- Email: [email protected]
Cases of constipation due to qi constraint
ELSEVIER
World Journal ofAcupuncture-Moxibustion (WJAM) Vol. 26, No.3, 30th Sep. 2016
• 59 •
Medical Record
Cases of constipation due to qi constraint' E(t~1£~~* 1. Key Laboratory of Acupuncture-Moxibustion of First Affiliated Hospital of Tianjin University of TCM, Tianjin 300193, China; 2. Department ofRehabilitation ofFirst Affiliated Hospital of Tianjin University of TCM (1. :7($9='~~*~~-~~~~#ff<~:m:J~~~~':7($ 300193, 9='~1; 2. :7($9='~~*~~ ~~~~)~UU4)
ARTICLE INFO First author: GAO Ying (1989- ), female, doctoral candidate. Researchfield: basic and clinical study of acupuncture in treatment of hypertension. E-mail: [email protected] c:>=«:l Corresponding author: WANG Shu
(1965-), male, chief physician. Researchfield: basic study of acupuncture in treatment of cerebrovascular diseases. E-mail: [email protected]
* Supported by: National Natural Science Foundation of China: 81202740; Special Research Fund of Doctoral Program of Higher Education of China:
ABSTRACT Acupuncture at Lieque (jufliJc LU 7) in treatment of one case of constipation was reported in this study, soothing the liver and resolving constraint and diffusing lung qi method were used. Bilateral Hegu (-g.~ LI 4), Talchong (:;t {lj:t LR 3) and Qimen tWHl LR 14) were needled for soothing the liver and rectifying qi, Danzhong (Hlq:t cv 17) was needled for diffusing the heart and lung and qi movement, and bilateral Neiguan (i*J~ PC 6), ZusanlT ().E-=-ll ST 36) and Zhongwan (q:t.JJ* CV 12) were needled for freeing and regulating qi in middle energizer, and fortifying the spleen and promoting defecation. After treatment based on syndrome differentiation, the patient's defecation was normal with once a day, and there was no discomfort, indicating that "lifting kettle lid" method can not only treat dribbling urinary block, but also free and regulate defecation. KEY WORDS: acupuncture; Lieque (jufliJc LU 7); constipation
20121210120002 Accepted on February 6, 2016
Patient, female, 57 years old. She visited outpatient department of acupuncture-moxibustion of First Affiliated Hospital of Tianjin University of TCM on October 15,2013 due to chest oppression and hypochondriac pain for three days caused by emotional stimulation. Chief complaint: chest oppression, hypochondriac pain, impatience and irascibility at other times; dark urine, without defecation for three days, poor sleep, bitter taste in the mouth, dry throat, red tongue, yellow and greasy coating, and wiry pulse. The patient suffered from binding constraint of liver qi, qi constraint transforming into fire, and counterflow invading the stomach due to vigorous liver fire and emotional stimulation. Bilateral Hegii (-g.~ LI 4), Taichong (:~{lj:t LR 3) and Qimen (WHl LR 14) were needled for soothing the liver and rectifying qi, Danzhong OIl9=' CV 17) was needled for diffusing the heart and lung and qi movement, and bilateral Neiguan (i*J:* PC 6), ZusanH (JE-=::'lI! ST 36) and Zhongwan
(9='.JJ* CV
12) were needled for freeing and regulating qi in middle energizer, and fortifying the spleen and promoting defecation. Acupuncture manipulation: the patient was asked in supine position, and the acupuncture site was disinfected conventionally; perpendicular insertion was conducted at LI 4 with the depth of 15 mm, and twirling for reducing method was performed; perpendicular insertion was conducted at LR 3 with the depth of 15 mm, and twirling for reducing method was performed; transverse insertion was conducted at LR 14 with the depth of 15 mm, and twirling for reducing method was performed; downward transverse insertion was conducted at CV 17 with the depth of 15 mm, and even reinforcing and reducing method was performed; perpendicular insertion was conducted at PC 6 with the depth of 15 mm, and even reinforcing and reducing method was performed; perpendicular insertion was conducted at CV 12 with the depth of 15 mm, and twirling for
·60·
WorldJournal ofAcupuncture-Moxibustion (WJAM) Vol. 26, No.3, 30th Sep. 2016
reducing method was performed. The needles were retained for 20 min, and the treatment was conducted once a day. After treatment for three days, chest oppression and hypochondriac pain were alleviated obviously, urination and sleep were normal, bitter taste in the mouth and dry throat disappeared, but still without defecation for two days. The patient said that she was suffered from constipation with once every two or three days at other times, and she took Ddhudng CAJt Radix et Rhizoma Rhei), Fiinxieye (ilH~nt Folium Sennae), Luhui (F~ Aloe), Juemingzi (~a)j Semen Cassiae) and other purgative prescriptions. At the beginning of administration, the medicines were effective, but they were ineffective after administration for a long time with a large dose, and the patient's symptoms aggravated day by day. Based on the examination of tongue and pulse, her tongue was red, coating was thin and yellow, and pulse was wiry and thready. Therefore, on the basis of above treatment, bilateral Sanyinjiao (.=:IDjjt SP 6) were needled for enriching yin and moistening the intestines, Tianshu (~m ST 25) and Quchi (I!llrt!! LI 11) were needled for unblocking the bowels and discharging heat, and Zhigou ("50tJ TE 6) was needled for freeing and regulating qi movement in three energizer. Acupuncture manipulation: the patient was asked in supine position, and the acupuncture site was disinfected conventionally; perpendicular insertion was conducted at SP 6 with the depth of 15 mm, and twirling for reinforcing method was performed; perpendicular insertion was conducted at ST 25 with the depth of 25 mm and lifting and thrusting for reducing method was performed; perpendicular insertion was conducted at LI 11 with the depth of 25 mm, and lifting and thrusting for reducing method was performed; perpendicular insertion was conducted at TE 6 with the depth of 15 mm, and twirling for reducing method was performed. The needles were retained for 20 min, and the treatment was conducted once a day.
r
After treatment for two days, the patient's symptoms disappeared completely, only the stool was dry and defecation was difficult. Enteroscopy was performed, which indicated that there was no obvious abnormality in intestinal tract. Rectal touch: dry and hard stool was touched inside the rectum, no obvious mass was touched on the rectum wall. Based on the examination of tongue and pulse, her tongue was red, coating was white, and pulse was wiry. In view of liver constraint transforming into fire for a long time, wood fire tormenting metal, lung failing to diffuse and
ELSEVIER
govern descent, and the interior-exterior relationship between the lung and large intestine, lifting kettle lid (fig opening and lifting lung qi for promoting urination and defecation) [I] method was conducted to unblock lung qi and lift qi of upper energizer, and when the upper energizer was opened, constraint and stagnation was eliminated. Bilateral Lieque (JU~ LV 7) were needled for diffusing and dispersing lung qi, LI 4 and LR 3 were needled for invigorating blood and moving qi, TE 6 was needled for regulating qi and directing counterflow downward, and SP 6 was needled for enriching yin and moistening the intestines. Acupuncture manipulation: the patient was asked in supine position, and the acupuncture site was disinfected conventionally; transverse insertion was conducted at LV 7 with the depth of 15 mm, and twirling for reducing method was performed; perpendicular insertion was conducted at LI 4 with the depth of 15 mm, and twirling for reducing method was performed; perpendicular insertion was conducted at LR 3 with the depth of 15 mm, and twirling for reducing method was performed; perpendicular insertion was conducted at TE 6 with the depth of 15 mm and twirling for reducing method was performed. The needles were retained for 20 min, and the treatment was conducted once a day. The patient visited outpatient department on the next day, and she said that she had a feeling of stool in the morning, and the defecation was normal. She hoped to continue the treatment for consolidation of therapeutic effect. Based on the examination of tongue and pulse, her tongue was red, coating was white, and pulse was slightly wiry. After treatment for seven consecutive days, the patient's constipation disappeared, and her defecation returned to normal. The patient was advised to adjust her emotion and combine exertion and rest, keep exercising to enhance gastrointestinal motility, and form a good habit of regular defecation; she was also asked to eat more grain, fruits and vegetables containing crude fiber!", drink more water and drink a cup of light salt brine in every morning. Follow-up visit was conducted two months later, the patient's defecation was normal with once a day, and there was no discomfort.
EXPERIENCES It is believed in traditional Chinese medicine that the basic pathogenesis of constipation is the dysfunction of conduction of large intestine, which is also related to the dysfunction of spleen, stomach,
ELSEVIER
WorldJournal ofAcupuncture-Moxibustion(WJAM) Vol. 26, No.3, 30th Sep. 2016
kidney, liver, lung, and other zang-fu organs. Generally, constipation has a long course of disease, and attacks patients repeatedly. The disease belongs to the symptom of root deficiency and branch excess, and common pathogenesis includes yin deficiency, yang deficiency, qi deficiency, blood deficiency, qi stagnation, heat bind and etc'", It was said in Lingshii «~;ffi:» Miraculous Pivot) that "Although the disease exists for a long time, it can be cured. If it is said that the disease cannot be cured, the method must be wrong." Therefore, as long as the syndrome differentiation is accurate, and acupoint selection is appropriate, constipation can be cured completely.
(
,
"Lifting kettle lid" method, a comparative statement in ancient times, is a method of treating dribbling urinary block in manner of promoting urination by diffusing and dispersing lung qi based on the theory of interdependence between ascending and descending of qi movement'", However, this method is not confined to treatment of dribbling urinary block, but also for freeing and regulating defecation'", It was said in Suwen (<< ~ rl:i]» ,Plain Questions) that "Lung can govern and regulate qi movement and the functions of zang-fu organs". Lung governs qi of the whole body, so all the diseases relating to qi movement can be treated based on lung. It was said in Shishi Milu ( n::J.'¥:~$» , Secret Records in a Stone Roomi 6J that "The patient suffering from constipation believes that the large intestine is dry, but actually, lung qi is dry. Dry lung qi can prevent the purified qi from descending to large intestine." It was said in Yijing Jingyi ( «~~fr!f;0 , Quintessence of Medical Classics) that "In order to rectify defecation, lung qi must be regulated first." It can be seen that "lifting kettle lid" method can not only treat dribbling urinary block, but also free and regulate defecation by diffusing and governing descent lung qi and raising the clear and directing the turbid downward. LV 7, an acupoint belonging to the hand-taiyin lung meridian and the hand-taiyang large intestine meridian, can free and regulate the meridian qi of lung and large intestine, and treat diseases of the two meridians, so that it can regulate lung qi to rectify defecation; LV 7 is also one of the eight confluence
• 61 • points; it connects with conception vessel, so it can free and regulate meridian qi of conception vessel, and treat diseases of conception vessel system. Conception vessel starts from private parts, so LV 7 can treat diseases of two lower orifices. Therefore, it can be concluded physiologically that LV 7 can free and regulate defecation. The patient suffered from liver constraint transforming into fire for a long time, wood fire tormenting metal, lung failing to diffuse and govern descent, and the interior-exterior relationship between the lung and large intestine due to emotional stimulation; the conduction of large intestine depended on the purification and descent function of lung, and the illness of lung resulted in constipation. Acupuncture at LR 3, LR 14 and LI 4 can soothe the liver and resolve constraint, symptoms were alleviated obviously, but stool was still dry and defecation was still difficult due to lung failing to diffuse and govern descent. LV 7 plays a role of "lifting kettle lid" by freeing and regulating meridian qi of lung and large intestine in treatment of constipation, so it can be promoted and applied clinically.
REFERENCES [1]
[2]
[3]
[4]
[5]
[6]
Xiao YG, Wu YW, Wang HM, Zhang JQ, Gao GF. Lifting kettle lid method in treatment of 42 cases of early postoperative inflammatory intestinal obstruction. Shaanxi J Tradit Chin Med (Chin) 2011; 32(11): 1480-1481. Chen KX, Xi Zw. Acupuncture and medicines combined with "lifting kettle lid" method in treatment of 60 cases of senile constipation. Chin Med Mod Dist Edu Chin (Chin) 2014; 12(4): 61-62. Liao QB, Yue DR. Discussion of TCM syndrome differentiation and treatment of senile constipation. Clin J Chin Med (Chin) 2010; 16(21): 1152-1153. Zhai CT, Yang PF. Theoretical basis and clinical application of "lifting kettle lid" method. J Shanxi ColI Tradit Chin Med (Chin) 2010; 11(4): 5-7. Gao H, Wang YG. "Lifting kettle lid" method in treatment of one case of constipation. Glob Tradit Chin Med (Chin) 2014; 7(11): 873-874. Chen SD. Shishi uu« (~~W;jJ{, Secret Records in a Stone Room). Taiyuan: Shanxi Science and Technology Publishing House; 2011: 34-35.
ABSTRACT IN CHINE SE
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~~lt~ilk 1t.o
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~IJ ilik:
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*
*
World Journal ofAcupuncture-Moxibustion (WJAM) Vol. 26, No.3, 30th Sep. 2016
• 59 •
Medical Record
Cases of constipation due to qi constraint' E(t~1£~~* 1. Key Laboratory of Acupuncture-Moxibustion of First Affiliated Hospital of Tianjin University of TCM, Tianjin 300193, China; 2. Department ofRehabilitation ofFirst Affiliated Hospital of Tianjin University of TCM (1. :7($9='~~*~~-~~~~#ff<~:m:J~~~~':7($ 300193, 9='~1; 2. :7($9='~~*~~ ~~~~)~UU4)
ARTICLE INFO First author: GAO Ying (1989- ), female, doctoral candidate. Researchfield: basic and clinical study of acupuncture in treatment of hypertension. E-mail: [email protected] c:>=«:l Corresponding author: WANG Shu
(1965-), male, chief physician. Researchfield: basic study of acupuncture in treatment of cerebrovascular diseases. E-mail: [email protected]
* Supported by: National Natural Science Foundation of China: 81202740; Special Research Fund of Doctoral Program of Higher Education of China:
ABSTRACT Acupuncture at Lieque (jufliJc LU 7) in treatment of one case of constipation was reported in this study, soothing the liver and resolving constraint and diffusing lung qi method were used. Bilateral Hegu (-g.~ LI 4), Talchong (:;t {lj:t LR 3) and Qimen tWHl LR 14) were needled for soothing the liver and rectifying qi, Danzhong (Hlq:t cv 17) was needled for diffusing the heart and lung and qi movement, and bilateral Neiguan (i*J~ PC 6), ZusanlT ().E-=-ll ST 36) and Zhongwan (q:t.JJ* CV 12) were needled for freeing and regulating qi in middle energizer, and fortifying the spleen and promoting defecation. After treatment based on syndrome differentiation, the patient's defecation was normal with once a day, and there was no discomfort, indicating that "lifting kettle lid" method can not only treat dribbling urinary block, but also free and regulate defecation. KEY WORDS: acupuncture; Lieque (jufliJc LU 7); constipation
20121210120002 Accepted on February 6, 2016
Patient, female, 57 years old. She visited outpatient department of acupuncture-moxibustion of First Affiliated Hospital of Tianjin University of TCM on October 15,2013 due to chest oppression and hypochondriac pain for three days caused by emotional stimulation. Chief complaint: chest oppression, hypochondriac pain, impatience and irascibility at other times; dark urine, without defecation for three days, poor sleep, bitter taste in the mouth, dry throat, red tongue, yellow and greasy coating, and wiry pulse. The patient suffered from binding constraint of liver qi, qi constraint transforming into fire, and counterflow invading the stomach due to vigorous liver fire and emotional stimulation. Bilateral Hegii (-g.~ LI 4), Taichong (:~{lj:t LR 3) and Qimen (WHl LR 14) were needled for soothing the liver and rectifying qi, Danzhong OIl9=' CV 17) was needled for diffusing the heart and lung and qi movement, and bilateral Neiguan (i*J:* PC 6), ZusanH (JE-=::'lI! ST 36) and Zhongwan
(9='.JJ* CV
12) were needled for freeing and regulating qi in middle energizer, and fortifying the spleen and promoting defecation. Acupuncture manipulation: the patient was asked in supine position, and the acupuncture site was disinfected conventionally; perpendicular insertion was conducted at LI 4 with the depth of 15 mm, and twirling for reducing method was performed; perpendicular insertion was conducted at LR 3 with the depth of 15 mm, and twirling for reducing method was performed; transverse insertion was conducted at LR 14 with the depth of 15 mm, and twirling for reducing method was performed; downward transverse insertion was conducted at CV 17 with the depth of 15 mm, and even reinforcing and reducing method was performed; perpendicular insertion was conducted at PC 6 with the depth of 15 mm, and even reinforcing and reducing method was performed; perpendicular insertion was conducted at CV 12 with the depth of 15 mm, and twirling for
·60·
WorldJournal ofAcupuncture-Moxibustion (WJAM) Vol. 26, No.3, 30th Sep. 2016
reducing method was performed. The needles were retained for 20 min, and the treatment was conducted once a day. After treatment for three days, chest oppression and hypochondriac pain were alleviated obviously, urination and sleep were normal, bitter taste in the mouth and dry throat disappeared, but still without defecation for two days. The patient said that she was suffered from constipation with once every two or three days at other times, and she took Ddhudng CAJt Radix et Rhizoma Rhei), Fiinxieye (ilH~nt Folium Sennae), Luhui (F~ Aloe), Juemingzi (~a)j Semen Cassiae) and other purgative prescriptions. At the beginning of administration, the medicines were effective, but they were ineffective after administration for a long time with a large dose, and the patient's symptoms aggravated day by day. Based on the examination of tongue and pulse, her tongue was red, coating was thin and yellow, and pulse was wiry and thready. Therefore, on the basis of above treatment, bilateral Sanyinjiao (.=:IDjjt SP 6) were needled for enriching yin and moistening the intestines, Tianshu (~m ST 25) and Quchi (I!llrt!! LI 11) were needled for unblocking the bowels and discharging heat, and Zhigou ("50tJ TE 6) was needled for freeing and regulating qi movement in three energizer. Acupuncture manipulation: the patient was asked in supine position, and the acupuncture site was disinfected conventionally; perpendicular insertion was conducted at SP 6 with the depth of 15 mm, and twirling for reinforcing method was performed; perpendicular insertion was conducted at ST 25 with the depth of 25 mm and lifting and thrusting for reducing method was performed; perpendicular insertion was conducted at LI 11 with the depth of 25 mm, and lifting and thrusting for reducing method was performed; perpendicular insertion was conducted at TE 6 with the depth of 15 mm, and twirling for reducing method was performed. The needles were retained for 20 min, and the treatment was conducted once a day.
r
After treatment for two days, the patient's symptoms disappeared completely, only the stool was dry and defecation was difficult. Enteroscopy was performed, which indicated that there was no obvious abnormality in intestinal tract. Rectal touch: dry and hard stool was touched inside the rectum, no obvious mass was touched on the rectum wall. Based on the examination of tongue and pulse, her tongue was red, coating was white, and pulse was wiry. In view of liver constraint transforming into fire for a long time, wood fire tormenting metal, lung failing to diffuse and
ELSEVIER
govern descent, and the interior-exterior relationship between the lung and large intestine, lifting kettle lid (fig opening and lifting lung qi for promoting urination and defecation) [I] method was conducted to unblock lung qi and lift qi of upper energizer, and when the upper energizer was opened, constraint and stagnation was eliminated. Bilateral Lieque (JU~ LV 7) were needled for diffusing and dispersing lung qi, LI 4 and LR 3 were needled for invigorating blood and moving qi, TE 6 was needled for regulating qi and directing counterflow downward, and SP 6 was needled for enriching yin and moistening the intestines. Acupuncture manipulation: the patient was asked in supine position, and the acupuncture site was disinfected conventionally; transverse insertion was conducted at LV 7 with the depth of 15 mm, and twirling for reducing method was performed; perpendicular insertion was conducted at LI 4 with the depth of 15 mm, and twirling for reducing method was performed; perpendicular insertion was conducted at LR 3 with the depth of 15 mm, and twirling for reducing method was performed; perpendicular insertion was conducted at TE 6 with the depth of 15 mm and twirling for reducing method was performed. The needles were retained for 20 min, and the treatment was conducted once a day. The patient visited outpatient department on the next day, and she said that she had a feeling of stool in the morning, and the defecation was normal. She hoped to continue the treatment for consolidation of therapeutic effect. Based on the examination of tongue and pulse, her tongue was red, coating was white, and pulse was slightly wiry. After treatment for seven consecutive days, the patient's constipation disappeared, and her defecation returned to normal. The patient was advised to adjust her emotion and combine exertion and rest, keep exercising to enhance gastrointestinal motility, and form a good habit of regular defecation; she was also asked to eat more grain, fruits and vegetables containing crude fiber!", drink more water and drink a cup of light salt brine in every morning. Follow-up visit was conducted two months later, the patient's defecation was normal with once a day, and there was no discomfort.
EXPERIENCES It is believed in traditional Chinese medicine that the basic pathogenesis of constipation is the dysfunction of conduction of large intestine, which is also related to the dysfunction of spleen, stomach,
ELSEVIER
WorldJournal ofAcupuncture-Moxibustion(WJAM) Vol. 26, No.3, 30th Sep. 2016
kidney, liver, lung, and other zang-fu organs. Generally, constipation has a long course of disease, and attacks patients repeatedly. The disease belongs to the symptom of root deficiency and branch excess, and common pathogenesis includes yin deficiency, yang deficiency, qi deficiency, blood deficiency, qi stagnation, heat bind and etc'", It was said in Lingshii «~;ffi:» Miraculous Pivot) that "Although the disease exists for a long time, it can be cured. If it is said that the disease cannot be cured, the method must be wrong." Therefore, as long as the syndrome differentiation is accurate, and acupoint selection is appropriate, constipation can be cured completely.
(
,
"Lifting kettle lid" method, a comparative statement in ancient times, is a method of treating dribbling urinary block in manner of promoting urination by diffusing and dispersing lung qi based on the theory of interdependence between ascending and descending of qi movement'", However, this method is not confined to treatment of dribbling urinary block, but also for freeing and regulating defecation'", It was said in Suwen (<< ~ rl:i]» ,Plain Questions) that "Lung can govern and regulate qi movement and the functions of zang-fu organs". Lung governs qi of the whole body, so all the diseases relating to qi movement can be treated based on lung. It was said in Shishi Milu ( n::J.'¥:~$» , Secret Records in a Stone Roomi 6J that "The patient suffering from constipation believes that the large intestine is dry, but actually, lung qi is dry. Dry lung qi can prevent the purified qi from descending to large intestine." It was said in Yijing Jingyi ( «~~fr!f;0 , Quintessence of Medical Classics) that "In order to rectify defecation, lung qi must be regulated first." It can be seen that "lifting kettle lid" method can not only treat dribbling urinary block, but also free and regulate defecation by diffusing and governing descent lung qi and raising the clear and directing the turbid downward. LV 7, an acupoint belonging to the hand-taiyin lung meridian and the hand-taiyang large intestine meridian, can free and regulate the meridian qi of lung and large intestine, and treat diseases of the two meridians, so that it can regulate lung qi to rectify defecation; LV 7 is also one of the eight confluence
• 61 • points; it connects with conception vessel, so it can free and regulate meridian qi of conception vessel, and treat diseases of conception vessel system. Conception vessel starts from private parts, so LV 7 can treat diseases of two lower orifices. Therefore, it can be concluded physiologically that LV 7 can free and regulate defecation. The patient suffered from liver constraint transforming into fire for a long time, wood fire tormenting metal, lung failing to diffuse and govern descent, and the interior-exterior relationship between the lung and large intestine due to emotional stimulation; the conduction of large intestine depended on the purification and descent function of lung, and the illness of lung resulted in constipation. Acupuncture at LR 3, LR 14 and LI 4 can soothe the liver and resolve constraint, symptoms were alleviated obviously, but stool was still dry and defecation was still difficult due to lung failing to diffuse and govern descent. LV 7 plays a role of "lifting kettle lid" by freeing and regulating meridian qi of lung and large intestine in treatment of constipation, so it can be promoted and applied clinically.
REFERENCES [1]
[2]
[3]
[4]
[5]
[6]
Xiao YG, Wu YW, Wang HM, Zhang JQ, Gao GF. Lifting kettle lid method in treatment of 42 cases of early postoperative inflammatory intestinal obstruction. Shaanxi J Tradit Chin Med (Chin) 2011; 32(11): 1480-1481. Chen KX, Xi Zw. Acupuncture and medicines combined with "lifting kettle lid" method in treatment of 60 cases of senile constipation. Chin Med Mod Dist Edu Chin (Chin) 2014; 12(4): 61-62. Liao QB, Yue DR. Discussion of TCM syndrome differentiation and treatment of senile constipation. Clin J Chin Med (Chin) 2010; 16(21): 1152-1153. Zhai CT, Yang PF. Theoretical basis and clinical application of "lifting kettle lid" method. J Shanxi ColI Tradit Chin Med (Chin) 2010; 11(4): 5-7. Gao H, Wang YG. "Lifting kettle lid" method in treatment of one case of constipation. Glob Tradit Chin Med (Chin) 2014; 7(11): 873-874. Chen SD. Shishi uu« (~~W;jJ{, Secret Records in a Stone Room). Taiyuan: Shanxi Science and Technology Publishing House; 2011: 34-35.
ABSTRACT IN CHINE SE
*-m
[!iii ~J 1r~ 1" 4t>1ttl ~IJ ilik:R.~f;111t.~;k~tit-1?~ 0 ~JJtWf4i~, wilJl;fi,1ii.,€f.J ~*, -f4t>1ttl5!X..19!~~~, :k. ~,*n~~JJt.~,#~.t~W.~Jl;fi~~,#~5!X...~*,~~Iat~~il~tA~~,.~ il1t. 0 -#fiiE ~~ Jf>, .~:t- k 1t..JE. 't, -it a - H, JG ~ 1t1!.:r-: i!. 0 tt tit i>t l1}] A. fJI.J " .f;t. ~ ~ ~ " ~ :r-: 15l ~lt il,fIJ 'J'1t.,
~~lt~ilk 1t.o
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