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The Study On The Academic Thought And Therapy Regularity About Menstrual Irregularities Of The Treatment Of The Master Of Traditional Chinese Medicine Ban Xiu-wen

Posted on:2019-10-22Degree:DoctorType:Dissertation
Country:ChinaCandidate:L MaFull Text:PDF
GTID:1364330575968103Subject:TCM History and Literature
Abstract/Summary:PDF Full Text Request
Objective: Taking the 938 effective cases of menstrual irregularities treated by the National physician master Ban xiu-wen as the object,this article deeply explores his academic thoughts and therapy regularity in order to further guide the clinical practice of Chinese gynecology,and at the same time we will continue to inherit and develop his valuable experiences to benefit the vast number of patients with menstrual irregularities.Methods: Based on the literature study,we carry out data mining for Ban xiu-wen's 938 cases of menstrual irregularities by using association rule algorithm,and carry out the research on the prestigious Chinese physician's academic thoughts and therapy regularity with the theoretical,clinical and statistical studies.Results:1.The history of menstrual irregularities has evolved over five periods.The Qin and Han dynasties witnessed the formation of gynecological theories,which basically formed a system of dialectical treatment of women's menstrual,leukorrheal diseases,pregnancy,birth and miscellaneous diseases.The awareness of menstrual irregularities has been preliminarily recorded.The Jin and Tang dynasties period is an independent period,which has a separate distinction for the menstrual irregularities.The period of Song,Jin and Yuan was a period of academic contention,which further deepened the understanding of menstrual irregularities,involving disease name,pathogenesis,therapeutic principle and other aspects.In the Ming and Qing dynasties,the understanding of menstrual irregularities theory,dialectics,treatment principles and methods and prescriptions was more perfect and integrated.In the modern,Traditional Chinese medicine has a deep understanding of the causes and pathogenesis of menstrual irregularities and its treatment methods are various2.Research results of academic empirical literature:When Ban xiu-wen different and treat menstrual irregularities,he paid attention to tonify liver and kidney,from kidney treatment;when treated from liver,especially sooth and emolliate liver the liver;from the treatment of extra meridian,he paid attention to the close relationship between extra meridian and liver and kidney;invigorating spleen and filling source,he paid attention to regulating qi and blood;he is good at using classic recipe,his use of medication focused on spleen and stomach,and the medicine is always gentle and precision and professional;he made good use of flower drug and gave attention to the promotion and use of zhuang medicine.3.The therapy regularity results of menstrual irregularities treated by Ban xiu-wen are follows:Etiol: He divided menstrual irregularities into two categories: external contraction and internal damage.Cold,heat and damp are the main pathogenic factors of the six excesses pathogenic factors.Internal damages are mostly constitution factors,emotional stimulation,improper diet,fecundity,sexual overstrain and other pathogenic factors such as gynecological surgery and drug toxicity.Pathogenesisy: The main pathogenesises of menstrual irregularities are deficiency,depression and stasis,which are mostly deficiency of spleen,liver,kidney and qi and blood.It is always accompanied with phlegm and stasis,which is manifested as the complex pathogenesis of deficiency excess,deficiency stagnate,phlegm stagnate in complexity.The main pathogenesises of depression are liver depression,phlegm depression,dampness depression and the combination of qi and blood.The pathogenesises of stasis are qi and blood stasis and viscera with stasis.In addition,there are heat,phlegm wet,uterus cold,and incoordination between the liver and the spleen and other pathogenesis.Principles and Treatment: The commonly principles and treatment used by Ban xiu-wen are relieving and nourishing the liver,dredging channels and activating collaterals,invigorating spleen,nourishing blood,regulating functional activeities of qi,clearing heat,regulating menstruation,resolving dampness,nourishing-yin strong waist,treat leukorrheal,resolve stasis and so on.Combined with literature research,it includes soothing and nourishes the liver,soothe liver and clear heat,nvigorate spleen and nourish the liver,soothe liver and regulate blood,nourishing liver and kidney,warme kidney and liver,warm blood and resolve stasis,which nurse the viscera;and nourish water to generate blood,activate blood and resolve stasis,which regulate qi and blood.Pattern identification and treatment: What Ban xiu-wen thinks the menstrual irregularities mainly includes blood heat syndrome,blood cold syndrome,blood deficiency syndrome,qi deficiency syndrome,qi stagnation syndrome,blood stasis syndrome,phlegm-dampness syndrome,spleen deficiency syndrome,kidney deficiency syndrome,liver-kidney depletion and other syndromes.Prescription characteristics: The prescription with higher frequency of use includes blood tonic,yin tonic,qi regulating formular,blood regulating formular,harmonizing formula,dampness-dispelliing formula,qi supplementing formula,phlegm-expelling formula,etc.The main blood tonic are four ingredients decoction and sage cure decoction;the main yin supplementing formula are Guishao Dihuang Wan,Digupi Tang,Erzhi Wan,Yiguan Jian;the main qi regulating formula are Jinlingzi San and Chaihu Shugan San;the main blood regulating formula is Danggui Shaoyao San;the main harmonizing prescription are Xiaoyao San and Danzhi Xiaoyao San;the main dampness dispelling formula are Fuzi Tang,Simiao San and Ermiao San;the main qi-supplementing formula are Buzhong Yiqi Tang,Yigong San and Liujunzi Tang;the main phlegm expelling formula is Sanzi Tang;the main astringent formula is Suoquan Wan;the most commonly used exterior-releasing formula is Guizhi Tang.Among all the prescriptions,Siwu Tang was used the most,followed by Jinlingzi San,Danggui Shaoyao San,Guishao Dihuang Tang,Xiaoyao San,Shengyu Tang,Sanzi Tang,Fuzi Tang,Digupi Tang,Buzhong Yiqi Tang,Chaihu Shugan San,Danzhi Xiaoyao San,Erzhi Wan,Suoquan Wan,etc.Medicine law: Drug class compatibility: He uses tonic mainly qi tonic and blood tonic.The commonly used qi tonics include radix codonopsis,huaishan,atractylodes,astragalus,red jujube,radix pseudostellariae and hyacinth Bean.The commonly used blood tonics are angelica,radix paeoniaealba,shudihuang,radix polygoni,and donkey hide gelatin.The commonly blood activating and stasis resolving medicinal are blood activating and menstruation regulating medicinal and blood-actiVating analgesic.Among them,the blood activating and menstruation regulating medicinal mainly include Yimucao,Jixueteng,Danshen,niuxi,fructus leonuri,zelan,peach kernel,Wangbuliuxing,Lingxiaohua and Honghua.Blood activating analgesics are mainly chuanxiong,yanhusuo,yujin,myrrh,turmeric and Wulingzhi.the common exterior releasing medicinal include the wind cold dispersing medicinal of nepeta,cassia twig,Fangfeng and perilla leaf;the wind heat dispersing medicinal include Chaihu,Bohe and Sangye.The commonly used damp-draining diuretic are edema alleviating diuretic such as poria,alisma,coix seed and stranguria relieving diuretic such as tongcao,plantaginis,among which Banshi use the most frequently yunling and tongcao.the commonly used medicine for qi regulating medicinal are xiangfu,fructus aurantii,Chenpi,Chuanlianzi,Gan song,etc.The commonly used heat clearing medicinal include heat-clearing and fire purging medicinal such as xiakucao,zhizi;heat clearing and dampness drying medicinal such as huangbai and huangqin;heat clearing and detoxicating medicinal such as lianqiao,rendongten,mabiancao,mabo;heat clearing and blood-cooling medicinal such as mudanpi,shengdi,chishao and digupi,etc.the common medicine suits: tonify and active blood,tonify and nourish qi and blood,invigorate spleen and draine dampness,soothe liver and relieve depression,etc(see the medicine suits table for details).Common compatibility: tonify and active blood,promote urination and draine dampness,etc(see the compatibility table for details).Conclusion:1.From the perspective of literature research,Ban Xiu-wen's treatment of menstrual irregularities mainly focuses on qi and blood,comes down to the viscera,especially liver,spleen and kidney.From the perspective of mathematical research,-Ban Xiu-wen's treatment of menstrual irregularities' pathogenesises mainly from the deficiency,depression,stasis.Its therapeutic principles and methods mainly focos on relieving and nourishing the liver,dredging channels and activating collaterals,invigorating spleen,nourishing blood,regulating functional activeities of qi,clearing heat,regulating menstruation,resolving dampness,nourishing-yin and so on.His prescription mainly to enrich the blood,and give attention to invigorating qi;emphasize harmonizing qi and blood and harmonizing liver and spleen;besides,he makes good use of the classical prescriptions.The medicine he used is mild,and is mainly focused on qi and blood;his medicine is precise and specific,and always protect spleen and stomach;when he regulates the menstrual function analgesic,he especially pays attention to soothing liver and regulating qi.These experiences provide good ideas and methods to our clinical treatment of menstrual irregularities.2.Using modern data mining techonology and traditional literature research to study academic thoughts and therapy regularity of prestigious Chinese physicians,it has the function of extracting pathogenesis theory,summarize the therapeutic principles and methods and the rule of prescription and medication,studying its system of theory,method,formula and herbs.It is conducive to the promotion of the academic thoughts of prestigious Chinese physician.The mathematical laws presented by data mining for the treatment of menstrual irregularities by Ban xiu-wen are the deep excavation and summary of the etiology,pathogenesis,treatment principles,prescription and medication of treating menstrual irregularities,which adding new understanding and experiences to the theoretical system of diagnosis and treatment of--menstrual irregularities.3.In terms of the research in Ban Xiu-wen's academic thoughts and therapy regularity,using the data mining method combined with literature research is significantly better than the traditional literature research in terms of content depth and breadth.It shows that the data mining technology has its advantages and development space in the research field of academic thoughts of prestigious Chinesephysician,which provides a model for the objectification,standardization and standardization of clinical research of traditional Chinese medicine,and is more consistent with the evaluation standard of TCM clinical efficacy.
Keywords/Search Tags:Ban Xiu-wen, menstrual irregularities, Academic thoughts, Therapy regularity
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