Study On The Assisting Yang Academic Thoughts And Clinical Practice Of The Four Masters In Exogenous Febrile Disease In Modern Times In South China

Aim:Due to various reasons, TCM in south China has been identified as seasonal febrile disease, or south China herbs or even herbal tea since the end of Qing dynasty. And doctors laid excessive stress on seasonal febrile disease and cold-natured herbs. Actually, the Cold-induced febrile diseases objectively existed in south China. Most notable TCM doctors in south China advocated classical prescriptions and were good at using method of replenishing Yang when treating difficult miscellaneous diseases historically. Representative TCM doctors Chen bo-tan in Xinhui, Li bi-liu in Shunde, Yi ju-shun in Heshan and Tan xin-yuan in Nanhai who lived at the end of Qing dynasty and the beginning of China Republic focused on studying classical prescriptions were named "Four Masters".1.To rescue the academic experience of the south China representative TCM doctors in the modern times.2.To make up a deficiency on the blank area on symposium study on academic thoughts of south China Cold-induced febrile diseases doctors . Practically, to guide and serve for TCM clinic.3. Sorting for the commonness and characteristics of south China school of theory on exogenous febrile disease in the modern times, which will help to understand the differentiation of symptoms and signs for classification of syndrome in south China spectrum of disease and correct the bias of emphasizing warm disease and cold -natured herbs, so as to consummate south China TCM" the system of determination of treatment based in pathogenesis obtained through differentiation of symptoms and signs to some extent.Methods: this study synthetically used methods of literatures investigation, statistic analysis, historical study, TCM academic research, medical records research, transversal assembly comparison, instructor inheriting investigation etc. Though collecting and sorting 5 medical books of the south China notable TCM doctors in modern times as well as consulting books of "selections of medical records and talks of Guangzhou notable TCM doctors in modern times ", "posthumous medical work of Mr. Chen zhu-pei ", classified and analyzed the medical records with assisting Yang method with the symposium about "assisting Yang".We did an initial classification and statistic analysis, summarized and dig the detailed academic thoughts and clinical experience of the south China representative TCM doctors. Also analyzed the objective reasons of "Yang deficiency" in south China, so as to search useful medical thoughts and experience for south China medical doctors.Contents:Five chapters: 1 .Introduction part: major point is about relative research status: Reviewed and combed the recent studies on south China school of theory on exogenous febrile disease in modern times, plague in the south China pest history, inheritance and development of academic thoughts and clinical experience about "assisting Yang" in south China after 1949. 2. Introductions to the four TCM masters specializing on exogenous febrile disease in the modern times in south China, summary of the "assisting Yang" medical thoughts and clinical experience: Clinical experience of each doctor consists of medical records, medical talks, effective prescriptions and discussions. Classified the existed medical records and formulas according to different syndromes and found out the common principles and characteristics of "assisting Yang" of the school of theory of exogenous febrile disease in south China in modern times. 3. Theoretical analysis parts: we did a theoretical approach and analysis on relations between the climate, geographical environment, constitution of the people and living habits in south China and arrived at the objective evidence for the existence of Yang deficiency syndrome in south China as well as the production of assisting Yang characteristics among the representative doctors of theory on exogenous febrile disease in south China in modern times. 4. Theory educing and clinical practice part: (1) Recognition and clinical practice of Pro. Zhang heng-liu (instructor of the author) on theory of ying and wei as well as theory of liver Yang. (2) Clinical practice of the assisting Yang thoughts and experience of the TCM masters specializing on exogenous febrile disease in the modern times in south China, verified by 10 typical medical records among 430 medical cases collected. 5. Problem solutions and prospects.Conclusions: 1. There are commonness and local characteristics in the academic thoughts of the four TCM doctors specialized in exogenous febrile disease in modern times in south China. We arrived at that the four masters paid much attention to "assisting Yang" thoughts and were good at protecting Yang Qi of the body when giving prescriptions from study on more than 130 medical records. (1)Succeeded the thoughts of "Yang the primary Ying secondary" from the school of theory on exogenous febrile disease in central China: Among the concrete treating methods of "assisting Yang", warming Yang method takes 52.27% in all medical cases and mostly warming kidney Yang and spleen Yang, other includes warming the middle Jiao replenishing deficiency, benefiting vital Qi and warming Yang, warming menstruation to stop pains, warming menstruation and activating blood flow etc.... (2) Paid much attention to the original formula, rarely use non-classical formula or local herbs. (3) assisting Yang method has been used widely and covered all severe cases in internal medicine, surgery, gynecology and pediatrics. (4) The four doctors were good at interpreting theory of exogenous febrile disease with classical quotations of TCM.Compared with other TCM doctors in south China, these four masters have following features: (1)the dosage of the herbs is larger then normal in south China, especially hot-natured herbs. (2) Paid much attention to the assisting Yang method when treating severe cases.(3) Created the method of invigorating YANG and disintoxication when treating plague. (4)Good at using assisting Yang method, especially warming Yang method in treating bleeding cases. (5) Pay much attention to warm spleen and kidney Yang in diet therapies.2. The assisting Yang thoughts and characteristics of the school of theory in exogenous febrile disease in modern times in south China had connections with many objective factors. Firstly, objective factors existed in south China which can damage Yang Qi of the body:(1)The climate and geographical environment is likely to cause Yang deficiency: the climate feature in south China is very hot, rainy and moist, and people lives in such an environment are intent to have "interspaces of skin and muscles being loose", "dampness in middle Jiao" and "heat in upper jiao, dampness in middle jiao and coldness in lower jiao", but normal treatment paid much attention to flame evil in the upper jiao but neglected spleen yang deficiency with damp-heat in middle Jiao, kidney yang deficiency with cold-damp in lower jiao. (2) Dampness is more likely to damage spleen and stomach Yang in south China. (3)The living habits in south China are easy to cause Ying essence damage, yin impairment involving yang. (4) Some eating habits in south China have disadvantage in preserving spleen and stomach Yang. Secondly, warming yang methods had been used for a long time in south China, and thoughts of "assisting Yang" were succeeded by some TCM doctors in south China area. Thirdly, approaches on the generation of "assisting Yang" features among the doctors specializing in exogenous febrile disease in south China modern time, (1)advocating classical books of TCM. (2) Assisting yang method can solve many problems clinically. (3) Assisting yang method has its own characteristics because of more compound syndromes in south China area.3. Theory of assisting Yang in south China will show its values on disease such as sub-health, depression along the change of clinical diseases.The prospect of assisting yang method will be in treating diseases caused by exogenous pathogenic factor and various sub-health disease mainly caused by incoordination between nutrient QI and defensive QI, defensive Yang deficiency. Accompanied with the acceleration of the living rhythm in city, mental illness and mental disorder such as depression increased, treatment principles of warming liver Yang and dispersing the depressed liver-Qi has been used very often gradually.4. The doctors of school of theory on exogenous febrile disease in south china in modern times were good at using cold-natured herbs also which proved "assisting Yang" has practical importance.Four masters of TCM in south China in modern times used cold-natured herbs distinguished, which proved they were not just knew "warming method" but involved determination of treatment based in pathogenesis obtained through differentiation of symptoms and signs. And the general features of using cold-natured or yin-nourished herbs or formula includes: (l)Takes a lower proportion in all medical records except treating plague. (2) The cold-natured or ying-nourished herbs or formula are originated from book on exogenous febrile disease, not non-classical prescriptions. (3) Aim to relieve the patients' condition temporarily when using cold-natured herbs.