Research On The Characteristics And Connotation Of Xueji Liver Syndrome Differentiation And Treatment

Xue ji was a pioneer of the school of Wen Bu in Ming dynasty.He wrote a lot of medical works in his whole life,which contained his rich academic thoughts and clinical experience.Due to the academic thought of the two organs of spleen and kidney,scholars of later generations paid much attention to the study of the two organs of spleen and kidney in Xueji's works.There are also a lot of academic essence about the three organs of heart,liver and lung in Xueji's works,especially a lot of contents about the differentiation and treatment of liver syndrome.This paper is divided into three parts:The first part mainly discusses Xue Ji's life works.This paper introduces Xue Ji's life and his personal writings.The second part mainly discusses the classification and treatment characteristics of Xueji's liver syndrome.The third part mainly discusses the connotation of classification and treatment of Xueji's liver syndrome.Through the above research,eight conclusions are drawn:1.Xue Ji enriched the differentiation of liver syndrome on the basis of Sun Simiao,Qian Yi and Zhang Yuyu.The syndrome differentiation of deficiency and deficiency of liver is specifically divided into three deficiency and five solid basic deficiency types,namely deficiency of liver qi,deficiency of liver and blood,deficiency of liver Yin,and five solid types: liver burning,liver fire and blood heat,liver fire and blood dryness,liver meridian dampness and heat,and stagnation of liver and spleen.The three deficiency and five solid basic deficiency type is further subdivided into liver and blood deficiency and fire dryness,liver and blood deficiency and fire abundant wind,liver and blood deficiency and blood deficiency,liver,wood and spleen soil and other complex syndrome type.At the same time,the syndrome types of both viscera and viscera were supplemented,such as deficiency of qi and blood in liver and gallbladder,hot fire in liver and gallbladder,and wind and heat in liver and gallbladder.Liver and other organs combined with the syndrome of deficiency of blood in the liver and spleen,deficiency of blood in the liver and kidney,deficiency of blood in the heart and liver,deficiency of blood in the liver,spleen and kidney,deficiency of fire and dryness of blood in the liver,spleen and blood,deficiency of blood in the liver and spleen,deficiency of blood in the heart and liver,deficiency of blood and heat.2.Xue Ji paid much attention to the etiology of liver disease in the differentiation and treatment of liver syndrome,and the differentiation and treatment of clinical syndrome were mainly based on the etiology.He is good at inquirying when he is in the clinic,and understands the etiology of the patient in detail.He believes that anger,depression,shock and abuse of wind medicine are common etiologies of liver syndrome.3.Xue Ji paid attention to the different physiological characteristics of the individual,with different emphasis on the differentiation and treatment of liver syndrome in women and men.Pay more attention to the liver and spleen for women,and pay attention to the liver and kidney for men.4.Xue Ji was good at differentiating between deficiency and deficiency,and was good at coordinating the primary and secondary factors.For the complex diseases mixed with deficiency and excess,according to the transformation of deficiency and excess of the disease,it is mainly to treat deficiency due to deficiency and to cooperate with drugs to clear liver and nourish liver qi and blood.Liver wood ke spleen-earth syndrome,mainly to clear liver fire,after tonifying the spleen kidney.5.Xue Ji's prescription attaches importance to the biocontrolled relationship between the liver and the spleen,kidney and heart.For the liver and the spleen and kidney,it emphasizes that the spleen is the gram of the liver,the spleen is the control of the liver,the kidney is the mother of the liver,the kidney is the nourishing water of the kidney,the liver wood is the nourishing water of the kidney,the spleen and kidney are replenished and the liver wood is the nourishing water of the liver,and the liver wood is the nourishing water of the spleen and kidney and the liver wood is the nourishing water of the liver.For the liver and the heart,it emphasizes that the liver is the mother of the heart,and the heart is the child of the liver.Therefore,it is common to see the mother's disease and the son's disease,and the son's disease is the mother's disease.6.Xue Ji treated the differentiation and treatment of liver syndrome with both reinforcing and reducing weight,and used ancient prescriptions with caution.Xue Ji was good at using the ancient prescriptions for the treatment of liver in a flexible way,and most of the flavors were increased or decreased within one or two flavors.In his works,Xiaoyao Powder,Guipi Decoction and Xiaochaihu Decoction were used in the treatment of liver syndrome with only one or two flavors added to each prescription.Such as free powder plus peony bark,mountain gardenia;Guipi soup is added Chaihu,mountain gardenia;Little Chaihu soup only with raw rehmannia glutinosa.After the change of the three parties,there are purging in the filling and clearing in the filling,which reflects the characteristics of flexible use of ancient prescription,addition,subtractions and drug refining.7.Xue Ji named a variety of new syndromes of liver syndrome according to his clinical experience to deepen the pathogenesis development of liver syndrome.Xue Ji in sun simiao,Qian Yi,Zhang Yuansu combination on the basis of predecessors of the liver's main and collateral channels,qi and blood syndrome differentiation and syndrome differentiation factors such as the five endogenous and either unbearable to form unique of liver naming,make the model name more specific,and type in the name of the liver disease occurrence,development and change of the whole mechanism,deepen the development of liver syndrome pathogenesis,It provides more abundant nutrition and powerful power for the development of the differentiation of zang-fu syndrome in later generations.8.Xue Ji named each syndrome type of liver syndrome,which reflected the hierarchical rule of pathogenesis development of liver syndrome.If the generalized liver syndromes are the first level,then the liver syndromes are classified by deficiency and deficiency,and the liver syndrome and liver syndrome are the second level.The further development of the second level of liver deficiency syndrome will lead to the formation of liver qi deficiency syndrome,liver and blood deficiency syndrome,liver Yin deficiency syndrome;The further development of liver evidences will form the syndrome of severe liver burning,the syndrome of dampness-heat of liver meridian,the syndrome of liver-wood and spleen-earth,and the syndrome of stagnation of liver-spleen,and these simple pathologic changes will be the third level.This third level of liver and blood deficiency syndrome,further development,and will form the liver and blood deficiency fire dry syndrome,liver and blood deficiency fire movement and wind syndrome;The syndrome of liver fire and blood heat can continue to develop into the syndrome of liver fire and blood heat,the syndrome of liver fire and blood dryness,and the syndrome of liver fire and blood deficiency.These syndrome types are the fourth level based on the pathogenesis of liver blood deficiency and liver fire and blood deficiency.Justification of the hierarchical logic,makes the complex and changeable,in order to clear the level of logic closely relates in together,syndrome differentiation and treatment bluff follow this hierarchical logic in the process of understanding,can the development of the witnesses shall be clear,outcome and prognosis judgment,thus more accurate,concretely grasp of these certificates that improve the therapeutic effect.In this paper,the Ming dynasty physicians Xue Ji liver syndrome differentiation type points for finishing study,unlike previous scholars Xue Ji academic from more benefit spleen kidney removing thought research,compiled Xue Ji of liver syndrome classification of governance,summarized its main points of liver syndrome syndrome differentiation type,characteristic and connotation,clear the liver syndrome classification of TCM syndrome differentiation and treatment in an important characteristics of the development of the Ming dynasty,This paper expounds an important link in the course of syndrome differentiation from syndrome differentiation to syndrome differentiation.This paper discusses the connotation of classification and treatment of xueji's liver syndromes,points out the different names of the syndromes,and finds that in the Ming dynasty,xueji's differentiation of the pathogenesis of zang-fu organs has stepped out of the category of cold and heat,and into the differentiation and treatment of various pathogenic and pathogenesis factors such as qi and blood,phlegm and drink,emotion and so on.By further exploring the naming of Xue Ji's syndrome types,it can be found that at this time,in the process of syndrome differentiation and treatment,Xue Ji has begun to seek to clarify the hierarchical logic among various syndromes,so as to detail the internal development law and specific hierarchical correlation of various syndromes,and then make a clear judgment on the development,outcome and prognosis of the syndromes.This makes it possible to grasp the principles and methods of syndrome differentiation and treatment more accurately and concretely,and greatly improve the curative effect of syndrome differentiation and treatment.This progress explores a new way for the standardization and modeling of syndrome differentiation and treatment in traditional Chinese medicine.