薛己《内科摘要医案研究.pdfVIP

Research on Medical Records in Nei Ke Zhai Yao by Xue Ji Speciality: Medical History and Literature of TCM Author:Liu Fei Tutor:prof.Liu Guirong Abstract Nei Ke Zhai Yao (Summaries of The Internal Medicine) written by Xue Ji is a veritable experience summary of clinical treatment for the internal illness which distinctly reflects Xue’s characteristics of treating miscellaneous diseases. The author of thesis analyzes this Chinese medicine work from the following aspectsetiology, pathogenesis, diagnosis, therapy, prescriptions and discusses Xue’s academic thoughts and clinical features of treating internal diseases. In this study, the systematic analysis of medical science principles, treatment methods, prescriptions and drugs is carried out by the method of traditional documentation science. And combined with data mining technology the author sums up Xue Ji’s academic thoughts and clinical features. Through this research, the author got the following result: a total of 246 medical records are included in this book. All the medical records have the advantages of prominent clinical thinking, clear etiology and pathogenesis and reliable records. But they also have the disadvantages of poor standardization, less tongue inspection and lack of drug dose. Xue attaches importance to the pulse diagnosis among four methods of diagnosis, and prioritizes differentiation of syndromes in accordance with the theory of Zang-fu organs. He takes deficiency of spleen and stomach, deficiency of spleen and kidney, or the kidney deficiency as the primarily pathogenesis. In prescription, Buzhongyiqi decoction is commonly used to nourish the spleen and stomach and invigorate primordial qi, Liuwei Dihuang pills and Baweiwan are used to nourish kidney yin and kidney yang, what’s more, Buzhongyiqi decoction merged with Liuwei Dihuang pills and Baweiwan can invigorate both the