| Huang Yuanyu was the greatest doctor of Qing Dynasty, who used to be the doctor to the Qianlong Emperor. Qianlong grant him a horizontal inscribed board with "Miao Wu Qi Huang" hanging above hospital doors, in recognition of its superb medical skill. Huang Yuanyu was born in a famous family. While in his thirties, his left eye was injured by a quack doctor, and the career to serve the country became hopeless, so he began to concentrate on studying the medical knowledge and be proficient in the Yi Jing, adhering to the old saying "Nor for a good prime minister, then for a good doctor." And soon he get the great success in medical research, he was equally well-known with the Zang Meiji in the city, as people said "South Zang, North Huang". Huang Yuanyu was not only expertised in medical skills but also prolific in writing. He wrote a medical book of two hundred thousand words in above ten years. The medical theory originated from the Chinese classics, based on the theory of the correspondence between man and the nature, from "nature" to "man", which stressed that the relationship between Middle Qi and the four-dimension was the close relationship between the spleen, stomach and the liver, the heart, the lung and the kidney. With a strong modeling features, it formed a unique thinking pattern of medical theories.In this study, mainly based on the TCM bibliography research methods, and the theoretical analysis, logical induction, summarize and refined methods.The Huang Yuanyu medical theory of thinking patterns were summarized as "Middle Qi circling, Four dimension harmonizing", our aim is to profoundly grasp the characteristics of the medical theoretical thinking pattern, execute the simple, wipe off the complexity, making it convenient for clinical application, and explore the source of theory, making it easy to approach the theory and improve the thinking pattern system of TCM.This study comprises two parts:the review and the body. The review mainly introduced the medical literature of Huang Yuanyu and its core theory. The body is divided into six chapters, and the medical theoretical thinking pattern of Huang Yuanyu's "Middle Qi circling, Four dimension harmonizing" were demonstrated.In Chapter One, Huang Yuanyu was briefly introduced. We described the overall situation of Huang Yuanyu, about the characteristic, the experiences, the skills, and the books. We got the conclusion that Huang Yuanyu is an extraordinary person, hoping to have a general understanding of the background of establishing his medical theory thinking pattern.In Chapter Two, medical theory thinking pattern of Huang Yuanyu is generally described. The medical theory thinking pattern of Huang Yuanyu can be summarized as "Middle Qi circling, Four dimension harmonizing". "Middle Qi" refers to the spleen and the stomach, "Four dimension harmonizing" refers to the liver, the heart, the lung and the kidney. This theoretical thinking pattern emphasizes the normal movements of spleen and stomach, and the normal circling of the liver, heart, lung and kidney, as well as the correpondent relationship between "Middle Qi" and "four dimension". The rise and fall of "Middle Qi" generates the "four dimension", "Middle Qi" is in the center,while the "four dimension" is outside, "Middle Qi" takes the dominant position, it is necessary for "four dimension" being adapted to the ups and downs of "Middle Qi", the ups and downs of "Middle Qi" decides the state of the "Four dimension". The ultimate cause of the abnormal state of "Four dimension" can be traced back to the movement disorders of "Middle Qi".In Chapter Three, the building process of the medical theory thinking pattern of Huang Yuanyu were analyzed.In Chapter Four, the characteristics of the medical theory thinking pattern of Huang Yuanyu were analyzed. The medical theory thinking pattern of Huang Yuanyu has three main characteristics:"Stretch Harmony", "four-dimension connection" and "Jian Zhong Yu Ji ". "Stretch Harmony" refers to the Qi generating the spleen and the stomach, and the spleen and the stomach generating the liver, heart, lung and kidney. Middle Qi and Four-dimension stretch is generated by the Qi. Middle Qi should be in a harmony with four-dimensional movements. "four-dimensional connection" refers to making the function of the liver, heart, lung and kidney coordinated. The "Zhong" of "Jian Zhong Yu Ji refers to the spleen and stomach, and the "Ji" refers to the liver, heart, lung and kidney. "Jian Zhong Yu Ji " means that keep the normal movement of the spleen and the stomach, and play a dominant function of the liver, heart, lung and kidney.In Chapter Five, the source of the medical theory thinking pattern of Huang Yuanyu was analyzed. The medical theory thinking pattern of Huang Yuanyu was mainly based on the law of nature generating all things, which is hided in "Yi Jing" "Dao De Jing", "Hetu" and "Zhou Yi Can Tong Qi".The leading role of "Middle Qi" is emphasized. In Chapter Six, we introduced the application of the thinking pattern of Huang Yuanyu. It was discussed from the theory of construction, pathogenesis analysis, prescription analysis, drug analysis, case analysis respectively, and demonstrated that the thinking pattern does exist and exist throughout the entire system of medicine, which has a strong clinical and practical value.In Chapter Seven, the thinking pattern of Huang Yuanyu was evaluated and discussed. The medical theory thinking pattern of Huang Yuanyu has certain clinical value, but also has some limitations. The flexible application should be emphasized when using the thinking pattern in the analysis of specific cases.In this study, the medical theory thinking pattern of Huang Yuanyu summarized as "Middle Qi circling, Four dimension harmonizing", which is consistent with the characteristics of medical theory thinking, and is properly summarized. Theoretical thinking of "Middle Qi circling, Four dimension harmonizing" is not only able to effectively guide the Chinese medicine clinical practice, and has important clinical value, but also expand the academic system of Chinese medical theory thinking pattern from the theory aspect. It has significant value to understanding its profoundly theoretical sources which makes it easy and convenient to deepen the understanding and research of the traditional Chinese medicinal theory thinking pattern.
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