Wu Jutong's Treatment of Febrile Diseases
Wu Jutong's febrile disease treatment method is a traditional medicine project in the third batch of Huai'an's representative projects of municipal intangible cultural heritage. Historical evolution Febrile disease refers to exogenous febrile disease, which is also a general term for modern infectious diseases. "Exogenous febrile disease" was first seen in the "Inner Canon of Medicine". Zhang Zhongjing of the Han Dynasty summarized the experience of treating exogenous diseases in the Central Plains before the Han Dynasty and wrote "Treatise on Febrile Diseases", which was the first summary of the treatment of exogenous diseases. However, "Treatise on Febrile Diseases" mainly expounds the syndrome differentiation and treatment methods of cold-type exogenous diseases, and only provides general theoretical guidance and syndrome differentiation and treatment methods for hot-type febrile diseases, which cannot meet clinical needs. During the Wei, Jin, Southern and Northern Dynasties, the northern ethnic groups invaded, and the Han people migrated south in large numbers, from the Yellow River Basin to the Yangtze River and Huaihe River Basins, and the southeast coast was developed as a result. Because it is close to the tropics and the coast, it has a subtropical marine climate. Therefore, "Treatise on Febrile Diseases", which summarizes the medical experience in the Central Plains, is obviously not suitable for treating diseases in the Jiangnan region. In addition, due to the development of overseas exchanges, many diseases from the South Pacific Islands were transmitted to the country, and the types of diseases increased. This made doctors constantly practice, innovate and develop the original medical theories to adapt to the changes in the new spectrum of diseases, so the development of febrile disease theory emerged. Therefore, Wu Youke in the Ming Dynasty started it, and Ye, Xue, Wu, and Wang in the Qing Dynasty followed it and established the theoretical system of febrile disease theory. In particular, Wu Jutong completed the second summary of TCM treatment of exogenous febrile diseases, accurately reflecting the development law of the disease. Due to the differences in regions, environments and diseases, he learned from the strengths of many schools, improved the deficiencies of Zhang Zhongjing's "Treatise on Febrile Diseases", and summarized two different syndrome differentiation and treatment methods for febrile diseases and febrile diseases, opening a new page in the treatment of exogenous diseases. Wu Jutong (1758-1836), whose name was Tang, whose courtesy name was Peiheng, and whose pseudonym was Jutong. Wu Jutong was born in a poor scholar family in Hexia, Chuzhou. His father, Wu Shourang, whose courtesy name was Xunfu, was a scholar in the Xinsi year of Qianlong (1761). When Wu Jutong was young, he concentrated on studying for the imperial examination in order to enter the officialdom. When he was 19 years old, his father died of illness, so he gave up Confucianism and studied medicine. Later, he was selected as a "Fu Gong" (in the Qing Dynasty, candidates who were selected in the provincial examination were included in the deputy list and were admitted to the Imperial College as Fu Gong.) and went to Beijing to participate in the copying and proofreading of the medical books in the "Siku Quanshu". During this period, he was deeply inspired by Wu Youke's "Wen Yi Lun" and benefited a lot from studying various theories since the Jin and Tang Dynasties. In the 58th year of Qianlong (1793), a major epidemic broke out in Kyoto. Many patients died due to improper treatment. Wu Jutong used Ye Tianshi's method to rescue dozens of patients and became famous. Wu Jutong was inspired by the fact that doctors at that time were obsessed with the treatment of typhoid fever and did not know how to make changes. He decided to write books and wrote "Wen Bing Tiaobian", "Wu Jutong's Medical Cases", "Yi Yi Bing Shu" and other works. He founded the Sanjiao theory, innovated the legislation of traditional Chinese medicine and improved it theoretically, and left many prescriptions, which further improved the basic treatment of traditional Chinese medicine in exogenous diseases and febrile diseases. Basic content Wu Jutong's febrile disease treatment method is based on the three energizers. In clinical practice, he summarized the three different types of symptoms in the development of febrile diseases, as well as the main organs involved in the transmission of the three energizer pathogens. In the febrile disease theory, he systematically discussed the etiology, pathogenesis, transmission law, classification, symptoms, treatment methods and prescriptions of febrile diseases such as wind-heat, warm heat, warm epidemic, warm poison, winter fever, summer heat, late summer heat, damp-heat and autumn dryness. He founded the theory of "three energizer syndrome differentiation", which is another innovation in Chinese medicine theory and syndrome differentiation method after Ye Tianshi developed Zhang Zhongjing's six meridian syndrome differentiation and founded the syndrome differentiation method of Wei Qi Ying Xue. "Three energizer syndrome differentiation" method: the human body is "horizontally" divided into upper, middle and lower energizers. The upper energizer is mainly composed of the heart and lungs, the middle energizer is mainly composed of the spleen and stomach, and the lower energizer includes the liver, kidneys, large and small intestines and bladder. Thus, a new method of classifying human organs was created, which is very suitable for the syndrome differentiation and treatment of febrile diseases, easy to diagnose and treat. He also established that the normal transmission mode of the three burners is the "forward transmission" pathway from top to bottom: "Warm diseases enter through the mouth and nose, nasal air passes to the lungs, and oral air passes to the stomach. Lung diseases are transmitted in reverse to the pericardium. If the upper burner disease is not treated, it will be transmitted to the middle burner, which is the stomach and spleen. If the middle burner disease is not treated, it will be transmitted to the lower burner. It starts from the upper burner and ends at the lower burner." Therefore, the treatment principle is determined by the transmission mode: "Treating the upper burner is like a feather, which will not rise unless it is light; treating the middle burner is like a balance, which will not be stable unless it is lowered; treating the lower burner is like fermentation, which will not sink unless it is heavy." At the same time, Wu Jutong commented on the " The six meridians differentiation in Treatise on Febrile Diseases also adopted a positive attitude, believing that "the six meridians of typhoid fever go from the surface to the inside, from shallow to deep, and must be viewed horizontally; this section discusses the triple burner, from top to bottom, also from shallow to deep, and must be viewed vertically." Although these theories are different in terms of argumentation and analysis methods, they are actually the inheritance of Ye Tianshi's Wei Qi Ying Xue differentiation method and have made great developments on it, especially in the understanding of disease changes, which can be balanced and coordinated, and there is no contradiction between the two. At the same time, the triple burner differentiation method also improves the treatment principle of Ye Tianshi's Wei Qi Ying Xue theory. Ye's Treatise on Warm Diseases did not include enough prescriptions, and another major contribution of Wu Jutong was that in Treatise on Warm Diseases, he left many excellent practical prescriptions for future generations, such as Yinqiao Powder, Sangju Drink, Huoxiang Zhengqi Powder, Qingying Decoction, Qinggong Decoction, Xijiao Dihuang Decoction, etc., which are all very commonly used prescriptions by later doctors. The prescriptions in "Treatise on Warm Diseases" account for 80% of the prescriptions currently used in clinical practice. Important Value Wu Jutong's treatment of febrile diseases, especially the treatment of febrile diseases, further improved the theory and left many prescriptions, which further improved the basic treatment of Chinese medicine in exogenous diseases and febrile diseases. It is an innovation in the theory of febrile disease treatment and Chinese medicine legislation, and has made a significant contribution to the development of Chinese medicine treatment methods and theories. It is worthy of protection and inheritance. (No pictures yet, welcome to provide.) (No pictures yet, welcome to provide.)