| ObjectiveWestern Han Dynasty years, medical sage Zhang-Zhongjing accomplished the book of Treatise on Febrile Diseases, which was a classic of Chinese medicine. The book has collected principles, methods, formulas, and medicinals in a body and laid the basis for pattern identification as the basis for determining treatment. The decoction in this book have a good effect in clinical and are studied by TCM Physicians in Ancient and nowadays. Division method in accordance with decotion series, the decoction of Treatise on Febrile Diseases can be divided into more than ten kinds of soups, that are Cinnamon Twig Decoction and its series Ephedra Decoction and its series, Chengqi Decoction and its series, Bupleurum Decoction and its series, Counterflow Cold Decoction and its series etc. The ancient physicians, especially physicians and scholars of modern, give Cinnamon Twig Decoction and its series, Bupleurum Decoction and its series etc. a more detailed study, for the Diagnosis and Treatment of law, clinical experiment, pharmaeological have more than full coverage. However, few studies Counterflow Cold Decoction and its series.Mainly found in academic journals focused on the pharmacological of Single Herbs, such as law of diagnosis and treatment, clinical research, experimental studies have not been reported. This paper analysis diagnosis and treatment rules of Counterflow Cold Decoction and its series on the point of the theory of circular motion.MethodsThe paper uses the theory research method, take the circularmotion theory as the breakthrough point, comes the system analysis with the circularmotion thought that to summarize Counterflow Cold Decoction and its series to govern the rule. Full account of the history of the development of circular motion theory, pathogenesis, combined with documentation of their embryonic developmcnt, and improve the process until the maturity of the different stages of development in the application of the field of medicine, which have a more profound understanding of circular motion theory. From five positions angle analysis circularmotion's pathogenesis, and use this as a basis for analysis of Counterflow Cold Decoction and its series. Combined with circular movement theory analysis Counterflow Cold Decoction and its series explanation of the (?)ormula, original text and clinical application and summarizes its circular movement theory from modern applying Cold Decoction and its series clinical experience, analyzing typical medical cases, eventually got the Law of Diagnosis and Treatment of the decoctions.ContentThis thesis mainly study the following sections:(1)Analyzing the relevant literature, material, this paper discusses the (?)ution of the circular motion theory. Circular motion theory originated (?)tu and luoshu, germinated from the congenital and acquired Bagua, and developed in The Yellow Emperor's Inner Canon, completed in Qing dynasty, (?)ured in the book of Circular motion of the ancient Chinese medicine.Hetu and Luoshu's meaning is very rich and profound, the thought of circular motion also derived from this. For Hetu as the body, and Luoshu are the use of the body. Hetu represents the innate world is not totally at a stretch, while Luoshu contains the meaning that the certain rule changes from the movement of Yin and Yang and the five elements. The congenital and acquired Bagua reflects that the understanding of natural universe by our ancestors increased from the digital level to the image level. And at this stage, circular motion ideas began to sprout. Bagua:Qian, Kun, Kan, Li, Zhen, Gen, Dui, Xun, its basic meaning, all represent heaven, earth, water, fire, ray, mountain, ze, wind eight kinds of the material of the nature. There are also broader connotation in Bagua, you can deduce to the personnel, economic, and other aspects of life. Through the things by Bagua represents, a more direct and more abundant thought of circular motion is expressed and passed round. In The Yellow Emperor's Inner Canon,Circular motion of thought is expressed in many parts. Through the initial combination with Traditional Chinese Medicine, (?)lar motion ideas got a further developed. To the qing dynasty, the circular movement theory obtained the further consummation. Famous physician Huang Yuanyu and Zheng Qinan applied the circular motion ideas to traditional Chinese medicine clinical, and on this basis, formed his own theory system. They use theory of the circular motion to explain personal physiological and pathological, and to guide clinical treatment.Huang's and Zheng's theory focuses on different aspects of circular motion theory. Huang paid special attention to the Zhongjiao and spleen and stomach, his theory based on the circular movement of them.While Zheng gave more attention to the circular movement of heart and kidney, fire and water. All this had a obviously performance in their books Si Sheng Xin Yuan and Yi Li Zhen Chuan. The late Qing dynasty Physician Peng Ziyi studied TCM classic, pondered over rule of Circular Motion from qi of middle in Hetu upbearing and downbearing, set life energy to write the book Circular motion of the ancient Chinese medicine.In the book "circular movement" as TCM term was officially proposed. With the principle of Circular Motion, The Yellow Emperor's Inner Canon, Classic on 81 Medical Problems, Shennong's Classic of Materia Medica, Treatise on Cold Pathogenic Diseases and warm disease are explained. Using the theory of Circular Motion, the book will the whole traditional Chinese medicine theory and clinical, make intricate plot complex TCM become a system of organic whole. The book of Circular motion of the ancient Chinese medicine marks the advent of circular movement of the doctrine of mature.(2) Analyzes the pathogenesis of circular movement theory.The pathogenesis of Circular Motion doctrine are that, with the Upbearing, Downbearing, Movement of qi, wheel axle and the Five Elements theory to analyze the basic properties of the occurrence of disease, development, change and ending of the mechanism and the basic rule. Based on the five positions from both physiological and pathological aspects analyzes the pathogenesis of circular motion.The northern physiological includes two aspects:Yin is the foundation of Yang and the life energy comes from the true Yang in Kan.You can understand Similarly,'Yin is the foundation of Yang' also has two aspects of meaning:Yin covers the Yang and Yang is born from Yin. The northern pathological including water shallow without a dragon and water cold Long Huo fly two aspects. The eastern physiological is the sign that warm, sunny, all things like germinating, vigorous and so on. Eastern wood Qi's main function is catharsis, which can be expressed as catharsis rather thick or deficient.Because of the deficiency of golden Qi, wood Qi can'nt be restrained and excessive expresses itself, leading to two kinds of circumstances:the wind and fire promote each other, wood Qi tyrannizes gold Qi on the contrary. As for the water factor temper is insufficient, the root of Qi that born wood Qi is not enough, there may be two kinds of circumstances, HengNi middle earth and wood Qi caved in. The normal physiological role of south is perfusion, and the pathological role of south is Qi depression that can not be opened. The normal physiological role of center is the Qi of the zang-fu organs belongs to the middle runs in order, and the relation between dampness and dryness are appropriate. The two aspects of the pathological role of center is the Qi not work and center Qi fall. The cold-damp and the dryness-heat both can lead to the center Qi not work. The center Qi fall is a further development of the center Qi not work. The normal physiological role of western is abundant power of convergence and the Qi can lower in order. In accordance, The pathological role of western is convergence of function (?)rders, which can be expressed as excessive or deficient.(3) From circular motion theory to analyze the Law of Diagnosis and Treatment of Counterflow Cold Decoction and its series.Counterflow Cold Decoction is the core of Sini series, on the basis of it,other decoctions plus or minus the types of herbs and dosage. Cold evil beginning injury the north, as the Yang can not arrive at outside, presents with the cold sign. A further development of that leads to water shallow without a dragon. The worm energy in north water shortage, really Yang shall not dwell securely in the water and go outside. So the symptoms of Counterflow Cold Decoction can be cold or hot. In this decoction, aconite dredges twelve meridians and the wheel of circular motion, break the northern cold evil. Dried ginger and mix-fried licorice charge middle earth, protect the middle Qi, settle the axes of circular motion.Counterflow Cold Decoction Plus Ginseng, at the base of north cold evil, and because diarrhea excessive damages the body fluid. Fluid, blood, essence are Yin material so that damagement of the body fluid has injured the essence of the five Zang organs. The pathogenesis of the soup are water shallow without a dragon and water cold Long Huo fly.Adding Ginseng in Counterflow Cold Decoction is the soup. Ginseng has the efficacy of filling the essence of five zang organs, tranquilizing spirit, settling souls. Five zang-organs, where is possession of the spirit and soul hide the essence without diarrhea, In light of this, ginseng can build up the essence of five zang- organs. In Counterflow Cold Decoction Plus Ginseng, the Counterflow Cold Decoction breaks the cold evil of the north, Ginseng engenders the fluids by way of solid protecting origin of postnatal and constricting the Qi of five zang- organs. Yang lowering and Yin lifting so that the body's Circular Motion can recover.Vessel-Freeing Counterflow Cold Decoction is the increase dosage of Counterflow Cold Decoction, choosing the bigger one of aconite, increasing the amount of dry ginger to 3 to 4 liang, maintaining roasted liquorice the original amount. Aconite can brerk the cold evil of north, channel entry dry ginger enter midlands and also can warm dissolve cold-damp. Judging from the dosage of the herb, Vessel-Freeing Counterflow Cold Decoction had a most cold evil in the series. Text'faint pulse verging on expiry'points out that cold evil is very serious and the immobilized Yang can not be circulation. The pathogenesis of this soup that yin exuberance forces Yang fly outside is similar to Counterflow Cold Decoction's. However, its Yin cold evil is more serious than Counterflow Cold Decoction pattern and mid-earth has cold-damp evil too. Aggravating the dosage of dry ginger, mix-fried licorice, and for dry ginger the sovereign, it can warm dredge meridians along with aconite, and solid protect middle-earth along with mix-fried licorice.The whole soup palys role both in the north and the center. By breaking Yin evil and lowering Yang evil, restores the body back to the role of a circle. Vessel-Freeing Counterflow Cold Decoction plus pig's bile pattern is the soup pattern's depravation, Yang collapse clue has revealed.Ginger Aconite Decoction is make up of dry ginger and aconite,that is Counterflow Cold Decoction without mix-fried licorice. After refining by the honey, licorice, warm deoppilation with a soft line being, is the holy herb of filling middle-earth. Because of the mistreatment of greater yang disease, yang qi has a sudden vacuity and cold pathogen are heavy, fortunately, center qi is not hurt, so there is no need to use mix-fried licorice. Both dry ginger and aconite have dry harsh qi that can break cole evil, therefore, they are good choose of chill filled pattern. Breaking cold evil and raising yang qi, trafficing both inside and outside, the symptoms are improved.Scallion Yang-Freeing Decoction is Counterflow Cold Decoction adding scallion white and minus mix-fried licorice. From the absence of mix-fried licorice,we can know that the middle qi is enough although cole evil is heavy,Seallion white has a acrid flavour and a warm nature, the light and Ch'ing (?) go upward lines. Corresponding to the human body, its role is external, upper parts.Because of the stasis wood qi and its crazy catharsis in the lower parts, Scallion Yang-Freeing Decoction pattern's main symptom is diarrhea. Wood qi can not lift in order, not only for the cold northern water but for the south can not dispersing through the cold evil, as the north water cold, springhead is insufficient and wood qi can not transform into fire qi. Dry ginger and aconite breaks the northern cold evil, scallion white open the bound of cold evil in the north. Yin qi and Yang qi's circulation resume normal and disease can be cured. On the basis of this soup adding in Pig's Bile and urine becomes Scallion Yang-Freeing Decoction Plus Pig's Bile,its pathogenesis is similar with Vessel-Freeing Counterflow Cold Decoction plus pig's bile, Yang collapse clue has revealed.The symptom that reverse-flow of the limbs of Danggui Sini Tang, is caused (?) that, cold obstructing the channels and collaterals and so yang qi can not achieve. Compared with the pathogenesis of other decoctions in preceding text, except the Northern cold evil excessive besides the demonical achieves the blood aspect, Yin aspect is also injured.'Thin pulse verging on expiry' is the evidence. Compared with the'faint pulse verging on expiry'of Vessel-Freeing Counterflow Cold Decoction.we know the emphasis on blood aspect deficiency. Congealing cold and blood vacuity forms vicious cycle. Make heavy use of herbs which can work on the blood aspect, such as angelica and White Paeony Root. Angelica makes the wood qi of liver lifting moistly. White Paeony Root breaks the stasis of blood aspect. Using trifoliate, akebia and asarum and others to warm dissolve cold evil and dredge meridians. On the basis of this soup adding in Evodia, Fresh Ginger and clear wine becomes Chinese Angelica*& Counterflow Cold Decoction Plus Evodia and Fresh Ginger, applied to the long time cold evil. Long illness, Congealing cold and blood vacuity is worse, so that its necessary to make heavy use of warm nature hurbs.True Warrior Decoction pattern is both shui and tu deficiency, shui is out of control and counterflow ascent. Middle-earth shui evil spreads mainly and the northern cold evil for the second.Due to cold water and withered wood, wood qi can not lift in order, depression and excessive catharsis.turbid qi rises along with wood evil and infringes upon the center.The dosage of fresh ginger can press yin evil, and help the turbid yin decline. At the same time, use poria to disinhibit dampness by bland percolation and the evil has a way out, use aconite to break the northern cold evil. The combination of pressing water evil, dredging water evil and breaking cole evil makes the tu and the shui work normally.ComclusionJudging from the composition of the decoctions,we find that eight soups have aconite, seven have dry ginger, seven have aconite and dry ginger, four have aconite, dry ginger and mix-fried licorice. Aconite,dry ginger and mix-fried take a large proportion of the group and are the major component of the series.Judging from the pathogenesis of the decoctions, northern cold evil excessive is the background. Besides, Counterflow Cold Decoction Plus Ginseng pattern has a deficiency of five zang-organs essence and middle-earth qi, Vessel-Freeing Counterflow Cold Decoction pattern and Vessel-Freeing Counterflow Cold Decoction plus pig's bile pattern have the most seriously northern cold evil, Ginger Aconite Decoction pattern has abundant middle-earth qi relatively, Scallion Yang-Freeing Decoction pattern and Scallion Yang-Freeing Decoction Plus Pig's Bile pattern have a better middle-earth qi, Danggui Sini Tang pattern and Chinese Angelica*& Counterflow Cold Decoction Plus Evodia and Fresh Ginger pattern have a hurt of blood aspect and the latter has a worse Congealing cold and blood vacuity, True Warrior Decoction pattern is both shui and tu deficiency and the water evil flooding in the center is emergency.Judging from the symptoms, it can be heat and cold pattern of the following soups:Counterflow Cold Decoction, Counterflow Cold Decoction Plus Ginseng, Vessel-Freeing Counterflow Cold Decoction, Vessel-Freeing Counterflow Cold Decoction plus pig's bile, Ginger Aconite Decoction, Scallion Yang-Freeing Decoction, Scallion Yang-Freeing Decoction Plus Pig's Bile. Danggui Sini Tang, Chinese Angelica*& Counterflow Cold Decoction Plus Evodia and Fresh Ginger and True Warrior Decoction mainly have cold pattern. The former shows that coming on urgent, condition serious, life and death only in an instant.The latter comes on slowly and has a long course.Judging from the clinical application, Counterflow Cold Decoction and its series mainly use in heart, kidney and vascular diseases. |
