Characteristics Of Syndromes Related To Kidney In Zhang Yuansu Medicine Book

In the past 20 years,the research on the origin and flow of syndrome has been paid more and more attention."the faction of medicine is divided into Jin and Yuan." Zhang Yuansu was a famous physician in Jin and Yuan dynasties and founded the Yi Shui School.Zhang Yuansu's syndrome system plays an important role in the historical development of TCM syndrome theory.By using literature and theoretical research methods,this paper systematically studies the characteristics of syndromes related to kidney in Zhang Yuansu medicine book compared with modern kidney syndrome,and analyzes the origin of characteristics of syndromes related to kidney in Zhang Yuansu medicine book,its influence on later generations and related evaluation.It also briefly discusses its causes and analyzes its significance to the modern syndrome theory.To reflect the significance of Zhang Yuansu's academic thought as a historical stage in the development of TCM syndrome theory from a point of view.The above research focuses on Zhang Yuansu's "kidney water yin deficiency syndrome".1The characteristics of syndromes related to kidney in Zhang Yuansu medicine book compared with modern kidney syndrome(1)In Zhang Yuansu kidney syndrome,demonstration plays a more important role.(2)Zhang Yuansu's kidney syndrome is rough,and the name of the syndrome is only kidney disease without disease.(3)Characteristics of syndromes related to kidney in Zhang Yuansu medicine book has kidney blood deficiency syndrome.(4)Compared with modern kidney yin deficiency syndrome,Zhang Yuansu's kidney water yin deficiency syndrome uses "cold deficiency" instead of "water deficiency" and "yin deficiency" to a great extent.This characteristic is mainly reflected in:Zhimu and Huangbai mainly treat kidney water yin deficiency syndrome,and the efficacy of Zhimu and Huangbai.2The origin analysis of the characteristics of Zhang Yuansu of kidney water yin deficiency syndrome:(1)The characteristics of Zhang Yuansu kidney water yin deficiency syndrome are related to the implementation of the discussion of "bitterness,desire,tonifying and catharsis" to specific drugs.(2)From the representative works of Materia Medica,there are no related words about the efficacy of Zhimu and Huangbai in the treatment of kidney water yin deficiency syndrome before Zhang Yuansu,so it is speculated that Zhimu and Huangbai are the first to treat kidney water yin deficiency syndrome.3 The influence of Zhang Yuansu's views on kidney water yin deficiency syndrome in later generations:3.1 The viewpoints of Li Dongyuan,Wang Haogu and Zhu Danxi,which are more directly influenced by Zhang Yuansu.Li Dongyuan,Wang Haogu and Zhu Danxi basically accepted Zhang Yuansu's view of kidney water yin deficiency syndrome.3.2 The views of physicians from Jin to the Republic of China on Zhang Yuansu,Li Dongyuan,Zhu Danxi and other views of "Zhimu,Huangbai tonifying Yin".It can be divided into two categories:those who agree and those who have different opinions.3.3 Contemporary views on "Zhimu and Huangbai tonifying Yin":the contemporary viewpoint of "Zhimu and Huangbai.4The above-mentioned characteristics of syndromes related to kidney in Zhang Yuansu medicine book should be due to the initial development of the syndrome theory in the Song and Jin dynasties.Due to the initial development of syndrome theory:4.1 The accumulation of clinical experience is not systematic,so the formation of syndrome theory needs the introduction of five elements theory,five evolutive phases and six climatic factors and so on.Therefore,Zhang Yuansu syndrome is also in the form of correspondence between organs.So that Zhang Yuansu kidney syndrome has more empirical evidence,as well as kidney blood deficiency syndrome.4.2 The syndrome theory is relatively initial,so it is "coarse" rather than "fine".Therefore,Zhang Yuansu's kidney syndrome is relatively rough,the disease is not differentiated,and the name of the syndrome is only kidney disease without disease.4.3 The syndrome theory is relatively initial,so Zhang Yuansu uses the concrete and simple attribute of "cold" to replace the abstract and complex attributes of "water" and "yin" in the understanding and grasp of kidney water yin deficiency syndrome.Therefore,"cold deficiency"is used to replace "water deficiency" and "yin deficiency".5The significance of the characteristics of syndromes related to kidney in Zhang Yuansu medicine book to the modern syndrome theory:The above-mentioned characteristics and causes of Zhang Yuansu's kidney syndrome suggest that the modern study of TCM syndrome theory:(1)The viewpoint that there should be development,and the data of thousands of years should not be regarded as the same.(2)There should be a comprehensive point of view,and the ancient syndrome should not be understood simply in a literal sense,but its connotation should be accurately understood according to its position in the whole syndrome system at that time and the clinical information it represents(etiology,symptom manifestation,treatment,etc.).6 The innovation of this study:Zhang Yuansu's syndrome system plays an important role in the historical development of TCM syndrome theory and has a certain influence on the clinical practice of later generations.The systematic study on the characteristics of syndrome in Zhang Yuansu's academic thought will help to make up for the deficiency in the current research on Zhang Yuansu's syndrome theory,improve the understanding of the development history of TCM syndrome theory,and provide reference for modern syndrome theory.