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Based On The Soup Liquid By The Method Of Map "five Ten Method Of" Treatise On Febrile Disease Patterns Formulas

Posted on:2014-01-08Degree:DoctorType:Dissertation
Country:ChinaCandidate:L GaoFull Text:PDF
GTID:1224330398952824Subject:TCM clinical basis
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This study mainly consists of three parts:literature review, study of medication rules, as well as the study of prescription rules of Treatise on Febrile Disease based on the theory of "Five Tastes and Ten Methods" from The Soup Liquid Diagram Map.1literature reviewFirst of all, this study textually tested the basic concept of "four qi" and "five tastes" in order to define its primitive meaning and comb its ancient and modern evolution, which is the foundation of further study. It was found that:"qi" referred to the qualitative nature, while "nature" referred to the nature and features of things. In the diagram of traditional Chinese medicine (TCM),"four qi" was first mentioned in Sheng Nong’s Herbal Classic,(The Classic) applied specifically to drugs’nature of "warm, hot, cool, cold", While the naming of "four nature", started by Kou Zongshi, was to avoid the confusion with "incense, smelly, foul, rank".,"Taste", refering to flavor, was first seen in Broad Rhyme, Wei Rhyme, and specifically referred to the five flavors of sour, bitter, sweet, pungent and salty.. In TCM field, the "five tastes" was mentioned in Plain Questions. Five qi of Xuan Ming Chapter with the same meaning. Based on the the review of literatures related to "four qi and five tastes"’, it was found that the understanding of drugs’"four qi and five tastes" not not un-changed but a process of gradual perfection. Contemporary TCM scholars also introduced new research methods with modern science and technology, from multiple perspectives on the concept of "four qi and five tastes" which is different from the ancient people’s, drawing conclusions with new perspectives.Secondly, this study summarized the clinical rules of four qi and five tastes based on the medication rules in The Classic and the research status was summarized as:The Classic is the cornerstone of the clinical law, and the theory of drugs’nature is the side connection point of the book and the medication methods. Zhang Zhongjing extended the medication rules based on the foundation of The Classic and The Other Records of the Famous Doctors (The Other Records) and cut out the theological superstition parts of The Classic, making the theory more relevant to clinical practice. Moreover, Zhongjing achieved mastery through a comprehensive study of drugs in clinical prescription and created a series of nature and taste compatibility methods such as Xin Gan (pungent and sweet) matching, Xin Ku (pungent and bitter) matching, Xin Suan (pungent and sour) matching and Suan Gan (sour and sweet) matching, etc., which are unique. Therefore, from the perspective of "four qi and five tastes", combined with the theory of drugs’flavors contained in The Classics, we can better know and explore the laws of Zhongjing’s theory of medicine prescription.Thirdly, this study textually tested the relationship and current studies of Treatise on Febrile Disease, Method of Soup Liquid, and The Auxiliary Line Tactic (Fu Xing Jue) and draw the conclusion that The Classic laid the foundation of herbalism, Method of Soup and Liquid marks the forming of the school of classic prescription with Treatise on Febrile Disease as the blueprint. Although the book of Method of Soup Liquid has been lost, The Auxiliary Line Tactic describes some of its content and shows the general picture of the lost book for the first time, bridging the theory of the book and Treatise on Febrile Disease. Therefore, Auxiliary Line Tactic has a very high academic value and plays important role in the study of Treatise on Febrile Disease and Method of Soup and Liquid.Finally, this study summarized the current study of prescription rule based on Auxiliary Line Tactic:This book uniquely recorded the prescriptions for five organ diseases, especially in the formulating methods according to drugs’five tastes. The modern relevant studies on the laws of the medicine prescription of classic formula from the perspectives of TCM patterns, medical prescription and formula formation principles, summarize and highlight the theory of the book, which shows practical significance of the exploration of medication rules of Treatise on Febrile Disease.2study of medication rules of Treatise on Febrile Disease based on the theory of "Five Tastes and Ten Methods" from The Soup Liquid Diagram MapAs the first stage, this study implemented the classification of the87Treatise on Febrile Disease herbs from The Classic and The Other Records according to the theory of "four qi and five tastes". Among the herbs:1. The herbs with sweet flavor was further divided into Gan Zi (sweet and nourishing) and Gan Shen (sweet andb expelling);2. Herbs with spirit but tasteless, such as Ji zi huang (egg yellow) Ji zi qing (egg white), Zhu dan zhi (pig bile) and Ren niao (urine), were classified as toehrs.3. For the herbs recorded as different flavors or possessed more than one flavors according to the two books, the classification was mainly based on The Classic as the priority while with The Other Records as the secondary, and at the same time also referred to the classification method for five elements and five tastes in Auxiliary Line. Moreover, the study implemented statistical analysis on the number of ingredients and a frequency of the herbs in Treatise on Febrile Disease based on the aspects of "four spirit "and "five tastes" in The Classic and The Other Records, as the basis of further research based on the method of "five tases and ten methods". The statistical result of "four spirit" showed that:in Treatise on Febrile Disease, Zhongjing applied more herbs with moderate or warm nature, but less herbs with cold nature, which was because that febrile diseases were themselves due to cold evils. Among the herbs, liquorice, jujube, cassia twig, ginger and peony were especially frequently applied, taking more than30times, and they could be regarded as the data support for Zhongj ing’s preference of using Gui Zhi Tang. Results about "five tastes":suggest that zhongjing’s prescription has more herbs with sweet, pungent and bitter flavors, and less with sour and salty flavor. Sweet, pungent and bitter as the combination of three flavors achieves the methods of Xin Gan. Xin Gu and Gu Gan. Among the113formula in Treatise on Febrile Disease, prescriptions with Xin Gan and Xin Ku methods occupied more than the half, and the highly usage of legislators, and cassia twig, licorice, ginger, jujube, radix scutellariae, radix bupleuri, pinellia tuber, ginseng could be also the data support for Zhongjing’s preference of using Gui Zhi Tang and Xiao Chai Hu Tang. Secondly, from the five tastes, combining the theory of smell and yin-yang in The Internal Classic, the study carried on the preliminary discussion on the Tern Methods from the "five flavors matching" in Soup Liquid Method Map. Among them:method of Xin Gan acts as transforming Yang, warming and unblocking and divergenting, such as ephedra soup and soup of four inverse; method of Suan Gan acts as transforming Yin, releasing spasm and acute onsets, such as peony licorice soup, red halloysite yu surplus grain soup and so on; method of Xin Ku acts as descending, expelling distention and confusion, such as cassia twig decoction, XiaoJian soup; Method of Suan Ku acts as expelling stagnation, irritation and heat, such as this decoction heart soup, soup of aconite xie heart; method of Suan Ku acts as flood discharge, excepting vexed, heat effect, such as gardenia fish soup, melon, such as; method of Ku Gan acts as expelling dampness, clearing heat, strong negative effect, such as gardenia cypress with puerariae and scutellariae and coptidis decoction soup; method of Suan Xian, in general, acts as descending, clearing heat, such as major bupleurum decoction, pockmarked kernel pill; method of Xian Gan acts as leakage of heat, tapping, opening junction, such as large bearing gas soup, soup of small bearing gas; method of Xian Xin acts as softing, expelling stagnation and stasis, such as peach pit gas soup, oysters, alisma; method of Xian Gan acts as softing, expelling dryness and moisteningsuch as adjustable gastric qi soup, soup of pig skin.Finally, the study classified the herbs from Treatise on Febrile Disease according to "five tastes and ten methods", and for the first time explored the method of the effect, time dose contrast from the aspects such as function and efficacy of the medicine as well as a brief introduction, at the same time, formed tables, in order to summarizethe rules of Zhongjing’s prescription from the point of view of "five tastes and ten methods" and also supply the reference for the further studies of prescription rules.3study of prescription rules of Treatise on Febrile Disease based on the theory of "Five Tastes and Ten Methods" from The Soup Liquid Diagram MapFirstly, in accordance with the mode of "Ten Methods", this study formed the methods based on the tastes, summarized the prescriptions based on the methods, identified the herbs based on the prescriptions, and discussed on the methods based on the herbs:for each formula, the study firstly listed the pattern, then discussed on the pathogenesis, then in detail expelored the main herbs referring to The Classic and The Other Records in order to explain the matching methods of different spirit and flavors, thus in-depth discussing the rules of zhongjing’s medicine prescription.Secondly, this study in depth tested the methods from all the herbal formula, and classified them into21categories according to "five flavors and ten methods" and the method of combination, then establishd tables in order to further discuss the main formula and relevant TCM patterns, to better grasp the prescription rules of Treatise on Febrile Disease also as the reference for clinical application.Finally, this study took the theory of Six Channels as the frame and "five and ten method" and the etiology and pathogenesis of six-channel parties as weft, preliminarily discussed and summarized the prescription rules:for Tai Yang diseases, methods with Xin Gan, Xin Suan, Xian Suan Gan, Xin Gan Ku and Xin Gan Suan Ku were more used, while those with Suan Ku Gan or Xian were less, which is because that the main pattern is external, and the treatment also focuses on relieving; for yangming disease, treatments with Ku Xian, Suan Xian, Suan Ku, Ku Gan and Suan Ku Xian were more applied, while those with Gan Ku Xian and Suan were less, which is because that the disease onset is mainly half-external and half-internal; for Shaoyang disease, treatments withXin Ku Gan and Xin Ku Gan Xian were more applied, while those with Gan and Xin were less, which is because that the disease onset is more internal; for Tai Ying diseases, treatments with Xin Gan and Xin Gan Ku were more aplied, while those with Xin Suan Gan and Xian were less, which is because that the onset is more internal and with deficiency; for Que Yin diseases, treatments with Xin gan, Xin Gan Ku, Xin Gan Suan and Suan Ku Xin Gan were more applied, while those with Suan Ku Gan or Xian were less, which is because that the onset is due to the mixture of cold and heat and the treatment accordantly combined.
Keywords/Search Tags:The Classic Rule of Decoction, Five Tastes and Ten Methods, Treatise onFebrile Diseases, Prescription and Herbal Medicine Application Law
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