75 J Chin Med 14(2): 75-85, 2003 (2002 8 20 2002 12 24 2003 1 8 ) 1 2 3 4 5 6 7 50 : 04-22340047 : 04-22342508E-mail: jcmt22@ms38.hinet.net
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85 J Chin Med 14(2): 75-85, 2003 STUDY OF GYNECOLOGICAL THOUGHT BY LI DONG YUAN Jung-Chou Chen School of Chinese Medicine, China Medical College, Taichung, Taiwan Department of Chinese Medicine, Show-Chwan Memorial Hospital, Changhua, Taiwan (Received 20 th August 2002, revised Ms received 24 th December 2002, accepted 8 th January 2003) The purpose of study is to review gynecological thought of Li Dong-Yuan. He was a famous physician at Jin-Yuan Dynasty in China. Chinese Classic book of Pi-Wei-Lun and Lan-Shi-Mi-Cang wrote by Li s are the origin of research material. The results demonstrated that the thinking process of Li s treated women s diseases was relationship with Yuan-Qi-Yin-Fire hypothesis. He though that woman amenorrhea, abnormality of uterine bleeding and leucorrhea were resulted from spleenstomach qi vacuity, center qi fall, yin fire hyperfunction and damp-heat pouring down. He treats woman amenorrhea with the principle of supplementing blood and discharge heat. He treats uterine flooding and spotting by supplementing qi and nourishing the blood, upraise center qi, and overcome yin fire. He treats leucorrhea used the method of boost qi and supplementing the blood, warm supplementing the spleen yang, and overcome cold dampness in lower burner. The therapeutic character of women s disease became a model of gynecological treatment. On the other hand, Li s had an important discovery in gynecological clinic that if the spleen qi vacuity causes center qi fall for a long time, yin fire may transform cold pattern. It will perform cold dampness as well as vacuity cold in lower burner. Warm supplementation applied was the main method of treatment. Key words: Li Dong Yuan, Gynecological thought, Yuan-Qi-Yin-Fire hypothesis, Amenorrhea, Uterine flooding and spotting and leukorrhea. Correspondence to: Jung-Chou Chen, 50, Yeong-Shing Street, Taichung 404, Taiwan, R.O.C., Tel: 04-22340047, Fax: 04-22342508, E-mail: jcmt22@ms38.hinet.net