Background:Since the introduction of the "seven emotions" in the "Nei Jing",the physicians of the past have attached great importance to the important influence of emotional factors in the occurrence,development and outcome of the disease.The Ming and Qing Dynasties are the mature stage of the development of TCM medical records.The theory of emotional pathogenesis and related medical cases have rich records and expositions in this period of medical books,collating and excavating the theory of emotional disease and medical records in this period.Clinical emotional disease practice has important guiding significance.Objective:To sort out the literature related to the pathogenesis of emotions in the Ming and Qing Dynasties,and to conduct a preliminary statistical analysis of the laws of syndrome differentiation in emotional illness cases,and to analyze the subjects,characteristics,influencing factors and syndrome differentiation of emotional illness.And the main treatment methods,thus enriching the theory of Chinese medicine emotional pathogenesis,providing a theoretical basis for clinical prevention and intervention of emotional disease.Content and Method:The full text is divided into three parts.The first part:using the methods of traditional philology,to investigate the historical background of the formation of the theory of emotional disease in the Ming and Qing Dynasties,and to refine and summarize the important doctors’ understanding and main viewpoints on emotional illness,outline from the perspective of historical materialism.Under the background of the Ming and Qing Dynasties,doctors have an understanding of the theory of emotional disease.The second part:collecting medical records related to illness in the Ming and Qing Dynasties,analyzing and summarizing the writing characteristics and achievements of the emotional illness case in this period.The third part:using statistical methods to establish a database of emotional illnesses and diseases,using SPSS18.0 statistical software to analyze the frequency of collected emotional illness-related medical cases,analyze the objects,characteristics and influencing factors of emotional illness.,syndrome differentiation and treatment.Result:The first part:The development and improvement of the theory of pathology in the Ming and Qing Dynasties has been influenced by five aspects,including the accumulation of the theory of emotional disease in the past,the confrontation of philosophical thoughts,the rise of the printing industry,the importance of the government for medical books,and the Qing Dynasty.The trend of Western learning in the late stage.The second part:summarizes the characteristics of the chapters,contents,format and language of the medical records of the Ming and Qing Dynasties.In terms of achievements,the medical case perfected the classification system and naming of emotional illness;from the perspective of warm disease,the clinical thinking of mental disorders caused by fever was discussed;the emotional stagnation from theory to practice and showed rich emotional therapy.The third part:a total of 90 medical records were examined,and there were 10 cases of emotional illness alone.A total of 964 medical records were collected.The total frequency of seven emotions is 1144 times.23.6%of the medical records are more comprehensive,indicating the surname,gender,age,symptoms,syndrome differentiation and treatment.1.608 cases(63.1%)were clearly recorded in the medical records,and 356(37.0%)were male,and the incidence of females was more than that of males.In addition,middle-aged and elderly,male sergeants are susceptible to illness.2.In addition to focusing on the special emotional door or Yumen,the emotional illness case is widely dispersed in nearly 50 kinds of diseases in clinical departments such as internal,external,women and children.Among them,there is a lot of stagnation.There are 321 acute onsets of emotional internal injuries,which are common in anger,shock,and sadness.There are 512 slow-onset patients,which are common in thinking and worrying.3.365 medical records affect the pathogenesis of the influencing factors.Among them,there are many social and cultural factors,accounting for 31.8%.Followed by factors associated with pathology and physical personality.4.There are a total of 1121 frequency in the disease,and the visceral diseases of the disease are liver,spleen,heart,stomach,kidney,lung,gallbladder and triple focus.A variety of emotions or single emotional illness caused liver disease(biliary,spleen and stomach)and other organs accounted for more than 57%.5.There are more syndromes in the medical records,including liver qi stagnation,liver and stomach disharmony,liver stagnation,spleen and stomach qi deficiency,which are the most common,11.2%,10.7%,8.0%.From the perspective of syndrome differentiation of qi and blood,the qi stagnation syndrome is the most,accounting for 24.6%.Emotional disease is mostly evidence6.In the medical case,312 were treated with drugs alone.13 single use emotional therapy.More than 66%of the medical cases mentioned that they all proposed Yi Yi Yue to open their minds and adjust their emotions.Conclusion:The first part:The historical stage of the Ming and Qing Dynasties profoundly influenced the development of the theory of emotional illness.In this issue,the doctors analyzed the sorrow of emotions,and treated the emotional illness from the liver,stomach,heart and spleen and summarized the clinical experience in the medical case.The second part:the Ming and Qing Dynasties doctors filed a lawsuit,and the medical records related to emotional illness are quite large,with remarkable features and achievements.It shows that the doctors in this period generally accepted the seven-sense theory.The third part:1.In the medical record,the target of emotional illness is more common in women,middle-aged,elderly,and official.2.Emotional pathogenic features are intertwined,often caused by anger.Most of the acute onset is concentrated in anger.Sadness and worry are usually slower.Emotional disease and its extensiveness can involve various systems of the whole body.It is very dangerous,often causing danger.Under intense emotional stimulation,there may be sudden death risks such as qi and cytoplasm.Rickets,epilepsy,plum nuclear,madness,chest,stroke,and stagnation are susceptible to recurrence.3.The stimulating factors that cause emotional changes come from external factors,such as people,things,things in the living environment,and factors from the inside of the body.The source of stress from society is the biggest emotional pathogenic factor.4.The influence of emotional illness on the internal organs is complicated,and the most likely to affect the liver.Emotional illness is not a single-emotional "five-injury and five-dirty”model,and multiple emotions are more likely to cause disease and liver injury.The disease is in the heart,and gradually he is dirty,and the person who is chronically ill is more involved in the kidney.Different emotions are different from the dirty ones.The stagnation of the disease is most of the liver,followed by the spleen,fainting,convulsions and other sorrows and grief,thinking about the disease and hurting the spleen and kidney.5.On the pathogenesis,emotional illness is caused by a single viscera,a single pathogenesis,and more visceral disorders,qi and blood loss and miscellaneous diseases.Among them,liver qi stagnation,liver qi stagnation,liver stagnation and spleen are more common.6.Overall,drug treatment combined with emotional conditioning is the most important measure for treating emotional syndromes in the Ming and Qing Dynasties. |