Study Of Prescribing Rules On The Spleen-stomach Damp-heat In Digestive System In Traditional Chinese Medicine In Tang, Song And Yuan Dynasties

Spleen-stomach damp-heat in digestive system is a repeatedly chronic osteopathy which seriously influences the people' s living quality and rose world-widely year after year. However, specific therapeutic methods haven' t been found in western medicine so far and antiliotic and antiphlogistic, which have severe toxic side-effects, is commonly adopted to relieve syndrome. Effective therapeutic methods and preventive interventions with high reliability are still yet to be determined, even though a wide range of studies have been carried out. In traditional Chinese Medicine (TCM), this disease belongs to the categories of Glomus and Fullness, Gastralgia, Jaundice and Diarrhea, and was recognized earlier than western medicine. As a result rich treating experiences were accumulated in TCM .The period of Tang, Song and Yuan dynasties is thought to be the booming phase of TCM and Chinese culture, so it is crucial to summarise the prescribing rules and establish relevant database of the therapeutic experiences through the analysis of the archival documents in these three dynasties for conducting the modern clinic prescription.Based on the references of a large amount of ancient and recent TCM documents, particularly the masterpieces, prescriptions and case historied regarding the management of spleen-stomach damp-heat which were written by herbalists in Tang, Song and Yuan dynasties, an in-depth study was carried out on prescribing rules in the treatment of damp-heat in spleen-stomach through the statistical analysis and induction of 370 prescriptions and the database set up by the collection and rearrangement of these documents. The results show: (1) herbs that were used in Tang, Song and Yuan dynasties were predominantly bitter, pungent, cold, sweet, warm in properties; (2) channel-tropisms are mainly in spleen, stomach, lung as well as further association to liver; (3) the majority of the herbs used in the prescription belong to the class for expelling dampness, replenishing Qi, clearing heat, regulating Qi flow, relieving the exterior, which indicates that the treatment of spleen-stomach damp-heat was from the aspect of deficiency, toxin, and stagnation; (4) the function of selected herbs were basically focused on disinhibit water and percolate dampness, strengthening Qi, clearing heat and drying damp, regulating Qi flow, relieving exterior and resolving dampness with Sromatic drugs; (5) Gancao (Radix Glycyrrhizae), Fuling (Sclerotium Poriae Cocls), Huanglian (Coptidis Rhizoma), Dahuang (Scutellariae Radix), Huangqin (Scutellariae Radix), Baizu (Atracty Codes and Ovatae Rhizoma) from the top part of the frequency table for herbs being used to treat spleen-stomach damp-heat. The collection of basic prescriptible herbs for spleen-stomach damp-heat in digestive system is produced by employing R-type systems classification analysis. In addition the prescribing features of the treatment of spleen-stomach damp-heat used by Tang, Song and Yuan dynasties herbalists were also summarized, which is the emphasis of the application of introduced herbs, fragrant herbs and the technique of preparation.Finally the results of this study are expected to provide novel thoughts and references to modern treatment of spleen-stomach damp-heat in TCM.