| Objective:edema disease is a kind of disease characterized by fluid retention and flooding in the body.It is characterized by head,eyelid,extremities,abdomen,and even swelling of the body.It is a clinical disease and a common symptom.It is seen in the process of many diseases,such as kidney disease,heart disease,emphysema and so on.By combing the ancient literature of the edema disease,we found that the understanding of the edema disease before Treatise on Cold Pathogenic and Miscellaneous Diseases and after the Sui and Tang Dynasties continued,but the etiology and pathogenesis and the thought of diagnosis and treatment were not the same,and Qianjin prescription not only included many medical works before the Sui and Tang Dynasties,but Sun Si miao himself has long admiration for Zhong Jing,so a part of Treatise on Febrile Diseases is included in his Qianjin Yi Fang in his late years,so it is discussed and comparing the content of edematosis in the Treatise on Cold Pathogenic and Miscellaneous Diseases and Qianjin prescription,which is not only an exploration of the inheritance and development of the related diseases of the theory of typhoid and miscellaneous diseases in the Sui and Tang Dynasties,but also an exploration of the thought of the clinical treatment of the syndrome of water swelling.Methods:through the combination of machine examination and hand inspection,this paper combs the related articles of the edema disease in Treatis on Cold Pathogenic and Miscellaneous Diseases and Qianjin prescription,and standardizing its concept on the basis of the current general diagnosis of edema disease,summarizing the literature and making its contents as the basic research object,and compare the aspects from related disease name,etiology and pathogenesis,treatment method and prescription,and compare their similarities and differences with their medical development in their respective historical periods,so as to further explore the relationship between the inheritance and development of the double diseases;Through the traditional Chinese Medicine Inheritance platform system,the medicine was excavated deeply,and the frequency,the four flavor and the five flavour of the drugs were counted,and the common prescriptions were compared through the rules analysis.Results:through the statistics of its related names,there were 18 kinds of edema disease in Treatise on Cold Pathogenic and Miscellaneous Diseases.The concept of the name of the disease was relatively vague,there were many polysemy and the disease classification was cross,and there were 27 kinds of dropsy names in Qianjin prescription,and the name of the disease was relatively clear and standardized.The name of the disease in Treatise on Cold Pathogenic and Miscellaneous Diseases is mainly defined according to the pathogenesis and clinical manifestations of the related causes,while the Qianjin prescription is mainly constructed according to the needs of Viscera Dialectics,such as "five color water" and "five hollow organs water".The etiology and pathogenesis of edema disease in Treatise on Cold Pathogenic and Miscellaneous Diseases mainly focus on two kinds of exopathy and internal injuries.The main exogenous disease is taiyang disease and shaoyin disease.Internal injuries are mainly dysfunctional in the lungs,spleen and kidney,bladder and other viscera.The cause and pathogenesis in Qianjin prescription are related to factors such as women’s pregnancy and after delivery,beriberi,the wind evils and five minerals powder,and internal injury and edema except the dysfunction of the spleen,kidney bladder and other viscera function of the lung is concentrated in the stomach and large intestine.Treatise on Cold Pathogenic and Miscellaneous Diseases mainly used the method of sweating and urinating,and there is a clear boundary between the two.The treatment method of Qianjin prescriptionis often based on urinating,combined with a variety of methods such as sweating,invigorating the circulation of blood and descending lung qi,according to the method of diarrhea and diuresis to edema disease and by removing water and regulating diet to asthenia syndrome disease.In addition,some methods of external washing and acupuncture treatment are used to perfect the treatment of edema disease.Treatise on Cold Pathogenic and Miscellaneous Diseases mainly uses the perspiration of Ephedra and cinnamon branches as well as the diuretics mainly with Poria and tetrandrine to treat edema disease.After data mining,it can be found that it is still the main body of the sweating agent as a whole,while Qianjin prescription is the diuretics mainly composed of Poria and Atractylodes,and it can be found by comparison of the same kind of Chinese medicine that some medicine should be in the "side" basic classic to be increased and decreased,such as Treatise on Cold Pathogenic and Miscellaneous Diseases and so on.By comparing the four flavors and five flavors of drugs in Treatise on Cold Pathogenic and Miscellaneous Diseases and Qianjin prescription,it is found that the proportion of warm drugs,flat drugs and medications in Qianjin prescription is obviously decreased,while the proportion of cold drugs,pungent drugs and bitter drugs is obviously higher.Therefore,Qianjin prescription should be more inclined to the edema of syndrome types of endoretention of damp heat or hot geomantic omen on the whole on the theory of typhoid and miscellaneous diseases.Conclusion:in the analysis of related diseases,we should not forget from the clinical point of view,but we should not forget that traditional Chinese medicine is an interdisciplinary subject with the knowledge of Humanities and social sciences.Therefore,the related concepts and syndrome differentiation and treatment system of traditional Chinese medicine are also developing and changing with the times,so the related knowledge and treatment of the edema disease in the Sui and Tang Dynasties compared with Treatise on Cold Pathogenic and Miscellaneous Diseases,we should not only dig out the similarities and differences between the two from a clinical point of view,but also find out the underlying causes from their social backgrounds and historical changes. |
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