Clinical syndrome and adjustment of internal injuries and miscellaneous diseases under the guidance of Gezhi Yu Lun
ZHOU Jie1* WANG Yuehui1* WANG Dali2 MA Bingya1 ZHUANG Yaoxue1 LI Quanwang3
1.Beijing University of Chinese Medicine, Beijing 100029, China;
2.Department of Critical Care Medicine, Affiliated Hospital of Hebei University of Chinese Medicine, Hebei Province, Shijiazhuang 050200, China;
3.Department of Oncology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China
Abstract：Zhu Danxi is one of the four great masters in Jin-Yuan dynasties, and is famous for his good treatment of miscellaneous diseases. Based on the theory of pathogenesis of fire-heat and the physiological state of “relative equilibrium of yin-yang” in Neijing, he inherites the medical theories of Liu Wansu, Zhang Zihe and Li Dongyuan, and combined the regional characteristics with the criticism of current disadvantages in clinical practice, write his representative work Gezhi Yu Lun. This paper sorts out the important academic thoughts of the whole book and the drugs contained in the medical records, and summarizes that Zhu Danxi′s treatment of miscellaneous diseases mostly starts with spleen and stomach. It emphasizes that the physiological characteristics of miscellaneous diseases are “exuberant yang and insufficiency of yin”. The etiology and pathogenesis of miscellaneous diseases are “fire disorder” and “stagnation of qi, blood and phlegm”. It is established that “taking spleen and yin as the basis” is the major method of miscellaneous diseases treatment. Nourishing spleen and Yin does not forget to protect temper (Yang). Through nourishing one′s emotions, calming one′s temper and keeping one′s temper in peace, distinguishing between deficiency and reality before curing fire, the prescriptions are guided by different therapies such as “fire-depression”“heat and cold” and “nourishing yin and reducing fire”. The methods of “blood-dispersing qi, phlegm-inducing stagnation” are used to dispel pathogenic factors, and the methods of “unobstructed mood, festive diet, and adjusting to the four seasons” are used throughout the whole process. Finally, Zhu Danxi′s unique opinion of “supporting internal injury, dispelling external evil and re-adjusting photography” in Gezhi Yu Lun provides valuable experience and important reference for the clinical treatment of miscellaneous diseases in modern Chinese medicine.
周杰1* 王玥慧1* 王大力2 马炳亚1 庄垚雪1 李泉旺3. 《格致余论》指导下的内伤杂病临证与调摄[J]. 中国医药导报, 2020, 17(2): 128-131.
ZHOU Jie1* WANG Yuehui1* WANG Dali2 MA Bingya1 ZHUANG Yaoxue1 LI Quanwang3. Clinical syndrome and adjustment of internal injuries and miscellaneous diseases under the guidance of Gezhi Yu Lun. 中国医药导报, 2020, 17(2): 128-131.
2020, Vol. 17 
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