| Summary: | 碩士 === 中國醫藥大學 === 中國醫學研究所碩士班 === 95 === Fu Qing Zhu Nu Kie written by Fu Qing Zhu who was a famous physician in early Qing Dynasty. It was a brief book with sixty thousand words，but its content was appreciated and usually discussed in Chinese medical journal by modern scholars. Most studies were short papers which could not analyze whole book in depth. The purpose of this study was to research Fu，s thought for treatment of gynecological disease and analyze the character of his medication. In order to realize his thought and for clinical use, we researched on the text, generalized pathologies, treatment principles, formulas, drugs and inspected them identically.
Fu’s thought mainly affected by Nei Jin, physicians of Jin-Yuan Dynasty and Ming Dynasty, like Xue Ji, Chang Jing-Yue. On thought of gynecological treatment, do not hurt nature qi and blood was the main principle of treating menstrual problems. In though of diagnosis, Fu focused on liver, kidney and spleen. Liver kidney essence-blood vacuity and liver spleen qi-blood vacuity were main pathologies in gynecological disease. He mentioned that too much kidney water and kidney fire would lead to advanced menstruation with large blood loss, and excess kidney fire with less kidney water would lead to advanced menstruation with little blood loss. Liver and kidney being of same origin, liver qi stagnation would cause kidney qi stagnation and lead to menstruation at irregular intervals. In this situation, simultaneous treatment of liver and kidney was the best choice. Qi rectifying drugs, blood rectifying drugs, blood-quickening stasis-spelling drugs and interior-warming drugs should be used carefully. Women were governed by blood, and usually being with liver qi depression. It should be treated with supplementing qi-blood and coursing liver. Vaginal discharge was a pattern of damp. White Vaginal discharge was caused by liver depression, spleen deficient and damp-heat pouring downward. Patient should be treated with supplementing stomach and spleen and also regulating liver qi. Flooding often caused by deficiency fire which resulted from causal sex and should be treated with supplementing qi ,yin and cleaning heat. The most pattern of infertility was spleen-kidney yang deficiency, therapeutic method of fertility should warm the kidney and fortify the spleen and tonify kidney essence.
In Obstetric disease, Fu emphasized on harmonizing liver and spleen, and supplementing qi-blood, especially qi. Treating pregnancy disorder should be supplementing qi-blood to prevent abortion. After procreation, the pathologies were qi and blood vacuity . Patient should be treated by supplementing, quickening the blood and transforming stasis. Chan hou bian was not written by Fu, therefore added by someone else. It focused on weakness and blood stasis, therapeutic method were supplementing blood and transforming stasis. Theory between Nu Kie and Chan hou bian were deferent that could not be mixed.
The character of prescription and drugs were as follows: Four Agents Decoction (si wu tang), Four Gentlemen Decoction (si jun zi tang) and Free Wanderer Powder (xiao yao san) were important formulas for treatment. The amount of Four Agents Decoction (si wu tang) and Four Gentlemen Decoction (si jun zi tang) was up to 42.18% of the herb used. It usually presented a character of large doses of tangkuei, ginseng ,ovate atractylodes, cooked rehmannia, white peony, and small dose of bupleurum. The common use after procreation in Chan hou bian was sheng hua Decoction.
Fu’s Nu Kie had great effects on infertility researches in some patterns such as liver qi stagnation, liver-kidney qi stagnation. Scholars also had advanced studies on sheng hua Decoction, these were furthermore application of Nu Kie.
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