最新刊期
期 7 ， 2021
- 摘要：This article introduced a medical case of national TCM master LIU Jiaxiang in the treatment of advanced breast cancer after the failure of modern medical multi-line therapies. Master LIU established the methods of enforcing the spleen, nourishing the kidney, soothing the liver, resolving phlegm and softening hardness, clearing heat and toxins, dissipating stasis and dissolving knots, and expelling wind and dredging meridians, keeping the patient with refractory breast cancer survive with tumors and improving her quality of life. This medical case embodies the method of “strengthening vital qi to treat cancer“ , which is “patient-centered with emphasis on both patient and tumor“ . The case is worthy of reference in the clinical practice of TCM.关键词：experience of famous doctors;LIU Jiaxiang;breast cancer;medical case
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发布时间：2023-09-15 - 摘要：On the basis of traditional eight-principal syndrome differentiation and medical theories of past dynasties, Professor SHEN Shuwen combined with years of clinical practice, proposed a “three dimensions and six principles“ syndrome differentiation method for esophageal cancer, integrating the six principals of cold and heat, deficiency and excess, reverse and stagnation throughout the cause and nature of disease, and disease state ofesophageal cancer. The main method of clinical diagnosis is to absorb food into the grains and store the stomach qi,and the treatment is to resolve phlegm and promote qi, detoxify and remove blood stasis, etc., especially to moisturize and reduce, often obtain good effect. This article combined typical cases to introduce Professor SHEN’s experience insyndrome differentiation and treatment for esophageal cancer based on the “three dimensions and six principles“ , in order to provide differentiation and treatment ideas for TCM related treatment.关键词：experience of famous doctors;SHEN Shuwen;esophageal cancer;three dimensions and six principles;syndrome differentiation and treatment
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发布时间：2023-09-15 - 摘要：Dry eye is one of the most common ocular surface diseases. The incidence rate is increasing year by year, and its clinical effect is not good. It has many effects on the quality of life and mental health of patients. Five wheels and eight outlines is a traditional valuable theory of ophthalmology, which has unique advantages for clinical diagnosis and treatment. It has incomparable advantages in the diagnosis and treatment of ophthalmic diseases by other dialectical methods. According to the pathogenesis of contemporary dry eye tradifional Chinese medicine, XIE Like combined traditional medical experience with 30 years of clinical experience, creatively proposed liver depression and yin deficiency as the pathogenesis. The method of soothing the liver and nourishing Yin was used to treat the disease, and the clinical treatment achieved good results. Based on the theory of five rounds and eight outlines, this paper discusses the pathogenesis of dry eye and the compatibility of Xiaosheng powder, in order to help the same way.关键词：five wheel eight outline;dry eye;soothing liver and nourishing Yin method;Xiaosheng powder (逍生散);XIE Like
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发布时间：2023-09-15 - 摘要：This paper introduced Professor XIE Jingri's experience on treating chronic atrophic gastritis (CAG) . Professor XIE holds that CAG is caused by deficiency in origin and excess in superficiality, closely related to deficiency, stagnation, blood stasis and toxin. Deficiency of spleen and stomach, imbalance of Qi mechanism and mutual combination of blood stasis and toxin are the basic pathogenesis, which belongs to deficiency of origin and excess of superficiality. The main treatment is to strengthen the spleen and stomach, replenish Qi and nourish yin, to soothe the liver and relieve depression, to regulate Qi, to activate blood circulation and remove blood stasis, to clear heat and detoxify. The curative effect is remarkable. And two proven cases were attached.关键词：chronic atrophic gastritis;TCM therapy;experience of famous doctors;XIE Jingri
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发布时间：2023-09-15 - 摘要：DAI Lisan was one of the four famous traditional Chinese medicine(TCM)doctors in Yunnan Province. Hededicated his entire life to study and practice TCM, also the development of clinical and educational career. During his 49 years' career, DAI Lisan has saved many seriously ill patients' lives, gaining him great reputation in Yunnan. He has unique and valuable experiences. He believes that Yang syndrome is easy to cure. On the contrary, Yin syndrome is hard. Therefore, he was good at the method of "turning to Yang syndrome", namely, he would use high-dose of heat and warm drugs to turn Yin syndrome to Yang syndrome, then use clearing-heat drugs to treat Yang syndrome. He is good at "Opening door" method which is applied to smooth Qi of Taiyang in order to expel pathogen Qi. Additionally, he canonizes Yang Qi and is good at using warm drugs with high dose, such as Fuzi(Aconm Lateralis Radix Praeparaia), Ganjiang(Zingiberis Rhizoma), Rougui(Cinnamomi Cortex), etc. He values the healthy energy. Additionally, he inheritances classic prescriptions and uses them flexibly according to patients' syndromes. He likes food therapy besides medicines. Furthermore, he creates many new and effective prescriptions, such as Xiaobai Fuzi Tianma Decoction(小白附子天麻汤), Linggui Jiangban Decoration(姜桂苓半汤), Sangye Lianbei Powder(桑叶连贝散), etc. Overall, summarizing and studying the relevant contents has a positive effect on the improvement of clinical effects.关键词：DAI Lisan;clinical characteristic;experience
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发布时间：2023-09-15 - 摘要：Acute appendicitis is a common surgical disease, ranking the first in all kinds of acute abdomen diseases.It belongs to the category of “intestinal carbuncle“ in traditional Chinese medicine.LI Ke, an old traditional Chinese medical doctor, believed that “all diseases are caused by Qi disorder“ and clinical syndrome differentiation should be based on “understanding its source before understanding its development“ .He summarized the pathogenesis of acute appendicitis as deficiency of Qi, block of Shaoyang movement and transformation, deficiency of local part and transforming into dampness, heat and fire.Therefore, in the treatment of acute appendicitis, the core theory is “Qi-dampness“ , the mechanism is “the pathogenesis governs all diseases“ , and the method is “mediating the pivot of Shaoyang“ .The theory guides the practice, and the treatment of acute appendicitis with the addition and subtraction of Dachaihu Decoction(大柴胡汤)is effective.关键词：LI Ke;all diseases caused by Qi disorder;mediating pivot of Shaoyang;acute appendicitis
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发布时间：2023-09-15 - 摘要：Bi syndrome has a long history.It is first seen in Huangdi Neijing.The etiology and pathogenesis of the disease are complex.Doctors of all ages have different opinions on this, and the treatment is quite different, but most of them are mainly to dispel wind, remove dampness and disperse cold.Huoxiang Zhengqi Powder(藿香正气散)comes from Taiping Huimin Heji Jufang.It is a classic prescription for treating external cold and internal dampness.It is commonly used in gastrointestinal cold, dyspepsia and other diseases.Professor PENG Jiangyun, a famous doctor in Yunling, often uses Huoxiang Zhengqi Powder to treat rheumatoid arthritis, osteoarthritis and gout, which belong to cold dampness arthralgia syndrome and dampness heat arthralgia syndrome.Professor PENG believes that the key to the treatment of arthralgia of cold-dampness syndrome and damp-heat syndrome is to treat “dampness“ , and the treatment of “dampness“ lies in the treatment of “spleen“ .Huoxiang Zhengqi Powder has the functions of relieving exterior dampness, regulating Qi and harmonizing the middle.The treatment of Bi syndrome can dispel exterior pathogenic factors and internal invigorate spleen and remove dampness, which can kill two birds with one stone.The curative effect is very good.关键词：Huoxiang Zhengqi Powder(藿香正气散);Bi syndrome;treatment experience;PENG Jiangyun
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发布时间：2023-09-15 - 摘要：Bi syndrome has a long history. It is first seen in Huangdi Neijing. The etiology and pathogenesis of the disease are complex. Doctors of all ages have different opinions on this, and the treatment is quite different, but most of them are mainly to dispel wind, remove dampness and disperse cold. Huoxiang Zhengqi Powder (藿香正气散) comes from Taiping Huimin Heji Jufang. It is a classic prescription for treating external cold and internal dampness. It is commonly used in gastrointestinal cold, dyspepsia and other diseases. Professor PENG Jiangyun, a famous doctor in Yunling, often uses Huoxiang Zhengqi Powder to treat rheumatoid arthritis, osteoarthritis and gout, which belong to cold dampness arthralgia syndrome and dampness heat arthralgia syndrome. Professor PENG believes that the key to the treatment of arthralgia of cold-dampness syndrome and damp-heat syndrome is to treat "dampness" , and the treatment of "dampness" lies in the treatment of "spleen" . Huoxiang Zhengqi Powder has the functions of relieving exterior dampness, regulating Qi and harmonizing the middle. The treatment of Bi syndrome can dispel exterior pathogenic factors and internal invigorate spleen and remove dampness, which can kill two birds with one stone. The curative effect is very good.关键词：Huoxiang Zhengqi Powder (藿香正气散);Bi syndrome;treatment experience;PENG Jiangyun
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发布时间：2023-09-15 - 摘要：The paper summarizes chief physician Wang Zili’s experience in treating difficult and miscellaneous diseases in various departments with classical prescription flexibly from four aspects:modified Guizhi Tang in treating head and body pain caused by external factors,unexplained fever,postpartum joint pain,hyperhidrosis and palmar hyperhidrosis,the clinical application of Guizhi Tang mainly takes the disharmony of Qi and blood,the imbalance of nutrient Qi and defensive Qi,the disharmony of Yin and Yang as the pathogenesis,regulating nutrient Qi and defensive Qi,adjusting and tonifying Qi and blood,balancing Yin and Yang as the key.关键词：Guizhi Tang;the proven cases;Wang Zili
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发布时间：2023-09-15 - 摘要：Seaweed-licorice is one of the eighteen contraindications of traditional Chinese medicine, which is often considered to increase the toxic and side effects on human body and is rarely used in clinical practice. Professor Zhang Xijian, one of the famous TCM doctors in China, has many years of clinical experience, do the opposite, clinical treatment of lung cancer focus on phlegm and toxin stagnation, common seaweed-licorice drugs to dispel phlegm, disperse detoxification without injury, no obvious adverse reactions were observed during the clinical treatment. To expound Professor Zhang Xijian’s analysis of the etiology and pathogenesis of malignant tumors, common drugs and specific diagnosis and treatment cases of malignant tumors caused by phlegm and toxin stagnation to analyze Professor Zhang Xijian’s experience in treating phlegm-toxic lung cancer with seaweed-licorice medicine.关键词：Seaweed-licorice;medicine suits;Phlegm-toxic Lung Cancer
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发布时间：2023-09-15 - 摘要：Polycystic ovary syndrome is a complex gynecological endocrine disease, incidence rate is high in childbearing age women, which often causes infertility owing to ovulation disorders. Western medicine mostly uses drug ovulation induction or assisted reproductive technology, but there are many adverse reactions. According to many years of clinical experience, Zhao Wei chief physician believes that kidney deficiency is the root of the disease. Kidney deficiency leads to the loss of Chong Ren's uterus, and blood stasis and phlegm dampness lead to poor Qi and blood circulation. According to the etiology, pathogenesis and menstrual cycle changes of the disease, she advocates the combination of tonifying and dredging, strengthening the kidney and regulating the cycle to treat infertility caused by polycystic ovary syndrome, and has achieved good clinical effect.关键词：Infertility;Deficiency of Spleen and Kidney;Combination of Tonifying and Dredging;Treatment According to Cycle;Polycystic ovary syndrome
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发布时间：2023-09-15 - 摘要：ObjectiveTo study the clinical efficacy and safety of Fuzheng Jiedu Formula (Reinforcing Healthy Qi and Removing Toxin Granules, FZJDF) in children who suffer fromcontinuous or chronic immune thrombocytopenia with pattern of qi failing to control blood.Methods120 children who suffer from continuous or chronic immune thrombocytopenia with pattern of qi failing to control blood were selected from the outpatients of Professor Yu Huiping in Dongzhimen Hospital of Beijing University of Chinese Medicine from February 2017 to September 2020. They were randomly divided into experimental group (n=60) and control group (n=60) according to the time sequence. Patients in both groups were given multi-vitamin tablets and compound rutin tablets. The experimental group was additionally given FZJDF, and the control group was given the placebo (the simulant granule of FZJDF). Two groups were daily treated with one prescription divided into two doses, one in the morning and one in the afternoon, and the treatment course was 6 months. The total effective rate, TCM pattern effetiveness, platelet count, TCM pattern scores, haemorrhage grading and adverse reactions of the two groups were compared before and 6 months after treatment.ResultsThe total effective rate was 63.33% in the experimental group and 13.16% in the control group after the treatment for 6 months. The difference was statistically significant (P<0.01). The effective rate of TCM pattern was 96.67% in the experimental group and 50.00% in the control group. The differenceswere statistically significant (P<0.01). Comparing with before treatment, the efficacy of improving platelet count in the experimental group was increased after the treatment for 1, 3, 6 months, The difference was statistically significant (P<0.01). TCM pattern scores (primary and secondary symptoms) of patients were both reduced after treatment in two groups compared with those before treatment (P<0. 05, P<0.01). At six months after treatment, TCM pattern scores (primary and secondary symptoms) of patients in the experiment group were all lower than those in the control group (P<0.01). Comparing the haemorrhage grade scale of two groups, the total improvement rate of the experimental group was 98.33% and it was better than that (55.26%) in the control group. The difference was statistically significant (P<0.01).ConclusionFZJDF demonstrates its benefits for children who suffer from continuous or chronic immune thrombocytopenic purpura with pattern of qi failing to control blood. It can increase the platelet count with high safety profile.关键词：Fuzheng Jiedu Formula;Children;Immune thrombocytopenia
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发布时间：2023-09-15 - 摘要：ObjectiveTo observe the effects of interactive scalp acupuncture on cognitive function, depression, anxiety and sleep quality in patients with post-stroke patients.MethodsA total of 445 patients with stroke who had been admitted to the Rehabilitation Department of Nan'ao People's Hospital, Shenzhen Second People's Hospital and Shenzhen Futian District Hospital of Traditional Chinese Medicine from May 2019 to May 2020 were selected and randomly divided into the experimental group (n=223) and the control group (n=222), with 23 cases shed in the experimental group and 22 cases shed in the control group. Two groups of patients were treated with standard care and conventional rehabilitation exercise therapy. The experimental group was given interactive head acupuncture therapy, while the control group was given conventional scalp acupuncture and cognitive training therapy for a course of 8 weeks. Before the initial treatment, at the end of the treatment course, and at the follow-up 2 months later, Montreal Cognitive Assessment Scale (MoCA), Mini-mental State Examination (MMSE), Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), Pittsburgh Sleep Quality Index (PSQI), and Modified Barthel Index (MBI) were evaluated. The levels of serum Brain-derived Neurotrophic Factor (BDNF) and Nerve Growth factor (NGF) were measured before and after the first treatment.ResultsAt the end of the treatment course and at the follow-up, the scores of MoCA, MMSE and MBI in the experimental group were increased compared with those before treatment (P<0.01), and the scores of HAMD, HAMA and PSQI were decreased compared with those before treatment (P<0.01). MoCA scores increased (P<0.01) and HAMD scores of the control group decreased (P<0.01) both at the end of the treatment course and at the follow-up, whereas MMSE and MBI scores of the control group increased only at the end of treatment (P<0.01). The scores of MoCA, MMSE and MBI in the experimental group were higher than those in the control group at the end of the course and at the follow-up (P<0.01), and the scores of HAMD, HAMA and PSQI in the experimental group were lower than those in the control group (P<0.01). In terms of serological indexes, the levels of BDNF and NGF in both groups at the end of the course of treatment were higher than those before treatment (P<0.01), and those in the experimental group were higher than those in the control group (P<0.01).ConclusionInteractive scalp acupuncture can significantly improve not only the cognitive function, depression, anxiety but also the sleep quality and self-care ability of patients with stroke, and promote the recovery of cerebral nerve function. Compared with conventional rehabilitation treatment, it has the efficacy advantage which can be maintained after stopping the treatment.关键词：interactive scalp acupuncture;stroke;cognitive function;depression;anxiety
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发布时间：2023-09-15 - 摘要：To explore Professor HUANG Wenzheng’s clinical experience in treating difficult chronic kidney diseases, and lists four cases: Danggui Shaoyao Powder combined with Liujinu Decoction for treating lumbago of adult polycystic kidney disease; treatment of senile nephrotic syndrome with Fangji Fuling Decoction, Zhenwu Decoction combined with Siwu Decoction and Shuilu Erxian Dan; treatment of lupus nephritis with Maimendong Decoction combined with Simiao Yongan Decoction; treatment of hepatitis B virus associated nephritis with Yinchenhao Decoction combined with Chaihu Dayuan Decoction and Shengjiang Powder.Professor HUANG combines both syndrome differentiation and disease differentiation, clinical medication not only has the rigor of classical prescriptions to aim at pathogenesis, but also has the lightness of current prescriptions to take care of diseases, and integrates classical prescriptions and current prescriptions, but the effect is superior to pursue curative effect, which is sufficient for clinical reference.关键词：chronic kidney disease;Classical prescription;current prescription;clinical experience of famous experts;HUANG Wenzheng
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发布时间：2023-09-15 - 摘要：The syndrome of qi deficiency and yang debility is a common pathogenesis in the elderly patients with diabetes, promoting the occurrence and development of various diabetic complications such as angiopathy, neuropathy, and nephropathy, etc. Academician Tong Xiaolin often uses milkvetch root, Chinese angelica and epimedium herb as a prescription basis in his clinical practice of treating senile diabetes with the syndrome. Milkvetch root, known as the best herb for invigorating qi, has the nature of ascending qi and can fill qi in blood vessels, which is commonly used 24 g or 30 g. When Chinese angelica and milkvetch root are used together to promote the mutual growth of qi and blood, it can also nourish blood and promote the blood circulation to protect collaterals, with a common dosage of 15 g. Epimedium herb can warm the kidney and activate yang, and can be administered in a small dose to warm up and dissipate cold pathogens, to generate and transform qi and blood inexhaustibly, with a commonly used dosage of 9 g, and 15 g for the extreme yang deficiency. When the three herbs are used at the same time, they can impove qi, blood and yang, strengthening the effects of each other, which can both improve the "aging state" and are also of great benefit to the improvement of various diabetes complications.关键词：senile diabetes;milkvetch root;Chinese angelica;Epimedium Herb
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发布时间：2023-09-15 - 摘要：Diffuse thyroid lesions are the common ultrasound manifestation of hyperthyroidism or hypothyroidism caused by a variety of reasons, including hyperthyroidism, thyroiditis, etc. Academician Tong Xiaolin believes that this type of disease is mainly caused by emotional disorders and presents a development process of "stagnation, blood stasis, deficiency" . For its treatment, attention should be paid to recognizing the cause and pursuing the effect, regulating the states and treating the target. For the state of stagnation of phlegm and fire in its early stage, common selfheal fruit-spike, catclaw buttercup root and common scouring rush herb can clear heat-fire, dissipate phlegm and resolve masses, regulating the state and target at the same time, with the commonly used clinical dosage of common selfheal fruit-spike 30-60 g, catclaw buttercup root 15-30 g, and common scouring rush herb 15 g.关键词：diffuse thyroid lesions;common selfheal fruit-spike;catclaw buttercup root;common scouring rush herb
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发布时间：2023-09-15 - 摘要：Academician Tong Xiaolin divides type 2 diabetes into four stages: stagnation, heat, deficiency and debility. When the disease reaches its last two stages, there will occur many complications. In these two stages, the core pathogenesis is insuficient vital qi, deficiency of both yin and yang, accompanied by blood stasis. Its treatment should focus on strengthening vital qi, regulating and tonifying yin and yang, supplemented by promoting blood circulation for removing blood stasis, and treating various complications according to their syndromes. Cassia bark, common macrocarpium fruit and dried fresh ginseng are the three herbs in a minor prescription commonly used by Professor Tong Xiaolin for benefiting and strengthening vital qi, invigorating yin and yang. The three medicines, collectively called Wencui Decoction, can always be used in combination in the late stage of type 2 diabetes with the syndrome of yin and yang deficiency, with the common dosage of cassia bark 3-30 g, common macrocarpium fruit 9-60 g, and dried fresh ginseng 6-30 g.关键词：diabetes;cassia bark;common macrocarpium fruit;dried fresh ginseng;Wencui Decoction
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发布时间：2023-09-15 - 摘要：Professor Li Jing believes that weakness of the spleen and stomach is the key to the pathogenesis of digestive tract tumor. Intermingled deficiency and cold are common, and blood stasis and toxin are often mixed and lead to disease. In addition, patients with digestive tract tumor have long-term emotional discomfort, which leads to stagnation of liver qi, while wood stagnation constrains earth, so abnormal transportation and transformation, and ascending and descending of qi movement appear. It is necessary to treat the disease by warming and toning the middle energizer, regulating qi, ascending and descending at the same time, removing blood stasis and generating muscles, and assisting with detoxification, harmonizing the internal organs and qi, coordinating the upper and lower parts, etc. Self-made Canwei Decoction (残胃方，CWD) is often used. For excessive weakness of the spleen and stomach, Modified Four Gentlemen Decoction can be used. For qi deficiency leading to stagnation, Modified Frigid Extremities Powder can be used. For chronic disease leading to damage to blood vessel and blockage of collaterals, Shijianchuan (Herba Salviae Chinensis) and other same-type medicinals can be used for promoting blood circulation and removing blood stasis, and Baiji (Rhizoma Bletillae) can be used for dispersing swelling and generating muscles. For insomnia, Xingren (Semen Armeniacae Amarum), Zisuzi (Fructus Perillae), Fangfeng (Radix Saposhnikoviae), Yuliren (Semen Pruni), Baiziren (Semen Platycladi), etc.can be added. For diarrhea, Shiliupi (Pericarpium Granati), Wumei (Fructus Mume) and Yizhiren (Fructus Alpiniae Oxyphyllae) can be added. For Removing wind and dampness, Xuchangqing (Radix Cynanchi Paniculati), Qianghuo (Radix et Rhizoma Notopterygii) and Fangfeng (Radix Saposhnikoviae) can be added.关键词：digestive tract tumor (DT);weakness of spleen and stomach;Canwei Decoction (残胃方，CWD);Four Gentlemen Decoction;Frigid Extremities Powder;Li Jing
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发布时间：2023-09-15 - 摘要：Membranous Nephropathy (MN) is a kind of chronic nephritic disease. The peak period of onset is from 30 to 50 years old, and 60% to 80% of membranous nephropathy is characterized by nephrotic syndrome (NS) . Idiopathic Membranous Nephropa-thy (IMN) accounts for about 2/3 of membranous nephropathy. According to the amount of urine protein, it can be divided into three grades: the low, medium and high-risk. TCM holds that "Da Qi" deficiency is the etiology of high-risk IMN, leading "Da Qi" to the pathology of "delay shipment, and do not rise, butnot to get together" . Clinical research on the different pathological states of "Da Qi" shows that high-risk IMN from three aspects of "tonifying qi and clearing the source, promoting blood circulation and clar-ifying the source, and strengthening the kidney and restoring the source", which has certain guiding significance for clinical prac-tice.关键词：High risk;Idiopathic membranous nephropathy;Da Qi;proteinuria;Infection;Thromboembolism
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发布时间：2023-09-15 - 摘要：During his long-term clinical practice, master of traditional Chiense medicine (TCM) and Professor LYU Renhe creative-ly puts forward "six diagnosis and treatment principles", which includes treatment according to diseases, treatment according to dis-ease differentiation, treatment according to disease differentiation and stage, treatment according to symdromes, treatment according to symptom differentiation, as well as combination of treatment according to disease differentiation and treatment according to syn-drome differentiation. Such principles run through diagnosis and treatment of diseases by Professor LYU Renhe. With the ability of clearing heat and promoting dieresis, Artemisia capillaris Thunb is one of the common herbal medicine used by Professor LYU. Based on Professor LYU Renhe's "six diagnosis and treatment principles" clinical thinking, this paper explores Professor LYU's experience in clinical application of Artemisia capillaris Thunb and provides new ideas for clinical practice.关键词：six diagnosis and treatment principles;Artemisia capillaris Thunb;Chinese medicine master;experience;Inherit-ance;Academic ideas;Syndrome differentiation theory;@LYU Renhe
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发布时间：2023-09-15 - 摘要：The clinical experience of Professor QIU He-Ming in treating idiopathic thrombocytopenic purpura (ITP) was Summarized.Professor QIU He-Ming believes that the main pathogenesis of ITP is characterized by deficiency in the origin and excess in the superficiality, the deficiency in the origin is manifested as the insufficiency of five zang organs, and the excess in the superficiality is manifested as the fire-heat intensity.Following the thoughts for the treatment of blood syndrome recorded in Treatise on Blood Syndromes, a book written by TANG Rong-Chuan in Qing dynasty, Professor QIU He-Ming adopted the tetrad-therapy of stopping bleeding, eliminating blood stasis, calming blood, and nourishing blood to treat ITP.During the treatment of ITP, therapy of stopping bleeding should be used firstly and can be achieved by astringency-inducing drugs and cooling blood, eliminating blood stasis should be used based on etiological differentiation and the herbs for activating blood should be avoided, calming blood is used for eleminating the pathogenic factors and herbs for tranquilizing heart, liver and lung can be utilized, and nourishing blood is used for tonifying five zang organs, in particular for tonifying liver, spleen and kidney.For the treatment of IPT, Professor QIU He-Ming has estalished a prescription of Ziyin Zhixue Recipe to stop bleeding, eliminate blood stasis, calm blood, and nourish blood, and the prescription is mainly composed of the herbs of Radix Rehmanniae Preparata or Radix Rehmanniae, Rhizoma Dioscoreae, Fructus Corni, Herba Agrimoniae, Radix Melastomae, Herba Cirsii, Fructus Forsythiae, Flos Schizonepetae, and Radix Glycirrhizae.The modification of Ziyin Zhixue Recipe based on symptoms is effective on relieving the clinical symptoms, improving the platelet level, and can make the patients be gradually free from steroid dependence.关键词：idiopathic thrombocytopenic purpura;Treatise on Blood Syndromes;stopping bleeding;eliminating blood stasis;calming blood;nourishing blood;QIU He-Ming
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发布时间：2023-09-15
- 摘要：Introduction:Recurrent cystitis, defined as at least two episodes within six months or three episodes within one year, presented among about one fifth to one-third of women with history of cystitis or urinary tract infection (UIT) according to previous studies. However, the use of antibiotics can only resolve the urinary symptoms but not reduce the frequency of urinary symptoms recurrence, and meanwhile increasing rates of adverse effect of repetitive antimicrobial therapy and bacterial antimicrobial resistance became clinical concerns. This case report aims to present a case of recurrent cystitis treated by electroacupuncture (EA) in reducing recurrent frequency, amount of antibiotics used and urinary symptoms.Case presentation:A 42-year-old woman diagnosed with recurrent cystitis for five years presented mainly with recurrent dysuria, urine frequency and urgency. She received EA treatment 3 to 5 sessions a week and 30 min per session from August 2019 to August 2020 with 3-month suspension due to Coronavirus Disease 2019 (COVID-19)．During the treatment, both the frequency of recurrent urinary episode and symptoms were reduced. Although there was some fluctuation, the mean frequencies of daytime voiding reduced dramatically from 17.7 to 8.3, and night-time voiding from 4 to 1, and the number of voiding with moderate urgency was reduced from 17.7 to 2.3, and severe urgency dropped from 2.7 to 0. The patient's scores of overactive bladder symptom score (OABSS) and overactive bladder questionnaire short form (OAB-q SF) were also improved. The postvoid residual urine volume (PVR) reduced from 42 mL to less than 10 mL.Conclusion:This case of individual effect of EA for a woman with frequent recurrent cystitis suggested a plausible benefit of EA on reducing frequency, amount of antibiotics used and symptoms of recurrent cystitis, but further research is necessary to proof the efficacy and effectiveness among a wider population.
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发布时间：2023-09-15
Special Column on Acupuncture for Miscellaneous Disease
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