最新刊期

    2 2022
    • WU Gaiping,HAO Xiaofeng,LUO Jinhua,XU Jing,WANG Shihui,YUAN Hang,XIE Like
      DOI: 10.13192/j.issn.1000-1719.2022.02.004
      摘要:Dry eye disease is a common ocular surface disease in Ophthalmology, which is characterized by the imbalance of tear film homeostasis.Patients with dry eye disease may have symptoms such as foreign body sensation, dryness and burning sensation.With the popularization of electronic products, the incidence of dry eye disease is increasing year by year, which can affect eyesight and people's normal life in severe times.At present, the treatment of dry eye disease is mainly artificial tears replacement therapy, which can only improve local symptoms, but can not be used for a long time. Dry eye disease belongs to the category of "white astringent disease" in traditional Chinese medicine.Traditional Chinese medicine has a long history in the treatment of dry eye disease, with good curative effect.Modern doctors have different views on the etiology and pathogenesis of dry eye disease, and the treatment is also different.This paper introduced professor XIE Like's clinical experience in the treatment of dry eye disease with the method of soothing liver and nourishing Yin for many years.On the basis of predecessors'knowledge and more than 30 years'clinical experience, Professor XIE Like thinks that the etiology and pathogenesis of dry eye disease are mostly stagnation of Qi, long-term change of fire, deficiency of body fluid, which are closely related to the liver, and puts forward "depression" and "deficiency" as the main pathological factors of the disease, summarizes the pathogenesis of dry eye disease as "liver depression and Yin deficiency", and thinks that the occurrence of the disease is similar to the stress reaction of the body.In clinic, Xiaoshengsan(逍生散) is used to treat dry eye disease, which plays the role of soothing liver and nourishing Yin.In addition, we should pay attention to the use of wind medicine, often combined with Fangfeng(Radix Saposhnikoviae), Juhua(Flos Chrysanthemi) and Sangye(Folium Mori). At the same time, it will regulate the mood throughout the disease, so as to provide new ideas for the clinical treatment of dry eyes.  
      关键词:soothing liver and nourishing Yin;dry eye disease;clinical experience;XIE Like   
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      发布时间:2023-09-15
    • GONG Xiaowei,CAI Jianxin,XU Hexiang,CAI Genxing
      DOI: 10.16840/j.issn1673-4297.2022.02.05
      摘要:Professor CAI Genxing excels at treating pediatric diseases based on syndrome differentiation and treatment of the spleen and stomach. He holds that "stagnation" is an important etiology of pediatric diseases. "Stagnation" not only refers to food stagnation, but also includes pathological elements such as cold, heat (fire), dampness (phlegm), qi and blood stasis. He combines disease differentiation with syndrome differentiation, treats different diseases with the same therapy, and uses the method of invigorating spleen and promoting digestion to remove food retention to treat children's miscellaneous diseases of the five zang-organs, with marked efficacy. Five proven cases are attached for verification, including children with hidrosis syndrome, tic disorders, mesenteric lymphadenitis, adenoidal hypertrophy, and hematuria.  
      关键词:pediatric miscellaneous diseases;children with hidrosis syndrome;tic disorders;mesenteric lymphadenitis;adenoidal hypertrophy;hematuria;stagnation;clinical experience;CAI Genxing   
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      发布时间:2023-09-15
    • WANG Rui,YANG Ying
      DOI: 10.13192/j.issn.1000-1719.2022.02.005
      摘要:Heart failure is the final stage of the development of heart diseases, which has a high mortality and hospitalization rate. Heart failure is a clinical syndrome of cardiac insufficiency, ventricular blood output can not meet the demand, organ ischemia and hypoxia, resulting in a series of symptoms. Professor YANG Jiwu is a famous cardiovascular disease expert in China, and the fourth and fifth batch of old traditional Chinese medicine experts in China. Professor YANG has profound attainments in the basic theory and clinical practice of traditional Chinese medicine. He inherits the previous experience, learns from the ancients but does not stick to the ancients, dares to practice and innovate. Professor YANG established his own unique academic ideological system of TCM heart disease, which is "based on the heart, proficient in the treatment of the five Zang organs, especially focusing on Yin and Yang of spleen and kidney" . Professor YANG has pointed out that deficiency, blood stasis and water penetrate the whole process of heart failure, which is the basic pathogenesis of heart failure. The treatment principle of heart failure always focuses on supplementing Qi, warming Yang, activating blood and promoting water. According to the main etiology, pathogenesis, treatment principles and methods of heart failure, he developed Qiangxinning (强心宁) , which has been applied in clinic and achieved remarkable curative effect.  
      关键词:integrated traditional Chinese and Western medicine;heart failure;experience summary;Qiangxinning (强心宁)   
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      发布时间:2023-09-15
    • DONG Li,LIAN Fang,WU Haicui,XIN Xin
      DOI: 10.13192/j.issn.1000-1719.2022.02.007
      摘要:Ovarian hyperstimulation syndrome is one of the most common iatrogenic complications in the luteal phase or early pregnancy after assisted reproductive technology. Its main pathological features are ovarian enlargement, systemic capillary hyperplasia and permeability fluid exudation, blood concentration, and imbalance of water and electrolyte balance, often seen in patients with polycystic ovary syndrome. Professor LIAN Fang believes that the pathogenesis of ovarian hyperstimulation syndrome is caused by deficiency of spleen and kidney, water and body fluid retention, and then affects the movement of Qi and blood, which can lead to pathological changes such as Qi stagnation, blood stasis and phlegm obstruction. Among them, the main medical treatment is warming Yang and invigorating spleen, promoting water and Qi, promoting blood circulation and removing blood stasis, Shenling Baizhu Powder (参苓白术散) and Erxian Tiaojing Formula (二仙调经方) are the main prescriptions. In the treatment of Western medicine, we should pay attention to timely supplement body fluid to correct the state of low blood volume, maintain the acid-base balance of water and electrolyte and plasma colloid osmotic pressure, and prevent a series of complications such as liver and kidney dysfunction, circulatory failure and thrombosis. Based on many years of clinical experience, Professor LIAN Fang often prevents and treats the disease from the perspective of integrated traditional Chinese and Western medicine according to the individual situation of patients. Taking into account both specimens and disease syndromes, the treatment can achieve significant clinical efficacy.  
      关键词:Ovarian hyperstimulation syndrome;deficiency of spleen and kidney;warming Yang and invigorating spleen;promoting Qi and water;LIAN Fang;experience of famous doctors   
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      发布时间:2023-09-15
    • JIN Qiaoran,TANG Qisheng,ZHANG Shuo,YANG Xinke
      摘要:The obsessive-compulsive disorder is a type of mental disorder characterized by obsessive-compulsive concepts and compulsive behaviors. It is characterized by the coexistence of conscious compulsion and anti-compulsion.The clinical manifestations, occurrence and development of the obsessive-compulsive disorder are closely related to the lungs and kidneys in the five internal organs. The physiology of the lungs and kidneys is explored from the aspects of lung storage of Qi, Qi-shelving, kidneys storing essence, Jing housing the will, and from the physiological basis of the relationship between lungs and kidneys. The obsessive-compulsive disorder is located in the lungs and kidneys. Lung-kidney Qi deficiency is the cause of the disease. Lung deficiency and soul disturbance and kidney deficiency with a weak will are the core pathogenesis, and the basic treatment is to invigorate the lungs and kidneys. In terms of treatment, it focuses on invigorating the lungs and strengthening the spirit, strengthening the kidneys and strengthening the will. Under the guidance of the thoery that bitterness desires supplementation and purgation in the lungs and kidneys, and taking into account the physiological characteristics of the lungs and the kidneys, sour and bitter medicinals were used to supplemement. Combined with clinical cases, the treatment of obsessive-compulsive disorder is presented based on the theory bitterness desires supplementation and purgation in the lungs and kidneys.  
      关键词:obsessive-compulsive disorder;lung spirit;kidney spirit;fear;bitterness desiring supplementation and purgation   
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      发布时间:2023-09-15
    • DING Qian,LIU Lili,YAN Zhanfeng,WANG Xin,SUN Hong,HUANG Xiaorui,LIU Qiaoping
      DOI: 10.3969/j.issn.2095-6606.2022.02.010
      摘要:The "One Qi Circumfluence" theory can be summarized as "One Qi circumfluence, the earth pivot and four images" . "One Qi" here refers to zhong Qi (middle Qi), and "four images" refer to wood, metal, fire and water organs(i.e., the liver, lungs, heart and kidneys). According to the "One Qi Circumfluence" theory, under the effects of zhong Qi, the liver on the left ascends and the lungs on the right descend, forming an "endless circulation" of the Qi activities in the human body. Vocal cord leukoplakia is a white plaque formed by keratinized hyperplasia or excessive keratinization of vocal cord mucosal epithelium. It belongs to the category of "slow throat silence" in traditional Chinese medicine. The abnormal rise and fall of Qi runs through its pathogenesis. The abnormal mediation of Qi is the source of the disease, and the dereliction of the liver and lung Qi activities is an important cause. In the treatment of vocal cord leukoplakia, it is emphasized to restore the rise and fall of Qi activities. Under the guidance of "One Qi Circumfluence" theory, restoring the zhong Qi to mediate the operation of Qi activities, regulating the rise and fall of liver and lung Qi activities and promoting the circulation of Qi of the whole body is a fundamental way to treat vocal cord leukoplakia. The "One Qi Circumfluence" theory is used to guide the prescriptions for vocal cord leukoplakia, so as to improve the clinical curative effect. It is presented in this paper with typical clinical cases.  
      关键词:zhong Qi;vocal cord leukoplakia;Qi activities;One Qi Circumfluence   
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      发布时间:2023-09-15
    • DU Yue,ZHAO Xin,YAN Ying
      摘要:Arteriosclerosing occlusive disease is the most common peripheral arterial disease in clinical practice. Traditional Chinese medicine has unique advantages in treating arteriosclerosing occlusive disease. The theory of blood-vessel syndrome differentiation takes vessels as the main body and basic framework, and blood as the material basis. It holds that abnormal shape and dysfunction of vessels are two key factors in the pathogenesis of peripheral vascular diseases.The physiological characteristics of vessels are discussed by taking vessels as the physique and dredging for use, and the function of vessels is discussed by obstructing blood to communicate with ying wei and carrying Qi and blood to carry body fluids. Physiologically, blood favors warmth and dislikes cold and it serves "to help and nourish the physique and spirit" . The disease location of arteriosclerotic occlusive disease is in blood, with the blood stasis of limbs as its core pathogenesis. Based on the theory of blood-vessel syndrome differentiation, arteriosclerotic occlusive disease is divided into the patterns of yin and cold of the collaterals, blood stasis of collaterals, blood stasis with heat in the collaterals, and blood stasis and toxin accumulation in the collaterals. Combined with clinical cases, this paper introduces the treatment of arteriosclerotic occlusive disease based on syndrome differentiation.  
      关键词:arteriosclerotic occlusive disease;blood;vessels;extraordinary fu-organs;blood syndrome differentiation   
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      发布时间:2023-09-15
    • WANG Kunxiu,LUO Zhihui,CHEN Song,CHEN Ziqin,CHEN Jia,CHEN Bei,ZHANG Yanlin,GU Xiaolei
      DOI: 10.13194/j.issn.1673-842x.2022.02.021
      摘要:The aim is to explore the pathogenesis of the main clinical symptoms of corona virus disease 2019 (COVID-19) and the treatment methods and drugs through the legislative meaning of the Sanxiao Yin (三消饮) in the theory of pandemic disease. It is believed that COVID-19 belongs to the scope of the"epidemic" of Chinese medicine. Wet poison is both the main pathological product and the main pathogenic factor of COVID-19. The damp toxin and dirty turbidity stay in the body, and the abnormal movement of Qi is the main pathological mechanism that causes the pulmonary symptoms and spleen and stomach symptoms of COVID-19. Diagnosis and treatment should focus on the combination of the four-diagnosis of traditional Chinese medicine and modern medical auxiliary diagnosis and treatment technology, the combination of syndrome differentiation and disease differentiation, identification of signs, attention to this syndrome, and treatment of syndromes or use agents for removing dampness and turbid phlegm, or or removing melancholy and dredging defensive exterior, spreading stagnant heat. And the concept of "preventive treatment" is used throughout the treatment of COVID-19, embodying the treatment characteristics of "clearing the organs early, clearing blood stasis early, and consolidating the root early" .  
      关键词:plague theory;Sanxiao Yin (三消饮);corona virus disease 2019;main symptoms;treatment method   
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      发布时间:2023-09-15
    • CHEN Yan,BAO Yinlan,PANG Bo,NI Qing
      DOI: 10.13288/j.11-2166/r.2022.02.004
      摘要:This paper summarized professor LIN Lan's experience in treating diabetic nonketotic hemichorea from the perspective of wind. It is believed that liver-kidneyyindeficiency is the root of diabetic nonketotic hemichorea, while internal stirring of liver wind is the branch. Additionally, pathological factors including blood stasis, phlegm-damp and fire (heat) affect the condition. On the basis of boostingqiand nourishingyin, it is recommended to put focuse on tranquilizing the liver and extinguishing wind, and simultaneously, the methods of invigorating blood and unblocking collaterals, fortifying the spleen and dissolving phlegm,and clearing heat should be combined with. In syndrome differentiation and treatment, she commonly uses insect medicines with the wandering nature such as Quanxie (Scorpio), Wugong (Scolopendra) and Chantui (Periostracum Cicadae) to search and eliminate wind and unblock collaterals. Simultaneously, the theory of “three pattern differentiation” about diabetes is used to actively control the blood sugar.  
      关键词:diabetic nonketotic hemichorea;tremor;tranquilizing the liver and extinguishing wind;experience of famous doctors;LIN Lan   
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      发布时间:2023-09-15
    • Li Ronghui,Lei Xiaoming,Zhang Guomin,Liu Pingan
      DOI: 10.11954/ytctyy.202202032
      摘要:Diabetes is caused by insufficiency of innate endowment, unrestrained diet, mental disorder, fatigue and internal injury, etc. The main pathogenesis is Yin deficiency and internal heat, and the main manifestation is "three more and one less". Professor Zhang Chongquan has been practicing medicine for nearly 50years. He is good at treating diabetes from the spleen and kidney, and put forward the principle of "treating both the spleen and the kidney, and keeping Yin and Yang". This paper expounds the pathogenesis and treatment of diabetes from the spleen and kidney, and introduces Zhang Lao’s diagnosis and treatment thinking and experience of invigorating qi and invigorating spleen, elevating temper and tonifying Yin and Yang of kidney, so as to provide a new diagnosis and treatment thinking for diabetes with traditional Chinese medicine.  
      关键词:Treating from Spleen and Kidney;diabetes;Diagnosis and Treatment Thinking;medication experience   
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      发布时间:2023-09-15
    • GUO Xiaowei,GENG Qiang,LI Zhidao
      DOI: 10.11656/j.issn.1672-1519.2022.02.05
      摘要:The theory of dividing meridians is widely used in the diagnosis and treatment of clinical miscellaneous diseases of traditional Chinese medicine. Firstly, this paper introduces the theoretical origin of treating headache by dividing meridians in past dynasties, and points out that there are defects in the principle of selecting acupuncture points in the chapter of headache in acupuncture textbooks by analyzing the theory of meridian circulation, and further discusses that the application of dividing meridians in treating headache in acupuncture should be different from the application of medicine returning to meridians, which should not only consider the application value of special medicine returning to meridians in selecting acupuncture points according to meridians, but also recognize the complexity of meridian system in different parts of the head. This paper also introduces Professor LI Zhidao's experience of treating headache by acupuncture and medicine combined with meridian division, which is supported by an empirical case, providing a new idea for treating headache by meridian division in clinic.  
      关键词:famous doctor's experence;headache;therapy with forked meridian differentiation;syndrome differentiation of six meridians;the meridian tropism theory;LI Zhidao   
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      发布时间:2023-09-15
    • Yang Wenli,Zhao Shuying,Wang Ruixia
      DOI: 10.11954/ytctyy.202202034
      摘要:Professor Zhang Jinfeng has been engaged in clinical gynecology for many years, and has rich clinical experience in treating Recurrent spontaneous abortion, especially for the modern research hot spot recurrent miscarriage caused by prethrombotic state, and has formed a relatively complete diagnosis and treatment plan, that is, "Qing, species, security" three-step method. Professor Zhang holds that Recurrent spontaneous abortion-Prethrombotic state is related to the heart, liver, spleen and kidney, and the blood stasis of responsibility. The treatment mainly focuses on tonifying the kidney and promoting blood circulation, supplemented by strengthening the spleen and nourishing the blood, soothing the liver and nourishing the heart, eliminating and reinforcing simultaneously.  
      关键词:Prethrombotic Sstate;Recurrent spontaneous abortion;clinical experience   
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      发布时间:2023-09-15
    • ZHAO Shuai,ZHOU Zheng-hua
      DOI: 10.16367/j.issn.1003-5028.2022.02.0047
      摘要:Liver-stomach disharmony is one of themain pathogenesis of functional dyspepsia (FD) . Zhou Zheng-hua has found that there aremany subtypesof liver-stomach disharmony, and the pathogenesis follows the five-step evolution processof"depression→attacking thoroughfare vessel (TV) →transforming into fire→damaging yin→forming blood stasis". In the initial stage, the patho-genesis is stagnation of liver qi, wood failing to disperse earth. Adhering to the principle of controlling developmentof existing dis-ease, because"liver diseasesmay affect the function of the spleen, strengthening the spleen is themost important". At this stage, Four Gentlemen Decoction can be used to strengthen the spleen and help transport. When the stagnation of liver qi develops fur-ther, the disorder of liver qi occurs, the dispersing is toomuch, the attack of liver qi is too strong, the treatment should focus on reg-ulating qi, so Frigid Extremities Powder combined with Modified Upper-Lower and Right-Left Decoction can be used. Long-time stagnation of liver qi may transform into fire, make qi and fire have same disease, so Liver-Resolving Decoction combined with Modified Gallbladder-Warming Decoction can be used. For liver heat and spleen cold syndrome, Bupleurum and Cinnamon Twig and Dried Ginger Decoction can be used towarm cold inmiddle energizer and clear heat in the revertingmeridian. If liver qi accu-mulates and transforms into fire, damaging liver qi aspect, Yang hyperactivity and excessive fire will burn blood aspect, blood will become thick and fail tomove smoothly, resulting in blocked collaterals, blood stasis, and fire damaging nutrient yin, so the treat-ment is to soften the liver, benefit the stomach, nourish yin and calm themind, and Yin-Nourishing and Two-Ingredient Decoction combined with Modified Jade Lady Decoction can be used. For patientswith FD who have nothealed for a long time but combined with obvious blood stasis, the treatmentmethods are also differentiated according to blood stasis caused by different pathogenesis. Each stage can exist independently or cause disease simultaneously. It is necessary to grasp themain pathogenesis and understand the nature, trend and prognosis of the disease before applying drugs to the syndrome.  
      关键词:functional dyspepsia (FD);liver-stomach disharmony;invigorating the spleen and relieving depression;regulating counter-flow of qi;clearing fire and relieving pain;softening the liver and benefiting the stomach;removing blood stasisand activa-ting collaterals;Zhou Zheng-hua   
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      发布时间:2023-09-15
    • DING Qiyou,JIN Zishan,HUANG Yishan,ZHAO Linhua
      DOI: 10.13463/j.cnki.jlzyy.2022.02.024
      摘要:Diabetes is a common clinical chronic multi-system disease. Some of the patients with brittle diabetes suffer from severe fluctuation of blood glucose and repeated hypoglycemia, which leads to a serious decline in quality of life and increasing difficulty in illness management. Professor Tong Xiaolin, based on his many years of clinical experience, develops the state-target-cause-result differentiation strategy, which combines "a macroscopic state regulation" with "the microscopic targeted therapy" in the treatment of chronic and complex diseases such as diabetes, to regulate the state of patients through multiple channels and targets, so as to control blood glucose levels, improve symptoms and prevent the progression of multiple system complications. In this paper, the clinical data of a case of adult type 1 brittle diabetes mellitus with multi-system complications treated by Professor Tong Xiaolin are analyzed, and his treatment concept and medication experience for this kind of complex diseases are summarized, so as to provide a reference for the clinical comprehensive diagnosis and treatment of brittle diabetes mellitus with multisystem complications.  
      关键词:state-target-cause-result differentiation;brittle diabetes;diabetic complications;TONG Xiaolin   
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      发布时间:2023-09-15
    • WANG Yilin,LI Chongyu,LIU Zhilong
      DOI: 10.3969/j.issn.1003-8914.2022.02.014
      摘要:Professor Liu Zhilong, the advisor of the sixth batch of Chinese medicine expert in China, the famous Chinese medicine expert in Guangdong province and the doctoral tutor of Macau University of Science and Technology, President of Zhuhai hospital of integrated traditional Chinese and western medicine. Professor Liu Zhilong has been engaged in clinical and teaching research of internal medicine of traditional Chinese medicine for more than 30 years. This paper mainly introduces Professor Liu Zhilong's opinion and discussion on the pathogenesis of chronic renal failure, and summarizes his experience in the treatment of chronic renal failure as well as the characteristics of medication, so as to provide reference for the fellow.  
      关键词:chronic renal failure;experience;Liu Zhilong   
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      发布时间:2023-09-15
    • SHEN Menglan,LI Tong
      DOI: 10.3969/j.issn.1673-7202.2022.02.019
      摘要:Radiation therapy is one of themain methods in the clinical treatment ofmalignant tumors, and plays an important role in the comprehensive treatmentof tumors. However, its side effects in the digestive system often occur, amongwhich radiation enter-itis is themost common. In particular, the radiation enteritis ismost likely to occur. Professor LITong believes that radiation enteri-tis belongs to the category of "diarrhea" in traditional Chinesemedicine, which is based on qideficiency andmarked by qi stagna-tion. The lesion viscera are in spleen and large intestine, involving liver and kidney. The pathological factors are intermingled damp-ness, heat, blood stasis, toxin, and deficiency. In clinics, the treatment is mainly invigorating spleen for eliminating damp-ness. According to the principle of "regulating qi", themethod of "invigorating qiand regulating qi" has been used to restore the synergistic effect of viscera and qi in various pathological changes, with good effects.  
      关键词:Regulating qimethod;Radiation enteritis;diarrhea;Invigorate and regulate qi;@ LI Tong;Radiation therapy;Im-portance of qi   
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