Lily Disease "disease Pulse Syndrome And Treatment" Literature Research

Research background:Lily disease was first published in the book "Synopsis of Prescriptions of the Golden Chamber"(extracted from "Treatise on Febrile and Miscellaneous Diseases")by Zhang Zhongjing,a physician in the Eastern Han Dynasty.It was originally caused by the insufficiency of the residual heat in the blood vessels and the loss of stomach qi after the typhoid fever,but it was gradually separated from the typhoid in the interpretation and development of later generations.The interpretation of Lily disease by later generations of physicians was quite controversial,but it is generally believed that it was an emotional disease caused by the deficiency of Yin in the heart and lungs,which is far from Zhong Jing’s original intention.The evolution and controversy of this kind of understanding inevitably affects the understanding of the original meaning of Lily disease,and thus limits its clinical value."Treatise on Febrile Diseases and Miscellaneous Diseases" is always titled with"Disease Pulse Syndrome(Combination)Treatment",and its content includes four links:disease differentiation→pulse diagnosis→analysis of syndrome→treatment.This model is a high-level summary of the whole process of Zhongjing’s clinical diagnosis and treatment.It contains Zhongjing’s clinical thinking and academic thinking.It has irreplaceable significance in understanding Zhongjing’s original intention and summarizing diagnosis and treatment experience.Research purposes:to clarify the original meaning of Zhongjing’s lily disease,restore the path of diagnosis and treatment of Zhongjing’s lily disease with "disease syndrome and treatment",and to explore the evolution and cause of later generations of commentators on lily disease.Research method:①Collation:The original version of Yuan Dengzhen was used as the original text,and the correction was mainly based on the manuscripts of Hongwu Wu Qian of the Ming Dynasty.The texts of Yu Qiao,Xu Rong,and Zhao Kaimei were used to collate the clauses.The differences are based on the "Mai Jing" and "Xiao Pin Fang".For other schools,for those with large differences in the provisions of the records,the correctness of the text is verified,in order to be as close as possible to the original appearance.②Textual research on word meaning sentence reading:Based on the Qin and Han and previous related language materials,the word meaning textual research and sentence reading correction are carried out in order to re-understand difficult words and sentences.③Literature research:using the model of"disease and pulse syndrome treatment" as a clue,sort out the interpretation of the original text of Zhongjing’s lily disease in the various links of "differentiation,calming the pulse,analyzing the syndrome,and determining the treatment" by later generations of doctors,and explore the reasons for this change when and how did it happen.Research results:The original appearance of the article is clarified:①The opening "Lun Yue" of lily disease should be derived when it is an excerpt from the later generations,and its upper limit should not be earlier than "Various pathogenic designate theory" was written in 610,and no later than the Northern Song Dynasty Correction Medical Book Bureau revised the "Synopsis of the Golden Chamber" The year is 1066.② "If you get the medicine,you will have a lot of vomiting,if a god",or when it is judged as "If you get the medicine,you will get a lot of vomiting,if there is a god."③After the lily fresh egg yolk Decoction,note "stir well,fry for five minutes,take it warmly" as "inner fresh egg yolk,stir to adjust,and take it at different temperatures",that is,you don’t need to fry again after receiving the fresh egg yolk,and the liquid will be decocted,and take it in two divided doses.④Talc Ochrae Decoction is taken twice as "different temperature service",which should be taken twice from Wu Qian’s book as"different temperature and then service".⑤The usage of the word "jian" in the postscript of lily disease is different from Zhongjing’s habits and the background of the times.It should be restored,and the reasons need to be further explored.Research on the combined treatment of disease and pulse syndromes:①The"source" of "one hundred meridians" is not the heart and lungs,but the stomach."One case of a hundred veins is known to cause its disease",that is,the disease of blood and stomach caused the occurrence of lily disease."The pulse is slightly counted",which describes the pulse is a little fast.③Through the interpretation of the word meaning and the summary of Zhongjing’s terminology,lily washes the body only to wash the trunk.In addition,it was discovered that the lily washing formula was finally formed based on the mysterious bathing and exorcising rituals in religions and customs and the hydrotherapy for the treatment of mental abnormalities,and integrated into the traditional Chinese medicine theory,such as the efficacy of lily medicine and the emphasis on the chest,abdomen,and organs.The lowest level of cognition is the cleansing effect of "washing".④As far as the cause of the disease is concerned,combing through the evolutionary knowledge of the past dynasties,it is found that physicians in the Jin,Sui and Tang dynasties have less elucidation of lily disease,but they have revealed the cause of the unrest after typhoid and consumptive illness.Before the Yuan Dynasty,the cause of lily disease was roughly divided into two viewpoints:the aftermath of typhoid fever and the sequelae of typhoid fever.By the time of the Yuan Dynasty physician Wei Yilin,his discussion and classification of lily disease were completely separated from typhoid and formed another kind.Opinion(aftermath of a major illness of consumptive fatigue),this is a node where the cause of Lily disease changes from outside to inside.Later,when Zhao Yide reinterpreted Lily disease as a sequelae of typhoid fever,he also introduced another internal cause-emotional internal injury(emotional insufficiency,or due to renunciation,or anxiety and depression),which cause Lily disease by burning yin.This is the beginning of later generations who used lily disease as emotional disease and used lily’s prescriptions to treat emotional disease.Later physicians continued to add new emotional factors,and continuously separated from typhoid fever,and finally formed a stable theory of "the deficiency of heart and lung’s yin".⑤Reasons for the above-mentioned changes in understanding:The Northern Song Dynasty Correction Medical Book Bureau believes that "The Synopsis of the Jade Letters of the Golden Chamber" is "simplified in typhoid essays",and "there is a miscellaneous disease,and the diet is finally taboo" into the "Golden Chamber of Prescriptions".This division method artificially caused the separation of lily disease and typhoid fever;with the development of medical and health conditions and people’s knowledge of nature,the occurrence of typhoid fever was gradually reduced,resulting in fewer clinical observations of lily disease by doctors;Change of production mode;The strong dependence and attention on nature gradually shifted to attention to oneself;And with the development of the viscera theory,doctors are more inclined to recognize diseases from the five internal organs,etc.The above reasons make the cause of lily disease gradually change from the outside,the residual heat of typhoid fever,into an internal emotional factor.⑥Doctors’ understanding of the efficacy of lily and the pathogenesis of lily disease are complementary and mutually influence each other.Doctors gradually attributed the efficacy of lily to the heart and lung meridian and the interpretation of the pathogenesis of yin deficiency and internal heat of lily disease,which gradually changed the herbal record of lily,and also caused the efficacy of lily that "Reinforcing the middle Jiao and nourish qi"("Shen Nong’s Materia Medica")to be edged.To a certain extent,this caused a misunderstanding of the original meaning of lily disease by later generations,and the deviation of Zhongjing’s intention to use lily to treat lily disease.In a word,lily disease should be after typhoid fever,the remaining heat in blood is not exhausted,the stomach qi is still weak,there are various unstable abnormal symptoms such as diet,mentality,activity,sleep,cold and heat.Zhongjing chooses lily to nourish the middle energy and nourish the qi,and the rehmannia glutinosa juice can nourish the spleen and stomach while clearing the blood and the residual heat.The combination of the two medicines can be described as closely related to the pathogenesis of lily.However,the fluctuating symptoms of lily disease and the wrong sentence of "if there is a god",as well as the mutual penetration of lily’s efficacy records and doctors’ understanding of lily disease,have gradually moved lily disease away from the cause of typhoid fever,and gradually became a pure emotional disease.It’s face is recognized by current doctors.This can be said to be the play of later generations of physicians on Zhongjing’s lily disease,and the proven clinical observations have strengthened the application of lily disease in the treatment of emotional diseases.Therefore,many diseases such as anxiety,depression,bipolar disorder,hysteria,insomnia,neurasthenia,etc.have been included in the category of lily disease in the current clinical practice,and significant effects have been achieved.At the post-epidemic stage in China,there are frequent articles reporting that patients discharged from hospital with new crown have various neurological symptoms,which are very similar to Lily disease,but there is no more symptomatic treatment.It is clarified that Zhongjing Lily disease is the residual heat after typhoid fever and the stomach is weak.This study believes that all parties to lily disease may have a lot to do in the epidemic and post-epidemic era.