Based On Traditional Chinese Medicine, "kinky", "eight Quality Factors Exogenous Disease Early Diagnosis And Treatment Mode Explore

At present, exogenous diseases are still major health problems with serious impact on social development, therefore, correct pattern differentiation and treatment in its initial stage are of great significance. Since Huang Di Nei Jing (The Yellow Emperor's Inner Classic) and Nan Jing (The Classic of Questioning), the treatment in the initial stage of exogenous diseases has been modified and enriched through ages. However, misdiagnosis and mistreatment in its initial stage happen occasionally ever since. In this thesis, deeply study on treatment and medical errors in initial stage of exogenous diseases was presented. It is revealed that two key factors dominate these processes, namely, external pathogen and constitution, respectively.To begin with, the relationship between external pathogen and onset of exogenous diseases as well as its treatment in its initial stage were discussed.Traditionally, the external pathogen includes six pathogenic factors and pestilence qi which is also called "miscellaneous qi" by Wu Youke (also named Wu Youxing (1582-1652), a famous Jiangsu Physician in the late Ming Dynasty, who has found a new doctrine of epidemic febrile diseases).In this thesis, the theory of pestilence qi or miscellaneous qi was thought to be useful for the explanation of how epidemic febrile diseases breaks out, however, it cannot directly guide the pattern differentiation and treatment. The epidemic treatment still depends largely on pattern differentiation in light of traditional Chinese medicine (TCM). The causes of disease which are derived from pattern differentiation and applied to guide therapeutic methods and prescriptions are still dominated by six pathogenic factors.As for six pathogenic factors, namely, wind, cold, summerheat, dampness, dryness and fire, were discussed in the following two aspects:1. These six pathogenic factors were simplified into four, namely, cold, heat, dryness and dampness. And three reasons are listed below.1) Wind is a general term that refers to all kinds of external pathogens but not a subordinate one, thus it could be eliminated; 2) The nature of summerheat is "heat", thus it could be replaced by "heat"; 3) Fire is not a kind of external pathogen, thus it was also deleted.2. Further analysis on wind-heat exterior pattern due to wind and heat pathogens were carried out, and related therapeutic methods, prescriptions as well as herbs to release exterior pathogens with pungent in flavor and cool in nature. The conclusions are summarized as below:1) The wind-heat exterior pattern is not simply a type of exterior pattern; its mechanism can be explained as follows:heat pathogen invades the lung, which is complicated with signs of wind-cold fettering the exterior (pattern of lung heat accompanied by exterior-cold). In this thesis, we believe that this mechanism has more value to the pattern differentiation and treatment of wind-heat exterior pattern.2) the therapeutic treatment of "Releasing exterior pathogens with pungent in flavor and cool in nature" should be understood as "clearing lung heat primarily and dispersing cold to release exterior concurrently". Based on these ideas, further understanding of prescriptions and herbs which can be used to release exterior with pungent in flavor and cool in nature were also discussed in this thesis.Next, the relationship between constitution and onset of exogenous diseases as well as its treatment in its initial stage were discussed.Constitution refers to the comprehensive characteristics of an individual, according to natural endowment and acquired after birth, which includes structural, functional and psychological characteristics, and are relatively stable.This thesis believed that constitution is a "covert factor" influencing the changes and development of the treatment in the initial stage of exogenous diseases. It is of great significance during the onset of exogenous diseases as well as its treatment in its initial stage as listed below:1).For the onset of exogenous diseases:different external pathogens tend to attack various constitutions; Also, even invaded by the same pathogen, different people of various constitutions present diverse signs and manifestations.2). For the treatment of exogenous diseases:taking constitution into consideration will always bring about expected therapeutic effects, while ignoring it will lead to mistreatment in initial stage of exogenous diseases.As for the classification of constitutions, this thesis refers to the "Classification and Determination of Constitution in TCMStandards" (ZYYXH/T157-2009) advocated by China Association of Chinese Medicine (CACM) in 2009. Clinically, special constitution is of little value in guiding therapeutic methods and prescriptions, therefore, it was not discussed in this thesis. Moreover, nine types of constitution was simplified into eight, namely, balanced yin-yang constitution, qi deficiency constitution, yang deficiency constitution, yin deficiency constitution, phlegm-dampness constitution, dampness-heat constitution, qi stagnation constitution and blood stasis constitution, respectively.Finally, based on four pathogenic factors and eight types of constitutions, a guideline for exogenous diseases in its initial stage was primarily established in this thesis.Ideas in Huang Di Nei Jing (The Yellow Emperor's Inner Classic) were adhered to in this thesis, for instance,''external pathogens cannot invade the body when there is sufficient healthy qi inside the body"; "the accumulation of pathogens indicates the deficiency of qi"; "the occurrence of disease must be caused by weakness of the body complicated by attack of external pathogens". Relevant factors involved in the discussion included four external pathogens (cold, heat, dryness and dampness) and eight types of constitutions (balanced yin-yang constitution, qi deficiency constitution, yang deficiency constitution, yin deficiency constitution, phlegm-dampness constitution, dampness-heat constitution, qi stagnation constitution and blood stasis constitution). Clinical signs, pattern analysis, therapeutic methods, prescriptions and herbs as well as the prescription drug instructions were discussed in this thesis as the outline. The rules of pattern differentiation and treatment were expounded when eight types of constitutions encounter with four external pathogens. Also, mingled constitution and external pathogen were discussed as well as related disposal principles.Based on all discussed above, a primary guideline for exogenous diseases in its initial stage upon four pathogenic factors and eight types of constitutions was carried out in this thesis.1. Process introduction:1.1 According to "Classification and Determination of Constitution in TCM Standards" (ZYYXH/T157-2009), we make an investigation on population constitution, and establish constitution record;1.2 The patients are willing to receive TCM therapy in the initial stage of exogenous diseases;1.3 The Physician will get a general idea of the patient's constitution by checking out his constitution record, (either one of the eight types of constitutions, or composite type);1.4 Next, the physician will deduce what kind of exogenous pathogen the patient receive based on clinical manifestation.(either one of four pathogenic factors, or composite type);1.5 Finally, a Comprehensive analysis on external pathogen and constitution is carried out, according to "four pathogenic factors" invading "eight types of constitutions" in its initial stage, and pattern differentiation in light of traditional Chinese medicine (TCM) as well as external pathogen and constitution.2. The advantage of this guideline:2.1 On the prevention of exogenous diseases:Since this guideline places emphasis on constitution factor for the onset of exogenous diseases, therefore, people with different constitutional types could prevent the exogenous pathogen's invasion accordingly.2.2 On the diagnosis of exogenous diseases in its initial stage:This guideline takes the external pathogen and constitution as the core, which not only clarify the diagnosis on patterns of exogenous diseases, but also avoid the complication on names of exogenous diseases.2.3 On the treatment of exogenous diseases in its initial stage:This guideline places the external pathogen and constitution as the center, which focus on the interaction between internal and external factors, highlight the idea of treatment on both the exterior and interior, therefore, can avoid the bias of traditional treatment of "focusing on the exterior" for the exogenous diseases in its initial stage.The establishment of this guideline is hoped to provide assistance for pattern differentiation and treatment in initial stage of exogenous diseases.