| Objective:through this study,it can be used for reference and guidance for the theoretical understanding and clinical practice of rheumatism.Methods:Taking the history of rheumatism development of Chinese medicine as the research object,we collected and sorted out some documents about rheumatism in our history,and carried out the theory and practice from two aspects.On the whole,divided into the name of rheumatism rheumatism three plate concept,historical evolution,the analysis and discussion of rheumatism in the history of the discussion,rheumatism is divided into eleven parts,each historical period,during the period of exploration and research from the name of disease,etiology and pathogenesis,therapeutic methods and prognosis etc.four aspects.Results:the concept was first proposed by Huangdi Neijing:"three kinds of wind,dampness,Qi,Qi and Bi are arthralgia.".The trend line winner for the Bi,the winner for the winner for rheumatism arthritis,moisture." It’s the first definition of rheumatism.In the mid 1980s,the draft definition of disease was introduced as the second definition of rheumatism.The name change:bones cower,arthralgia,arthralgia(disease),rheumatism,rheumatism.The historical evolution of eleven stages:ancient times:disease:bones cower.The etiology and pathogenesis of Yin,the qi stagnation and the clogging.Treatment and prevention:to advocate the dance.Xia and Shang Dynasties:disease name:micro Zhong.Etiology and pathogenesis:wind and dampness,two Qi phase of insects,and change the health of various diseases.Treatment and prevention:taking drugs drug bath.Spring and Autumn Period:sickness name:arthralgia heat(the source of heat arthralgia).Etiology and pathogenesis:wind cold dampness invasion.Blood coagulation in the skin for the Bi(systemic lupus erythematosus,purpura,leukemia,etc.),rheumatism for the disease,there are no pain.Prescription:acupuncture,ironing.Prognosis:disease prolonged into the deep,aggravating symptoms,increasingly difficult to treat.During the Three Kingdoms period:the disease name:"Golden Chamber":rheumatism."Canon":heat,gas stagnation.Etiology and pathogenesis:the body Qi deficiency,wind cold dampness wounding.The principle of treating herbs is to promote Yang Qi,warm the meridians and dissipate cold.Guizhi Fuzi decoction.Prognosis:the disease is shallow,easy to cure,the disease is difficult to cure.The Jin Dynasty and the northern and Southern Dynasties:disease:lumbar pain,rheumatism,dry cold arthralgia.Etiology and pathogenesis:the body Yang deficiency,wind cold dampness,wind,thieves,wounding.The herbs for treatment are:cassia,wind,Ligusticum chuanxiong,asarum,Xiao Xiao Xie decoction.Prognosis:not timely treatment,cold dampness will flow into the lower limb joints.Sui,Tang and Five Dynasties:sickness name:rheumatism rheumatism.The etiology and pathogenesis of the human body;blood loss,cold dampness take advantage of a weak point.Herbs:decoction,acupuncture.Prognosis:the disease does not heal for a long time,leading to limb dysfunction.Two Song Dynasty:disease name:heat arthralgia.Etiology and pathogenesis:there is heat in the body,repeated cold,dampness,Yin,Yang caused by yin.Herbs of Nourishing Yin,clearing heat and removing dampness,detoxification,blood stasis.Cimicifuga soup,dried Rehmannia Decoction,more use of insect drugs,such as snake,scorpion,centipede,earthworm,etc.etc..Prognosis:not timely treatment,limb disuse.Xia,Jin and Jin Dynasties:the name of the disease:gout.The etiology and pathogenesis of blood:the wind cold dampness,phlegm and blood stasis stagnation heat yin.Herbs:Wen Tong diaspora dampness,nourishing yin and clearing heat and dampness,promoting blood circulation and removing blood stasis induced sputum.To add an elixir,frankincense pill,Qinglong Dan,stealth(i.e.scattered powder drying wine cork).The Ming Dynasty:disease name:Zhang Jingyue thinks rheumatism should be called fengbi.Etiology:true Yin blood weak loss,the wind cold dampness evil injury.Prescription therapy:Jun tonic Yin,popular Qi and blood.Caution with warming and dryness.Daqinjiao decoction,Xiaoxuming decoction.Prognosis:prolonged damp heat.Qing Dynasty:sickness name:Hot impediment,waist impediment.Arthralgia is the wind of the wind and the dampness of the lung.Etiology:cold heat wet evil.Pathogenic depression is prolonged,and cold dampness becomes hot phlegm.Arthralgia due to blood stasis.Herbs:Qingrejiedu dampness,nourishing blood and nutrition.The treatment of heat arthralgia and Yangming meridian.Using drugs.Summer heat dampness arthralgia decoction.In modern times:the illness:heat,wangbi.Etiology and pathogenesis:internal heat for a long time,exogenous wind cold dampness,Yang Zheng sheng.Has day true Yin and Yang Qi and blood loss,cold and damp heat evil Chengxu,blockage of Qi and blood barrier,phlegm and blood stasis heat choking meridian.Herbs:tonifying kidney and spleen,nourishing yin and clearing heat and dampness,detoxification expectorant,Huoxue Huayu tongluo.The widespread use of insect drugs."YiShenJuanBi pill".Prognosis:disease improvement,premature withdrawal,or easy to relapse.Conclusion:the disease name:"bones cower" is the earliest name of rheumatism.Etiology:the spring and Autumn Period:wind cold dampness evil invasion;Han and Tang Dynasties:body Qi deficiency,cold dampness hurt;song and Yuan Dynasties:human blood deficiency,cold damp evil invasion of the body,there is phlegm and blood stasis heat Yin;Ming Dynasty:true Yin blood weak loss,the wind cold dampness evil the Qing Dynasty:injury;damp warm evil,Chengxu attacks pathogenic,and put forward the blood stasis cause impediment;in modern times:viscera Yin and Yang Qi and blood loss,cold dampness stagnation of phlegm and blood stasis and heat,or liver and kidney deficiency,damp heat blockage.Treatment:treatment:Fuzhengquxie,both specimens.Treatment:the Han and Tang Dynasties:Dakwah Yang,warmingchannelstodispel cold;song and Yuan Dynasties:Wen Tong diaspora dampness,blood and blood gas,nourishing yin and clearing heat and dampness,blood stasis and phlegm guide;the Ming Dynasty:cold dampness,reinforcing Yin Jun really;Qing Dynasty:Qingrejiedu dampness,activating blood circulation and dispersing stasis in modern times;:tonifying kidney and spleen,nourishing yin and clearing heat and dampness,detoxification expectorant,Huoxue Huayu tongluo.The characteristics of prescription drugs:Han and Tang Dynasties:divergent cold warm through the cold dampness pain medication,Qufeng drugs;drug use in the song and Yuan Dynasties:Xin Gan Yin appeared at the same time,cold cool;Ming Dynasty advocated to fill the true Yin Jun,the circulation of blood products;Qing Dynasty:Gan cold bitter salty taste,with Huoxue Huayu Tongluo medicine;modern times:Yishen Jianpi,ganhan nourishing medicine,Ruanjiansanjie medicine,dampness detoxification expectorant drugs,Huoxue Huayu Tongluo drug combination. |