The Study On The Thinking Of Discriminate And Treatment And The Law Of Application About Bupleuri And Ramuli Cinnamomi Decoction

Objective:Bupleuri and ramuli cinnamomi decoction which comes from the Treatise on Febrile Diseases has been widely used by many doctors to treat a variety of diseases from ancient times to the present.Through clinical practice and exploration,doctors of the past dynasties popularized the decoction of Bupleuri and ramuli cinnamomi branch to the diseases of internal medicine,surgery,gynecology,pediatrics,and the ophthalmology and otorhinolaryngology.Modern researchers use scientific research methods to explore the drug composition and medical mechanism.This article discusses the idea and treatment of Bupleuri and ramuli cinnamomi decoction by the doctors of the past dynasties,and looking for the law of application of Bupleuri and ramuli cinnamomi decoction through literature study,so as to further guide the clinic.Methods : This article is divided into two parts.The first part collate the understanding and interpretation of the Bupleuri and ramuli cinnamomi decoction by consulting the ancient books in the first part,and summing up the data and summarizing the experience of the predecessors on the application of Bupleuri and ramuli cinnamomi decoction.The second part through the retrieval of ancient and modern medical records and statistics related data in medical records,and analysis of medication and treatment law.To broaden the idea of applying the syndrome and treatment of Bupleuri and ramuli cinnamomi decoction.Results:By referring to ancient books,we learned the source of related articles of Bupleuri and ramuli cinnamomi decoction,and summarized the diagnosis and treatment experience of Bupleuri and ramuli cinnamomi decoction,and the understanding and implementation of related articles.Through the retrieval of ancient and modern medical records,15 cases of ancient medical records,154 cases of modern medical records,and make statistics,measurement and analysis,count data show to chart the medication and treatment obtained corresponding rule.Bupleuri and ramuli cinnamomi decoction is most common in the treatment of malaria in ancient times.Through the arrangement of the medical records that dominant diseases as influenza,gastritis,scapulohumeral periarthritis,neurosis,rheumatoid arthritis and cholecystitis and cervical spondylosis.The dominantdiseases of TCM as colds,arthralgia,stomach pain,hypochondriac pain,dizziness,headache,abdominal pain,depression syndrome.The application of the indications for chills,mouth pain,anorexia,fever,sweating,nausea,dry mouth,upset,insomnia and physical pain.The tongue is red or pale red,coating on the tongue is thin or white,the pulse is like a thin string.The average dose of the drug: bupleurum 15 g,cassia twig 10 g,liquorice 10 g,radices paeoniae alba 12 g,red peony 14 g,pinellia ternata 10 g,ginseng13g,codonopsis pilosula 12 g,radix pseudostellariae 14 g,scutellaria baicalensis 6g,jujube 7,ginger 5g.The main types of drugs to join: heat-clearing drug,drug for invigorating blood circulation and eliminating stasis,drugs for regulating QI flow,drugs for supplement of deficiency,drugs for suppressing hyperactive liver for calming endogenous wind,diuretics for eliminating dampness etc.Conclusion : Bupleuri and ramuli cinnamomi decoction has a wide range of applications.It can be used no matter exogenous disease or miscellaneous diseases.The ideas and treatment of Bupleuri and ramuli cinnamomi decoction can be treated by different methods of syndrome differentiation: syndrome-differentiation of the six meridians,differentiation of qi-blood-body fluid,syndrome differentiation of zang-fu viscera,eight principal syndrome differentiation,differentiation of syndromes of meridian.The different methods of syndrome differentiation have their adaptation to each other.The use of different dialectical methods to think of Bupleuri and ramuli cinnamomi decoction can expand its application scope and broaden the clinical thinking.The analysis of the medical records of Bupleuri and ramuli cinnamomi decoction obtained the corresponding dominant diseases,addition and subtraction drugs,main application indications and drug dosage which can be used as a reference for clinical application.