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Analysis of the Therapeutic Characteristics in Women's Diseases from "Wu Peiheng's Medical Case Records"

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DOI: 10.23977/medcm.2025.070308 | Downloads: 0 | Views: 80

Author(s)

Zhang Xulin 1, Wang Ni 1

Affiliation(s)

1 Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China

Corresponding Author

Wang Ni

ABSTRACT

By analyzing nine medical cases of gynecological diseases in "Medical Cases of Wu Peiheng", this paper systematically explores the diagnostic and therapeutic characteristics of Wu Peiheng, a renowned figure of the Fire Spirit School, in treating gynecological diseases under the guidance of the theory of "Yang Dominates and Yin Follows". The research shows that the nine cases cover three major types of common gynecological diseases: menstrual disorders, pregnancy-related diseases, and postpartum diseases. The fundamental pathogenesis in all cases is the deficiency of Yang Qi. In treatment, a therapeutic system centered on restoring Yang, supporting Yang, and warming Yang has been formed. The prescriptions such as Sini Tang and its variations, Baitong Tang, Huiyang Yin, and Yi Yuan Nuangong Tang are frequently used, reflecting Wu's overall therapeutic feature of "warming and supporting Yang Qi". Through typical cases, this paper further reveals four distinctive characteristics of Wu's diagnosis and treatment of gynecological diseases: Firstly, Wu Peiheng attaches great importance to accurately differentiating between cold and heat syndromes and providing symptomatic treatment, thus breaking through the traditional mindset that "inflammation always belongs to heat". Secondly, he emphasizes examining symptoms to find the cause, differentiating syndromes to seek the root, tracing back to the origin, and directly targeting the essence of the disease. Moreover, he values syndrome differentiation and treatment, being flexible and adaptable. Only when the syndrome differentiation is accurate and the medicine is prescribed according to the syndrome can the treatment achieve the desired effect. Finally, he advocates grasping the patient's condition and guiding it in a favorable direction. The prescription should be changed in a timely manner according to the changes in the condition so that the patient can gradually recover. These four diagnostic and therapeutic characteristics together constitute Wu's complete academic system for treating gynecological diseases: a pathological view centered on Yang Qi, a diagnostic view of accurately differentiating cold and heat, a therapeutic view of seeking the root cause through syndrome differentiation, and a view of dynamic prescription adjustment. His unconventional syndrome differentiation thinking and flexible treatment methods are worthy of in-depth study and reference by contemporary medical practitioners in treating difficult gynecological diseases.

KEYWORDS

"Wu Peiheng Medical Cases"; Diseases Therapeutic approach; Women's diseases medical cases

CITE THIS PAPER

Zhang Xulin, Wang Ni, Analysis of the Therapeutic Characteristics in Women's Diseases from "Wu Peiheng's Medical Case Records". MEDS Chinese Medicine (2025) Vol. 7: 50-57. DOI: http://dx.doi.org/10.23977/medcm.2025.070308.

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