The Ming Dynasty Physicians Treating Obstruction Of Heartache Literature Research

Objective: Collecting and collating the main medical writings about chest pain’s etiology、pathogenesis and prescriptions in Ming Dynasty, discussing the understanding of the etiologyand pathogenesis when Ming Dynasty physicians treating chest pain, summarizing thecharacteristics and laws of using medicine of this period in order to better serve and guideclinical work.Methods: The method of traditional philology, mathematical statistics and usingthe prescription to prove syndrome, to discuss the law of prescription for treating chest painfrom relevant books written by22doctors in Ming Dynasty. And select the etiology andpathogenesis of Wang Kentang, Liu Chun, Qin Jingming works for chest pain, prescriptionsummary, the induction of a common illness machines and the law.Results: The traditionalChinese medicine treatment of chest pain from Ming Dynasty physician: use142kinds ofmedicine totally, cumulative954times less frequent dosing. Most of the herbs are for tonifyingdeficiency, moving blood, warming organs and smoothing qi, the cumulative frequency is64.89%; the frequency of using it is more than1%, the24taste of commonly used herb islicorice, orange peel, ginseng, cinnamon, Wulingzhi etc, the cumulative frequency is55.45%;Prescription herbs of Siqi is mainly68%warm and calm; bitter, acrid, sweet of Wuwei mainlyaccounted for95.8%; Spleen, heart and liver meridian is mainly61%; Frequency greater than1%of the24herbal medicine in the cluster analysis, automatic formation of the seven clustercombinations. Three on behalf of the physicians (Wang ken tang, Liu Chun, Qin jing ming)write on Chest Pain etiology of pathogenic cold invasion and occupation (32.31%), physicalweakness (20%), due to pathogenic heat (18.46%), emotional chastity and eating disorders(10.77%). Medication usage: the prescription of tonifying deficiency, moving blood, warmingorgans and smoothing qi, the most commonly used cumulative frequency is55.15%. There is nosignificant difference in Wuwei and meridian belongs of herb using from three doctorsprescription, there are some differences in the use of four character herbs.Conclusion:(1) the physician of the Ming Dynasty believe that the chest pain is related to cold evil invasion,physical weakness, heat evil, emotional chastity, eating disorders, exerting internal injuries andother factors, the main pathogenesis is systolic Blockage;(2) The prescription law of MingDynasty physicians is:①Commonly used herbs is for tonifying deficiency, moving blood,warming organs and smoothing qi,②Besides commonly used supplementary herbs such aslicorice and ginger, Wulingzhi and ginseng as main and effective herb on behalf of thephysicians in the Ming Dynasty to treat chest pain,③Siqi is mainly warm and calm, bitter,acrid, sweet of Wuwei accounting for the main, the main meridian are spleen, heart and livermeridian;(3) The method of using the prescription to prove syndrome is mainly qi and yindeficiency, blood stagnation syndrome, qi stagnation and cardiothoracic, cold stagnation insystolic, which is commonly seen.