Analysis on the Syndrome Treatment Experience of Jiudetang Yi'an by LI Yongcui
10.16466/j.issn1005-5509.2024.10.017
- VernacularTitle:李用粹《旧德堂医案》证治经验探析
- Author:
Jiamei FAN
1
;
Ran LI
;
Zeying WANG
Author Information
1. 潍坊市中医院 山东,潍坊 261041
- Keywords:
Jiudetang Yi'an;
LI Yongcui;
academic philosophy;
Huangdi Neijing;
the concept of holism;
the spleen and stomach;
pulse diagnosis;
diagnostic and therapeutic features
- From:
Journal of Zhejiang Chinese Medical University
2024;48(10):1301-1304
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To analyse the academic characteristics of Jiudetang Yi'an by the famed Qing Dynasty physician LI Yongcui,so as to braoden the schemes of the clinical diagnosis and treatment.[Methods]Using the 67 medical cases recorded in the Jiudetang Yi'an as the primary research subjects,this paper extracted and analyzed the main symptoms,disease locations,syndrome types,treatment principles and prescriptions from these cases.Additionally,this paper referenced other relevant classical texts to summarize LI's academic thoughts and clinical experiences.[Results]LI inherited family medical teachings from a young age and extensively absorbed the essence of various schools of thought,supplementing areas unexplored by his predecessors.Academically,he was grounded in the Huangdi Neijing and was profoundly influenced by Dongyuan's theories,developing unique insights into"Yin fire".In clinical practice,LI strictly adhered to holistic principles,selecting medications based on timing;treating upper body ailments by addressing lower body issues with skillful differentiation;advocating spleen regulation as fundamental while emphasizing the liver harmony and protecting the spleen and kidney functions.LI prioritized complexion and pulse diagnosis,excelling particularly in pulse diagnosis,and basing treatments on pulse-symptom discrepancies.His approach favored mild medications,cautiously employing aggressive treatments,effectively utilizing channel-guiding and envoy drugs,and skillfully incorporating hematite in prescriptions.[Conclusion]Jiudetang Yi'an presents a collection of meticulously selected cases,comprehensive in theory,methodology,prescription,and medication.The distinctive diagnostic and therapeutic features of LI's practice,as encapsulated in these records,offer valuable insights for expanding syndrome differentiation thinking and guiding clinical diagnosis and treatment.This work merits in-depth study and inheritance by future generations of practitioners.
