In The Song, Jin And Yuan Dynasties, The Medicine Rules And Theoretical Studies Of Various Physicians In The Treatment Of Ruffian Fullness

Objective:In this paper,by collecting and sorting out the medical cases and prescriptions related to epigastric fullness in the works of various doctors in the Song,Jin and Yuan Dynasties,as well as the related discussions on epigastric fullness,this paper analyzes and summarizes the understanding of the etiology and pathogenesis of epigastric fullness and the characteristics of the medication for the treatment of epigastric fullness,so as to provide some enlightenment and thoughts in the clinic.Methods:244 prescriptions for treating epigastric fullness were collected from the works of doctors in the Song,Jin and Yuan Dynasties.Through data statistics,the frequency of drug use and the distribution characteristics of sexual taste return meridian were analyzed.At the same time,the treatise about epigastric fullness in the works of doctors in the Song,Jin and Yuan Dynasties was collected to discuss the understanding of the etiology and pathogenesis of epigastric fullness,as well as the thought of syndrome differentiation and medication rule of epigastric fullness in the treatment of traditional Chinese medicine.Results:According to the statistics and analysis of the prescriptions for the main treatment of epigastric fullness,in terms of the frequency of drug use,the drugs with the highest frequency were Pinellia,costustoot,Pericarpium Citri Reticulatae,fresh ginger,white at racty lodes rhizome,Ginseng,Poria cocos,honey-fried licorice root,raw licorice,pericarpium citri reticulatae viriole,dried ginger,betel nut and magnolia officinalis.Among the four qi statistics of drugs,the frequency of warm drugs was the most,followed by plain drugs and cold drugs.Among the statistical results of five flavors of drugs,the frequency of pungent and bitter drugs was the most,followed by sweet drugs.In the statistical results of drug channelization,most drugs were classified into the spleen channel and the stomach channel.Conclusion:Most of the causes of epigastric fullness are unregulated diet,excessive work and rest,irregular daily life,emotional disharmony,improper use of drugs,etc.,disharmony between spleen and stomach,abnormal rise and fall are the key pathogenesis,and also related to the five viscera.The treatment of epigastric fullness mainly focuses on invigorating pain and reducing pain,warming and replenishing deficiency,promoting qi and eliminating fullness.The characteristics of medication are always centered on the spleen and stomach,related to the five internal organs,and regulating multiple internal organs,and causing the rise and fall of qi machine and the recovery of qi.