Study on the Syndrome and Treatment Rules of Cold in the Palace of Qing Dynasty
10.16466/j.issn1005-5509.2025.02.012
- VernacularTitle:清宫感冒证治规律研究
- Author:
Ruifan NI
1
;
Guo LIU
;
Kamping LEUNG
Author Information
1. 北京中医药大学中医学院 北京 100029
- Publication Type:Journal Article
- Keywords:
Medical Records Integration of Palace in Qing Dynasty;
Qing Dynasty;
palace medical treatment;
cold;
Ancient and Modern Medical Records Cloud Platform;
data mining;
law of syndrome differentiation and treatment;
treat both exterior and interior
- From:
Journal of Zhejiang Chinese Medical University
2025;49(2):197-206
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the rules of cold syndrome treatment in the medical records of Qing Palace.[Methods]By collecting and sorting out the cold medical cases in Medical Records Integration of Palace in Qing Dynasty,the database and data standardization were established,and then imported into the Ancient and Modern Medical Records Cloud Platform for data mining,and combined with case analysis.[Results]A total of 196 medical records,196 prescriptions,133 symptoms,43 syndrome elements and 159 Chinese medicines were included.The most frequent syndrome elements were heat,wind,cool and fluid retention,and the most common Zang-Fu elements were stomach and lung.The top three commonly used treatment methods were expelling,dredging and resolving fluid retention.Radix glycyrrhizae and zingiberis rhizoma recens were the most commonly used,followed by saposhnikovia divaricata,platycodon grandiflorum,fructus aurantii,tangerine peel and radix scutellariae.The drug properties were warm,slightly cold and flat,and the spicy,bitter and sweet tastes were more common.The lung meridian was the most common,followed by the spleen meridian,stomach meridian and liver meridian.Fifteen groups of commonly used drug pairs were obtained,and the group with the highest confidence was saposhnikovia divaricata,platycodon grandiflorum-radix glycyrrhizae,schizonepeta-saposhnikovia divaricata,magnolia officinalis-tangerine peel,radix glycyrrhizae,and fructus aurantii-platycodon grandiflorum.Three groups of Chinese medicines were obtained by cluster analysis of 12 kinds of high frequency drugs.Through complex network analysis,12 core drugs were obtained,which were radix glycyrrhizae,zingiberis rhizoma recens,platycodon,saposhnikovia divaricata,scutellaria,fructus aurantii,schizonepeta,perilla leaf,poria,tangerine peel,radix notophylla and magnolia officinalis.[Conclusion]Cold in the Qing Dynasty often caused internal injury to the spleen and stomach.In the treatment,both the external and internal were often treated,especially the spleen and stomach.For the cases of phlegm,drink and dampness,spicy drugs were used to disperse,and bitter was used to dry.The clamping method was to invigorate the spleen and stomach,and push the old for the new.The medical records with interior heat should protect the heart and liver.The prescription of Magui was used less than the prescription of Qiangfang.For menstrual colds,cooling blood,clearing heat and moistening were very important.
