Yuan, Zhong Yan
Tianyi Luo (1220— 1290), born in Baoding, Hebei Province, was a physician in the Yuan Dynasty. Doctor too much, who has been a doctor for many years, won the appreciation of Li Guo. He inherited the essence of plum fruit and developed it. Drawing lessons from the acupuncture heritage of Zhang Jiegu and Yun Qizi, he advocated the combination of acupuncture and moxibustion, treated according to syndrome differentiation, and wrote books such as "Health Care Collection". There are a large number of medical records scattered in the book of Health Preservation, among which many people receive acupuncture treatment. This article is mainly based on 17 acupuncture doctor's health book. Acupuncture meridians? Case study, to explore the characteristics of acupuncture treatment in Tianyi Luo.
L reuse moxibustion. Warming spleen and stomach
Li Dongyuan thinks that the spleen and stomach are the foundation of vitality, and vitality is the foundation of health. Deficiency and cold of the spleen and stomach lead to the decline of vitality, and the decline of vitality leads to all kinds of diseases. The spleen and stomach are warmed with the recipe of invigorating the middle energizer and replenishing qi. On the basis of Gao Li's theory of spleen and stomach, Tianyi Luo advocated moxibustion to strengthen the spleen.
In Tianyi Luo's Medical Records of Moxibustion and Spleen Strengthening, the basic points of spleen strengthening are Zhongwan, Qihai and Zusanli. Zhongwan "leads clear qi to ascend, fattens the stomach", "warms the spleen and stomach, and enters the American diet". Zhongwan is the intersection of stomach and six fu organs. Moxibustion can warm and tonify the spleen and stomach, raise the middle qi and increase appetite. "Moxibustion vitality, biochemical vitality, nourishing the pulse and enriching the muscles". Qihai point is located under the navel, which is the sea of vitality. Moxibustion can greatly replenish vitality, invigorate blood, strengthen exterior and resist evil, and it is an auxiliary point in the prescription. Zusanli "draws Yang Qi through the Yin point, which also helps stomach qi" and "draws hot air down". Zusanli is the stomach cavity point, stomach cavity point and Xiahe point, which can "treat internal organs". Moxibustion has the functions of invigorating spleen and regulating stomach, absorbing yang and changing yin, and inducing heat to descend. Zhongwan dominates ascending in the upper part, while the theory of spleen and stomach emphasizes ascending, so it is the main point in the prescription, with qi and sea in the middle, Zusanli in the lower part dominating descending, the second point is the auxiliary point in the prescription, and the third point * * * plays the role of warming the spleen and stomach, ascending the middle qi, consolidating the foundation and harmonizing yin and yang.
For the general spleen-stomach deficiency-cold syndrome, take Zhongwan, Qihai and Zusanli for treatment on the first day. For Cui Yunqing's stomach pain, abdominal pain, bowel sounds, anorexia, fullness in the heart, acid water spitting, cold sweat from time to time, cold hands and feet, pale face, thin and slight pulse, Luo Qianfu moxibustion at the above three points, combined with Fuyang Zhu Wei Decoction, was cured. Another example is Zhou's "deficiency heat" and Shi Hounan's "bloody stool". Moxibustion at three points in the middle of the abdomen for one day was cured with sweet and cold drugs. For mild internal injuries of the spleen and stomach, moxibustion is applied to an acupoint in the middle of the stomach every day. For example, Mrs. Fan Langzhong is worried about qi stagnation because of improper diet. She is full of abdominal distension, stops eating and vomits, can't eat at dusk, and has a rapid pulse. Luo Qianfu moxibustion was used in the middle of the stomach, and Muxiang Shunqi decoction was used to treat her. For the syndromes with severe internal injuries of the spleen and stomach, Yi Tian has added acupoint therapy besides the combination of three points, such as "deficiency of both yin and yang", Luo Qianfu plus moxibustion with Yang as auxiliary therapy, warming and nourishing cold and dampness, and taking Fuzi Lizhong decoction to recover.
Tianyi Luo attached great importance to moxibustion on the basis of Dongyuan's spleen-warming medicine, and his spleen-strengthening moxibustion prescription was rigorous, which further improved and developed Li Dongyuan's spleen-stomach theory and provided an example for acupuncture to treat visceral diseases.
Make good use of moxibustion to iron, warm yang and dispel cold.
"Su Wen? The day of true talk: "the cold is hot, and the hot is cold." "Su Wen? On the appropriateness of different laws: "the north is also the area where heaven and earth are closed." Its land is high, its wind and ice are cold, and its folk music is wild and milky. The dirty cold is full of disease, and its treatment should be moxibustion. " It can be seen that the main function of moxibustion is to warm yang and dispel cold. Tianyi Luo abides by the tenet of Neijing, and makes good use of moxibustion and ironing to treat yin-cold syndrome, warming yang syndrome, dredging collaterals and dispelling cold syndrome. Volume 22 Cotton Cures the Cold ... Throw it. Cheung Nam, deputy marshal, is 80 years old. Afternoon and autumn are the dead of winter, and the disease will not melt after the end of the valley. Cold pain in navel and abdomen, cold feet and heavy and thin pulse. Heaven benefits from thinking: old age, war and confusion, catching a cold sooner or later, eating improperly, drinking more cheese and walking in low humidity, Yang Can can't be solid. Because dampness is clear and attacking deficiency, the fu-organs are cold, and this combination of cold and dampness is also a disease. The law should quickly retreat the evil of cold and dampness, strictly replenish its yang, and get sick without moxibustion. First, the sea and air moxibustion will make you strong and make up for Yang Jiao's shortcomings; The second moxibustion is Zusanli and Sanqi, which can treat cold and reverse, and yang goes down; Moxibustion at Sanyinjiao point is also used to dispel the evil of cold and dampness. Combined with aconite and other pungent and hot agents, it can help yang to retreat yin, warm meridians and dispel cold. After several days of treatment, the fat cold gradually recovered, and the diarrhea pain was relieved and healed.
Volume 16 The Anal Examination and Scallion Ironing Method. It is true that a scholar, who is over 30 years old, is physically exhausted and has accumulated gas under his left side, and dares not eat cold things. If he catches a cold, he will feel pain, or spit out clear water, and he will feel dizzy and dare not open his eyes. If he takes spicy medicine, he will retire. Extending to the early autumn in JOE. Because of hard work and cold food, he was seriously ill, with abdominal pain, cold sweat, cold limbs and cold nose and mouth. Tian Yisi's Neijing said: "Cold is between the intestinal membranes, and blood is collateral, so blood stagnation cannot be injected into the meridian, and blood gas cannot be transported out, so it accumulates in the past." It is also cold in the stomach and syncope, so it hurts and vomits. All kinds of cold pain, heat pain. Luo Qianfu wants to take medicine, but he can't take medicine. He vomited when he saw the medicine. So I spread a piece of boiled moxa on my stomach with about half a catty of white paper and spread it evenly on the paper. Count the silly onions, cut them in half, spread them on the cooked mugwort, and repeat them several times. Cover it with a piece of white paper and iron it with a slow iron. It will be easy when it is cold. When you warm up at the beginning of ironing, the pain will be relieved, and when you warm up, the pain will stop. Sleep at night and prescribe the right medicine the next day.
Volume 6 Treatment of Yin Syndrome ... ". Dong Yancheng, who is in hospital, is over forty years old. He was thirsty because of overwork. He drinks milk and hurts cold things. Then abdominal pain starts from the intestines, cold limbs, cold sweat, cold nose and mouth, and sometimes dizziness. His six blood vessels are like spider silk. Scald the navel with onion in the morning, and add ginger and onion to Sini soup. At midnight, the temperature was hot, and I drank porridge until dawn.
Although the above medical records are all yin-cold syndrome, the moxibustion methods are different because of the patients' age, physique, etiology and illness. The patient is old, weak, cold and painful in the foot and tibia, and has a thin and slight pulse. Tianyi Luo thought it was caused by the invasion of yang deficiency, cold and dampness. The method should be to make up for Chongyang quickly, and moxibustion should make up for Yang. Therefore, use big moxa to apply, choose Qihai, Zusanli, Sanyinjiao and other strengths, warm yang to dispel cold and dampness. Sedatives and Dong Yancheng are both middle-aged, and they all have abdominal pain, cold limbs and cold sweat, which are all caused by yang deficiency and want to take them off. The onion scalding method is good at warming the interior and dispelling cold, so Tianyi Luo chose the onion scalding method, which is applied to the abdomen and navel to warm the interior and dispel cold and restore yang.
3 reward the needle. Eliminating pathogenic factors and expelling toxin
In view of the local swelling and pain caused by pathogenic toxin entering collaterals and qi stagnation and blood stasis, Tianyi Luo abides by the tenet of "heat causes disease" and "blood should be determined in reality" in Neijing, and acupuncture collaterals to promote blood circulation, clear heat, eliminate pathogenic factors and expel toxins.
Volume 22 "Treating Wind and Phlegm" ... Oak. Two of the 70 people took part in Yang Gong's political affairs, and they have been suffering from wind disease. Suddenly, their heads turned black, their eyes were blind, their mood was upset, their heads were sore, they were slightly swollen and reddish, and their cheeks were red. Tianyi Luo thinks that patients are old and frail, like drinking, damp-heat accumulated for a long time, wind-phlegm internal strength, upper heat and lower cold, although upper heat is abundant, how dare they use cold-cooling agents to damage the spleen and stomach! According to the theory of "heat as the cause" in Neijing, more than 20 purple-black blood were pricked on the head with a triangular needle. After a while, the leader felt awake, the symptoms were alleviated, and several doses of Tianma Banxia Decoction were given.
Volume 22 "Treatment of beriberi in the North" … The Lion. Chinese book is sticky, in his forties, with a big trunk. Bing Chen Chunzai suffered from beriberi when he arrived in Yangzhou. His limbs are slightly swollen, and his sore hands can't get close, especially his calves, so he can't wear shoes. Tianyi Luo believes that this is due to dampness entering collaterals, qi stagnation and blood stasis, which leads to swelling and pain of the foot and tibia. According to the theory of "blood depends on reality" in Neijing, the blood is pricked on it with a triangular needle, and the blood protrudes more than two feet, and gradually flows like a line to the ground, about half a liter. The blood is purple-black, and the pain is relieved when it is swollen. Take Danggui Diantong Decoction. Go to bed at night and get better the next day.
Volume 22 "The disease is far and near, and the cure is urgent. Zhengnanyuan
Handsome, over seventy years old, with the syndrome of the turn of spring and summer. Due to excessive drinking, sore throat, red and swollen ears, strong tongue, sticky saliva, inability to spit out, difficulty in speech, inability to lie down at night, abdominal pain, bowel sounds and diarrhea. Luo Tianyi thinks that the patient's throat is swollen and painful, and the front and rear ears are red and swollen. If it's urgent, we have to deal with it, and then it will swell up and produce purple-black blood, and then the swelling will be greatly reduced. Then use Gong Yi powder and other drugs to treat the spleen and stomach to solve the problem.
Volume 23 Treatment of Syndrome of Upper Heat and Lower Cold …367. Yao Gongmao has seven out of sixty, and sometimes it is poisonous to stay. In the spring of the Yuan Dynasty, he was sick with wine, and his head and face were swollen and painful. Ear swelling, chest tightness, sore throat, cold lower body, especially feet and gaskin. Tianyi Luo was diagnosed as upper heat and lower cold. According to the theory of "excessive heat leads to swelling" in Neijing and "excessive heat leads to swelling, and excessive heat leads to shooting" in Difficult Classics, Qian Fu stabbed the swelling more than 50 times, and the blood was purple and black as dew. After a while, the swelling and pain dissipated. Moxibustion on Qihai and Zusanli can alleviate the cold in gaskin, and Jiji Jiedu Decoction can help it recover in ten days.
In view of the yang syndrome, heat syndrome, excess syndrome and pain syndrome of the above cases, Tianyi Luo advocated acupuncture for bloodletting, clearing away heat and toxic materials, dredging collaterals and relieving pain. For yin syndrome and cold syndrome, Tianyi Luo advocated burning needles to expel pus, such as Wang Bolu's gangrene ... 18 1, or expelling toxin with sharp needles, such as furuncle in the history ... 5, which fully reflected the spirit of syndrome differentiation and treatment.
4 abstract
Although Tianyi Luo is not famous for acupuncture, he is a master of traditional Chinese medicine who specializes in internal medicine of traditional Chinese medicine, and his academic attainments in acupuncture are also quite profound. One of the reasons is that he has a solid foundation in Confucian classics and won the essence of acupuncture in Neijing and Difficult Classics. Second, it inherited the acupuncture academic of Zhang Jiegu and Yun Qizi, the founders of the Spleen and Stomach School. Third, I often discussed medical skills and exchanged experiences with the then acupuncture masters Dou Hanqing and Hu Jifu, and obtained the true biography of acupuncture masters. In addition to the above quotation, his acupuncture medical record also stabbed twelve wells with a cloud screwdriver. Acupuncture at Jianjing point, moxibustion at Zuze and Jiawei Chonghe Decoction were used to treat Zhang Pingding's "wind syndrome in fu organs". Take Tianzhu moxibustion according to the pulse of the sea, and take Sean Tianma decoction to treat Wei Jingfu's son "epilepsy". Moxibustion at Zhong Ting point, taking Danggui Sini decoction to treat Mrs Zhao Yunshi's "hernia therapy" and so on.