Theory Study On The Resolving Phlegm Method For Inducing Resuscitation And Its Usage

1 Research objectiveDiscover the scientific origin and development of "eliminating phlegm for resuscitation" method as well as the academic characteristics of famous theories;elaborate basic theories of "eliminating phlegm for resuscitation" method,including the concept,definition,main types,representative prescriptions and traditional Chinese medicine,etc.,summarize the main points of using "eliminating phlegm for resuscitation" method in clinical syndromes.2 Research content2.1 Scientific origin and development of“eliminating phlegm for resuscitation”methodMake vertical carding of relevant documents in great Classics of TCM,officially compiled medical books,and works of doctors;extract concepts,medical treatises,medical notes,prescriptions and traditional Chinese medicine;analyze and summarize the academic context in terms of the origin,formation and development of "eliminating phlegm for resuscitation" method as well as the academic characteristics of famous theories.2.2 Basic theoretical research of "eliminating phlegm for resuscitation”methodMake theoretical analysis,comparisons summary and conclusion based on the researches into the scientific origin and development of the method;specify the limits of the connotation(definition)and epitaxy(types)of "eliminating phlegm for resuscitation" method,raise representative prescriptions and traditional Chinese medicine,conduct theoretical explanations,and systematically construct the basic theory of "eliminating phlegm for resuscitation" method.2.3 Clinical application research on“eliminating phlegm for resuscitation”methodBased on academic thoughts and clinical experience of both ancient and modern doctors,this part discussed the specific application of "eliminating phlegm for resuscitation" method in curing apoplexy,manic-depressive psychosis,epilepsy,dementia,warm disease,acute laryngeal infection,tinnitus and deafness,and summarized the points and rules of its clinical application from the perspectives of indications,symptoms and signs,cause of disease,pathogenesis,clinical diagnosis and treatment of disease,and case comments,thus providing useful references for the clinical application of "eliminating phlegm for resuscitation"method.3 Research methods3.1 Document research method(i)Retrieve,collect and sort documents related to "eliminating phlegm" and"resuscitation" from CNKI based on methods such as documentation science;categorize the documents according to the theoretical types and clinical types.(ii)Look up reference books,accumulate data for terminology differentiation and analysis related to "eliminating phlegm for resuscitation" method.(iii)Major source of documents:relevant concepts,propositions,medical treatises,medical records,representative prescriptions and traditional Chinese medicine selected from ancient Chinese medical classics,medical formulary,materia medica,typhoid,Synopsis of Golden Chamber,warm disease,case records medical books related to department of five sense organs and throat,which provided references and materials for the study of basic theories and clinical application of "eliminating phlegm for resuscitation" method.3.2 Historical research methodBased on both ancient and modern documents and records concerned with"eliminating phlegm for resuscitation" method,this part vertically carded the formation and development of the theory and the clinical experience of doctors,and illustrated the theoretical basis,inheritance and innovation characteristics at each historical period.3.3 Theoretical research methodBased on ancient and modern concepts,propositions,medical treatises,medical records,representative prescription and traditional Chinese medicine related to "eliminating phlegm for resuscitation" method,this part conducted the theoretical research on "eliminating phlegm for resuscitation" method and its clinical application,and systematically constructed the basic theory of "eliminating phlegm for resuscitation" method.4 Research results4.1 Scientific origin and development4.1.1 Period of Pre-qin and two Han dynasties—laying theory foundation and academic buddingTheories,such as "heart controlling mind" of Huangdi Neijing,"five viscera connected to aperture and aural obstruction will cause a disease",have laid the theoretical basis for the proposition of "phlegmatic mental confusion" and"phlegm blocking upper orifices" pathogenesis theories and formation of "eliminating phlegm for resuscitation" method.The "pathogenesis and cause of disease" theory and treatment principle based on syndrome differentiation of Treatise on Febrik and Miscellaneous Diseases has critical theoretical and clinical guiding significance for later generations to use"eliminating phlegm for resuscitation" method in treating "phlegmatic mental confusion" and "phlegm blocking upper orifices" syndromes.Shengtieluo Yin and Banxia Tang in Neijing,and Pedicelli Melonis Powder in Treatise on Febrile Diseases were all early prescriptions used in eliminating phlegm or eliminating phlegm for resuscitation.Sheng Nong's Herbal Classic has recorded the resuscitation effect of calamus,thinleaf milkwort root,and Chinese honey locust,etc.4.1.2 Period from Wei and Jin dynasties to Sui and Tang dynasties—summing up experience and creating prescriptions and traditional Chinese medicineZhouhou Beiji Fang and Xiao Pin Fang used multiple methods as emetic therapy and aurula to propel spitting to cure emergency symptoms caused by phlegm obstruction,impaired consciousness and aural obstruction."Spitting resuscitation"mehtod is an important treatment in "eliminating phlegm for resuscitation" method.Many documents during this period recorded the experience to use different prescriptions(e.g.Wendan Tang,Hu Jing Wan,Chang Pu Yi Zhi Wan)to cure phlegm obstruction,impaired consciousness and aural obstruction symptoms;henon bamboo leaf,bitter bamboo leaf and henon bamboo juice were used in prescriptions of clearning heat and eliminating phlegm for resuscitation.Various Pathogenic Designate Theory made a summary on symptoms,pathogenesis and cause of disease resulted from turbid phlegm or unfavourable aperture,which confirms to the clinical practice and provides an inspiration for later generations to use eliminating phlegm and dredging orifices methods to cure such syndromes.4.1.3 Period of Song,Jin and Yuan dynasties—theoretical improvement and application developmentZhu Danxi raised the theory of "phlegmatic mental confusion",and demonstrated the theoretical basis of using "eliminating phlegm for resuscitation"method to cure sensorium syndromes;the theory applied "eliminating phlegm for resuscitation" method in various syndromes resulted from phlegm obstruction,impaired consciousness and aural obstruction,and extended the clinical application of the method."Phlegm syndrome" theory,proposed by Wang Gui from Yuan dynasty,stated that sensorium syndrome can be cured by Guntan Wan.This prescription was very effective in dealing with Wang Gui's own "strange sensorium syndrome".Guntan Wan prescription is widely used by later generations.Ren Zhai Zhi Zhi Fang Lun written by Yang Shiying stressed to support healthy energy for ultimate cure when using "eliminating phlegm for resuscitation" method,which is of great enlightenment significance in the establishment and clinical application of various methods related to "eliminating phlegm for resuscitation".4.1.4 Period from Ming and Qing dynasties to modern times—theory explanation and practice sum-upsTheory explanation.Compared with Song,Jin and Yuan dynasties,the explanation of indications of "eliminating phlegm for resuscitation" spanning cause of disease,pathogenesis,symptoms and signs,specific treatment,application of prescription and traditional Chinese medicine as well as evidence investigation of case is more profound and extensive.Practice accumulation.The number of evidence investigations of case using"eliminating phlegm for resuscitation" method and new prescriptions based on practice increased remarkably than the period of Song,Jin and Yuan dynasties.Besides,in addition to the therapy process,relevant theoretical analysis and summary content were also recorded in many case records.Indications of "eliminating phlegm for resuscitation" method:(a)Indications mainly caused by phlegmatic mental confusion,such as Manic-Depressive Psychosis,epilepsy,apoplexy,warm disease,and dementia,etc.;(b)Indications mainly caused by phlegm blocking upper orifices,such as aphonia,atretolemia,and deafness,etc.4.2 Basic theory4.2.1 Definition of "eliminating phlegm for resuscitation" method(connotation)"Eliminating phlegm for resuscitation" method is to cure impaired consciousness and aural obstruction syndromes and phlegm blocking upper orifices syndromes by dispelling turbid phlegm and inducing resuscitation through phlegm reduction,spitting and decoction for phlegm elimination.4.2.2 the range of adaptation of "eliminating phlegm for resuscitation" method Depending on the definition,the range of adaptation of "eliminating phlegm for resuscitation" method is including phlegmatic mental confusion syndromes and phlegm blocking upper orifices syndromes.4.2.3 Types of "eliminating phlegm for resuscitation”method(epitaxy)Ways of eliminating phlegm mainly include:(?)"Reducing phlegm for resuscitation" method.This method is to cure phlegm obstruction,impaired consciousness and aural obstruction syndromes through internal diabetes turbid phlegm and dredging for resuscitation.Based on clinical application practice,this study divided the method into:(a)"Reducing phlegm by clearing heat for resuscitation" method;(b)"Warming and resolving cold-phlegm for resuscitation"method;(c)"Reducing phlegm by tranquilizing endogenous wind for resuscitation"method;(d)"Reducing phlegm by removing ji stagnation for resuscitation" method;(e)"Reducing phlegm by eliminating blood stasis for resuscitation" method;(f)"Reducing phlegm by relieving depression for resuscitation" method;(g)"Reducing phlegm by quieting heart for resuscitation" method;(h)"Reducing phlegm by invigorating spleen for resuscitation" method;(?)"Reducing phlegm by nourishing qi for resuscitation" method;(j)"Reducing phlegm by nourishing yin for resuscitation" method"(?)"Spitting resuscitation" method.This method is to dispel phlegm from thoracic diaphragm and gastric cavity by causing omitting.The method,which is known as the most direct and rapid way of eliminating phlegm,is designed to treat impaired consciousness and aural obstruction syndromes caused by sthenia-phlegm.(?)"Decoction for elminating phlegm" method.This method is to treat impaired consciousness and aural obstruction syndromes caused by obstruction of fu-organ qi and phlegm obstruction by stool ecphractic method and driving out sthenia-phlegm to eliminate phlegm for resuscitation.4.2.4 Representative prescriptions of "eliminating phlegm for resuscitation"methodIn contrast to the above treatment methods,the representative prescriptions of"eliminating phlegm for resuscitation" method mainly include three types:(?)Prescriptions of reducing phlegm for resuscitation:Qing Xin Niu Huang Wan,Sheng Tie Luo Yin,Jin Bo Zhen Xin Wan,An Gong Niu Huang Wan,Ju Fang Zhi Bao Dan,Tong Guan San Su He Xiang Wan,Jie Yu Dan,Shou Xing Wan,Di Tan Tang,etc.(?)Prescriptions of spitting resuscitation:Pedicelli Melonis Powder,Jiu Ji Xian San.(?)Prescriptions of decoction for eliminating phlegm for resuscitation:Gun Tan Wan,San Hua Tang.The discussion on each prescription involves:(a)Document source;(b)Medicine component;(c)Main efficacy;(d)Prescription explanation;(e)Indications;(f)Prescription variations.4.3 Clinical applicationThe clinical application of eliminating phlegm for resuscitation" method mainly involves two types:Firstly,impaired consciousness and aural obstruction syndromes caused by phlegm obstruction,mainly referring to phlegmatic mental confusion syndromes.The "eliminating phlegm for resuscitation" method is used for eliminating phlegm and inducing resuscitation.Secondly,phlegm blocking upper orifices syndromes,mainly referring to unusual consciousness.The "eliminating phlegm for resuscitation" method is used for eliminating phlegm and promoting defecation and urination.Through the cases of apoplexy,manic-depressive psychosis,epilepsy,dementia warm disease,acute laryngeal infection,tinnitus and deafness,this study made a sum-up of the clinical applicaiton of "eliminating phlegm for resuscitation" method.4.3.1 ApoplexyAs phlegmatic mental confusion is the major pathogenesis of apoplexy involving the zang-fu organs,"eliminating phlegm for resuscitation" method is actually an important treatment method for apoplexy involving the zang-fu organs.Specific treatment includes:(?)Warming yang to supplement qi,and eliminating phlegm for resuscitation;(?)Nourishing yin to suppress yang,and eliminating phlegm for resuscitation;(?)Tranquilizing endogenous wind,and eliminating phlegm for resuscitation;(?)Soothing liver,purging fire,and eliminating phlegm for resuscitation;(?)Dredging intestines to dispel heat,and eliminating phlegm for resuscitation.4.3.2 Manic-depressive psychosisPhlegmatic mental confusion is the key pathogenesis of manic-depressive psychosis;"eliminating phlegm for resuscitation" method is the major treatment methd for manic-depressive psychosis.(?)Depressive psychosis:(a)Guiding qi downward,relieving depression,and eliminating phlegm for resuscitation;(b)clearing heat,purging fire,and eliminating phlegm for resuscitation;(c)Invigorating spleen,expelling cold,and eliminating phlegm for resuscitation;(?)Mania:(a)Clearing liver,relieving palpitation,and eliminating phlegm for resuscitation;(b)Causing vomiting,sthenia-phlegm,and eliminating phlegm for resuscitation;(c)Dispelling phlegm,resolving stagnation,and inducing resuscitation;(d)Supporting healthy energy to eliminate evils,and eliminating phlegm for resuscitation.4.3.3 EpilepsyEpilepsy refers to unusual consciousness syndromes caused by phlegm obstruction and aural obstruction.It is suggested to use "Eliminating phlegm for resuscitation" method to treat epilepsy.Specific treatment:(?)Arresting convulsion,tranquilization,and eliminating phlegm for resuscitation;(?)Clearing heart-fire,purging fire,and eliminating phlegm for resuscitation;(?)Extinguishing wind to relieve epilepsy,and eliminating phlegm for resuscitation.4.3.4 DementiaDementia is mainly caused by constitutional insufficiency,five viscera consumption,deficiency in kidney;or asthenia of renal qi,deficiency in spleen and turbid phlegm endogeny,turbid phlegm hoodwinking mind;or emotional disorder,pent-up activities of qi,and syndrome of intermingled phlegm and qi."Eliminating phlegm for resuscitation" method is proposed to cure Dementia.Specific treatment:(?)Strengthening body resistance,resolving stagnation,and eliminating phlegm for resuscitation;(?)Invigorating spleen,expelling stagnation,and eliminating phlegm for resuscitation.4.3.5 Warm diseaseImpaired consciousness and aural obstruction syndromes may come up with the development of wind-warm syndrome,summer febrile disease and damp thermoses,due to phlegm-heat clouding pericardium or syndrome of orifices confused by phlegm caused by the burning hot condensing humor into phlegm or indissoluble damp-heat causing zymase phlegm.The syndromes can be treated with."eliminating phlegm for resuscitation" method.Specific treatment:(?)Clearing heart-fire,purging heat,and eliminating phlegm for resuscitation;(?)Clearing summer-heat,purging liver,and eliminating phlegm for resuscitation;(?)Eliminating dampness by cooling,and eliminating phlegm for resuscitation.4.3.6 Acute laryngeal infectionAcute laryngeal infection is a laryngology emergency caused by phlegm-heat impatency in throat,which can be treated by clearing away heat,eliminating phlegm and dredging orifices.Specific treatment:(?)Endotherapy:(a)Purging fire for removing toxin,and eliminating phlegm for resuscitation;(b)Eliminating wind,expelling pathogen,and d eliminating phlegm for resuscitation;(c)Spitting:most widely used method in curing acute laryngeal infection.Spitting is suitable for various syndromes,which mainly includes stimulated vomiting method,laryngeal insufflation of medicinal powder,larynx irrigation method,application compress method,and nasal drip method.(?)Acupuncture method.4.3.7 Tinnitus and deafnessTinnitus and deafness are mainly caused by upwardly clogged up phlegm-fire and hoodwinked earhole.Flare tinnitus and deafness can be treated by clearing fire,resolving phlegm,and dredging orifices.5 Conclusions5.1 Scientific origin and development of“eliminating phlegm for resuscitation"methodThe research on the scientific origin and development of "eliminating phlegm for resuscitation" method showed the great theoretical guidance significance and clinical practice value of the method with long-term and rich theoretical and practical accumulation.However,there lacks of in-depth exploration and systematical research on the "eliminating phlegm for resuscitation" method since ancient times,which hindered the academic inheritance,development and use of the method.Through the carding of previous medical treatises,medical notes,medical records,prescriptions and traditional Chinese medicine related to "eliminating phlegm for resuscitation" method,this paper,based on five different historical periods,demonstrated the theoretical and clinical basis theoretical inheritance and innovation context,academic features and academic contributions of representative doctors concerned with the method.These studies have laid a firm basis for the research on the basic theory of "eliminating phlegm for resuscitation" method.5.2 Basic theory of "eliminating phlegm for resuscitation”method(a)The study demonstrated that "eliminating phlegm for resuscitation" method is such a great method which cures phlegm obstruction,impaired consciousness and aural obstruction syndromes through reducing phlegm for resuscitation,spitting for resuscitation and decoction to elminate phlegm for resuscitation.(b)The study introduced the concept,definition and the clinical appliaction rule of "eliminating phlegm for resuscitation" method as well as its three types of specific treatment methods.(c)By combining with ancient and modern documents and relevant clinical cases,the study selected the representative prescriptions of the three types of treatment methods with necessary explanations.5.3 Clinical application of "eliminating phlegm for resuscitation”methodAccording to ancient and modern medical treatises,medical notes,medical cases and relevant prescriptions and traditional Chinese medicine,"eliminating phlegm for resuscitation" method is most commonly used in curing apoplexy,manic-depressive psychosis,epilepsy,dementia,warm disease,acute laryngeal infection,tinnitus and deafness syndromes,which also presented definite and affirmative clinical effect;in addition,the method also plays an important role in curing sensorium syndromes department of five sense organs and throat syndromes especially emergency treatment by traditional Chinese medicine.In particular,"eliminating phlegm for resuscitation" method mainly applies to two types of syndromes:Firstly,impaired consciousness and aural obstruction syndromes caused by phlegm obstruction,mainly referring to phlegmatic mental confusion syndromes.The "eliminating phlegm for resuscitation" method is used for eliminating phlegm and inducing resuscitation.Secondly,phlegm blocking upper orifices syndromes,mainly referring to unusual consciousness.The "eliminating phlegm for resuscitation" method is used for eliminating phlegm and promoting defecation and urination.