Study On Treatment Of Six Qi Prescriptions And Syndrome Differentiation Of Zang Fu Organs In Medicine Origin

Syndrome differentiation of Zang Fu organs and the treatment of six Qi prescriptions are the core of the medical theory of medical Qiyuan,which reflects Zhang Yuansu’s medical achievements.Su Wen · Liu Jie Zang Xiang Lun contains that "You can’t work without knowing the increase of years,the rise and fall of Qi and the rise of deficiency and reality." According to this theory,Zhang Yuanyuan divided the prescriptions with "six Qi" in Medical Qiyuan,and wrote a special article in "six Qi prescription",which discusses the discipline of harmony between nature and humanity in China,the principle of land use,the combination of five and six,the importance of prescription preparation with the theory of Yun Qi,and the principle of medication with the method of medicine.The combination of nature and and human body and the correspondence between nature and humanity reflect the essence of the methodology of the Yi Shui school;The syndrome differentiation of Zang Fu organs is mainly seen in Huangdi Neijing,zhongzang Jing,the theory of waiting for various diseases,the important prescription for emergency,the direct formula for children’s medicine and syndrome,and the source of medicine.Its theoretical development can be divided into the preliminary formation stage in the Pre-Qin and Han Dynasties,the rich development stage in the Jin,Tang and Song Dynasties and the complete and mature stage in the Jin and Yuan Dynasties.Zhang Yuansu’s Medical Qiyuan is a representative work of TCM viscera syndrome differentiation from practical application to theoretical sublimation.It presents the paradigm of viscera syndrome differentiation theory and application,which can be used for reference in future clinical syndrome.Objective:Through in-depth analysis of the content of six Qi prescriptions and Zang Fu syndrome differentiation in Medicine Qiyuan: classify 63 prescriptions listed in six Qi prescriptions according to the pathogenesis of Zang Fu organs one by one,sort out the Zang Fu organs associated with each party,and combine the Zang Fu organs with prescriptions and drugs.At the same time,by combining the theory of "five zang organs and six Fu organs,excluding the heart and enveloping eleven meridians" in Zhang Yuansu’s Medical Qiyuan with the theories of Su Wen,Lingshu,zhongzang Jing,Nan Jing and Yishui scholars such as Li Gao,Wang Haogu and Luo Tianyi,we explored the origin of the classics to the Qin and Han Dynasties,collated the relevant symptoms and articles,and sorted out the origin of Zhang’s viscera syndrome differentiation.Finally,using the theory of Yun Qi,this thesis combs the characteristics of the six Qi belonging to 63 prescriptions,summarizes the characteristics of Zhang’s medication of each Qi,analyzes the composition of each Qi method,and flexibly forms prescriptions between the six Qi of "Major Cold,Spring Equinox,Grain Buds,Major Heat,Autumn Equinox and Minor Snow" for clinical application.Method:Prescription and syndrome analysis method: take Ren Yingqiu’s school edition Medicine Qiyuan as the base,complete the proofreading of the electronic text of Medicine Qiyuan,and take "six Qi,prescription,original text,cause(outline)of six Qi,total pathogenesis,symptoms(visceral pathogenesis as the objective),visceral pathogenesis elements,drug composition,drug taking method,original text of five zang organs and six Fu organs,and drug classification" as the category for Excel table processing,Input the prescriptions listed in the six Qi prescriptions in Qiyuan medicine into the formatted data,and establish the excel table of the six Qi prescriptions to realize the following main functions:(1)analyze the main pathogenesis of the six Qi Prescriptions "Wind,Summer heat,Wet soil,Fire,Dryness and Cold water";(2)Analyze the pathogenesis of Zang Fu organs of Liuqi formula,which is related to the original text of syndrome differentiation of Zang Fu organs related to "removing heart and enveloping eleven meridians";(3)According to the composition of Liuqi formula,the drugs are classified from five aspects: wind rising,heat floating,dampness forming,dryness falling and harvest,cold sinking and storage;Statistics of five kinds of compatibility of drugs in Liuqi formula;(4)To explore the similarities and differences of drug composition and efficacy of Yiqi formula;(5)Apply the six Qi formula to practice,summarize the specific medication of a solar term according to the seasonal solar terms,and act on the clinic.Traditional collation method: starting with traditional collation,analyze words and sentences,check their flow and explore their source,refer to rare medical books and better revised versions,and select the hands of famous contemporary or modern experts,such as Ren Yingqiu’s Medical Qiyuan,Li Congfu’s edited Annotation of Zhongzang Jing,Hua Shou’s Nanjing Benyi,Liu Hengru’s plum blossom version of Huangdi Neijing Suwen and the plum blossom version of Lingshu Jing,etc,Compare and analyze the original Zang Fu organs discussed by Zhang with various classic works to observe their similarities and differences.Result:First,apart from the self-made prescriptions,most of the 63 prescriptions listed in Zhang Yuansu’s Medical Enlightenment · Six Qi Prescriptions are derived from various theories,including the Yellow Emperor’s Su Wen xuanming formula,the formula of Taiping Huimin Heju,the direct formula of children’s medicine syndrome,the treatise on Febrile Diseases and the secret essentials of outer Taiwan.Its six Qi theory has also been absorbed by various schools,such as the warm meridian and latitude,the collection of Su Wen’s pathogenesis and Qi should protect life,the theory of internal and external injuries,and the Confucian family.Zhang changed others for his own use and advocated "uneven luck,different tracks in ancient and modern times,diseases in ancient and modern times,and no mutual energy".Second,the writing of Zhang Yuansu’s Medical Qiyuan · Five Zang and six Fu organs,in addition to the eleven meridians of pericardium and collaterals takes the pulse as the center and presents a three-level discrete structure.In terms of content,it has added the treatment principles of deficiency,excess,cold and heat,expanded the contents of "moving disease" and "being sick",supplemented the theory of drug bitterness and desire,and made the syndrome differentiation of Zang Fu organs mature.Third,the characteristics of the composition of drugs and methods presented by the treatment of six Qi prescriptions provide a strong benchmark for later doctors to establish new prescriptions.The Yishui school created new ways and achieved something.Conclusion:In terms of prescription,creating Liu Qi formula is used as an ancient formula.Zhang took the theories of various schools for his own use.With 63 prescriptions and combined with the characteristics of six Qi,he established six Qi prescriptions to make the six Qi of wind,heat,dampness,fire,dryness and cold return.Each Qi prescription makes the prescription and medicine return to their own system according to the pathogenic characteristics of each Qi.Supplement the principle of deficiency and excess cold and heat treatment in syndrome differentiation,and improve the syndrome differentiation system of Zang Fu organs.On the basis of "deficiency,excess,cold,heat,life,death,inversion and obedience" in the central Tibetan Sutra,the principles of tonifying deficiency,purging excess,warming cold and clearing away heat are supplemented.At the same time,the relevant symptoms and scriptures related to the difficulty of storing lingsu are added,deleted and collated,and then the viscera and their symptoms involved in the six erotic injuries are summarized,so that the syndrome differentiation of viscera tends to mature.In terms of medication,it takes smell,thickness and Yin and Yang as the elements to create five kinds of drug images.Based on the "Dharma Image",the drugs are creatively divided into five categories: wind rising,long heat floating,wet formation,dry falling and harvest,and cold sinking.With reference to the theory of smell,thickness and yin-yang property in Su Wen,the composition of drugs for the treatment of six Qi prescriptions is discussed,and the characteristics of each gas are summarized.