Abstract:

Pulmonary tuberculosis is an important branch of Traditional Chinese Medicine(TCM) deficiency and fatigue disease, caused by invasion of pulmonary tuberculosis insects and deficiency of vital energy, involving dysfunction of lungs, spleen, and kidneys. The “three books and two systems” theory proposed by Ming Dynasty physician Wang Qishi in his book Li Xu Yuan Jian provides guidance for the diagnosis and treatment of pulmonary tuberculosis based on syndrome differentiation. This article combines ancient literature and modern clinical practice to explore the guiding significance of the “three books and two systems” theory for pulmonary tuberculosis treatment, and clarifies that Yin deficiency and fire excess are the core pathogenesis of pulmonary tuberculosis; The imbalance of lungs is the starting point, the imbalance of spleen is the basis and outcome, and the imbalance of kidneys is the root cause. The three organs interact with each other and together constitute the pathogenesis and transmission process of pulmonary tuberculosis; Treatment should be based on nourishing lungs, spleen, and kidneys, mainly by nourishing Yin and lowering fire to promote the generation of gold and water, nourishing Qi and cultivating Yin to nourish soil and produce gold, nourishing Yin and supplementing Yang to strengthen the foundation and nourish the essence. At the same time, treatment should clear fire, kill insects, and eliminate evil, while also stop bleeding and resolving phlegm, and regulate the balance of supporting the body and eliminating evil, and combine with applying test cases of taking the “three books and two systems” theory on treating pulmonary tuberculosis, in order to provide theoretical basis and clinical reference for treating pulmonary tuberculosis with TCM.

Key words: Medicine, Chinese traditional, Tuberculosis, Therapeutic uses