The Study Of The Theory And Clinical Application Of Li Dongyuan's "Yin-pathogenic Fire And Primary Qi Are Pposites"

ObjectiveThe theory of spleen and stomach and the theory of“Yin-pathogenic fire”are the main contents of Li Dongyuan's academic studies,which show the academic characteristics of Li Dongyuan.The discussion on the contradictory relationship between Yin-pathogenic fire and Primary Qi is the theory of LiDongyuan's“Yin-pathogenic fire and Primary Qi are pposites”,which is the main theoretical basis for Li dongyuan's understanding of internal fever.This research focuses on the academic origin,historical background,concept category,treatment method and clinical formula of the theory "Yin-pathogenic fire and Primary Qi are pposites”,based on the review of the literature.This paper also verified the theory through the tutor's clinical cases,providing theoretical and empirical reference for clinical application theory.Methods1.Literature research methods:The subjects of this study mainly include Li Dongyuan's medical manuals.Through"Yin-pathogenic fire","Primary Qi","Yin-pathogenic fire and Primary Qi are pposites","the thief of Primary Qi","relieving high fever with sweet and warm-natured drugs","ascend Yang dissipate fire"as the key words,Literature search tools such as Chinese medical code,cnki,Wip Information and WanFang database were collected and organized.Because this study is based on the attempt of Chinese philosophy to interpret"Yin-pathogenic fire and Primary Qi are pposites",some of the literature mainly comes from the ancient important ideological and cultural works and the works on TCM philosophy published in recent years.2.The method of theoretical review:On the basis of literature research,this paper adopts the methods of classified analysis,traditional interpretation,clinical interpretation and correlation comparison to comment on the theory of "Yin-pathogenic fire and Primary Qi are pposites",and discusses its academic thought and clinical value.3.Cross-disciplinary research:This study uses the theories,methods and achievements of history,philosophy and logic to study the theory of"Yin-pathogenic fire and Primary Qi are pposites".Based on the war history,disease history and human history of the Jin and Yuan dynasties,this paper discusses the background and formation factors of Li Dongyuan's theory of"Yin-pathogenic fire and Primary Qi are pposites",and then expounds the connotation of the theory and evaluates its rationality.Through the intervention of Chinese and western philosophy,this paper discusses Li Dongyuan' s Primary Qi theory.Through the theory,method and knowledge of formal logic,this paper analyzes the concepts of Primary Qi and Yin-pathogenic fire,hoping to make the definition of Primary Qi and Yin-pathogenic fire clearer by discussing the concepts of Primary Qi and Yin-pathogenic fire in this study.4.Methods of clinical record study:The medical records of professor Kuang WeiHong,who applied the theory of“Yin-pathogenic fire and Primary Qi are pposites”,came from the outpatient medical records of my mentor in recent years.The theory of“Yin-pathogenic fire and Primary Qi are pposites”is widely used in clinical work,including internal medicine,surgery,gynecology,pediatrics of traditional Chinese medicine,gynecology and pediatrics,but it is closely related to spleen and stomach diseases.In this study,from the outpatient medical records of my supervisor,according to Li Dongyuan's theory of“Yin-pathogenic fire and Primary Qi are pposites”,the researcher selected the medical records with typical significance that can reflect the theory of"Yin-pathogenic fire and Primary Qi are pposites".Results1.Results of literature collection and review:Through“Yin-pathogenic fire","Yin-pathogenic fire and Primary Qi are pposites”,“the thief of Primary Qi”,“sweet and warm herbs remove heat","ascending Yang dissipate fire”as the key words,the author searched in the fifth edition of“Chinese medical code”and the literatures included in CNKI,relevant literatures are obtained,and the retrieval results are summarized,classified and compared.Finally,the literatures are made into charts.We can find that After the theory of“Yin-pathogenic fire and Primary Qi are pposites”was put forward,a large number of doctors discussed the theory,among which the most representative ones were Zhu DanXi and Zhang JingYue.However,their understanding of"Yin-pathogenic fire and Primary Qi are pposites”was based on their respective theoretical standpoints,which failed to objectively reflect the theoretical connotation of li dongyuan.2.Research results of li dongyuan's life and major works:Through a brief review of Li Dongyuan's life and major works,the author outlines Li Dongyuan's life from the three stages of his youth,youth and later years,highlighting his study and clinical experience.Through the study of li dongyuan's life,this paper finds that the theory of“Yin-pathogenic fire and Primary Qi are pposites”is closely related to his study and practice:Li dongyuan learned from Zhang YuanSu,who was good at using the theory of ascending and descending of qi transportation.Under the influence of Zhang YuanSu,li dongyuan connected the theory with demic Qi,which became an important part of his theory of vitality.Li dongyuan's mastery of the spirit of NeiJing and NangJing could not be separated from Zhang's teaching.The clinical environment of wars and frequent epidemics in Jin and Yuan dynasties is the background of the theory of Yin-pathogenic fire and Primary Qi are pposites".Through the analysis of Li DongYuan's works,it can be found that the theory was first put forward and discussed in Identification of Internal and External Injury,and the theory of spleen and stomach supplemented it,and the related medical records were mainly distributed in the other five works.3.Historical background research results:The background of the time when the theory of“Yin-pathogenic fire and Primary Qi are pposites"was put forward is investigated.Li Dongyuan lived at the turn of the Jin and Yuan dynasties.The people were so tired that their spleen and stomach were injured by fatigue,anxiety and hunger.“Yin-pathogenic fire and Primary Qi are pposites”is closely related to the Bianjing Epidemic.The nature of the Bianjing Epidemic should be regarded as a combination of food shortage,fatigue,bacterial infection and treatment errors caused by war and environmental changes.4.Li Dongyuan's theory of“Yin-pathogenic fire and Primary Qi are pposites”comes from the theory of fire and Qi in Neijing.Li learnded the theory of "Three pathogenic qi","ascending and descending of qi transportation","treating impairment with warming" in Neijing and improved it.5.Research results of theoretical connotation:There are four basic connotations of the theory of "Yin-pathogenic fire and Primary Qi are pposites":When the Primary Qi is sufficient,Yin-pathogenic fire does not grow;Yin-pathogenic fire appears under the condition of qi deficiency;The strong Yin-pathogenic will Primary Qi.6.Under the theory of“Yin-pathogenic fire and Primary Qi are pposites”,Li Dongyuan' s treatment plan was mainly carried out from three aspects:replenishing primary qi,ascending Yang qi and clearing Yin-pathogenic fire.Based on this,many formulations have been created,among which the representative ones are Buzhong YiQi Decoction,Cinar Anshen Pill,Bu Wei Xie Yin huo Sheng Yang Decoction,Sheng Yang San Huo Decoction,Sheng Yang Yiwei Decoction,Huangqi Ginseng Decoction,Tiaozhong Yiqi Decoction,Qing Shen Yiqi Decoction,Qing Shen Yiqi Decoction,Pinellia Zhizome Decoction.7.The theory of“Yin-pathogenic fire and Primary Qi are pposites”is fully reflected in Li Dongyuan's medical case.My tutor is an expert in the field of spleen and stomach diseases in traditional Chinese medicine.He is very familiar with Li Dongyuan's works and highly praises Li Dongyuan's academic works.He applies the theory of "Yin-pathogenic fire and Primary Qi are pposites”in ordinary diagnosis and treatment,and obtains good effectsConclusionThe theory of“Yin-pathogenic fire and Primary Qi are pposites”is the result of the combination of the traditional Chinese medicine classics,the historical background and Li Dongyuan's personal creation in the past.Its theoretical and practical value is huge.It is not only applicable to the epidemic heat diseases at that time,but also has important guiding significance for modern clinical practice.