The Academic Thought Research Of You Zaijing On Blood Syndrome Theory In Treatise On Febrile And Miscellaneous Diseases

Purpose and Significance: Blood syndrome is one of the most discussed syndromes in Treatise on Febrile Diseases and Synopsis of the Golden Chamber(collectively called Treatise on Febrile and Miscellaneous Diseases)and blood syndrome theory is an important component of Zhongjing's theory.The blood syndrome in Treatise on Febrile and Miscellaneous Diseases covers a wide range and can be specifically divided into epistaxis,hematemesis,salivary blood,hematochezia,urine blood,women's blood,dead blood,blood stasis and so on which include many hemorrhage and blood diseases in modern medicine.Especially in Jing,as a famous doctor in Qing Dynasty,he inherited from Li Zhong Zi and Yu Jia Yan,widely read the medical books.He also studied classic works such as Huangdi Neijing and Treatise on Febrile and Miscellaneous Diseases,which has far-reaching significance in inheriting and developing Zhongjing's theory of blood syndrome.His works "Typhoid Fever Penetrating Pearl Collection","Synopsis of the Golden Chamber","Golden Chamber Wing","Medical Secretary" and "Jingxianglou Medical Case" were highly appraised and had far-reaching influence.To probe into You Yujing's elucidation of the theory of blood syndrome in Zhong Jing's Treatise on Febrile and Miscellaneous Diseases and his unique thought of syndrome differentiation and treatment is helpful to better understand his academic thought and provide more perfect theoretical guidance for today's TCM clinical syndrome differentiation and treatment.Methods: Based on the core document "You Zaijing Medical Encyclopedia",through in-depth study,combing,analyzing,summarizing and summarizing,especially in Jing's inheritance of blood syndrome theory in "Treatise on Febrile and Miscellaneous Diseases",analyzing the law of application of You's blood syndrome theory in clinical practice.Content: According to the classification of blood syndrome diseases,systematically sort out the theoretical content of blood syndrome in "Treatise on Febrile and Miscellaneous Diseases",especially in Jing and summarize the etiology and pathogenesis of different blood syndromes,relevant treatment methods,taboos and so on.Summarize and sort out You's understanding of the etiology and pathogenesis of blood syndrome,as well as its targeted treatment methods for blood syndrome of different causes and different parts,summarize the medication rules of blood syndrome in You Zaijing to provide a more effective method for clinical syndrome differentiation and treatment.Conclusion and Enlightenment: This article tries to summarize the experience of You'streatment of blood syndrome from the contents of "You's Complete Book of Medicine in Jing" to start the later studies.Through sorting and summarizing,it can be concluded that:1 You Zaijing compiled "Shanghan Guanzhuji" and "Jingui Yaoluexindian" to annotate Zhongjing's theory of blood syndrome.Based on previous viewpoints,he classified and summarized the causes,pathogenesis,treatment methods,prescriptions and taboos of epistaxis,spitting(salivary)blood,hematochezia,urine blood,women's lower blood and dead blood.The causes of blood syndrome are generally exogenous,mistreatment,diet,labor and trauma.The pathogenesis can be summarized into five categories: heat,cold,dampness,deficiency and blood stasis.He also summarized the personal opinions on clinical syndrome differentiation,treatment and prescriptions of various blood syndromes.2 You Zaijing inherited Zhong Jing's medical thought of blood syndrome and summarized it in "Golden Chamber Wing Blood Disease" by studying the experience of doctors in past dynasties in treating blood syndrome.You Zaijing thinks that the etiology and pathogenesis of blood syndrome must be identified.He thinks that hemorrhage is different in pathogenesis due to different parts,colors,accompanying symptoms and hemorrhage volume.If there are exogenous,hot,damp,blood stasis and other solid pathogens in the treatment,the elimination of pathogenic factors should be taken as the first step.He also opposes the social doctors' viewpoint of using cold and cold drugs alone and excessive hemostasis at that time.He thinks that the treatment should be based on different bleeding parts,different disease priorities and different medication methods.You's treatment of blood syndrome pays more attention to strengthening the spleen and stomach,strengthening the foundation and consolidating the yuan.He also has his own unique opinions on the recovery and daily maintenance methods of blood syndrome.3 According to statistics of commonly used therapeutic formulas for Youshi's clinical blood syndrome,the therapeutic formulas for blood syndrome are mainly blood regulating agents and heat clearing agents,and the blood regulating agents are mostly blood cooling hemostatics and stasis removing hemostatics,the heat clearing agents are mostly heat clearing and blood cooling prescriptions,the tonic formulae is mostly prescriptions for nourishing yin,blood and yin and yang.The drugs used in the treatment of blood syndrome are mainly antipyretic drugs,qi tonic drugs,blood circulation promoting and blood stasis removing drugs.The drugs with higher usage frequency(from high to low)are: Rehmannia glutinosa,Glycyrrhiza uralensis,Poria cocos,Cortex Moutan,Colla Corii Asini,Radix Paeoniae Alba,Herba Cirsii Japonici,Ginseng Radix,Atractylodis Rhizoma,Curcuma aromatica,Achyranthis Radix,etc.Cold drugs are the main four drugs,followed by mild and warm drugs,sweet and bitter drugs are the main five drugs,and pungent drugs are the second.Youshi pays more attention to the medication of spleen and stomach meridian and liver and gallbladder meridian in the treatment of blood syndrome while the other meridians are relatively few.