Zheng Shouquan Experience Diagnosis And Treatment Of Otolaryngology Diseases Study

Objective:To investigate and summarize the key diagnosis and treatment points as well as treatment experiences for ear-nose-throat diseases by Zheng Shou-quan, the. famous TCM doctor in Qing dynasty. by further research and clarification on the. process of pattern identification for ear-nose-throat diseases, to systemicly study academic theories of doctor Zheng and to improve the therapeutic effect of herbal medicines in otorhinolaryngology.Method:The literature and document about ear-nose-throat diseases, in Yi Fa Yuan Tong were collected, referenced by Yi Li Zhen Zhuan and Shang Han Heng Lun., The data was processed and thoroughly analyzed by sorts of diseases, symptoms, patterns, diagnostic points, therapeutic methods, formulas and herbal medicines to reveal Zheng’s treatment experiences and features on otorhinolaryngology. especially his contribution to the treatment for yang deficiency syndrome. Moreover, this research briefly explained the achievements in otorhinolaryngology before Zheng by comparative and analytical methods so as to make a fair commentary on academic contribution for otorhinolaryngology.Result:I The ear diseases:Zheng’s book recorded five ear diseases including swelling of ear, ear itching, tinnitus deafness and ear bleeding. There were four syndromes of yang deficiency, three syndromes exogenous pathogen invasion, four syndromes of fire flaring and one syndrome of angry-depression, among which the yang deficiency syndromes were focused. There were various therapeutic methods including tonifying yang (restoring yang). harmonizing, dispelling wind-cold, nourishing yin and lowering fire, and dispersing liver qi.Ⅱ The nasal diseases:Zheng’s book recorded seven nasal diseases including running nose, frequent sneezing, turbid nasal discharge, nose bleeding, flaring of nosewing. lampblack-like nose and red nasal apex. There were six syndromes of yang deficiency, four syndromes of exogenous pathogen invasion and four syndromes of fire flaring up, among which the yang deficiency syndromes were mainly explained. There were various therapeutic methods including tonifying yang (restoring yang). dispersing wind-cold, clearing fire and purging down, and nourishing yin for lowering fire.Ⅲ The throat diseases:Zheng’s book recorded four throat diseases including pharyngitis, tonsillitis, dry throat and chocking throat. There were three syndromes of yang deficiency, six syndromes of fire flaring and one syndrome of cold-dampness accumulation in the centre, among which the syndromes of yang deficiency were focused. There were various therapeutic methods including tonifying yang (restoring yang) to restrict yin, clearing heat and nourishing yin, expelling wind and clearing heat. open bowel and purging heat, clearing the liver and purging heat, harmonizing and moving water.Conclusion:Zheng’s knowledge of otorhinolaryngology is inherited and developed from the previous academic ideology with creative opinions initiated. Zheng’s representative opinion is that vital yang and vital yin is the foundationa basis for body activities, and the vital yang is the motivity of life that should be valued. However. Zheng’s diagnosis of yang deficiency syndrome is strictly confirmed, with clear evidences involved the tongue and pulse. Zheng holds that yang deficiency syndrome exist in all diseases. which should not be interpreted as solo yang deficiency syndrome for any disease nor for treatment. Furthermore. Zheng explained the diagnosis and treatment for others syndromes. His outstanding opinions imply that not only but all other diseases should be recognized on syndrome differentiation, concept of wholism and integration of four diagnostic methods. Thus, thorough studying and objective assessment on his knowledge for ear-nose-throat diseases is essentially important for development of Chinese medicine and improvement of therapeutic effect in the clinical practice.