The Research Of Activating Blood Circulation To Dissipate Stasis Therapy In Jinkui Yaolue

Many diseases can be cured in Jinkui Yaolue and its therapies are plentiful. Activating blood circulation to dissipate stasis is recorded many times in it as an important method. But it is dispersed in several chapters and difficult to master. This thesis start from the point of activating blood circulation to dissipate blood stasis to sum up and arrange, systematically investigate its process of formation, drug compatibility regularity, modern research about main formulas and its effect to later generations.The appearance of Jinkui Yaolue is a sign that the therapy of activating blood circulation to dissipate stasis come into being initially. This thesis collect the relative contents from some chapters and try to classify them, which can be divided into 13 categories. They are: 1 clearing away heat evil, promoting diuresis and dissipating blood stasis therapy; 2 detoxicating and dissipating blood stasis therapy; 3 warm nourishing and dissipating blood stasis therapy; 4 activating Yang and dissipating blood stasis therapy; 5 eliminating extravasated blood by catharsis therapy; 6 regulating Qi and promoting blood flow therapy; 7 invigorating Qi and promoting blood flow therapy; 8 activating blood to promote menstruation therapy; 9 dissipating blood stasis fluid-purging therapy; 10 dissipating blood stasis and producing new blood therapy; 11 dissipating blood stasis and stopping bleeding therapy; 12 dissipating blood stasis and removing lump therapy; 13 dissipating blood stasis and eliminating jaundice therapy. Every therapy has its indication and representative formula. The classification will help everybody study systematically the activating blood circulation to dissipate blood stasis therapy.From the classification of activating blood circulation to dissipate blood stasis therapy and its representative formula, we can find some characters when Zhang Zhongjin apply it, these characters are below: 1 dissipating blood stasis often treat Qi firstly. Deficient or sluggish Qi both result in stagnant blood, therefore, while treat stagnant blood , often add invigorating Qi medicine or drug that promote the movement of Qi to improve curative effect. 2 dissipating blood stasis should treat water together. Stagnant blood can hamper water to move, namely "blood can not move smoothly that will produce water", on the other hand, water damp phlegm all can interfere blood to move,so dissipating blood stasis should also treat water. 3 dissipating blood stasis should make use of warmth. Blood circle is stagnant when it is cool and smooth when it is warm. So Zhang Zhongjin often select ramulus cinnamomi to warm and smooth blood circle, raise therapeutic effect. 4 simultaneous application of eliminating-tonifying, removing blood stasis and producing new blood. When treating stagnant blood with deficiency(as Dahuang Zhechong Wan), he often eliminated stagnant blood slowly, namely stagnant blood don't go, new blood can't come. Meanwhile add tonic to improve healthy energy to prevent from hurting healthy energy. 5 extent is different, drug is different. When Zhang Zhongjin to treat stagnant blood, he often select worm drugs as main for serious and long patients and select plant drugs as main for slight and new patients. 6 drastic drug attack slowly, prevent from hurting healthy energy. Whin he applied drastic activating blood circulation drug, he often select pilulae to treat slowly to reduce side effect and prevent from hurting healthy energy.Studying systematically drug and formula of activating blood circulation in Jinkui Yaolue is an important part of studying its treating methods. This thesis select 17 drugs and 15 formulas as research object. We select them based on 3 reasons below: 1 they have obvious effect of activating blood circulation; 2 they are still applied in modern clinic. 3 they have been reported about their clinical and experimental studies in later more than decade years. Here are 17 drugs: ground beetle, gadfly, leech, turtle shell, catharsius, grub, rhubarb, angelica, peach seed, tree peony bark, szechwan lovage rhizome, cassia twig, cowherb seed, dried lacquer, hungaian morningglory root, safflower, cat-tail pollen; here are 15 formulas: Dahuang Zhechong Wan, Guizhi Fuling Wan, Beijiajian Wan, Wenjin Tang, Jiaoai Tang, Huangqi Guizhi Wuwu Tang, Dahuang Mudanpi Tang, Xiayuxue Tang, Didang Tang, Gualou Xiebai Baijiu Tang, Xiaoshi Fanshi San, Xuanfuhua Tang, Zhishi Shaoyao San, Chixiaodou Danggui San, Puhui San. Through the studies of traditional Chinese drugs above, we can find that most of them have the pharmacological action of anticoagulated blood or moltening thrombus; the studies of formulas above show that not only their extent to treat diseases has been expanded, but also the studies of large sample from modern clinic and pharmacology all show Zhang Zhongjin's scientific proof for treating stagnant blood. These studies not only help us know scientifically these drugs and formulas of activating blood circulation to dissipate blood stasis in this book, but also profit us to comprehend the essence of activating blood circulation to dissipate blood stasis, and get the foundation for the development and innovation of it.The appearance of Zhang Zhongjin's activating blood circulation to dissipate blood stasis therapy had an important impact on later doctors. They consummated and developed it. Some books in Sui and Tang dynasty such as Zhubin Yuanhou Lun, Qianjin Fang, Weitai Miyao all cited Zhang Zhongjin's formulas of activating blood circulation to dissipate blood stasis, and had some innovation. Xinxiu Bencao added dragon's blood, sapan wood, Rhizoma corydalis etc. In Song Jin Yuan dynasty such as Puji Fang and Zhu Danxi both had his new opinions for invigorating blood circulation and eliminating stasis therapy. In Ming and Qing dynasty, Zhang Jinyue and Ye Tianshi both developed the invigorating blood circulation and eliminating stasis therapy. But Wang Qingren and Tang Rongchuan are the greatest docters on it. They not only had new opinions for therapy, but created some effective formulas( for example Buyang Huanwu Tang etc.). Moreover, they are still applied on modern clinic, and make the therapy of invigorating blood circulation and eliminating stasis get a new stage.