Ye Tianshi And Xue Shengbai, Based On The Traditional Chinese Medicine Inheritance Platform, Studied The Similarities And Differences Of Drugs Used In The Treatment Of Damp-heat Disease

Objective:(1)To research the experiences and approaches of the treatment of febrile disease by Ye Tianshi and Xue Shengbai through herbal prescriptions for febrile disease by Ye and Xue.(2)To analyse the principle of prescriptions for febrile disease by Ye and Xue and make comparison through data mining from auxiliary platform for TCM heritage,thus providing reference to clinical treatment of damp heat disease.Methods:In this subject,prescription database is established based on prescriptions for febrile disease by Ye and Xue,who were febrile disease experts in Qing(?)dynasty.The principle of prescriptions for febrile disease by Ye and Xue is excavated based on auxiliary platform of TCM heritage.The consequence is shown on one-dimensional frequency table and two-dimensional network diagram to demonstrate the distribution of mining object in references.In doing so,we can analyse clinical experience of and prescription for febrile disease by Ye and Xue.Results:Both Ye Tianshi and Xue Shengbai have their own unique characteristics in the treatment of exopathy and internal injury damp-heat disease,embodying that when treating exopathy disease,Ye took apricot kernel as core medicine,dominantly using drugs for diuresis and diffusing dampness such as poria,Rhizoma Alismatis,Medulla Tetrapanacis,Polyporus Umbellatus and coix seed,and clearing heat with pungent and cool-natured drugs,like gypsum and reed rhizome;he liked the combination of apricot kernel and coix seed,apricot kernel and bark of magnolia,apricot kernel and talc powder,and apricot kernel and bamboo leaf.Thus the prototype of three kernels decoction was formed.While Xue liked using aromatic drugs which can remove dampness such as officinal magnolia bark,tsao-ko,cablin patchouli herb and cardamon fruit,pale cold drugs such as talc,and drugs which can relieve the exterior syndrome such as honeysuckle bud and flower and weeping forsythia capsule;he liked the combination of bark of magnolia,dried tangerine peel and poria peel,and talc and liquorice root.When treating internal injury damp-heat disease,Ye liked using drugs removing dampness and promote urination such as poria,Polyporus Umbellatus,Rhizoma Alismatis,Medulla Tetrapanacis and talc,drugs clearing heat and removing dampness such as baical skullcap root,golden thread,and amur cork-tree,and drugs clearing heat and purging fire such as bamboo leaf;he liked the combination of poria,Medulla Tetrapanacis,and oriental waterplantain rhizome,adding the combination of dried tangerine and officinal magnolia bark,which can be regarded as jiajian poria four powder.Whereas Xue liked using aromatic drugs removing dampness such as officinal magnolia bark,tsaoko,cablin patchouli herb and cardamon fruit,and drugs clearing heat and purging dampness such as akebia stem and virgate wormwood herb to regulate the flow of vital energy and remove obstruction toit;he liked the combination of officinal magnolia bark,dried tangerine peel and cablin patchouli herb,and the combination of officinal magnolia bark,apricot kernel and cardamon fruit,similar to the Dayuan decoction by Wu Youke.Moreover,treatment with bitter,pungent,and cold drugs adopted by Ye Tianshi,is to cope with damp heat disease,thus clearing heat and purging dampness to recover the qi,whilst Xue Shengbai mainly used pungent and warm natured drugs to dredge the organs warmly.Conclusion:The herbal medicine chosen by Ye and Xue to treat exopathy and internal injury damp-heat disease is nearly identical in four qi,five tastes,and channel tropism,and the usage of singular herbs are basically the same,bark of magnolia and dried tangerine peel is the commonly used combination.When Ye cure exopathy damp-heat diseases,apricot kernel is the core to make the combination of apricot kernel-pinellia ternate-fresh ginger,apricot kernel-tetrandra root-coix seed,apricot kernel-pinellia temate-mangnolia officinalis and apricot kernel-speckstone-bamboo leaf;when Ye cure internal injury damp-heat disease diseases,poria cocos is the core to make the combination of poria cocos-grifola-rhizoma alismatis,poria cocos-rhizoma atractylodis,poria cocos-ginsen,and poria cocos-dried tangerine peel-bark of magnolia.While Xue use dried tangerine peel and bark of magnolia as core herbs when cure exopathy and internal injury damp-heat disease.When cure exopathy damp-heat disease,he would also use the combination of soapstone and liquorice referring to Liu Yi Powder,with aromatic herbs such as tsaoko amomum fruit and agastache rugosus to dissolve turbidity.When cure internal damp-heat diseases,the commonly used herbs combinations are dried tangerine peel and bark of magnolia such as dried tangerine peel-bark of magnolia-tsaoko amomum fruit,dried tangerine peel-bark of magnolia-elecampane and dried tangerine peel-bark of magnolia-poria peel.Also bark of magnolia-apricot kernel-amomum cardamomum is the common combination.Thus we can speculate that Ye use bitter-pungent-cold herb combination to cure dampness-heat disease,while Xue use bitter-pungent-warm herb combination.