Research On The Experience And Clinical Application Of Doctors In The Qing Dynasty In Treating Tinnitus

Purpose:This study focuses on the academic thoughts and clinical experience of doctors in the Qing dynasty in the diagnosis and treatment of tinnitus,and applies the relevant methods of Chinese medicine literature to interpret and analyze the literature materials,and summarizes the periodical academic achievements of doctors in this period in the etiology,pathogenesis,symptoms,treatment,prescriptions and other contents of tinnitus.Through the comparison with modern traditional Chinese medicine tinnitus diagnosis and treatment,explore the Qing dynasty doctors diagnosis and treatment of tinnitus academic characteristics.The experience of doctors in the Qing dynasty was summarized,and the traditional thinking mode of traditional Chinese medicine was used to build the thinking process framework of traditional Chinese medicine tinnitus diagnosis and treatment.According to the Qing dynasty the acknowledgement for tinnitus,etiology,pathogenesis,treatment and medicine with the content such as the formulas of the unique understanding,select 2 application doctor diagnosis and thinking in the Qing dynasty,the academic point of view,experience,interpreted the clinical typical cases analysis,the formulas by using the method of practice has proved,further understanding during this period the acknowledgement for the characteristics and advantages of tinnitus disease diagnosis and treatment,so as to modern traditional Chinese medicine scientific research and clinical practice to expand ideas,provide theoretical and methodological guidance and inspirationMaterial and method:By referring to The General Examination Of Chinese Medical Books edited by Yan Shiyun,The Dictionary Of Chinese Medical Books edited by Qiu Peiran,The Chronology Of Medical Books of Song,Yuan,ming and Qing Dynasties compiled by Liu Shijue,and The General Catalogue Of Ancient Chinese Medical Books edited by Xue Qinglu,etc.Manually consult the surviving works of doctors who emerged in the period from the founding of the Qing dynasty to the fall of the Qing dynasty.Selection of representative significance of subject,By using the Chinese medicine philology's research method of the summary research,organized experience,etc.content and academic point of view,arrange a subject tinnitus treatment combined with CNKI,such as a database of ten thousand retrieved from the database and the subject's life,academic thoughts and clinical experience and related articles and provincial,municipal,work of university library has a subject that academic ideas,categorizes the acknowledgement of experienceBased on the academic viewpoints of Tinnitus Diagnosis and treatment of the Qing dynasty TCM experts,takes the TCM experts' theses as the key point,the academic experience as the goal,and the compendium as an example.It includes and summarizes the discussion of the disease name,the medical theory elucidation,the etiology and pathogenesis discussion,the dialectical thinking,the treatment method and dosage,the prevention and care,and constructs a new thinking mode of Tinnitus Diagnosis and treatment of traditional Chinese medicineResults:1.In the research on the literature of more than 30 selected TCM experts in Qing dynasty,it is found that in the study of tinnitus disease names,the "theory of the separation of tinnitus and deafness" and "theory of the combination of tinnitus and deafness" existed in Qing dynasty,Tinnitus,Deafness and MingLong disease names all appeared in Qing dynasty literature2.The TCM experts in Qing dynasty had a clear and perfect understanding of the other disease differentiation of tinnitus,especially the differential diagnosis of Tinnitus and Deafness,and the differential diagnosis of tinnitus and Naoming(Tinnitus cerebri)3.The discussion of tinnitus etiology and pathogenesis by the TCM experts in Qing dynasty is comprehensive.Based on the knowledge of tinnitus pathogenesis in the relevant literature before Qing dynasty,the continuous improvement and innovation will make the tinnitus pathogenesis more systematic and provide the basis for the establishment of targeted treatment4.In the Qing dynasty,there were a lot of medical cases about tinnitus.According to the characteristics of symptomatology,tinnitus was the main symptom and dual syndrome,and its treatment followed the principles of syndrome differentiation and treatment and pathogenesis According to the statistics of 32 doctors' tinnitus cases,there were 34 cases with tinnitus as the main disease5.In the aspect of syndrome differentiation and classification of tinnitus,the thought of syndrome differentiation was flexible,the methods were diverse,and the syndrome types were discussed in Qing dynasty.The literature works of 32 medical experts were sorted out,and 77 syndrome types were discussed,among which syndrome differentiation of viscera and disease was the most frequently used6.In the treatment of tinnitus,TCM experts in Qing dynasty had more diverse methods and more comprehensive contents.External treatment of tinnitus was widely used in the qing dynasty,including external use of traditional Chinese medicine,massage guidance method,acupuncture and moxibustion,etc.,especially the ear plug method of traditional Chinese medicine was widely used in the qing court,which is worthy of reference for modern Chinese medicine7.The literature content of Tinnitus TCM Diagnosis and treatment of Qing dynasty TCM experts is very enlightening for the diagnosis and treatment system of modern tinnitus,which can promote theoretical innovation,advance the development of disciplines,and has strong guiding significance8.Thinking flow chart of TCM diagnosis and treatment of tinnitus based on the TCM expert' s literature of Qing dynasty TCM experts has certain reference significance for the clinical diagnosis and treatment of tinnitusConclusion:1.TCM experts in the Qing dynasty had a clear understanding of tinnitus and elaborated it in detail,which was of enlightening significance in theory,diagnose,treatment,prescription2.It is necessary to improve the TCM syndrome differentiation system in tinnitus diagnosis and treatment.Fully absorbing the knowledge of Qing dynasty TCM experts on tinnitus and using the original thinking of TCM to develop Tinnitus Diagnosis and treatment will help to build the Tinnitus Diagnosis and treatment system and promote the development of disciplines.