The Study Of Zhang Shi Yi Tong’s Prescription In Treating Arthromyodynia

This article introduces the main academic thoughts of Zhang Lu, discusses his understanding of arthromyodynia, with main focus on analyzing the 34 prescriptions for treating arthromyodynia found in Zhang Shi Yi Tong, and also categorizes his treatment into seven types:intense pathogenic wind, intense pathogenic cold, intense pathogenic dampness, intense pathogenic heat, damp-phlegm obstructs the collaterals, Qi blood deficiency as well as weakness of liver and kidney.In Zhang Shi Yi Tong when treating intense pathogenic wind arthromyodynia, it often uses Ephedra Herb as diaphoretic relieving exterior syndrome, fresh ginger to relieve exterior syndrome dispersing wind-cold, Cinnamon twig as diaphoretic relieving muscular soreness or arthralgia, Siler Root to dispel wind, prevails over dampness and alleviate pain. The common herb combinations are Ephedra Herb with fresh ginger and Ephedra Herb with Cinnamon twig. When treating intense pathogenic cold arthromyodynia, it usually uses Chinese aconite’s daughter root to disperse cold alleviate pain, Cinnamon twig to expel wind-cold pathogenic dampness and besides warm up the channels and clear the collaterals, Chinese aconite’s tuberous mother root to expel wind-dampness disperse cold, dried ginger to restore Yang and unblock the vessels. The common herb combination is Chinese aconite’s daughter root with Cinnamon twig.In Zhang Shi Yi Tong when treating intense pathogenic dampness arthromyodynia, it regularly uses Red Atractylodes Rhizome to dry up the dampness and promote the spleen’s transportation function while White Atractylodes Rhizome strengthen the spleen and dry up the dampness, Poria to drain the dampness and strengthen the spleen along with Alisma root which serves as damp-draining diuretic. The common herb combination is Red Atractylodes Rhizome with White Atractylodes Rhizome. When treating intense pathogenic heat arthromyodynia, the general medicines used includes rhinoceros horn (buffalo horns have been used as its substitute nowaday) to cool and detoxify the blood, Gardenia fruit to drain fire expel dampness and detox, Baical skullcap root to clear heat drain fire and detox, Anemarrhena Rhizome to clear heat drain fire. The common herb combination is rhinoceros horn (replaced with buffalo horns) with Gardenia fruit.In Zhang Shi Yi Tong when treating damp-phlegm obstructs the collaterals arthromyodynia, Pinellia rhizome is often used to dry the dampness and dissolve phlegm, Poria to strengthen the spleen and drain dampness, citrus peel to regulate the flow of qi for strengthening the spleen, Arisaema to expel dampness and dissolve phlegm. The common herb combinations are Pinellia rhizome with Poria and Pinellia rhizome with citrus peel. When treating Qi blood deficiency arthromyodynia, Astragalus root is regularly used to reinforce the spleen and stomach, ginseng to reinforce the vital Qi, Chinese Angelica root to nourish the blood and invigorate the circulation of blood, honey fried Licorice root to nourish the spleen and invigorate the Qi. The common herb combinations are ginseng with Astragalus root, Astragalus root with Chinese Angelica root. When treating weakness of liver and kidney arthromyodynia, Morinda root is often used to nourish kidney-yang, strengthen the musculoskeletal system, expel wind-dampness, Cistanche herb to nourish kidney reinforce Yang, Chinese yam strengthen the spleen replenish the deficiency and also promote the essential Qi enhance the kidney. The common herb combinations are Morinda root with Cistanche herb and Morinda root with Chinese yam.