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The Correlation Between Collateral Disease Theory And Ulcerative Colitis In Huangdi Neijing

Posted on:2020-08-17Degree:DoctorType:Dissertation
Country:ChinaCandidate:F JiFull Text:PDF
GTID:1364330614457805Subject:Basic Theory of TCM
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Objective:To summarize and sort out the history and basic content of the theory of collateral disease in the theory of collateral disease of Huang Di Nei Jing Internal Medicine,to further explore the scientific connotation of collateral disease theory,the common attributes and characteristics,taking the ulcerative colitis refractory complex disease as the entry point,with the theory of collateral disease as the guiding principle,and to study the correlation between the common pathogenic characteristics of collateral disease and ulcerative colitis,thus better improve the oretical system of collateral disease,guide clinical diagnosis and treatment.Research methods and contents:The first part adopts a combination of ancient literature research and theoretical research.Based on the Huang Di Nei Jing Internal Medicine and the literature contained in medical doctors of previous generations,it focuses on combing and analyzing the composition and distribution of collaterals,characteristics of qi and blood flow,physiological functions,pathological characteristics,and diagnosis.And treatment,etc.,and initially established the theoretical framework of the collaterals and collaterals in Huang Di Nei Jing Internal Medicine.The second part takes complex and refractory ulcerative colitis as the research object,combining ancient literature with modern research results to explore the value of the theory of collateral disease in the Internal Classics and its close relationship with ulcerative colitis.The focus is on ulcerative colitis.The scope of TCM disease names,key etiology and pathogenesis of colitis,the combination of dialectics and dialectics,and the characteristics of the combination of internal and external treatments.Analysis of the correlation between "poop blood in the stool" and the theory of collateral disease in the Internal Medicine,Establish new research ideas,enrich and improve the theoretical system and clinical practice of collateral disease.In the third part,in order to objectively evaluate the role of the theory of collateral disease in the differentiation and treatment of ulcerative colitis,a retrospective analysis and summary of the medical records of ulcerative colitis in traditional Chinese medicine was conducted using a combination of clinical case study and frequency analysis.A total of 97 cases were included in the standard medical records.The frequency analysis method was used to reorganize and analyze the etiology,pathogenesis,and other information of the medical records,and summarized the common knowledge and experience of treating ulcerative colitis,and verified the theory of collateral disease in the diagnosis and treatment of ulcerative colitis.Guiding significance.Furthermore,high-frequency drugs are selected for drugs,and comprehensive classification and classification of high-frequency drugs are conducted to obtain the characteristics of ulcerative colitis and the rules of medication,in order to better guide clinical practice.Research results:The collateral is a three-dimensional network structure,which has the characteristics of two-way flow and full-blooded qi and blood operation.The advantage of qi and blood is that qi and blood run through the venous channel to the visceral tissues and body organs,exerting its warmth and nutrition.Important physiological functions,which can not be completed in the linear vertical distribution of the meridian trunk,must be achieved by the meridian system's lower tissue structure,the meridian.At the same time,the meridian is also the path for the transport of disease and evil,and it is independent of the meridian,viscera,organ and other separate networks.Among them,the overflowing and continuous injection is the precondition for the formation of the disease state of “lubrication”and “complexity”in the meridian.There is often a change in the collaterals,which is a disease,and the disease has a "collateral".The type of pathogenesis in the development of collaterals has cross-cutting and complexity characteristics.The deficiency of collaterals is the initiating factor for the occurrence of collaterals.Blocking is the pathological basis for the formation of collateral disease,and it is the pathogenesis of the common characteristics of collateral disease,which is caused by poisoning and damage of collaterals.The identification of collateral disease is the key link to determine whether there is a syndrome,position,etiology and pathogenesis of collateral disease.The theory of syndrome differentiation of collateral disease makes up for the shortcomings of traditional macroscopic syndrome differentiation theory,embodies the advantages of microscopic syndrome differentiation,and more clearly reflects the pathological changes of specific viscera.The essence of the collaterals is the deficiency and poisoning,blocking the collaterals,and the damage to the venom is the key to the prolongation and deepening of the collaterals.It is a pathological state of positive deficiency and evil reality,and the disease is stuck.This is in line with the local and systemic pathological damage of ulcerative colitis,and the characteristics of recurrent lingering and difficult to heal.At the same time,based on the theory of collateral disease,the "holistic concept" of Chinese medicine From the angle,the pathogenesis of ulcerative colitis lies in the imbalance between the choroid and Qiluo.At the same time,it incorporates the theory of "leveling of camps and guards and balances" and proposes "the local metastatic poison of Qi and qi stagnation." The systemic characteristics make the "diffusion of poison and evil",reveal the pathogenesis of ulcerative colitis complicated with extra-intestinal symptoms.Summarize the pathological characteristics of ulcerative colitis at the stage,and propose the clinical application significance of the method of treating collaterals in ulcerative colitis.Based on the analysis of 97 cases of ulcerative colitis,in the analysis of high-frequency drug classification analysis,the frequency of humectants and medicinal drugs is higher.In combination with the classics,it is related to the spleen,stomach,and kidney The lung meridian is closely related.From the comprehensive analysis of classification and meridian,the frequency of application of humectants is concentrated in the spleen and stomach meridians.Through this study,it was found that the focus on the selection of viscera-related organs for the disease is related to the disease Unique curative effect.Analysis can provide evidence for clinical differentiation of drugs,improve the accuracy of the medication and enhance the curative effect.Research conclusions and prospects: 1.The "Meridian" theory of collateral disease is guided by the overall concept of traditional Chinese medicine,emphasizing the balance and stability of the collaterals;the "three-dimensional three-dimensional frame" structure of the collaterals achieves coordination and unity among the whole;Correlation and mutual influence;the treatment of collateral disease follows the principle of "use for general purpose".2."Inferior pus and blood" in Neijing is closely related to the theory of collateral disease.The structure of the collateral system is the basis of pathogenesis.The physiological characteristics of the collateral system are the conditions of the pathogenesis.factor.3.The overall pathogenesis of ulcerative colitis is the deficiency of collaterals and venomous venous channels.The specific mechanism lies in the imbalance between collaterals and qi.Based on the theory of "leveling of health care system","localization of qi stagnation" is proposed."Dampness-heating poison" is the core element of its pathogenesis,combined with the characteristics of Qiluo current injection throughout the body,revealing the pathogenesis of concurrent parenteral symptoms.4.Collateral disease is not an independent disease,it is widely present in a variety of internal injury and difficult pathogenesis,and it reflects the complex pathological changes in the development of multiple related diseases.It has common pathogenesis characteristics and common treatment principles.5.The theory of collaterals is transformed from the overall functional model to the structural-functional relationship,and the combination with the micro-molecular level is the development direction;clarify the inherent relationship between the difficult and complicated diseases and the collateral disease theory,and improve the level of clinical diagnosis and treatment.The theory of collateral disease has the original characteristics and practical value of traditional Chinese medicine.How can we further enrich the theory of collateral disease development,The answer is to transform the theory of collateral diseases from the overall model to the structural function model,multidisciplinary integration and penetration,finding the point of modern science integration;to further exploring the intrinsic link between the syndrome manifestation of TCM syndromes and microscopic physical and chemical examination indicators,and to make the theory of TCM pathogenesis more objective and quantifiable.
Keywords/Search Tags:Huang Di Nei Jing, Collateral disease theory, Ulcerative colitis, Etiology and pathogenesis, Syndrome differentiation and trestment
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