Object:The theory of etiology and pathogenesis of traditional Chinese medicine theory is a major part of Chinese medicine theory, clinical treatment based on syndrome differentiation is the basis, the current is still lack of systemic research on etiology and pathogenesis theory, the analysis of its influence factors are not serious enough, etc.Therefore, relatively comprehensive literature collecting, sorting of TCM etiology and pathogenesis theory, mining and discusses the influence factors of the formation and development of TCM etiology and pathogenesis theory, has a certain theoretical and clinical value.This article is based on the acknowledgement, medical works, medical schools and modern literature, on the etiology and pathogenesis theory formation and development as the main line, collecting, sorting, analysis on the theory of etiology and pathogenesis of traditional Chinese medicine and its influencing factors, as the etiology and pathogenesis of TCM theory development and provide theoretical and clinical basis for clinical application.Methods1. By using literature retrieval method and reference related book to collect relevant literature.2. Sorting and filtering the collected data, and using qualitative analysis method to summarize and analyze, to make it coherent.3.Summarize the formation process and the influencing factors, analysis of the pathogenesis of Chinese medicine theory.Results1,Through along the time axis to physicians with longitudinal combs, summarized past dynasties doctors with the pathogenesis of Chinese medicine theory contributions are as follows:(1)Before Chunqiu was the embryonic period in the pathogenesis of Chinese medicine, such as a nest age can knowledge for avoiding harm.(2)The Qin and Han Dynasties is the pathogenesis of Chinese medicine theory formation period, such as "classic" "pathogenesis 19" has epoch-making significance, for the later research on the pathogenesis laid the foundation; treatise on Febrile and miscellaneous diseases formed much miscellaneous diseases pathogenesis system, creating a precedent for syndrome differentiation and treatment of TCM, also clearly put forward the three cause theory, for later Chen Yansan theories lay the foundation.(3)Jin Sui and Tang Dynasties is the etiology and pathogenesis theory and enrich the rich period, such as Sui Chao Yuanfang general treatise proposed "sour gas, the etiology of infectious disease knowledge innovation, pioneered the use of meridian explain the pathogenesis.(4)The in song, Jin and Yuan Dynasties is TCM etiology and pathogenesis theory development and improvement, as Song Chenyan "due to disease certificate on" perfect the three illness said, Jin and Yuan Dynasties of four people with different views of the "hot", "on fire", "theory of the spleen and stomach" and "the evil Lord theory" rich and enrich the etiology and pathogenesis of TCM theory.(5)The Ming and Qing Dynasties disease of TCM etiology and machine theory has been further perfected and improved, such as the disease etiology and pathogenesis theory, based on the pathogenesis theory of Sanjiao differentiation and Wei, Qi, Ying and blood.(6)New development in the modern TCM etiology and pathogenesis, the combination of biomedical technology and application of evidence based medicine development putforward some new theories, such as modern infectious disease potential biomarkers and TCM pathogenesis mechanism research, such as the use of evidence based medicine of TCM "syndrome" of research or study of the pathogenesis of disease and syndrome.2.Transverse comb each medical schools, summed up in medical schools for TCM pathogenesis theory achievement unit. Mainly seven: medicine, doctors sent by prescription, Hejian, yasumizu, typhoid fever, febrile disease and Huitong seven medical schools.(1)The school of medicine "Huang Di Nei Jing" commentaries, classification and special exploration collation analysis. Such as ①of Neijing in seven big articles and can be spread and applied the theory of yunqi; ② in Neijing deals with the typhoid fever, founded the syndrome differentiation of six meridians, the six machine was described; ③ "canon" combined with "via" systematically expounded the theory of Zang Fu pathogenesis.(2)School of classical prescriptions including school and the two branches of theory of Party school, the latter etiology and pathogenesis of treatise on febrile diseases, theory of inheritance to great effect, has also promoted the formation of theory on exogenous febrile disease.(3)Hejian school hot argument using cold medicine, creatively put forward the "pathogenesis theory of all six gas fire".(4)The deficiency of Zang Fu pathogenesis, Yishui school research attention Yang, prescription tends to warming.(5)Febrile disease pathogenesis theory of six meridians in the party to do a thorough analysis.(6)Wenbing school system describes the disease etiology and pathogenesis regularity, as the representative of Ye Tianshi proposed etiology of epidemic febrile diseases is warm pathogen. The way is warm pathogen first invading the lung, and then reverse thepericardium; Xuexue think epidemic febrile diseases is a hot and humid, Taiyin spleen deficiency with dampness accumulating, more easily lead to wet; febrile diseases, Wei Ying Qi blood syndrome differentiation and syndrome differentiation of Sanjiao founded. It is pointed out that pathogenesis of epidemic febrile disease transmission is in accordance with the three levels of Wei, Qi, Ying and Xue four level or coke, coke, coke to transmission.(7)Zhang Xi Chun Huitong school on behalf of the proposition in the etiology and pathogenesis of traditional Chinese medicine for the confluence of Chinese and Western body, such as Zhang Xi Chun that TCM imbalance of yin and Yang onset said and Western medicine immunity imbalance caused by patients was similar, the heart failure of Western medicine and traditional Chinese medicine kidney Qi is not related, western medicine of cerebral ischemia and anoxia and TCM limbs atrophy, waste not related.3.The factors associated with the development of mining of etiology and pathogenesis theory formation, and to explore the effect of TCM etiology and pathogenesis theory formation and development factors. Many factors that influence the etiology and pathogenesis of Chinese medicine theory, the three factors: climate, life style and physical fitness of contemporary TCM etiology and pathogenesis have greater impact.(1)The climatic cold temperature changes and TCM are closely linked, the cold period to warm period may cause typhoid fever, epidemic febrile diseas.(2)Life factors and disease of TCM etiology and machine are closely related, TCM etiology and pathogenesis change presents new characteristics: the etiology based on eating habits, seven emotions, both phlegm and blood stasis, in the pathogenesis of internal diseases mainly, mainly for the deficiency and cold syndrome, wet syndrome, blood stasis syndrome.(3)Constitution of the susceptibility is the key to form the foundation of the pathogeny and pathogenesis, the formation and development of the Constitution can influence the pathogenesis and disease outcome.Conclusion:People in production and life practice and with the disease continue to struggle gradually formed, development and perfect the theory of etiology and pathogenesis of traditional Chinese medicine. Before the spring and Autumn period is the germination period of TCM etiology and pathogenesis, in pre Qin Dynasty and Han dynasty laid the basic framework of the etiology and pathogenesis of traditional Chinese medicine theory and the Jin Dynasty to the Sui and Tang Dynasties is etiology and pathogenesis theory has been enriched and developed, in song, Jin and Yuan dynasties of TCM etiology and pathogenesis theory of continuous development and improvement, during the Ming and Qing Dynasties etiopathogenisis and pathogenesis of traditional Chinese medicine(TCM) theory has been further improved, modern TCM etiology and pathogenesis also has the innovation development.Medicine, classical prescriptions, Hejian, yasumizu, typhoid fever, epidemic and Huitong seven medical schools. As the school groups, TCM etiology and pathogenesis of formation and development to a larger role in promoting, while also promoting the inheritance and development of the schools themselves.There are several aspects of social, political, cultural, economic, philosophy, religion, region, war, phenology, meteorology, lifestyle, physical factors that influence the development of TCM etiology and pathogenesis theory, adaptation of climatic, lifestyle, physical and contemporary meteorological medical, physical medicine and social medicine development in which, not only has effect of disease of TCM etiology and machine theory formation and development, but also the influence of today’s biomedical and the traditional Chinese medicine science development. |