Study on the Thought of Tongsu Shanghan Lun by Yu Genchu

• Main Authors: Ju-Lun Cheng, 鄭如倫
• Other Authors: 陳榮洲
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/20610678599386376715

碩士 === 中國醫藥大學 === 中醫學系碩士班 === 99 === Yu Genchu (1734-1799AD), the represented scholar of Shaoxing Shanghan Xuepai, was a well- known physician in the middle age of Ching dynasty. He announced a theory of the cold-warm union, and the idea of six-channel integrated triple burner. Dr. Yu’s pattern of identification theory was different from scholar schools of Shanghan and Wu’s warm disease. His book, “Tongsu Shanghan Lun”, was a diagnosis and treatment book which could be used in externally contracted disease patterns during seasons. The purpose of this study was to research Dr. Yu’s thought for treatment of externally contracted disease and analyze the character of his medication. The main study materials are Dr. Yu’s original work excluding the text of He Xiu-shan, He Lian-chen etc., and 101 prescriptions from the chapter of six-channel formulas in the book. Dr. Yu’s thought was mainly affected by Nei Jin, Nan Jin, and other physicians like Zhu Gong, Tao Jie-An, Chang Jing-Yue, Wu You-Ke. Base on the thought of vacuity pattern of shanghan, the text contained Shanghan, warm disease and miscellaneous disease. He set up four main syndrome patterns which were Shanghan main syndrome, accompanied syndrome, combined syndrome, worse syndrome, and relapse syndrome, and other subdivided ones approximately 51syndromes. Emphasizing on treatment based on syndrome differentiation, Dr. Yu’s used multiple identification methods such as six-channel pattern, triple burner pattern and eight principles identification, and he announces six-channel shape level hypothesis, the idea of six-channel integrated triple burner. He also emphasized on synthesis of the four diagnostics, including eye and abdomen diagnosis, and he used six-channel pattern to divide pulse condition and tong appearance to increase the reliable diagnosis rate. He made treatment plans based on the disease process, and the medication including drug, acupuncture, Gua sha, and medicinal paste therapy. To avoid relapse he always placed importance on recuperating spleen and stomach during or after the treatment. The characters of prescriptions by Dr. Yu’s such as (1) the treatment of externally contracted disease was based on identify patterns and administer prescriptions (2) easily changing the ancient formulas composition to treat diseases (3) combined with pills or powders to enhance the efficacy (4) combined formulas according to the principle of treatment. Dr. Yu’s character of drug use such as (1) drug use emphasized on dampness transformation according to the geographic environment (2) application of the drug use with lower dose and often using the plants and flowers (3) Adding few acrimonious drugs to enhance the efficacy (4) clearing the serious pericardial patterns with the heart and orifices-opening drug such as rhinoceros horn and antelope horn. The study suggested that clinicians can follow the principles of prescription and drug use by Dr. Yu’s to reinforce their treatment effect.