Objective

2

To explore the characteristics of Ye Tianshi’s differentiation and treatment of external pathogen constraint.

Methods

2

By using the method of literature research and data analysis

we screened the medical records related to the constraint of external pathogensin the

Case Records as a Guide to Clinical Practice

(

Lín Zhèng Zhǐ Nán Yī Àn

)

analyzed the principles

methods prescriptions and medicinals involved

and summarized the treatment characteristics of Ye Tianshi.

Results

2

The total number of cases of constraint caused by external pathogenic factors in the book was 458

with the top three most frequently seen types of pathogens being heat constraint (27.5%)

damp constraint (24.5%)

and fire constraint (22.9%).Wind constraint is usually treated with acrid medicinals with a dispersing effect

cold constraint with acrid medicinals with a dispersing effect and warming and dispersing. For heat constraint

the heat clearing method is used if heat pathogen is dominant

and the dispersing method is used for the type characterized by severe heat constraint. For damp constraint

the dispersion method is often used. Dryness constraint is often treated with acrid-cool and sweet-moistening herbs. For fire constraint

it is needed to relieve heat and nourish yin method.

Conclusion

2

For the treatment of the constraint of external pathogens

Ye Tianshi’s main idea of syndrome differentiation and treatment was to useacrid medicinals with a dispersing effect

to diffuse and unblock

and to dispel external pathogens

with special attention given to the constitutions.