae Sinensis,Pericarpium Citri Reticulatae,Rhizoma Cyperi,Rhizoma Corydalis,Olibanum,Raidix Paeoniae Alba,Flos Carthami.12.The syndrome of blood stasis has the feature of the waist pricking pain with immobility,lt can be managed by purgation.The extensional herbs used mostly are Semen Persicae,Radix Et Rhizoma Rhei,Radix Glycytthizae,Radix Aconiti Lateralis Preparata,Ramulus Cinnamomi,Radix Angelicae Sinensis,Squama Manitis,Cortex Cinnamomi.13.The syndrome of deficient body fluid has the feature:painful body unable to move around,convulsive limbs,dry mouth,restlessness.lt can be managed by nourishing Yangming.The extensional herbs used mostly are Radix Polygoni Multiflori,Rehmannia Dride Rhizome,Radix Gentianae Macrophyllae,Radix Scutellariae,Fructus Aurantii Immaturus,Radix Platycodi,Poria,Herba Dendrobii,Radix Glycytthizae.Conclusion:1.Differentiating and analysing the concept of arthralgia syndromeMost of the physicians in the Ming-Qing Dynasty thought "bi" meant qi and blood of viscera and meridians with impatency and stagnation resulted from exogenous pathogen invading the body.2.Investigating the etiopathogenisis and pathogenesis(1)Emphasizing pathogenic heat,pathogenic summer-heat.(2)Emphasizing special rank of blood and body fluid.(3)Thinking highly of liver-Kidney asthenia.(4)Emphasizing phlegm and stasis.3.Hunting the rule in differentiation of symptoms and signs.(1)Paying attention to body constitution.(2)Geting the message:neopathy or invalidism.(3)Distinguishing order of importance and urgency.(4)Paying attention to the position of disease.①Superior or inferior part on body surface②Deep or superficial part of pathogen③Part of triple warmer④Wei Qi Ying Xue⑤Presence of meridian and vessels or collaterals(5)Grasp the feature of the syndrome4.Hunting the rule of cure(1)Eliminating warm pathogen ①Excreting dampness and cooling heat②Decreasing(2)Cultivating the middle-JIAO with sweet-warm to benefit being postnatal(3)Tonifying essence filling marrow and nourishing by flesh and blood with sentiment to enrich the innateness(4)Zhi Feng Xian Zhi Xue,Xue Xing Feng Zi Mie①Nourishing the blood②Warming yang and promoting blood flow③Promoting qi to activate blood④Promoting blood flow and removing blood stasis⑤Benefiting blood(body fluid)and stopping endogenous wind(5)Cure from meridian①Cure from ST:announcing through and cooling-relieving therapy; tonification②Taking LU alone for various arthralgia syndromes③Cure from eight extra meridians:distinguishing excess and deficiency, emphasizing communicating collaterals:benefiting liver-Kidney;the key point is coordinati.on between QI and blood④Pathogen usually intruding into collateral in protracted disease: communicating collaterals is the principle of curing collaterals-disease: cure differentiation of excess and deficiency;guarding gastric qi;laying stress on phlegm and stasis(6)Heterozygosis cure...