Lung And Large Intestine "theory Based On Ancient Medical Case Analysis Applied Research

The theory of " Lung and Large intestine being interior exteriorly related ",has profound theoretical source. It was first in huangdi neijing, and recorded in alot of medical books in all ages. In china for several thousand years, the theory issummarized, refined, generalized and enriched incessantly. This topic makes TCMancient books of basic theory, internal medicine and medical record as the mainresearch objects, and further discusses "Lung and Large intestine being interiorexteriorly related ".In this paper, there are five parts. In order to system review of all theoreticaldiscussion on " Lung and Large intestine being interior exteriorly related ", itmakes the important TCM ancient books of basic theory, internal medicine andcomprehensive medical works as the main research objects, and does withcomputer and manual retrieval in the first chapter. There are five historical periods,such as the Qin and Han Dynasties, the Jin Sui and Tang Dynasties, the Song Jinand Yuan Dynasties, the Ming Dynasty and the Qing Dynasty. Combined withsocial background, characteristics of medical development and academicviewpoints on TCM of medical practitioners in the different historical period, theauthor generalizes that the origin and development of " Lung and Large intestinebeing interior exteriorly related ".In the second chapter, based on the conclusion of the first chapter, it makeshuangdi neijing as theoretical source, theoretical development period as main line,and further study the connotation and extension of "Lung and Large intestinebeing interior exteriorly related". In order to summarize and analyze the practicalcharacteristics in clinical diagnosis and treatment with using this theory, theauthor puts some typical ancient cases as the way of arguing. Professor Gao pointsout that "Lung and Large intestine being interior exteriorly related" is to expressthe mutual exterior-interior relationship between Lung and Large intestine whichare cooperation in functions on the physiological characters, mutual influence onthe pathological states, and mutual characterization on the clinical syndrome. Theresults of literature research prove that the viewpoint of profressor Gao is wellcoincide with the expression in huangdi neijing. The study also found out the maincontents of the mutual exterior-interior relationship which are meridian, ascendingand descending of functional activities of qi, movement of the body fluid,digestion and absorption of foods, zang-fu correlated with guan-qiao, yin-yang and wu-xing theory.In the third chapter, the author retrieves ninety books of TCM ancient cases which were included in an E-book of zhonghua yidian with the strict inclusion criteria and exclusion criteria, and astablish the database of the ancient cases with using the theory of "Lung and Large intestine being interior exteriorly related". By using descriptive statistics method, the author also summarizes and analyzes the characteristics of syndrome and treatment for the diseases of Lung correlated with Large intestine.In the fourth chapter, based on the database of the ancient cases, it makes symptom-symptom, symptom-syndrome, symptom-Chinese medicine, symptom-therapeutic method, syndrome-therapeutic method, Chinese medicine-syndrome, Chinese medicine-therapeutic method, Chinese medicine-Chinese medicine, symptom-syndrome-therapeutic method-Chinese medicine as a group, and dose association rules analysis by using the Analysis Services of Microsoft SQL Server 2005. According to the results, the author summarizes and analyzes two basic types of the syndrome differentiation and treatment for the diseases of Lung correlated with Large intestine, such as the symptom of diarrhea-Lung heat transfering to Large intestine-reducing fever, nourishing yin-Scutellaria, Radix Rehmanniae, Ophiopogon japonicas; the symptom of constipation-qi stagnation of Lung and Large intestine-Inducing and descending Lung qi-Almond, Aster, Trichosanthes Kirilowii Maxim, Curcuma, Balloonflower.In the fifth chapter, it makes the study of syndrome differentiation and treatment law and exterior-interior relationship between Lung and Large intestine which based on literature analysis as comparison, and analyzes the syndrome differentiation and treatment laws which are different from the ancient cases and the morden medical records with using the theory of "Lung and Large intestine being interior exteriorly related". The author finds that the key points in clinical diagnosis and treatment with using this theory in ancient time and morden time are different. In ancient time, doctors pay attention to the sthenia syndrome by using this theory. In morden time, doctors pay attention to the asthenia syndrome with the relationship between Lung and Large intestine. Thus, it needs to be further discussion and expanded the scope of the direction in morden clinical practice.There are two innovative points in this thesis. First, it preliminarily establishes the database of the ancient cases with using the theory of "Lung and Large intestine being interior exteriorly related", and summarizes two basic types of the syndrome differentiation and treatment for the diseases of Lung correlated with Large intestine. Second, it analyzes the syndrome differentiation and treatment laws which are different from the ancient cases and the morden medical records with using the theory of "Lung and Large intestine being interior exteriorly related". Finally, because of data deficient, the conclusion of this study may not be perfect. Consequently, there are many works to be done in further.