Identifying the essence of the concept of “phlegm drink” in “Jin Kui Yao” from its historical origin

“Phlegm drink disease, when the warm medicine and the” (Han Zhang Zhongjing “Jin Kui essential formula”) is the general rule of treatment of phlegm drink. But clinically, eight out of ten patients with phlegm disease are hot, and two out of ten are cold, so the medicine is mostly used to clear heat and dissolve phlegm, not “warm medicine and the”. Reviewing the literature, we found that the article “Jin Kui Yao – Phlegm and Cough Diseases with Pulse and Evidence” discusses not “phlegm evidence”, but “drink evidence”. The following is an analysis of the concept of “phlegm-drinking” in the Jin Kui Essentials of Cough from the historical origin of this disease. Yan Yongbin, Department of Pediatrics, The First Affiliated Hospital of Henan College of Traditional Chinese Medicine1 The concepts of “phlegm” and “drink” were formed at different times. “concept. The earlier surviving ancient Chinese medical texts, such as the “52 disease formula” excavated in Mawangdui, Changsha, Han Dynasty, and the “Yellow Emperor’s Classic of Internal Medicine” and the “Difficult Classic” classical Chinese medical texts do not have the word “phlegm”; while the “Yellow Emperor’s Classic of Internal Medicine” has “drink”, ” The Yellow Emperor’s Classic of Internal Medicine already has the concepts of “drinking”, “overflowing drinking”, “drinking hair”, “drinking accumulation”, “water drinking”, and so on. In the early literature, the present meaning of phlegm was mostly expressed as “snot”, “saliva”, “foam” and so on. In the Han Dynasty, Zhang Zhongjing’s “Treatise on Typhoid Miscellaneous Diseases”, from the extant version, although the term “phlegm drink” appears, its connotation is different from the concept of “phlegm” that appeared in later times. In the Western Jin Dynasty, the Acupuncture and Moxibustion Classic and the Pulse Classic also had the term “drink” but not “phlegm”. Only after the Sui and Tang dynasties did medical books use the word “phlegm” one after another. The exploration of the theory, method and prescription of “phlegm” occurred after the Song Dynasty.2 The term “phlegm drink” in “The Essentials of the Golden Horoscope” is suspected to be a mistake of “light drink”. The earliest ancient text to record the term “phlegm drink”. So, we will think that “phlegm drink disease” is Zhongjing first proposed, if carefully examined perhaps not. Because Zhongjing’s original manuscript has been lost, we now see the version has long been completely different. From the Song Dynasty before some ancient books recorded “drink evidence” of the relevant content, many descriptions of “four drinks” of the chapter and sentence basically the same as the original “Jin Kui Essentials”, but all did not use the word “phlegm drink However, the word “phlegm drink” is not used, such as “light drink” in Wang Shuhe’s “Pulse Classic” of Jin Dynasty. In the currently available version of the Jin Kui Essentials, the chapter on “Phlegm and Cough Diseases with Pulse and Evidence”, Zhong Jing’s entire discussion is on the “drinking evidence” and does not address the modern term “phlegm evidence”. In the beginning, Zhongjing points out that “there are four types of drinks” and gives a detailed description of the lesions and symptoms of the “four types of drinks”. It shows that Zhongjing refers to “drink” whose extension is only limited to “four drinks”, and does not include the later “phlegm”. Therefore, the word “phlegm drink” in the book of “Jin Kui Essentials” is probably a mistake of transcription. There is no conclusive evidence to show that Wang Shuhe changed “phlegm drink” to “light drink”, and it seems more likely that later people copied “light drink” as “phlegm drink”. “3 The Huangdi Neijing already has a prototype of the difference between “phlegm” and “drink”. The fluid is divided into five …… in the heat of the stomach is slow for saliva. The evil is rebellious, the gas is closed and does not work, does not work is water swelling. Also said: “the yin and Yang airway is not accessible, the four seas are closed, the three jiao is not diarrhea, fluid is not transformed, water and grain in parallel in the stomach and intestines, not in the ileum, stay in the lower jiao, shall not penetrate the bladder, is the lower jiao distension, water overflow is water distension”. The authors of the later medical treatise on Drinking Diseases believe that this “water overflow is water distension” is exactly what the Su Wen – Pulse Essentials Essence Theory says: “Overflow drinkers are thirsty and drink a lot, and easily enter the muscle skin outside the stomach”; therefore, the Huang Di Nei Jing ” Overflow drinking” can be seen as the prototype of “phlegm drinking” in “Jin Kui Yao”. The “spittle” in “Huangdi Neijing” may be the prototype of “phlegm” in later times. In the Qing dynasty, the name of phlegm-drinking was analyzed in the book “Researching the JingYan”, and it was thought that “phlegm-drinking” was written as “flowing drink” in “Jin Kui Yao”; “phlegm” was derived from the word “light The word “phlegm” is derived from the word “light”; and “light” means “light saliva”, which is different from “turbid saliva”. Therefore, the word “saliva” in the Huangdi Neijing may refer to “turbid saliva”, which is also known as “phlegm” in later times.