Study On Xulao Of Jingui Yaolue

Xulao first appeared in "Jingui Yaolue"(Hereinafter referred to as "Jingui").In "Hua ngdi Neijing ",the discussions on "deficiency",and "overexertion" point out that: overexert ion includes two aspects:the short and lasting strain;no matter what kind of the deficiencie s, the physical overstrain,the exhaustion due to sexual indulgence,the over contemplatio n,can loss vital qi like jing,qi,shen and so on;to cure xulao shall be based on the principles of "regulate yin-yang", "treating deficiency with tonification" and "treating overexertion with warm drugs".These theories had effect on Zhang Zhongjing’s the cognitio n and treatment of xulao.The concept of "sun" in Nan Jing is extremely similar to the "overexertion" in Zhang Zhongjing’s xulao theroy.The treatment principle of regulation-cen tred and more specific treatment could have a more direct effect. on Zhang Zhongjing trea tment of xulao.Essence of xulao in "Jingui" is "the overexertion leads to the deficiency", "overexe rtion" is the origin of "deficiency".According to the etiology,overexertion can be divided in to three types:the physically tired, sexual fatigue and mental strain;According to the speed an d intensity,overexertion can be divided into two types:the short and the lasting.The type o f the short has sudden onset,its pathogenesis is the disharmony of yin-yang caused b y overexertion.The type of the lasting has a longer course,its pathogenesis is that the overexertion can loss qi and blood which can’t be restored automatically.Depending o n the different pathogenesis of xulao,Zhang Zhongjing adopt the treatment by the decocti on and the pill.He applied guizhi decoction modified to the treatment of Xulao,which is the unique feature.Later physicians not only inherited the theories of xulao in "Jingui",but also hav e been further enunciated.They supplemented some causes of the overexertion,such a s inborn factors,exogenous factor,wrong treatment and so on.About the pathogenesis of xulao,they focused increasingly on the deficiency of yin-yang and qi-blood of fiv e zang in more detail. About the treatment,they not only inherited Zhang Zhongjing’s methods and prescriptions,but also formulated medicinal materials based on their clini cal experience.In addition,dietetic regulations and spiritual health cares were put forward by some physicians.All above-mentioned have expanded the scope of xulao,mean while,which tended to reward the study of deficiency,so that the disease of xulao ha s been changed into the floorboard of the various chronic debilitating disease.