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Theoretical Research And Clinical Practice Of Qi Transformation Theory In "Treatise On Febrile Diseases"

Posted on:2013-02-26Degree:DoctorType:Dissertation
Country:ChinaCandidate:Y Y FanFull Text:PDF
GTID:1114330371498593Subject:Chinese medicine
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Section1Theoretical researchObjective and methods:According to argument in qi transformation Theory in "Treatise on Febrile Diseases", This text sets out from academic Feature of Representative physicians, who founded qi transformation Theory in "Treatise on Febrile Diseases", exploreing the law from the academic development the doctrine, To explore the connotations of strength doctrine of Vitality(Source qi qi) Theory, this text adopts "Huang Di Nei Jing Su Wen"and" Lingshu bible", which were arranged by Tian Daihua, in view of Philology and Philology. this text summarizes the basic content of qi transformation within "Huangdi Neijing", investigates basic content of qi transformation Theory in "Treatise on Febrile Diseases", then this text proposes hypothesis of physical concept on Five circuits and Six Qi" Conclusion and enlightenments:1. Dispute on qi transformation Theory in "Treatise on Febrile Diseases". Opponents negates this theory in accordance with the the gasification doctrine of the invisible characteristics;but some scholars believe that the doctrine activated Diagnosis and treatment of the system within "Treatise on Febrile Diseases", expanded use of Classical prescriptions.it contain Dialectical method of thinking and materialist point of view;sort out dialectical relationship between entity and vital energy; interpretes the basic law from diagnosis and treatment of Six Meridians within "Treatise on Febrile Diseases". The theory contributes to theoretical study and clinical practice of "Treatise on Febrile Diseases".2. By analyzing the academic characteristics of the four most化representative of the medical scientist, who proposed qi transformation Theory in "Treatise on Febrile Diseases", this text finds that they are likely to use the perception cogitation of Human-Environmental inter Relation theory according to qi transformation within Huangdi Neijing and philosophy of Taoism and Confucianism, then, then they established qi transformation Theory in "Treatise on Febrile Diseases". The doctrine has experienced from the focus on the invisible gasification to the physical human anatomy, but, after all, both of them are part of the theory.3. By the way textual research of Philology, this paper finds that the form and meaning of "Source qi" are both changing from substance focus to function; but, after all, both of them are part of "Source qi";it has many names, for example," the basic"," the primary "," the first "," the highest "," the major" etc. All of them means material existence which has features of constant dynamic, The prevalence, Spontaneous, Communicate with the nature.4. Combing through the representative philosopher of the Qin and Han Dynasties makes it clear the basic viewpoints of "doctrine of Source qi qi". The viewpoints are①Heaven, Earth, all things are one, And they in heritage of the nature of the "Source qi Qi";②characteristics of Source qi Qi:Spontaneous constant mobility;Ordering of changing;Widespread;beginning and end;③substance,body,vital energy(Source qi Qi) are one;④characteristics of endowment;⑤be related with number;⑥World, Yin and yang, Five Elements, Four seasons are part and result of vital energy (Source qi Qi) Split. they are state of motion and characterization of vital energy(Source qi Qi).5. Through comparative analysis of the representative physicians of the Ming and Qing Dynasties, the text finds that these medical scientists agreed that vital energy (Source qi Qi) is equivalent to Tai Chi, which is overall properties and status of Yin and yang, Fire element and water elemet, Flesh and blood. All kinds of energy of life are controlled by vital energy(Source qi Qi). Yang Qi is equal to vital energy (Source qi Qi) and the physicians think that Yin is dominated by Yang.6. By analyzation on the original paragraph from "Huang Di Nei Jing Su Wen "and " Lingshu bible", finds that"Source qi Qi" spreads all over "Huang Di Nei Jing Su Wen" and "Lingshu bible"."Source qi Qi" gives birth to Qian Source qi,", then gives birth to Five elements and Liu Qi, and five kinds of taste. The text generalizes forms of exercise:rise, descend, vent, entering, Poly, bulk, departure, hem. Summes up the connotation of "Source qi Qi":①World of gas moves the orderly by up and down. never stop;②flow movement as circle of Yin and Yang, Five elemens;③pirit qi forms as open, close, pivot;④The flow of five internal organs qi⑤Pathogenesis of human body and environmental Qi⑥Vegetation qi and animal flows like a circle;⑦Organ is base of Qi, Qi gives birth to function of Organ.7. From the points of philology and vitality theory, there are three aspects to explore the connotation of the basic components of this theory:(1)the attachment of the human-heavenly-medial qi:From the aspects of the philology, there is a close relationship among "biao""ben""zhong". Just from the perspective of the coinage,"biao" means peripheral or branches of trees; From the botanical point of view, the leaves of peripheral or branches can change the sunlight into organic bioenergy. It is supplied to various parts of the tree through "zhong", including "ben". And "ben" supplys the underground water and inorganic salts to "biao". This article asserts:the attachment law of human-heavenly-medial qi is the circular motion of its air-heaven, earth and humankind; It is a summary of the law of human and the environment gasification exchange; is the description of unified law of organs and meridians in the body's internal table. In the same human-heavenly-medial qi, the three depend on and control with each other; and the human-heavenly-medial qi systems have mutual metaplasia and constraints in order to ensure the entire body gasification physiological state of interest.(2)human-heavenly-medial qi Conghua:First through the literature and analysis of the six channels gasification doctrine:the law of the six qi is the physiological gasification. However the Conghua of the pathology is various. The writer probes the human-heavenly-medial qi from philology and vitality circumfluence. The connotation includes the conghua between the six factors in nature and inside; the six climatic factors itself.(3)the "opening" and "closing" hinge" theory of:combing through the scriptures, This paper figure out opening and closing hinge theory is built on the basis of specific body parts to the meridian as the basis forth in the actual opening and closing hinge theory to illustrate the strength of the theory of the movement changes, the strength is the main opening and closing hinge. Tai-Yang open to continue Jue-yin together; lunar open to the Yangmingt o to be together as one. Shao-yang, Shao center turn to adjust the hub of the entire strength gasification run the machine, so as to achieve "the plot pass as one, gas-shaped table, for complementary results.8. Finally, in view of the Circuits qi theory and qi transformation in "Treatise on Febrile Diseases", including the general term of five elementational transport:transport of wood, fire, transport, water, soil transport, Golden, water. The constitution of Dominant qi:Jue chilly wind wood, Shao Jun ire, Shaoyang fire, moon, wet soil, Yangming dry gold, the Tai-Yang Kansui. Circuits-qi the onset of the physical concept of law:too much of transport:①Shipped the same attributes dirty morbidity.②the grams of dirty morbidity:③The I beat them dirty partial Kang sick. The incidence of six gas law:gas:①Corresponding the dirty Shoubing of main gas;②main gas too and take the victory dirty insult numerous of dirty. Section2Clinical practiceObjective and methods:1. In order to explore the " Treatise on Fevrile Diseases" doctrine of the clinical application of gasification, validation of physical view is correct and the clinical utility, to mentor clinical experience and case according to, explore the theory, principles and methods of clinical application thinking.2. The present study met the inclusion criteria of patients with T2DM statistical analysis. The birtday information. Using questionnaire methods to obtain four diagnostic methods of traditional Chinese medicine information, date of birth and so on. We calendar time to convert to the heavenly stems and earthly branches, and then calculate the Circuits qi information. On T2DM, DN, DR, DPN, DC were delivered, main gas, polite physical frequency statistic and histogram. SPSS13.0(probation) were statistically analyzed, count data using x2test, with P<0.05as the difference was statistically significant.Results and enlightenments:1.The article thinks:the weakness of Yang qi Baibing is the reason, and in all kinds of machine.arrhythmias is the pathogenesis. Disorders:one is the gasification not enouph, lead to the biochemical deficiency disease, another is too much the gasification, lead to the biochemical too sick. Principles of clinical treatment:Difficult illness advocated "Fuzheng evil" general law. In particular is Fu Yang, take care of the stomach, adjust the gas and free passage to restore gas. We mainly use the warm medicine. But we will changea as the disease and flexible. According to the specific gas flexible application.2. One concept is the "Treatise on Fevrile Diseases " theory of the way of thinking of gasification. Clinical reference for patients with Circuits-qi information suggested by the patient's physical condition, to veins disease, return to the corresponding gas machine attribute, the help of six meridian syndrome differentiation. Then we list the difficult case:black moss, low back pain, cold case, RA, earplugs and fatty liver disease case to verification. To explain the Circuits-qi science physical view is correct, scientific and practical value.3. Through summing up the clinical experience of tutor thinks, I think:,①Thyroid diseases:the etiology of view:the disease of social is too much the gasification. Pathogenesis:the movements of the qi is abnormal, or the germinal of the qi is too more, or the germinal of the qi is too weak, or the soil is restrainted by the wood. Too more of the qi can lead to Hyperthyroidism. The treatment can use four selection of inverse generation modified to warm the kidney.We can add Cornus officinalis, cinnamon to convergence the qi. Too weak of the qi can lead to Hypothyroidism. The treatment should strengthen the body resistance to eliminate pathogenic factors. The soil restrainted by the wood can lead to Thyroid Nodule. The treatment should protect the soil and Inhibit the wood. We can use The pill of Fuzilizhong, and adding the meadcine of Conditing wood.②Diabetes mellitus:The total etiology is too weak of the qi. Weakness of five viscera is general pathology. Gasification arrhythmias is general disease machine. So when we treatment the diabetes and its complications, first, discriminating Yin-Yang, then discriminating Six meridian syndrome differentiation and last we discriminate" cld and heat, Inside and outside, vrtual and reality".When we support the upright, adding the drug in the light of its general trend. In the light of yin deficiency, hot and dry, professor Zhu think:b ecause the gas is too weak.convergence of the viscera is too weak. He think the treatment of DM must treat the Tai-Yang, and shao yin, at the same time, we should treat the yang ming and the Tai-Yang. The diabetes is the self-rescue function performance,when the gas is too weak. The main prescription is the pill of Fu zi il zhong.4. Analysis of correlation beteen Circuitsqi information and293cases in patients with T2DM; and between heir four correlation of vascular complications(1) T2DM of circuitsqi physical distribution characteristics:①factor of ZhongcircuitS:Water transport too and wood Circuits-qi too constitution of the patients have a larger proportion.②Factor of Dominant qi:Dominant qi:Lunar soil constitution of patients with T2DM susceptibility.③Factor of Keqi:each kind distribution differs not significantly, the Jueyin FengmuPrompt:DM in various type of Circuitsqi physical patients, but the wind Circuits (23.1%) highest, cold water transport (20.9%) and wet soil main gas constitution (21.2%) patients have occupied the largest proportion. Describing the treatment of diabetes, to pay attention to the cold water, wood Yu, soil moisture characteristics.(2) T2DM four common chronic vascular complications of circuitsqi theory to physical distribution characteristics:DN:①In transport:Waterborne constitution (69.4%).②Dominant qi:The cold water body (36.2%).③Polite terms:The cold water (28.9%), lesser Yin Jun fire (22%) Constitution.Prompt:For DN patients clinical treatment should pay attention to cold water factor, T2DM of patients with cold water, the physical factors that likely complicated with DN.The susceptibility of DPN constitution:①In transport:Wood transportation constitution (67.8%).②Dominant qi:Acute phase of fire (26.2%), the wet soil (20.9%), the cold water (20.7%).③Polite terms:The wet soil (25.5%) and the Tai-Yang cold water (28.9%) Constitution.Prompt:Clinical treatment of DPN patients, must be considered the wind and wood physical factors. For patients with T2DM, wind and wood properties of patients to pay attention to the prevention of DPN.The susceptibility of DR constitution:①In transport:Wood transportation too constitution (50.1%)②Dominant qi:Its sound wood constitution (34.2%), the cold water body (25.7%).③Polite terms:Lesser Yin Jun fire (25.6%), his sound constitution (28.5%) wood.Prompt:Clinical treatment of DR patients, must be considered the wind and wood, cold water physical factors. For patients with T2DM, wind and wood properties and cold water properties of patients to pay attention to the prevention of DR.The susceptibility of DC constitution:①In transport:fire constitution (26.7%).②Dominant qi:Lesser Yin Jun fire (37.5%)③Polite terms:lesser Yin Jun fire (22.0%). Prompt:Clinical treatment of DC patients, must be considered the cold water too and fire Circuits too much in the constitution, and in the cold water, wind and wood physical factors. For patients with T2DM, waterborne too and fire shipped too attribute patients should pay attention to prevent DC.
Keywords/Search Tags:Treatise on Febrile Diseases, qi transformation Theory, TheoreticalStudy, Clinical Application
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