The Study On The Medication Rule Of Clinical Basic Syndromes Of Small Intestinal Disease

Objectives: ( 1) we arrange and sum up about small intestine of Traditional Chinese Medicine (TCM) of syndrome and herbs in the antiquity literature, in order that research provide bibliography basis. (2) Through inquire the 21of TCM. This is assured and set down the symptom range, syndrome distribution, Syndrome range and the rules of herbs. (3) Through clinical investigate, we analyze small intestine of TCM symptom complex exhortation, discuss pathogens is characteristic, and the rules of herbs in different syndromes.Method: ( 1 ) Datum collect method: Antiquity literature is illustration from TCM, include small intestine diseases glossary, TCM case ,prescription and medicine. Contemporary literature is clinical report datum from magazine about book of TCM or combination of Chinese medicine and Western medicine. (2) Investigations of experts methods: A special designed question native on the symptom range and syndrome regulation of small intestinal disease was made to inquire the 21 experts of TCM. In order to know the symptom range, syndrome distribution and the rulers of herbs of small intestinal disease , in order to clinical research of small intestinal disease. (3) Investigations of clinical release: In base of literature combine question native investigations of experts, we modify " the clinical investigation form of syndrome regulation of small intestinal disease" , and collect 960 cases which are in the exclusion standard. Taking advantage of the collation system designed for the clinical information of constructed cases, we build up a databank of small intestinal disease in TCM, through analyzing the syndrome and drugs, sum up the rules of basic syndromes and herbs of small intestinal disease.Results: (1) Through predecessors the antiquity literature, sum up nowadays most people tend to use the spleen-stomach theory to epitomize the small intestinal disease because of "the large and small intestines belong to the stomach" theory. Thus dissertation about the small intestine is much lack than spleen-stomach. It is rarely to see syndromes study about the small intestine and experiences in drug treatment. (2) The result of the questionnaire investigations of experts showed, the symptoms of small intestinal disease are mainly pain around the umbilicus, distent ion and fullness of the abdomen, diarrhea, coldness around the umbilicus and abdomen, undigested food in stools, rumbling intestines, tight feeling around the lower abdomen. I stagnation syndrome, dampness-heat syndrome, heat-coldness complex syndrome, repletion heat syndrome, congealing cold syndrome, deficiency-cold syndrome are the common clinical syndromes. But fluid retention syndrome, blood stasis syndrome, food stagnation syndrome, fluid consumption syndrome are not common in clinical cases; the mainly disease patterns of the small intestinal disease are abdominal pain, diarrhea, fullness of the abdomen broody. (3) clinical survey : through investigate 960 cases, sum up The syndromes of small intestinal disease include:1. qi syndrome of small intestine; 2. damp-heat syndrome of small intestine; 3. cold-heat complex syndrome of small intestine; 4. blood stasis syndrome of small intestine; 5.deficiency-cold syndrome of small intestine; 6. repletion heat syndrome of small intestine; 7. fluid consumption syndrome of small intestine; 8. congealing cold syndrome of small intestine, 9. food stagnation syndrome of small intestine; 10. Fluid retention syndrome of small intestine; 11 dampness retention syndrome of small intestine; Those syndromes combined with their own characteristic symptoms make up of the manifestations of the syndromes in small intestinal diseases; according to the pathogenesis and syndromes, the main therapeutic principles are: regulating viand blood, accommodating cold and heat, eliminating dampness, coordinating liver and spleen, neutral Yin and Yang; The main herbs to treat the small intestinal disease in TCM are Chennai, Hoop, Gancao, Baishao, Fuling. and get the main rules of herbs of main syndromes is:1.quiz stagnation syndrome of small intestine Muxiang, Chenpi, Chaolaifuzi, Yanhusuo, Dafupi, Chuanlianzi, Wuyao , Chaozhiqiao and so on; 2. damp-heat syndrome of small intestine: Hoagland, Hanging, Hoop, Chennai, Fooling, midiron, Albania, Changzhou and so on; 3. cold-heat Complex syndrome of small intestine: Huanglian, Shenggancao, Huanglian, Shenggancao, Paojiang, Huajiao, Wumei, Huangqin, Fabanxia, Ganjiang and so on; 4. blood stasis syndrome of small intestine: Dengue, Chesham, Taren, Dashing, Chancing, Anshan, Yuri and so on; 5. deficiency-cold syndrome of small intestine: Chaobaizhu,Shenggancao, Paojiang, Dangshen, Huajiao, Fuzi, Wuya, Xiaohuixiang, Ganjiang,Wuzhuyu, Guizhi, Gaoliangjiang and so on;6. repletion heat of small intestine: Maidong, Baishao, dihuang, Taizishen, Xuanshen, Huomaren, Beishaoshen, Baihe and so on;7. fluid consumption syndrome of small intestine: Fuling, Chenpi intestine: Fuling, Chenpi, Houpo, Fabanxia, Sharen, Wuyao, Huoxian g, Ganjiang, Cangzhu, Yiyiren, Huanglian, Fuzi and so on; 8. congealing cold syndrome of small intestine: Chenpi,Fuling, Chaobaizhu,Houpu, Yiyiren, Huanglian, Cangzhu, Sharen, Doukou, Hu oxiang, Fabanxia; 9.food stagnation Syndrome of small intestine: Houpu, Dahuang, Chaozhishi, Huangqin,Mangxiao, Huangl ian, Baijiangcao,Binglang and so on;10. fluid retention of smallintestine: Paojiang, Wuyao, Xiaohuixiang, Huajiao, Ganjiang , Fuzi, Gaoliangjiang and so on; 11. cold-damp syndrome of small intestine: Chenpi, Fuling, Guizhi, Ganjiang, Zexie, Fangji,Mugua, Chaoyiren, Huajiaomu, Jiangbanxia, Xixin and so on; 12. dampness retention syndrome small intestine: Chenpi, Fabanxia, Laifuzi, Chaoshenqu ,Jiaomaiya, Jiaoshanzha, Jiaoshenqu, Shengshanzha, Chaozhishi,Lianqiao and so on.conclusions: (1) We draw up 10 basic syndromes of the small intestine: We draw up 10 basic syndromes of the small intestine: 1. qi stagnation syndrome of small intestine; 2. repletion heat syndrome of small intestine; 3.congealing cold syndrome of small intestine; 4. food stagnation syndrome of small intestine; 5. damp-heat syndrome of small intestine; 6. cold-heat complex syndrome of small intestine; 7. blood stasis syndrome of small intestine; 8. fluid retention syndrome of small intestine; 9. fluid consumption syndrome of small intestine; 10. deficiency-cold syndrome of small intestine. (2)We discuss treatment of small ingestion diseases of TCM: the stagnation of qi in the small intestine is mostly contradiction, then bring on imbalance of physiology function of small intestine, appear stagnation of qi, retention of dampness, phlegm retention, simultaneous occurrence of cold and heat syndromes, disturbance in ascending and descending, blood stasis, imbalance of yin and yang, deficiency and excess in progress of disease. we amply ask medical history, discern deficiency and excess, differentiate cold and heat, analyze cause of disease Moreover, small intestine is chummy with heat, spleen,stomach, largeintestine, sanjiao, liver,gallbladde r, kidney,bladder, in the treatment not only consider small intestine, but also want to take into account viscera. (3) We educe the main syndromes herbs of small intestine ,but it is not different from antiquity literature, draw up from ancient times till now the theory and the practice, the climate and the environment, the physique and the body and mind has had the sweeping change, should the dialectical treatment ancient's medication experience, the rich clinical medication experience, raise the clinical medication level and the treatment level unceasingly, was the small intestine theory and the small naturopathy card governs the rule to further consummate develops, has built a more solid foundation.