The Study On Diagnosis And Treatment Regularity Of Stroke Before The Tang Dynasty From "Waitai Miyao"

ObjectiveThrough the literature research on Wang Tao' s "Waitai Miyao",this study built database of "Waitai Miyao"'s stroke disease,summed up the doctors'treatment rules of stroke disease before the Tang Dynasty.hope can be clinical And scientific research provides new ideas and is further used in clinical practice,with a view to making a contribution to improving the clinical efficacy of stroke treatment of stroke patients.MethodsThrough the screening and sorting of the articles on strokes in the"Waitai Miyao",the "Waitai Miyao" Stroke Disease database was established,and a total of 123 articles were selected,including the works of the Tang Dynasty and the Tang Dynasty.19 books,according to the doctors classification,according to the dynasty order,analyze the articles one by one,refer to the reading of relevant literature,combined with the background of the time,explain each doctor or book on the understanding and characteristics of stroke disease,combed the Tang The characteristics of previous syndromes of stroke.In the database,the internal prescriptions for treating stroke were screened out,and the rules of medication for stroke before Tang were excavated through the "Ancient and Modern Medical Case Cloud Platform".Results1.By sorting the name of the disease,there are probably the following categoriesAccording to the difference between Zang bythe wind and evil:heart stroke,liver stroke,spleen stroke,lung stroke,kidney stroke;According to the stroke season,it is divided into:spring stroke,summer stroke,autumn stroke,winter stroke;According to different symptoms,it can be divided into:stroke,angulation,sputum,mouth sputum,aphasia,no words,body,hands and feet,etc.;According to the difference of wind and evil,it is divided into thief wind,soft wind,strong wind,etc.According to the name of the disease,it is divided into Tanhuan,Weitui,Pianku,etc.2.Through the literature analysis of "Waitai Miyao" quoted "Bingyuan",the pathogenesis of stroke is:(1).Li deficiency is the primary condition;(2)Feel the wind,cold,and dampness.3.There are a total of 123 articles in the Stroke Document Library of the "Waitai Miyao",which 100 internal medicines are included,including 128 Chinese medicines.The top ten drugs are:cassia twig,windproof,licorice,ephedra,aconite,Chuanxiong,ginger,ginseng,gypsum,and astragalus.The analysis results of the four gas and five flavors suggest that the top three of the four gas frequencies are warm,slightly warm,and flat.The results of the five-flavor analysis are ranked among the top three in terms of frequency,sin and bitterness.The results of drug analysis showed that the lungs,spleen and stomach were the most popular drugs for the doctors of this era.4.The knowledge and treatment of stroke by various books or doctors1)Zhang Zhongjing' s“Shanghan Zabing Lun”:?that the lack of qi and blood,the evil qi into the pathogenesis of stroke disease;?according to the performance of the disease and the severity of the disease,stroke is roughly divided into the following four types:Zhongluo,Zhongjing,Zhongmu,Zhongjian;?according to the different pathogenesis,respectively,to create the Xiaozheng Decoction of the Fuzheng Xie method,the wind-induced soup of the Qianyang method of the town,the Houshi black powder of the Pinggan Xifeng method,and the yin Anti-Huang Di Tang with kidney-reinforcing method.2)"Xiaopin Fang ":Academically admiring Zhang Zhongjing,using Zhongjing' s Xiaoxuming Decoction to treat strokes,continuing Zhong Jing' s righteousness and evil spirits.3)Fan Wang:? Using simple methods such as inclusion and application to treat stroke;?Compared with predecessors,enriching the discussion of stroke;?treating stroke with "two methods and three parties":continued Zhongjing The Fuzheng and Evil Method" used the Duogui Decoction and Mahuang Decoction as the basis for the treatment of stroke;the treatment of warm spleen and water was used,and the Baixu Astragalus atractylodes was used as a dispersion.4)"Zhou Hou":more choices of simple medication,easy to obtain first-aid single prescription and brief moxibustion method,oral administration of Chinese medicine using Xizhou continued life soup,basically continued the internal "inside the evil spirits" thinking.5)"Shen Shi Fang":?The description and symptom summary of stroke disease is more detailed and accurate;? The teacher' s method is used in Zhongjing,flexible application:on the basis of Zhongjing continued life soup,Sini soup,etc.Shi Shengming Tang,Shenshi Sini Decoction;?not sticking to the outside wind,the first use of Zhuli Tang for pathological products such as sputum.6)"Jiyan Fang":? According to the academic thought of Zhongjing"helping the righteousness and evil spirits",using the continuous life soup to treat the stroke;? on the basis of strengthening the righteousness and evil spirits,adding Zhulitang to the pathogenesis of stroke "wind and heat".7)"Gujin Yanlu":? Entered the life-changing soup and was included in the "Golden Chamber" as a prescription for the treatment of stroke,indicating that the author agrees with Zhongjing' s thought of "helping the righteousness and evil spirits";? Duhuo Tang,Duhuo Kudang Soup,Eight winds and Kyushu soups have all evolved from Zhongjingfang,and the disease and pathogenesis are not separated from the wind and evil.8)Sun Simiao' s "Qianjin"/"Qianjin Yi":? use acupuncture,especially moxibustion to treat stroke;?Duoli single-flavor for the treatment of stroke;?inherit the "Nei Jing" academic thought,learn Zhongjing medication,in Zhongjing continued life soup,Houshi black powder and other prescriptions on the basis of addition and subtraction;? first proposed "the main heat of stroke internal injury" theory,the use of bamboo,ginger juice,antelope horns clear heat and wind and phlegm;?rows The prescriptions such as Feng Tang reflect the therapeutic characteristics of Sun Sizhen' s internal and external winds.9)Xu Renze:? think that the disease caused by stroke is related to gender,diet,thinking,overwork,etc.;? after drinking,stroke is hot,spleen yang is the basis,in the acute phase,bamboo stalk,puerarin,Ginger juice is hot and refreshed.After a few days,it is replaced with Fuzi soup with yin and yang,and it also clears the heat.10)Cui Shi:In addition to quoting a foreign-funded party,the remaining two are the articles of the continuous life soup.It can be seen that the emphasis on the life-long soup reflects that Cui' s prescription medication has basically continued the "Treatise on Febrile Diseases".Evil thoughts.11)"Yannian Milu":? continued the main trend of the treatment of strokeat that time-”inside the evil spirits" thought,with Xiao continued life soup to treat the wind.?urgent treatment of the wind,showing a look of sorrow,fainting such as drunkenness and other symptoms,with bamboo leaching heat and phlegm can also raise body fluid,with antelope horn,gypsum and other clear heat evil;?long-term internal medicinal wine.12)"Bei Ji":? medication is simple;? included Zhongjing' s continued life soup,Qian jin Sanhuang soup,indicating that in the treatment of stroke disease obey the law of Zhongjing.13)Zhang Wenzhong/Wen Zhong:? flexible use of the soup of the soup;? in accordance with Zhongjing' s "Heavy Town Qianyang " treatment of stroke,on the basis of the wind-induced soup on the basis of additions and subtractions;?more than the use of bamboo soup Treatment of stroke and heat syndrome;14)"Jiu Ji":One of the "Emergency" is a small continuous life soup without almonds,Chuanxiong,basically in line with the thought of the"intra-virtual evil" in the stroke.15)"Yuan Shi Lang Xi Sheng Ji":recorded the treatment of the sputum of the gods,to speculate that the pathogenesis of this side is:virtual epidemic and wet evil,weathering heat,law with hurricane solution,hydration Hey,which added a wind-extinguishing drug.16)"Jin Xiao":Only the Huanren Decoction is recorded.It is speculated that the author uses the method of clearing away heat and dampness to treat the symptoms such as hand and foot decay and speech disorder.17)"Guangji":There are two types of prescriptions,one is the prescription of phlegm and the other is the prescription of Qingli Huayu method.Conclusion1.In terms of disease name:The names of strokes in the "Waitai Miyao"are rich in types,most of which are classified according to the symptoms of the disease,but the symptoms overlap between the symptoms,and there is no obvious distinction."Waitai Miyao" on Stroke Although the naming and classification methods enriched the understanding of stroke,it also disturbed the world' s judgment on stroke.2.Etiology and pathogenesis:The etiology and pathogenesis of stroke disease reflected in "Waitai Miyao" is:the wind is cold,the cold,the dampness is evil,so that the meridian occlusion is different,and the stroke caused by qi and blood cannot be maintained.3.Syndrome:It can be divided into the following five categories:1)Treating stroke with Fuzheng Decoction as the representative of "Continue Decoction";2)Treating Stroke with "Qingluo Decoction";3)the method of Qianyang,which is represented by Fengyintang;4)the method of Pinggan Xifeng,represented by Hou' s black powder;5)the method of preventing blood and stagnation of the kidney,represented by Fangdihuangtang.Most of the doctors before Tang continued the idea of Zhongjing' s syndrome differentiation and treatment.Most of them were made by Zhongjing Fang,and after the Tang Dynasty,many doctors were in the "Ziyin","Pinggan" and "Yangyang" The usage of the drug can be found in the ancients.4.Medication:The frequency of medication in the top ten basically contains the medication of the continuous life soup,indicating that the most used prescription for the treatment of stroke before Tang is the continued life soup.The analysis of four gas and five flavors suggested that the pathogenesis of yang deficiency and wetness in stroke was insufficient.The analysis of the results showed that the doctors in this period had more than a stroke from the spleen and stomach and lung.