Analysis of SUN Simiao's Treatment of Vomiting and Modern Clinical Application
10.16466/j.issn1005-5509.2025.05.020
- VernacularTitle:孙思邈治疗呕吐特色及现代临床应用探析
- Author:
Dongsen HU
1
;
Zhongyi PAN
;
Ruoshui TANG
Author Information
1. 北京中医药大学东直门医院 北京 100700;北京中医药大学
- Publication Type:Journal Article
- Keywords:
SUN Simiao;
vomiting;
Emergency Thousand Gold Prescriptions;
Thousand Gold Wing Prescriptions;
six methods for stopping vomiting;
corner herbs;
modern applications;
diabetic gastroparesis vomiting
- From:
Journal of Zhejiang Chinese Medical University
2025;49(5):656-660
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To summarize SUN Simiao's clinical experience in treating vomiting and explore the modern application of SUN's method for treating vomiting,taking diabetic gastroparesis vomiting(DGPV)as an example.[Methods]By excavating and organizing the special chapters or paragraphs related to vomiting in SUN Simiao's works Emergency Thousand Gold Prescriptions and Thousand Gold Wing Prescriptions,it comprehensively analyzes SUN's understanding of the causes and treatment of vomiting,and applies it to clinical practice based on the pathogenesis of DGPV.[Results]Vomiting is a common clinical symptom of digestive tract abnormalities.Although conventional western medicine treatment can temporarily alleviate vomiting,it is prone to recurrence.SUN Simiao had profound insights in the diagnosis and treatment of vomiting,believing that"abnormal lifting and descending of the middle-Jiao,upward invasion of stomach Qi""cold,heat,phlegm,water,food and various evils invading the middle-Jiao"and"long-term illness injuring the five Zang organs and insufficient Qi and blood"were the core pathogenesis of vomiting.Through inductive analysis of his works,six methods and corresponding prescriptions can be extracted:harmonizing the stomach and descending Qi to stop vomiting,warming Yang and dispelling cold to stop vomiting,resolving phlegm and promoting diuresis to stop vomiting,digesting food and resolving stagnation to stop vomiting,clearing heat and nourishing fluids to stop vomiting,and regulating organs and tonifying deficiency to stop vomiting.In the clinical treatment of DGPV,small prescriptions and corner herbs for treating vomiting should be used in a targeted manner based on the core pathogenesis of different stages.[Conclusion]SUN Simiao's thoughts on treating vomiting still have certain application value in modern medicine and provide guidance for clinical treatment of vomiting such as DGPV.
