| Research purposes:Distention and fullness is the qi disorder of middle energizer and abnormal ascending and descending. It’s subjective feeling of gastric stuffiness, fullness and distention symptoms. Full of general touch invisible, according to the soft, pressure of pain, is one of clinical common disease of traditional Chinese today. In the recent years, lead to increasing rates of diseases of the digestive system, mainly through collecting and organizing of the main books of the Ming Dynasty physicians. Then, analysis and discussion of the Ming dynasty the acknowledgement of the new with the understanding of the etiology and pathogenesis, summarize the Ming dynasty physicians and characteristics of dialectical thought and medication, and hope to provide experience for the distention and fullness clinical, inspired and clues.Research methods:Adopting the research methods of traditional philology and use formula test collection of Ming dynasty books of traditional Chinese medicine and medication cases, using the method of comparison, inference, summary to explore the diagnosis and treatment of related works in Ming dynasty the distention and fullness experience of syndrome diagnosis and treatment and medication were analyzed and discussed.Results:The acknowledgement of Ming dynasty by the theory of predecessors, the physician launched a heated debate in the medical theory formed different genre, thus promotes the development of the theory and practice of medicine.Danxi School believed that the causes of distention and fullness are "imbalance between qi and phlegm". Dai Sigong etiology is divided into internal injuries of seven climatic pathogens, improper diet, qi stagnation due to cold congealing, the main treatment is dispelling. Yu Tuan proposed causes accidental interior deficiency, stagnation of food and phlegm, too much for dampness-heat, the treatment should be bitter flavour can purge, acrid flavour can disperse, sweet flavour can nourish, and salty flavor can soften and moisten. Then, the therapies are mainly emesis and prefer formula of Dong Yuan. Xu Yan-chun proposes that the distention and fullness is heat syndrome and usually use the formula of xiexintang.Wenbu School attaches great importance to the spleen and stomach, because of the spleen is the root of acquirement and the origin for qi-blood production. Xue Ji, Sun Yikui thinks the pathogenesis of distention and fullness is spleen-qi deficiency, the treatment is to supplement qi and strengthen the spleen, and can use some more blood-tonifying medicinal. Zhang Jiebin proposes that the distention and fullness into four types:deficiency-cold of stuffiness, improper diet of stuffiness, exogenous pathogenic of stuffiness and excessive of stuffiness. And put forward the deficiency and excessive of syndrome differentiation on the distention and fullness treatment has a guiding significance.As for the other physician such as Li-chen put forward the distention and fullness use defecate difficult or easy to distinguish the deficiency and excess. Principle of treatment is strengthening the vital and dispelling the pathogen. Wan Ken-tang are put forward stagnant fire, blood stasis, spleen deficiency, dampness encumbrance for the reason of the distention and fullness. The six climatic pathogens, the five pathogenic qi, imbalance of Yin-yang, seven emotions and improper diet are the important pathogenesis leading to the distention and fullness. On the other hand, Li Shi-zhen proposes that the distention and fullness pathogenesis as a "dampness-heat stagnant qi","phlegm","spleen deficiency". In the "compendium of materia medica" is the guiding principle to the syndromes, attending medical, editing order and orderly, convenient for clinical reference.Conclusion:Ming Dynasty medicine on the basis of medical theory development in the Song, Jing and Yuan Dynasties, through clinical studies and to consolidate, in theory and clinical practice has made great achievements, individual physicians have a new view on its claims and clinical treatment, and to develop the Danxi School, Wenbu School and other far-reaching impact on future generations of factions.Distention and fullness is an important system for digestive diseases, is also common clinical disease. Of traditional Chinese medicine has a unique advantage in the treatment of the distention and fullness, based on the system of collecting various schools on behalf of the Ming dynasty physicians was, on the basis of sorting out the for the distention and fullness of theoretical research and the train of thought for use. By analyzing, understanding and absorbing the physician thought and experience, can be in clinical practice through differentiation and analysis of the distention and fullness to medication and the way of treatment. That through these studies, fined out of the Ming dynasty physicians for the distention and fullness understanding and treatment, and gets some clues and inspired, for the clinical treatment has certain guiding significance to the distention and fullness. |