Study On The Thinking Of Sore Ulcer Based On Milk Carbuncle

Objective:Mastitis and anthrax are two types of common surgical disorders, under the broad category of sores. Both of the treatments are consistent with the common rule of sore, and they also have independent features. In this paper, mastitis and anthrax were regareded as research objects, the ancient and modern prescriptions and medical records of them were collected systematicly, the features medication and compatibility law of past and present treatment of mastitis and anthrax were statisticed and analyzed, the treatment principles and compatibility of Chinese medicinals of ancient and modern treatment of sores were compared, and the usage of Forsythia which was called the essential Chinese medicinal of sores were also compared in order to provide reference for the clinical treatment of mastitis and anthrax, to provide new idea for the treatment of sores, and to make ture wheather Forsythia is the essential Chinese medicinal of sores.Methods:Chinese Medical Classics and family medicine network database were regarded as retrieval approach to retrieve the ancient prescriptions and medical records of mastitis and anthrax; China National Knowledge Infrastructure (CNKI), Wanfang database, China Science and Technology Journal Database, China Academic Conference Paper and China degree thesis were regarded as search databases to search modern treatment of prescription for mastitis and anthrax. Basic statistical methods were applied to analyze the frequency, dosage and proportion of medicinals in the prescription of mastitis and anthrax in various Dynasties. The higher frequency medicinals in each period was caculated. The Traditional Chinese Medicine Inheritance Support System (TCMISS) was used to analyze the commonly used pair medicinals and related medicinals; the administration frequency, pair medicinals, and related medicinals of forsythia in each period was calculated. The treatment principle of mastitis and anthrax, and compatibility law of medicinals and the laws of medication of sores in each period were analyzed; and the role of forsythia in the treatment of mastitis and anthrax and its law of compatibility were analyzed.Results:For the treatment of mastitis in ancient times, in terms of medicinal properties, except Tang Dynasty and the Dynasties before Tang in which warm medicinals were used more than cold medicinals, in other Dynasties, the proportion of warm medicinals and cold medicinals were used almost the same; while in the modern times, the proportion of warm medicinals for the treatment of mastitis were used significantly less than that of the cold medicinals; in terms of medicinal taste, in ancient times, there was no significant difference in the usage of sweet, bitter and pungent medicinals for the treatment of mastitis; while in the modern times, the proportion of bitter medicinals was significantly higer thatn that of more tha sweet and pungent medicinals; in terms of property and taste of medicinals, in ancient times, the frequency of sweet-warm medicinals, bitter-cold medicinals and pungent-warm medicinals had a large proportion, and the disparity of them was not obvious; while in the modern times, the frequency and dosage of bitter-cold medicinals had a larger proportion than that of the ancient times, and that of sweet-cold medicinals increased, pungent-warm medicinals decreased, and sweet-warm medicinals decreased obviously. In the ancient times, the treatment of mastitis focused on using sweet medicinals to nourishing qi, blood and yin, bitter medicinals to clear heat, and pungent medicinals to promote the qi, blood and the meridian, and to dissipate stagnant heat. Since the Ming Dynasty, more emphasis was focused on the use of medicinals which can relieve qi stagnancy in liver. In the modern times, the usage of medicinals which can nourish qi, blood and yin has been dereased; while the usage of sweet-cold medicinals and bitter-cold medicinals which can clear heat has been increased, the proportion of medicinals which can relieve qi stagnancy in liver has been increased, and medicinals which can unblock channels and invigorate blood have changed from warm based medicinals in ancient times to cold or neutral based medicinals in the modern times. There was no obvious difference in medicinal properties for the treatment of anthrax between the ancient times and the modern timed. In terms of the property, the proportion of warm medicinals and cold medicines was almost the same, and the usage of cold medicinals was slightly increased, while the warm medicinals was slightly decreased in the modern times. In terms of the taste, the usage of sweet medicinals, bitter medicinals and pungent medicinals was numerous both in the ancient or modern times. while the proportion of bitter medicinals were increased and the proportion of sweet and pungent medicinals were decreased in the modern times for the treatment of anthrax; in terms of property and taste, in ancient times, the frequency of sweet-warm medicinals, bitter-cold medicinals, pungent-warm medicinals, sweet-cold medicinals and sweet-neutral medicinals were numerous, and there was no obvious difference between the them. While in the modern times, the frequency and dosage of bitter-cold medicinals was increased, that of the sweet-neutral medicinals was decreased, and the changes of the sweet-warm medicinals, sweet-cold medicinals and pungent-warm medicinals was not obvious. For the treatment of anthrax, sweet medicinals for nourishing qi and blood, sweet-cold medicinals and bitter-cold medicinals for clearing heat, and pungent medicinals for promoting qi, blood and the meridian both in ancient and modern times. But the modern treatment of anthrax focused on clearing heat and promoting blood, and the proportion of cold medicinals for promoting blood was increased. While the proportion of medicinals for removing damp in ancient times was larger than that in the modern times.Since Song, Jin and Yuan Dynasties, the use of forsythia has been increased, and forsythia has become the commonly used medicinal for the treatment of mastitis since Ming Dynasty without being the core medication; Forsythia was not the commonly used medicinal for the treatment of anthrax. In the treatment of mastitis and anthrax,forsythia was often used as assistant or envoy medicinal, and it was often combined with medicinals that had same properties with it to enhance efficacy.Conclusion:There is obvious difference in the treatment principles and medication for the treatment of mastitis between the ancient times and modern times, while it is consistent for the treatment principles for anthrax between the ancient times and modern times. The frequency of forsythia in the treatment of mastitis and anthrax is low, and it is often used as the assistant or envoy medicinal. Since the Qing Dynasty, the frequency of honeysuckle is larger than that of forsythia, so this research suggests that "forsythia being the necessary medicinal of sores" is worth of further research.