RÉSUMÉ
Baimai is a complex of structure and function with the characteristics of wide distribution, complex structure, and multi-dimensional functions. Baimai, consisting of the channels in brain, the internal hidden channels connecting the viscera, and the external channels linking the limbs, governs the sensory, motor, and information transmission functions of human. According to Tibetan medicine, Baimai functions via "Long"(Qi) which moves in Baimai. "Long" is rough, light, cold, tiny, hard, and dynamic. The dysfunction of Baimai is manifested as numbness, swelling and pain, stiffness, atrophy, contracture, disability, hyperactivity, etc. The clinical manifestations of Baimai disease are facial paralysis, limb numbness, hemiplegia, contracture and rigidity, pain, opistho-tonos, paralysis, unconsciousness, head tremor, aphasia and tongue stiffness, and other abnormalities in facial consciousness, limb movement, and tactile sensation. Baimai Ointment for external use is used for the treatment of Baimai disease. It is mainly composed of medicinals which are spicy and bitter, warm, soft, mild, heavy, moist, and stable, and thus it is effective for the rough, light, cold, tiny, hard, and dynamic "Long" of Baimai disease. In clinical practice, it is mainly used for musculoskeletal diseases, such as osteoarthritis, scapulohumeral periarthritis, cervical spondylosis, low back pain, myofascitis, and tenosynovitis, nervous system diseases, such as paralysis and shoulder-hand syndrome, and limb stiffness caused by stroke, spastic cerebral palsy, trigeminal neuralgia, and facial neuritis, and limb motor and sensory dysfunction caused by trauma. According to the main symptoms of Baimai disease such as stiffness, rigidity, contraction, numbness, sensory disturbance and pain, clinicians should apply the Baimai Ointment via the inunction treatment of Tibetan medicine and in combination with Huo'ermai therapy and physiotherapy.
Sujet(s)
Humains , Médicaments issus de plantes chinoises , Oedème , Médecine traditionnelle tibétaine , DouleurRÉSUMÉ
Qingjin Huatanpang, first contained in Yixue Tongzhi, was composed of eleven medicinal materials of Scutellariae Radix, Gardeniae Fructus, Fritillariae Thunbergii Bulbus, Mori Cortex, Trichosanthis Semen Tostum, Citri Exocarpium Rubrum, Platycodonis Radix, Ophiopogonis Radix (core removed), Anemarrhenae Rhizoma, Poria and Glycyrrhizae Radix et Rhizoma. It is a classic prescription created by YE Wen-ling in Ming dynasty for treating pulmonary disease with phlegm-heat obstructing lung syndrome. With the significant functions of clearing heat and moistening lung, reducing phlegm and relieving cough, it has been included in the "Classic Catalogue of Ancient Classics (First Batch)". Modern pharmacological studies have shown that Qingjin Huatantang has multiple activities such as relieving cough and eliminating phlegm, anti-inflammatory, bronchodilation, and immunoregulatory, and now it is commonly used for treating infectious lung diseases, such as acute exacerbation of chronic obstructive pulmonary disease, community acquire pneumonia, bronchiectasis, acute and chronic bronchitis in a form of its modified prescription or its combined use with western medicine, consistent with the clinical application in ancient times. According to the literatures on the study of Qingjin Huatantang published in recent years, this paper summed up the historical evolution, compatibility analysis, chemistry constituents, quality control, advances in pharmacology research, and clinical uses, which can provide theoretical and experimental data reference for further research and development, and proposed to establish a biological activity assay for quality control based on the pharmacological effect such as immunoregulatory activity, which can improve its quality control method and provide a reference for other famous classical formulas.