Cardiac edema is one of five internal organs water, the firstly seen in theDongHan Dynasty last years Zhang Zhongjing's Synopsis of prescriptions of the GoldChamber (SPGC). The main Pathogenesis is the heart and kidney deficiency of Yangcauses Aqueous Qi affects the heart, the bloody water stasis,clinical by the shortbreathes and dyspnea, the lower limbs or the whole body having general edema,inability to keep horizontal posture, be agitated and so on primarily sickness disease.It is one of the most critical diseases in the clinical treatment.Along with the modern society life style and the diet structure change, thissickness increases gradually also tends to the youth oriented.Moreover, it is one of themost threatening diseases which endanger the health of the middle-aged or seniorpeople. The disease is complicated, critical,and various.It can be very dangerouswithout handling in time. Chinese medicine takes advantage of general usage, whichcan cure and take precaution of Cardiac edema on the concept of wholism. Thisresearch is split into three parts in time sequence. The research is from the source ofcuring Cardiac edema and combines modern medical to do a completed andextensively investigation, which focus on the disease name, pathogens, diagnosis andprecaution. The purpose of the work is to contribute to the organizations likeeducation, science and clinics.The first part of the thesis contains seven chapters, which covers the ancientresearch and treatment for the disease of Cardiac edema. The first chapter describesCardiac edema in the book SPGC where the disease name was firstly proposed. Inaddition, the main symptoms for the disease were described such like heaviness withlabored breathing,an inability to lie down, annoyance and irritation, and hydrocele inthe book. The pathogens for the disease focus on the heart deficiency of Yang, thebloody deficiency and stasis. Therefore, the ways of treatments includepurgation,diuresis and sweating. The second chapter is about the understandingCardiac edema before Han Dynasty, which mainly includes two books Huangdi'sCanon of Medicine and Canon on Medical Problems. Although this time the Cardiacedema theory has not formed, as the foundation for the Chinese Medical theory, therewas the detailed research such as cardiac physiological function, pathology of waterand the treatment for edema, based on which Zhang Zhong Jing proposed the diseasefor Cardiac edema. These two contents may regard as the Cardiac edema theory the source part.From the third chapter to the seventh chapter, the research for Cardiacedema is described respectively from Wei Jin Southern and Northern Dynasty to QingDynasty. During the times of HanJin Southern and Northern Dynasty, Pulse wasfirstly proposed in Cardiac edema,meridian and acupoints can be used for treatmentsof Cardiac edema. The Sui and Tang dynasties time pointed out specially the veiw of"Die in the midnight of the winter"and through pulse condition reflection totalperspective of internal organs.In the times of Song, Jing and Yuan Dynasty, theimportance of invigorating the spleen was proposed for Cardiac edema.The MingDynasty, Fenqi Decoction was used to adjust the young child with the edema anddyspenea. Bolus of Junchuan to add Lepidium Seed can be used to cure edema sourcein the heart, has been clear about the different domain Cardiac edema' method oftreatment. In the times of Qing Dynasty, Cardiac edema was firstly cited in the booksof pediatrics. There were a couple of ways to enrich the treatment for Cardiac edemasuch as proposing Medicine of guide meridins, the breakthrough of outside governssuch as Self-Tuina and Pastes the navel.The second part contains the eighth chapter, which describes the research forCardiac edema either in the modern times or at present. Nowadays the research addsseveral topics such as case study, clinical observation research and the monographstudies which make the research more systematic and comprehensive.Diagnosis andtreatment based on differential symptom-mplex was proposed, large number of casescame out, Cardiac edema is described in the specific chapter as an individual disease,explicitly proposed each kind of treatment heart water side medicinal preparation anddiagnosing and treating standardization statement of Chest Obstruction and Cardiacedema,which is now in the Cardiac edema theoretically development.This partcollects large amount of cases and clinical material which can be proved in thescientific way that Chinese medicine is useful to the treatment of Cardiac edema.The third part contains nine chapters and mainly is to conducts the research withthe relevant of Cardiac edema. There is no specific prescription for Cardiac edema inSPGC. However, compared with several other diseases like Check Obstruction, coughwith Qi Adversity, Visceral Wind, Sputum stagnancy, Edema, and diseases of ShaoyinChannels, Cardiac edema is related to these diseases. And the prescriptions for thesediseases are useful for Cardiac edema. Moreover, this part describes Cardiac edema isrelated to the heart failure in the modern medical from a variety of ways such as the name, pathogens, treatment, prognosis, cases and clinical observation, which providesscientific basis for the Chinese medicine that can be used in the heart failure. Themain pathogens for the heart failure can be summarized as deficiency of Yang of theheart and kidney, adversity of water-pathogen,and blocked of blood movemen. Themain treatments for it can be warming Yang to produce qi hh, promoting bloodcirculation to remove blood stasis,dispersing outward the lung-Qi to strengthen thespleen, and resolving phlegm and damp-pathogen. The specific prescriptions aremainly from which people use for Cardiac edema, Edema and Dropsy. Patients shouldlie down and take rest in a cold temperature to avoid outside disturbance. It is notallowed to take tea, wine, smoking and other drinking. It is good to take wax gourd,water-melon juice and red bean soup. The most critical step for the success is to limitsalt in the meals, which is related to the theory for Cardiac edema. Therefore, from thepoint of the Chinese Medical, Cardiac edema is the same disease as heart failure in themodern medical. The theory for Cardiac edema is useful for that of heart failure,which makes the treatment for Cardiac edema even more valuable.In general, the research for the disease of Cardiac edema can not only collectand generalize the separated ideas but also make use of the results to contribute themodern clinical treatments. |