Study On Academic Thoughts Of Waitai Miyao Fang Treating Stroke

According to the existing clinical data,strokes become the first cause of death in China currently.The incidence of strokes has been increasing in recent years,indicating that more ideas need to be developed for its prevention and treatment.Medical Secrets from the Royal Library epitomized the medical formulary in the Han and Tang Dynasties,which contains many methods regarding the prevention and treatment of strokes,being an ancient medical masterwork worth studying in the field of strokes prevention and treatment.Object:the paper aims to provide some new ideas for the current strokes treatment by studying the ideas of strokes treatment in Waitai Miyao Fang.Method:the paper mainly uses the literature research method.Firstly,it consults the classic medical works of the past dynasties to understand the cognition and the development trend of strokes.With reference to the bencaology works of past dynasties and modern researches,the etiology and pathogenesis,prescriptions,and therapeutic methods in Waitai Miyao Fang are consolidated,analyzed,generalized,and summarized.Results:1.The understanding of strokes in the past dynasties was a development process from the theory of "external wind" to the theory of "internal wind";2,Waitai Miyao Fang believed that "deficiency of healthy qi" is the fundamental cause of strokes,while exogenous pathogenic factors were the direct cause.The phlegm,stagnation,and heat were also considered as one of the causes of strokes;3.In terms of stokes pathogenesis in Waitai Miyao Fang,there were apoplexy involving the meridians and collaterals and apoplexy involving the zang-fu viscera.And the "wind and cold attack meridians and collaterals" was the key pathogenesis for apoplexy involving the meridians and collaterals.And root pathogenesis of zang-fu viscera apoplexy was "weakness of the spleen and the stomach";4.Regarding therapeutic method of treating strokes in Waitai Miyao Fang,the critical method was to apply the medical prescriptions.And the main prescription thoughts were resolving surface and dispersing cold,dispelling wind and activating collaterals,calming liver wind,promoting qi to activate blood,and clearing heat and eliminating phlegm and so on.Meanwhile,it was necessary to pay more attention to ways and contraindications of taking medicine;5.Single-drug prescription could be used as an adjuvant therapy,such as Zhuru(bamboo shavings)to clear phlegm and heat,Dadou(soybean)to nourish deficiency and dispel cold,and Sangzhi(mulberry stalk)to expel wind and dampness.6.The moxibustion therapy was also an important treatment method for strokes.Moxibustion therapy being used should choose high-quality moxa,and pay attention to the order of moxibustion.It could also be used for heat strokes.Conclusions:Waitai Miyao Fang provides references for the current prevention and treatment of strokes as followings:1.Modern physicians should attach importance to the existence of "external wind" in the prevention and treatment of strokes,and strokes patients should pay attention to wind protection and warmth;2.The "diaphoresis therapy" mainly focuses on relieving exterior syndrome and dispelling evils.When applying this therapy,it needs to treat proper compatibility seriously to achieve the effect of eliminating evils without reducing healthy energy;3.With respect to the modern research,the difference in understanding of the efficacy of Chinese herbal medicine in Waitai Miyao Fang is worthy of the in-depth study;4.Moxibustion therapy can be used in both the early and late stages of strokes regardless of heat and cold nature;5.Proper application of alcohol can also play an important role in strokes treatment;and 6.Guidance therapy can be used as an adjuvant therapy in the treatment of strokes recovery period.