| In Dongyuan School, Treatise on Spleen and Stomach is one of the parts which contains the most centralized academic theories. The advent of Treatise on Spleen and Stomach marked the establishing of Spleen and Stomach School and was the academic source of Spleen and Stomach School. This book, one of the important literature in the treasure of Traditional Chinese Medicine, played extremely significant role in enriching the theory of Traditional Chinese Medicine and the content of clinic, pioneering the new approach through which Traditional Chinese Medicine comprehend and cure Internal Damage miscellaneous disease, as well as advancing the dramatic development of medicine at that time.Based on the Determining treatment by Patterns identified, using medicine combined with seasons means choosing formula and herb as well as confirming dosage according to the characteristics of weather and season, by which the space-time aspects have been better considered in the clinic treatment project of Traditional Chinese Medicine, therefore improving the effect of clinic treatment, materializing the principle of taking measures suited to the time in Traditional Chinese Medicine, and concretely exerting the treatment principle of using herbs according to the seasonal Qi. Using Cold herbs needs avoiding Cold, and Using Hot herbs needs avoiding Hot by which doctor abide from the past.In Treatise on Spleen and Stomach, Li Gao recorded an ocean of the contents of using medicine combined with seasons and corresponding medical cases. Although doctors after Li Gao, who followed the aim of Inner Canon of Yellow Emperor and the treatment principle of his, did inherit and develop it, after this treatment principle established by Li Gao, doctors in aftertime merely using this method, and had no further explaining its profound connation. Therefore, it is necessary to conclude, summarize, abstract the experience of using medicine combined with seasons in Li Dongyuan's Treatise on Spleen and Stomach and explain its internal connection and meaning, which is benefic to learn its experience and provide more lucid reference for the clinic work.This article based on the research of using medicine combined with seasons from Li Gao's magnum opus Treatise on Spleen and Stomach, the famous doctor in Jin dynasty, primarily explains the following questions:The first, according to a large numbers of literatures and data, directed by the whole theory of correspondence of human body and natural environment, the thought of TCM therapeutics is the one suits its measures to different conditions in terms of time, locality and persons involved. In fact, the essence of taking measures suited to each person is a scientific proposition embodying the complicated connotation of chronomedicine. Moreover, the dynamic waxing and waning of Yin and Yang is the carrier of the inner theory of chronomedicine. just as my advisor once explained, when he studied professor Cheng Chaozu's All Organs need freeing Treatise, that everything on earth and human body are in the permanently dynamic condition, it is the immortally dynamic waxing and waning that decides alternation of seasons, and the all steps in plant's and animal's development. All the waxing and waning of Yin and Yang in the four seasons and the alternation of Yin and Yang in one day are the vivid embodiment of the dynamic waxing and waning of Yin and Yang reflected in weather and climate, and so on.The second, according to a large number of literatures from the past, this article explains that using medicine combined with seasons in Traditional Chinese Medicine is long-standing, which is a big academic project spans thousands years and involves various fields in clinic. As early as Inner Canon of Yellow Emperor, the basic theory literature of Traditional Chinese Medicine, has abundantly exhibited that, which become the start point for future generations'research. And the research on this academic had developed in Han, Jin, Sui, Tang dynasty, reached its zenith in Jin Dynasty, among that, Li Gao's Treatise on Spleen and Stomach is the most representative one highlights this project in the research of internal damage spleen and stomach diseases. The third, according to Treatise on Spleen and Stomach's specific view and medicine cases, this article illustrates the principle of using medicine combined with seasons in Li Gao's Treatise on Spleen and Stomach:1. suiting formula and herb in the term of the climatic characteristic of four seasons,2. suiting formula and herb in the term of upward and downward of seasonal Qi's flow, 3. suiting formula and herb in the term of the relation between seasonal Organs and Five Elements. The concrete embodiment of using medicine combined with seasons is that:1. using different medicine in accordance with different season to the exact one person,2. modifying medicine in accordance with different season to exact one person and one disease, meanwhile, to explain this experience, which is instructive to improve the clinic's effect.The forth, according to the medicine cases of doctors after him who inherit Li Gao's academic experience, this article explains the profound influence of Li Gao's experience on using medicine combined with seasons to the clinic treatment theory of Traditional Chinese Medicine after him.The fifth, this article analyzed the reason why the embodiment of Li Gao's experience on using medicine combined with seasons is not so much vivid in practical clinic:brilliant doctors have blend it harmoniously in Determining treatment by Patterns identified, which makes it become subtle and hard to be traced; therefore, it is difficult to ascertain and master by ordinary doctors, that's why we should make great efforts to inherit and develop it, and that's the article's aim.To sum up, learning Li Gao's experience on using medicine combined with seasons is not only studying its concrete exertion, but also its holistic and dynamic balance thought characteristic which Li Gao used in clinic treatment. Only in this way, one can realize the soul of the Determining treatment by Patterns identified of clinic treatment. |