The Study On The Regularity Of Diagnosis And Treatment Of Abdominal Pain In "Treatise On Febrile Diseases"

Objective:There are nearly 30 lines referring to abdominal pain in "Treatise on Febrile Diseases",which discusses the etiology and pathogenesis of abdominal pain,gives the therapy and formula to treat abdominal pain from the aspects of exterior and interior,cold and heat,asthenia and sthenia and so on.The curative effect of the prescriptions of treating abdominal pain in "Treatise on Febrile Diseases" is obvious,which have profound influence to later ages.Our study attempts to classify and summarize the lines involving abdominal pain in "Treatise on Febrile Diseases" from the aspects of the etiology,the pathogenesis,the therapy and the formula and so on.Then,our study systematically organizes the clinical application rules of Zhongjing diagnosing and treating abdominal pain,which mastering his method helps guide the clinical application.Methods:The methods of document arrangement were used in this study,which combed the lines referring to abdominal pain in "Treatise on Febrile Diseases" according to the six meridian syndrome differentiation in order. Through the induction and arrangement of the lines involving abdominal pain,the inheritance and development of the rules of Zhongjing diagnosing and treating abdominal pain of medical practitioners in later generations,and combining with proved cases by using classical prescription to treat abdominal pain in modern,we dig out the clinical application roles of Zhongjing diagnosing and treating abdominal pain, which reflects the characteristics of Zhongjing treating abdominal pain by six meridian syndrome differentiation.Results:Abdominal pain in "Treatise on Febrile Diseases" according to six meridian syndrome differentiation:In syndrome,abdominal pain in Sanyang is mostly excess-heat syndrome,which its symptoms are mostly persistent abdominal pain or not significantly reducing abdominal pain, and the pain is severe with tenderness,while abdominal pain in Sanyin is mostly deficiency-cold syndrome,which its symptoms are mostly occasional abdominal fullness and pain and the pain is continuous or dull pain,which the pain is alleviating when make the abdomen warmer or press the abdomen constantly.In pathogenesis,the cause of abdominal pain is qi stagnation,blood stasis,excess block,cold coagulation or parasites and so on,that is "impassability pain ",which belonging to the excess is mostly caused by excess block and qi stagnation,while belonging to the deficiency is mostly caused by the deficiency of Zangfu-organs and obstructing the circulation of Qi-blood.In syndrome differentiation,according to the different parts of abdominal pain,it can be divided into the pain of upper abdomen,lower abdomen,navel,lower abdomen and so on.According to the character of excess and defeciency, belonging to the excess includes mostly Sanyang disease and thoracic accumulation syndrome,which is mostly caused by excess block and qi stagnation,while belonging to the deficiency includes mostly Sanyin disease,which is mostly caused by the deficiency of Zangfu-organs and obstructing the circulation of Qi-blood,while that the body affects exogenous pathogens accompanied with deficiency of vital qi and asthenic healthy qi with pathogen lingering lead to coexistence of deficiency and excess can been found.In therapeutic principle,the basic principle is treating diseases based on Ben and supporting vital qi and eliminating pathogens,in a word,that is to make Qi-blood cirlulate smoothly.In therapeutic methods,there are promoting blood circulation to dissipate blood stasis to relieve pain(Tao He Cheng Qi Tang,Di Dang Tang and Di Dang Wan),reducing heat and expelling retained water to relieve pain(Da Xian Xiong Tang),reducing heat of Shangjiao and dispelling cold of Xiajiao to relieve pain(Huang Lian Tang),nourishing yin and alleviate tight sensation to relieve pain(Shao Yao Gan Cao Tang), reducing heat and unblocking Fu-organ to relieve pain(Da Cheng Qi Tang),warming Zhongjiao and dispelling cold to relieve pain(Li Zhong Wan,Si Ni Tang,Xiao Jian Zhong Tang),warming yang and nourishing kidney to relieve pain(Tong Mai Si Ni Tang,Zhen Wu Tang),soothing liver and regulating Zhongjiao to relieve pain(Xiao Chai Hu-Tang removing Huang Qin and Adding Shao Yao,Si Ni San),calming ascaris to relieve pain(Wu Mei Wan).Conclusion:Our study concluded that:Zhongjing regarded cold,heat,deficiency, and excess as program to treat abdominal pain based on six meridian syndrome differentiation.In syndrome,abdominal pain can be found in every six meridian syndrome;in pathogenesis,the case in point is "impassability pain ";in therapeutic principle,the basic principle is treating diseases based on Ben and supporting vital qi and eliminating pathogens,and making Qi-blood cirlulate smoothly;in herbs,the prescription is decided by the therapeutic principle and it conforms to the pathogenesis.That had a more comprehensive understanding of abdominal pain,which laid a good foundation for later generations to diagnose and treat abdominal pain.