Abstract：Mizhen Jiyin is a monograph on gynecology written by Zhou Yiguan, a physician in the Qing Dynasty, who studied medicine from Zhou Yulun and Chen Shuhui. He specializes in gynecology and is a famous doctor of obstetrics and gynecology in Hunan. The part of the book on the treatment of morbid vaginal discharge has distinctive features. Unlike most physicians in the Ming and Qing Dynasties, Zhou Yiguan had a different understanding of the pathogenesis of morbid vaginal discharge, Zhou Yiguan did not treat morbid vaginal discharge from “dampness”. Instead, he held the view that morbid vaginal discharge was mainly “caused by deficiency”. He pointed out that the location of the disease was in Xiayuan, and the treatment was based on the principle of nourishing Xiayuan, and he created Yizhi Tiandong Siwu Decoction with the main functions of coordinating chong and conception vessels and invigorating kidney and astringent essence. In addition, the book also discusses in detail the identification of morbid vaginal discharge from white turbidity and Baiyin, and the four kinds of critical symptoms of collapsing leucorrhea. Part of the accompanying medicinal song for morbid vaginal discharge adopts the poetic style, and the medicines are simplified the complex, which is easy for beginners to memorize and also reflects the academic characteristics of the author himself who abandons the complicated and reserved the essential. This article discusses the treatment thought, syndrome differentiation, and medication characteristics of Zhou Yiguan’s treatment of morbid vaginal discharge by studying the contents of the book about morbid vaginal discharge, in order to provide new ideas for clinical treatment of morbid vaginal discharge.
王琨翎子 吕赢 牛茹 王凤兰. 湘医周诒观《秘珍济阴》论治带下病特色探骊[J]. 中国医药导报, 2023, 20(12): 138-141.
WANG Kunlingzi LYU Ying NIU Ru WANG Fenglan. Exploration of the characteristics of treating morbid vaginal discharge in Mizhen Jiyin by Hunan Province’s doctor Zhou Yiguan. 中国医药导报, 2023, 20(12): 138-141.
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