The TCM Archaic Literature Research On Jaundice

Object iveThis thesis explores the new order and method to treatment Jaundice with the means of combining literature research and statistic analysis.MethodsFirstly, the thesis analysis the development of disease's name, pathogen, pathogenesis, symptom and characteristic, discriminate diagnosis, treatment, prognosis, prophylaxis and recuperation by the means of literature research. Secondly, make use of the Encyclipaedia of Traditional Chinese Medicine, retrieve the literature of Jaundice, and then ascertain the available anagraph to treat Jaundice, make the data of anagraph normative to set up database, adopt frequencies to statistic analysis the datas. finally, combining the knowledge of past dynasties, analysis the statistical result make use of Traditional Chinese Medicine theory.Results1. The distribution of prescription treating Jaundice:before the Han Dynasty (including the Han) 16 prescriptions, accounted for 2.7%, involved 42 Chinese medicine;between the Sui and Tang Song Dynasty 223 prescriptions, accounted for 37.7%, involved 181 Chinese medicine;the Jin and Yuan Dynasty 14 prescriptions, accounted for 2.4%, involved 54 Chinese medicine;the Ming Dynasty 118 prescriptions, accounted for 20.0%, involved 151 Chinese medicine; the Qing Dynasty 220 prescriptions, accounted for 37.2%, involved 193 Chinese medicine.2.Preliminary jaundice treatment status from Jaundice awareness, treatment and drug analysis:Firstly, the time before Han Dynasty, Jaundice was first raised the risk factors leading position in the damp. Clear that making the urine normal benefits to law, while focusing on Pi Wei, distinguishing exterior and Interior abundance and deficiency. The most hackneyed medicines to cure Jaundice are Tonics,Sudorifics,Diuretics. Secondly,at the time of Sui Tang Song Dynasty, the represented physicians Chao Yuanfang, Han Dihe developed the theory of yin and yang Jaundice, the represented books "Tai Ping Sheng Hui Fang" and "Shen Ji Zong Lu" stressed the important fact heat of the pathogenesis of Jaundice. The most hackneyed medicines to cure Jaundice are Antipyretic,Tonics,Diuretics;Thirdly,at the time of Jing Yuan Dynasty, Zhu Danxi recognized again the damp as the dominant factor in the incidence of Jaundice, raised up the method of eliminating the damp and stressed deficiency.The most hackneyed medicines to cure Jaundice are Diuretics,Tonics,Antipyretic;Fourthly, at the time of Ming Dynasty, stressed the pathogenesis of heat and damp and the importance to make the urine normal once again, the most hackneyed medicines to cure Jaundice are Drugs for Antipyretic Diuretics,Tonics; Fifthly, at the time of Qing Dynasty, with the distinguishing method of Wei Qi Yin Xue, stressed the heat and damp in Qi, but also the presence of heat and Blood stasis, and stressed make the urine normalfirst. The most hackneyed medicines to cure Jaundice are Diuretics,Tonics,Antipyretic.3. Characteristics of each historical period of drug:Firstly,Before Han Dynasty,Diuretics,Tonics got advantage, that YinChen and FuLing to dispel damp, GanCao to dispel damp and make the Pi strong, GuiZhi to eliminate the evil outside and Activate YangQi.Secondly,at the time of Sui Tang Song Dynasty, Antipyretic got advantage, that ZhiZi,HuangQin and HuangLian to dispel heat up and QiFen,also cool blood. Thirdly, at the time of Jing Yuan Dynasty, Diuretics,Tonics,Antipyretics and Sudorifics got advantage, that HuangQin to dispel heat up, ZeXie,BaiZhu and FangFeng dispel damp, also FangFeng dispel Wind. Fourthly, at the time of Ming Dynasty, Diuretics and Antipyretics got advantage, that YinChen and FuLing to dispel damp middle and down, ZhiZi dispel heat up. Fifthly, at the time of Qing Dynasty, Diuretics got advantage, that also represented as YinChen and FuLing.4. From Han Dynasty to Qing Dynasty, the development tendency of all kinds medicines to cure Jaundice is:the use frequency of Diuretics,Drugs for Regulating the Flow of Qi,Drugs for Resolving,Digestants rises gradually, the use frequency of Tonics,Diaphoretic Nauseant declines gradually, the use frequency of Drugs For Dispelling Internal Cold,Drugs For Dispelling wind and damp keeps level off, the use frequency of others undulates greatly. Besides, analysis of some special idea of medication drugs. 5. Display and analysis Top 30 high frequency of drug:Firstly, Diuretics' used frequency is most, Understanding of different periods of Jaundice focused on damp. Adding BaiZhu,there is a prescription called Yin Chen Si Ling San. Secondly, ZhiZu HuangQin of Antipyretics to dispel heat up, ShengDi^ Xijiao dispel heat and cool blood. There is the difference of Qi and Xue in Jaundice. Thirdly, There is the difference of Qi deficiency and Xue deficiency in Jaundice. Fourthly, ChaiHu, ShengMa,ShengJiang of Sudorifics reflect physicians'ideas of Regulating Qi. Fifthly, ZhiShi,DaHuang,MangXiao got advantage in Drugs for Regulating the Flow of Qi and physics, there is a prescription called Da Cheng Qi Tang. It reflect the idea of physicians to dispel evil from stool. Besides, ZhiShi has the efficacy to regulate the Flow of ZhongQi that make the ZhongQi strong indirectly.Sixthly, HouPiu,CangZhu,BanXia got advantage in Drugs for Resolving and Expectorant, that to dispel damp middle. Seventhly, Qinjiao got advantage in Drugs For Dispelling wind and damp, that to dispel heat and damp. Conclusions1. Combining the study realization and the tutor's experience, the article provide the pathogenesis of Jaundice with the means of above study:Firstly, empty and evil really with in;Secondly, damp evil tangled up, the urination is disadvantageous;Thirdly, usually involves the menstruation; Fourthly, mainly related to the PiWei and GanDan.2. Some clues to the treatment of Jaundice:Firstly, straightens up with dispels evil together. Jaundice is a variety of causes result in multiple organs dysfunction syndromes, mainly in the Pi and Wei, GanDan and Shen involved in the treatment. Both straightens up and dispels evil for the use of each other, complement each other.Secondly, pay attention to dispelling damp, making urinates normal first.Zhang Zhongjing pointed out that urine is to determine whether or not an important part of treatment and outcome of jaundice, doctors after him also emphasized that make urinates normal to dispel damp. Thirdly, manage blood first, invigorate blood circulation and cool blood. Jaundice relays to Bai Mai, for the pathogenesis of blood stasis of hot, emphasizes focus on treating blood, by invigorating blood circulation and cooling blood. Fourthly, pay attention to accommodating the Gan and Pi. Jaundice located in the Pi Wei, related to Gan Dan. There are different degrees of clinical manifestations of Gan and Pi disorders symptoms, on the one hand the performance loss for the spleen operation,on the other hand the performance of the stagnation of Gan and blood stasis. Regulating Gan and Pi is also the common and rule management law.3. Some ideas to the treatment of refractory Jaundice in clinic:Firstly, refractory Jaundice and black Jaundice or Nvlao Jaundice. Refractory jaundice from the Chinese Medicine viewpoint can be described as persistent pathogenesis course of time, evil deep, consumption of refined Jing, upright large loss, the pathogen and pathogenesis of Refractory jaundice and black jaundice and Nvlao Jaundice is very similar. Secondly, refractory Jaundice and cold or damp. Cold host to stagnate, wet is tangled up, the disease characteristics are similar with the refractory Jaundice. Thirdly, refractory Jaundice and phlegm or blood stasis. A long illness will be closed Stasis, chronic illness usually relay to the sputum, the formation of refractory jaundice often exist pathogenesis of sputum and blood stasis.