| Objective:On the basis of the early understanding of the connotation of " Jie " in Traditional Chinese Medicine,theoretical understanding and condensate the law to provide a theoretical basis for the diagnosis and treatment of clinical"Jie" syndrome.Methods:Adopt systematic review literature retrieval methods,and use research methods and ideas of hermeneutics,philology and constructivist theory.(1).Through hermeneutics and literature research methods,the original meaning and extended meaning of "Jie" are clarified,and the connotation of "Jie" in Chinese medicine is initially refined.Using constructivist theories,including observation,extrapolation,internal thinking,dialectical thinking,dialectical thinking,etc,excavate the pathogenesis,disease(syndrome),and pulse characteristics of "Jie" to explain the medical connotation of "Jie".(2).A systematic review literature search method was used to systematically sort out the scattered prescriptions in the herbal medicine and prescriptions contained in the fifth edition of the Chinese Medical Code,and a database of prescriptions and herbal medicines was initially established.Provide a basis for "San Jie" traditional Chinese medicine-prescription treatment plan.(3).On the basis of the first part and the second part research,focusing on the hypothesis of coronary heart disease " Heat Retention blood vessel ",and analyzing the pathogenesis,identification of the disease and treatment of the disease.Result:(1).The concept of" Jie ":the original meaning of " Jie " is "conclude",which means that the threads and ropes are tied together into knots,so that they cannot be released.The connotation of " Jie " in TCM is a summary of the characteristics of "knotting each other and being difficult to decompose" among various substances in the human body.In the pathological state,as a special medical concept such as pathogenesis,disease syndrome,pulse and so on,it has a unique connotation and has the characteristics of"stagnation but no communication".On this basis,the emphasis is on the characteristics of "the disease and the evil are mutually knotted and difficult to decompose".(2).The connotation and identification rules of the pathogenesis of "Jie" in Chinese Medicine:"Jie " pathogenesis means that "evil" and "things" coalesce with each other,forming a multi-stage pathogenesis mechanism with certain pathogenesis and intricacy,which is often mixed with cause and effect,forming a cycle of "cause" and "result".The characteristics of the disease location are related to the parts where the evil gas is easy to invade and the physical things are easy to remain.Common organs with hollow shapes such as Liufu and Qihengzhifu are common,such as skin muscles and other parts where the body fluid is rich and the evil gas is easy to attack.The identification of the " Jie " pathogenesis can be summarized as follows:various diseases and evils accumulate and change,all belong to the Jie;various diseases manifest as stasis,occlusion,and local fullness and pain,all belong to the Jie;various carbuncles Sores,tumors,and cancer are all knots.(3).Syndrome and identification of " Jie " in Chinese medicine:The " Jie" disease syndrome can be classified from the perspective of the etiology and common parts,it is believed that the "Jie" syndrome can correspond to the modern and modern digestive system,circulatory system,gynecology,and surgical diseases.Under normal circumstances,the scope of the disease is limited,the location is fixed,and the clinical focus is fullness and pain.Some diseases are prone to carbuncle swollen,poisonous and malignant.(4).Characteristics of "Jie pulse":"Jie pulse" is an independent concept.The pulse rhythm is uneven and the pulse speed is slow.The main veins are "yin cold consolidation" and "qi and blood stagnation".Among them,"Jie and slow" is yang deficiency,"frequency increases and Jie" is yin deficiency,"judging force" is stagnation,and congenital Jies are endowment.If the veins stop irregularly,the less will be lighter,the more frequent it will become worse,and if it is not adjusted,it will not be cured.(5).Treatment of disease syndrome:The treatment of "Jie" disease syndrome should follow certain principles,with the main purpose of removing diseases and lumps,supplementing with supplements.The system organizes and gives prescriptions for the treatment of "Jie" diseases,providing guidance and choices for the treatment of clinical diseases.Taking the hypothesis of coronary heart disease and heat blood vessels as an example,we will sort out the etiology and pathogenesis,clinical identification and diagnosis and treatment,and provide a demonstration for the diagnosis and treatment of "Jie" disease.(6).Understanding of the hypothesis of the " Heat Retention blood vessel" theory of coronary heart disease:systematically sort out the "cause-machine-syndrome-treatment" of the hypothesis of the " Heat Retention blood vessel " theory of coronary heart disease.That is,"heat evil" and tangible objects such as "blood stasis and phlegm dampness" in the blood veins are intertwined with each other,and the stagnation is difficult to solve,and each is a cause and effect.It is "bloodline".Common clinical manifestations include pain at a fixed site;the condition fluctuates or progresses rapidly;local fullness,numbness,and edema;ultrasound shows localized plaque formation.The treatment focuses on the three-phase differentiation and treatment,and advances the treatment threshold,with the addition and subtraction of Simiao Yongan Decoction and Xijiao Dihuang Decoction as the main prescriptions.Conclusion:The " Jie " of Traditional Chinese Medicine is a summary of the characteristics of various substances in the human body that "knot together" and are difficult to decompose.Among them,the pathological " Jie " emphasizes that"disease and evil are mutually knotted,and it is difficult to decompose",suggesting that the pathogenesis of" Jie " is complicated,the disease syndrome is variable and dangerous.The treatment of the " Jie " disease syndrome is based on the "SanJie" as the basic rule,and the application of specific prescriptions and medicines needs to be increased or decreased according to the different stages,locations,and properties of the disease syndrome." Heat Retention blood vessel " refers to the heat evil and the tangible things such as blood stasis untidy in the blood,mutual cause and effect,secondary adverse processes such as accumulation of heat,toxicity,complications,and injury.The main pathogenesis is the "hot evil" and the tangible things such as "blood stasis and dampness" combine in the blood vessels,and the disease is in the "blood vein".Treatment methods include cure heat and detoxify,promote blood circulation and cool blood,and clear agglomeration and nourish the veins,which is helpful for clinical efficacy. |
