摘要:Cancerous neuralgia(NCP)is the pain caused by the direct or indirect damage to the nervous system caused by cancer itself or cancer treatment(chemotherapy, radiotherapy, surgery, etc).As one of the common symptoms of advanced cancer patients, it becomes the focus of research because of its complicated underlying mechanism, unclear symptoms, outstanding clinical efficacy and difficulty in breaking through the bottleneck of treatment.NCP belongs to the category of "blood arthritis" in traditional Chinese medicine.Processor LIU believes that the disease is caused by cancer toxin invagination, blocking the meridian, loss of Yang Qi, and disharmony between Qi and blood.So the treatment is based on "dredging" and "harmonizing" as the most important.The combination of medicine is used to balance Yin and Yang and harmonize Qi and blood, which is quite effective.Therefore, by discussing the treatment experience of "warming and dredging Du meridian method" by Professor LIU, a famous traditional Chinese medicine doctor, as well as the collection and summary of clinical medical records, taking the typical clinical medical record of "local pain" as an example, it analyzed the delicateness of syndrome differentiation and treatment, the exquisiteness of prescriptions and medicines and the elaboration of selection of prescriptions of Professor LIU.With a view to further discovering the TCM characteristic treatment ideas for cancer pain, it can provide new ideas, new perspectives and new directions for TCM syndrome differentiation and treatment of clinical NCP.
关键词:cancerous neuralgia;warming and dredging Du meridian method;experience of famous traditional Chinese medicine physicians
摘要:As one of the common clinical diseases, gall disease is mostly caused by emotional dysfunction. In the treatment of traditional Chinese medicine, it usually starts from the liver and has a remarkable curative effect. Professor li yingcun believed that gall disease was closely related to liver and spleen, and its onset was based on liver loss and drainage, with qi stagnation, spittoon coagulation and blood stasis as its signs. In terms of treatment, Professor Li Yingcun took regulating qi, resolving phlegm and eliminating gall and dissolving gall as the basic principles. He often used Dunhuang Daxiegan Decoction as the main pre-scription for clinical syndrome, and formulated the method of reducing liver and regulating qi and blood for syndrome differentiation and subtraction treatment, with remarkable curative effect. Now a typical case is summarized as follows, in order to provide new ideas for the treatment of gall disease.
关键词:gall disease;purging liver and regulating qi and blood;LI Yingcun
YANG Xianna,LING Li,TANG Haiqian,XIAO Yonghong,LIU Nian,PENG Jiangyun
DOI: 10.13192/j.issn.1000-1719.2022.07.010
摘要:ObjectiveTo summarize Professor WU Shengyuan's experience on treating myoarthralgia.MethodsThrough the summary of professor WU Shengyuan's clinical diagnosis and treatment of myoarthralgia, the characteristics and common evidences of clinical prescriptions in myoarthralgia treatment were analyzed.ResultsProfessor WU Shengyuan believes that the basic pathogenesis of muscle arthralgia is that the deficiency of vital Qi can not resist the evil. The evils of wind-cold, dampness and heat invade the muscle, stagnate in the muscle joints, obstruct the veins and the blood flow is not smooth, resulting in skin erythema and local muscle joint pain. At the early stage, the mainmethod is to dispel pathogenic factors, supplemented by strengthening the vital Qi, and regulate and supplement lung and spleen. In the later stage, we should focus on strengthening the body and eliminating pathogenic factors, and pay attention to tonifying liver and kidney. Spleen is the main factor of Zang-Fu syndrome differentiation and dampness is the main cause of syndrome differentiation based on causes. In the treatment of muscular arthralgia, we should pay attention to the transformation of excessive evil Qi, verify and investigate the causes, and eliminate the evil first. It is emphasized that kidney and spleen-stomach should be paid attention to and the spleen and stomach should be regulated throughout the treatment. According to clinical experience, it can be divided into wind-heat injuring lung syndrome, cold-dampness obstructing syndrome, dampness-toxin transforming heat syndrome, Qi deficiency and blood stasis syndrome, Qi and blood deficiency syndrome, upper heat and lower cold syndrome and Yang deficiency of spleen and kidney syndrome.ConclusionProfessor WU Shengyuan's experience on treating myoarthralgia has proved clinical effect and is worthy of learning.
关键词:myoarthralgia;experience on syndrome differentiation and treatment;WU Shengyuan
摘要:The experience of professor HAN Jie treating ulcerative colitis (UC) and extra-intestinal manifestations from turbid toxin was introduced. UC is a chronic nonspecific inflammatory bowel disease. Affected by various factors, such as dietary environment, the incidence of UC is increasing, symptoms are difficult to control and easy to relapse, accompanied by a variety of extraintestinal manifestations. Professor HAN Jie has been engaged in the treatment and research of UC for a long time. He divides UC into three syndrome types:large intestinal dampness-heat syndrome, syndrome of dampness-heat due to spleen deficiency, spleen-kidney deficiency syndrome. Combined with the theory of turbid toxin, this paper puts forward the view of dampness-heat internal accumulation generating turbid toxin, spleen deficiency with dampness-heat and turbid toxin, spleen and kidney deficiency with turbid toxin cementation. Professor HAN Jie believes that turbid toxin can not only enter from the outside, but also from the inside, causing a wide range of diseases. UC is accompanied by oral ulcers, erythema nodosum, peripheral arthritis and other parenteral manifestations which can be treated from turbidity toxin. On the basis of the treatment of UC, drugs for clearing heat and nourishing Yin and removing turbidity, cooling blood and removing blood stasis and detoxification, and removing turbidity and collaterals to relieve pain are added to treat its parenteral manifestations. The clinical use four means including oral Chinese medicine, seven carbonized drugs-retention enema, anus with fortifying spleen suppository and external treatment of traditional Chinese medicine, can remove dampness and eliminateturbid and resolve toxin throughout the whole process, providing a new treatment idea and the treatment methods have achieved certain clinical effect.
摘要:Traditional Chinese medicine has a long history and unique advantages in the prevention and treatment of esophageal cancer. It has become one of the important methods of esophageal cancer prevention, diagnosis, treatment and rehabilitation. Based on the theories of "targeted medicine" and "cancer toxins cause deficiency", the pathological state of esophageal cancer can be summarized as the general state of "cancer toxins cause deficiency" and 3 substates which are the "cancer toxin endogenous, cancer-toxin internal damage, and cancer-toxin induced deficiency" to explore the clinical model of "cancer toxicity-state target".
摘要:Paste prescription can be used for chronic diseases, care adjustment and health care. Professor Liu Zhen is good at using the paste prescription to adjust chronic diseases. On the basis of following the overall concept of traditional Chinese medicine and syndrome differentiation and treatment, Professor Liu Zhen used "regulating spleen and stomach, regulating qi machine" throughout the process of disease treatment. The number of stents treated in patients with coronary heart disease has increased year by year, and some patients still have angina attacks after surgery. Coronary heart disease is suitable for the application of Chinese paste prescription adjustment. The author made a preliminary summary of the experience of the treatment of the disease in this paper.
关键词:Paste Prescription;Angina After CHD Stent;Regulating Spleen and Stomach;Regulating Qi Machine;clinical experience
摘要:Vocal cord leukoplakia is a common otolaryngological disease.Professor HU Zhi, engaged in clinical work for more than 40 years, has extensive experience in the treatment of larynx diseases.Based on the special "gear" structure of the larynx, Professor HU holds that damp toxin is closely related to the occurrence of vocal cord leukoplakia, and is an important pathogenic factor.The development of the leukoplakia follows the order of "dampness generation—phlegm stasis—qi consumption—local mass" . Therefore, lifting the clear and lowering the turbid, removing dampness and unblocking impediment is an important therapeutic principle for resolving damp toxin accumulating in the larynx.
关键词:vocal cord leukoplakia;damp toxin;phlegm stasis;qi consumption;local mass;lifting the clear and lowering the turbid;removing dampness and unblocking impediment;HU Zhi
摘要:Ostreae Concha is commonly used in clinical medicine. It can not only calming the liver and suppressing yang, softening and resolving hard mass to treat cancerous pain, but also has the effect of converging and astringent. The traditional Chinese medicine master XUAN Guowei holds that Ostreae Concha which is rich in various minerals can be used to treat all kinds of allergic dermatosis, and it also has the effect of relieving the frighten and anger, and can be used for the treatment of pigmented dermatosis. Professor XUAN can make great clinical effect in treating some skin diseases such as urticarial, alopecia areata, vitiligo by using Ostreae Concha and its herbal pairs flexibly. It can provide an example of broadening the traditional Chinese medicine in treating skin diseases for people engaged in the same pursuit.
关键词:Ostreae Concha;couplet medicines;skin diseases;traditional Chinese medicine master;clinical experience;XUAN Guowei
摘要:Hyperthyroidism is perceived to belong to the category of "goiter" in traditional Chinese medicine.While Academician Tong Xiaolin believes that thyroid diseases are mainly caused by emotional disorders, and present a pathological process of "stagnation-blood stasis-deficiency". Accordingly, the syndrome differentiation and treatment of hyperthyroidism should follow the strategy of "state-target-cause-effect". First of all, regulating the state,that is, to clear away liver fire, astringe liver qi, and expel toxins in the liver to improve the internal environment of the body. On the basis of that, its treatment focus should be placed on "targeting the symptoms", to improve the major symptoms of the disease, and reduce the antibody level. Next, its treatment should be administered on the basis of cause di ff erentiation, namely, an emphasis being given to the syndromes in the liver, aiming to cut off and reverse the disease course for one thing, and to remove the cause of the disease for another. At last, an attention should be attached to the "effect state" of the treatment, securing the unaffected parts in the body. In this study, the medical records of a patient with hyperthyroidism who were allergic to methimazole treated by Academician Tong Xiaolin are analyzed,and his clinical experience in formulating a prescription and measuring proper dosages are summarized.
摘要:Professor Yu Jiang-yi believes that the occurrence of obesity is related to many factors, such as overeating fat and sweet food, congenital endowment, abnormal emotions, geography and so on. Hyperactivity of stomach fire, stagnation of liver qi, spleen deficiency generating phlegm are the main pathogenesis, and deficiency and excess are mixed throughout the whole process. In clinical practice, Professor Yu advocates the combination of many therapies, such as differentiation of disease location, differentiation of pathological factors and differentiation of physical constitution. He suggests treatment from the middle energizer, adopts the basic treating principle of clearing stomach and purging heat, soothing liver and relieving depression, moving qi and strengthening spleen, resolving phlegm and removing dampness, clearing heat, removing blood stasis and purging turbidity. Professor Yu believes that if obesity lasts for a long time, the patients will suffer from deficiency of both spleen and kidney and turbidity, which is easy to lead to many clinical deteriorated syndromes. So Modified Kidney-Warming Decoction can be used to supplement deficiency, reduce excess, and replenish fire and nourish earth. In addition, Professor Yu also pays attention to adjusting measures according to conditions of three categories of disease cause and emphasizes the concept of comprehensive treatment, overall consideration and patient-centered idea.
关键词:obesity;dysfunction of middle energizer;"Kidney-Warming Decoction";(III) adjusting measures according to conditions of three categories of disease cause;Yu Jiang-yi
摘要:Professor Cao Shi-li believes that kidney deficiency is the occurrence basis of lupus nephritis (LN); wind pathogen can induce or aggravate proteinuria; heat toxin is an important inducement of the disease; dampness heat and blood stasis are the main pathological factors throughout the disease. In LN active period, wind pathogen and heat toxin are common. The main manifestation in remission period is deficiency of spleen and kidney. Professor Cao's treatment of LN in remission period pays equal attention to strengthening healthy qi and eliminating pathogenic factors. He not only focuses on tonifying the spleen and kidney to cure the root cause, but also dispelling wind, clearing heat, removing dampness and activating blood circulation to treat the manifestations. Professor Cao believes that the fundamental purpose of the treatment of LN is to keep the collaterals unobstructed, and make good use of insects, ants or rattan drugs to eliminate wind pathogen. Commonly used drugs include Chantui (Periostracum Cicadae), Baijiangcan (Bombyx Batryticatus), Quanxie (Scorpio), Dilong (Pheretima), Qingfengteng (Caulis Sinomenii), Jixueteng (Caulis Spatholobi), Luoshiteng (Caulis Trachelospermi), etc. He chooses different drugs for promoting blood circulation and removing blood stasis according to the duration of the disease and the severity of blood stasis. He does not use the only method of draining dampness to eliminate dampness, but adopts different methods in triple energizer: In upper energizer, resolving dampness with aromatics is used. In middle energizer, dryness dampness and activating the spleen is used. In lower energizer, draining dampness with bland diuretics is used. In remission period, the condition is relatively stable, so Professor Cao treats the disease root by strengthening the spleen and nourishing the kidney, while tonifying the spleen and kidney for dredging and tonifying together, so that the tonic is not stagnant. Shenghuangqi (Radix Scutellariae), Dangshen (Radix Codonopsis), Baishao (Radix Paeoniae Alba), Baizhu (Rhizoma Atractylodis Macrocephalae), Danggui (Radix Angelicae Sinensis), Hujisheng (Herba Visci), Duzhong (Cortex Eucommiae), etc. are often used.
摘要:Professor Xia Guicheng founded "heart (brain) -kidney-uterine axis" theory, combined with years of clinical experience on its own because, providing that the pathological nature of the polycystic ovary syndrome (PCOS) for heart (brain) -kidney-uterine shaft imbalance, pathogenesis is key to the heart to kidney failure-kidney empty phlegm and blood stasis, kidney, heart kidney failure for the pathogenesis of hub, phlegm turbidity and blood stasis as the standard, the virtual and the reality for the disease. He pointed out that the main syndromes of this disease were heart-kidney insufficiency-kidney deficiency and phlegm stasis syndrome, and the syndromes were mostly mixed syndromes under the main syndromes, that is, under the syndromes of heart-kidney insufficiency and kidney deficiency and phlegm stasis, there were different syndromes of yin deficiency, yang deficiency, eccentric liver stagnation and fire, and liver dampness-heat and phlegm fat accumulation. It is suggested that the key to the treatment is to communicate the heart and kidney, and to adjust the yin and yang. The method of tonifying the kidney and regulating the cycle, combined with the view of static and static rise and fall, focuses on the treatment of the late stage of menstruation, and at the same time, the treatment of syndrome differentiation, starts to rebuild the menstrual cycle, and pays attention to the psychological counseling and the law of life, which has achieved a good clinical effect. This article explains professor Xia Guicheng's clinical experience in the treatment of PCOS based on the etiology, pathogenesis, treatment principles and experience.
关键词:metrorrhagia and metrostaxis;heart-kidney insufficiency;kidney deficiency and phlegm stasis;clinical experience;XIA Guicheng
摘要:This paper introduces the discussion on the symptoms, etiology and pathogenesis of red sweat disease by medical experts in the past dynasties and summarizes Professor SUN Yuxin's understanding of TCM in the treatment of red sweat disease. He thinks that the basic pathogenesis of the disease is both instability of body fluid and blood and leakage of the heart's fluid. Most of the diseases belong to heat syndrome, and they can be divided into deficiency and excess. His therapy revolves around the heart with syndrome differentiation from the spleen and kidney to regulate the abnormality of Qi, blood, Yin and Yang of the heart caused by the heart itself or other organs. Two cases with different syndrome types of the disease are included, in order to analyze his thinking and prescription intention of the treatment of this disease from the heart, spleen and kidney. By summarizing Professor SUN Yuxin's syndrome differentiation characteristics in the treatment of red sweat disease from the heart, spleen and kidney and analysis of relevant medical cases, this paper is aimed to provide some diagnosis and treatment ideas for clinical treatment of the same disease.
关键词:Red sweat disease;Treatment from the heart, spleen and kidney;SUN Yuxin
摘要:Summarize ZHANG Zhenyu's academic thoughts on treating distention and fullness. ZHANG Zhenyu believes that the treatment of distention and fullness is based on protecting the healthy Qi. The spleen and stomach are responsible for their respective positions in the treatment of distention and fullness, and the restoration of the elevation of central Qi is used. Among them, if the function of spleen is not used properly, the method of moving the breath should be used; if the position of spleen is not right, the method of adjusting and nourishing the heart and spleen should be used; if the function of stomach is not used properly, the method of regulating the breath should be used;if the position of stomach is not right, the method of clearing heat and harmonizing stomach should be used;if the function of spleen and stomach are not properly used, the Qi should be evenly distributed, and the Qi regulating method shall be given if the body of spleen and stomach is not properly located. Generally speaking, the spleen should be treated mainly because of its improper position and correspondingly the left part is dysfunction;the stomach should be harmonized largely because of its improper position and correspondingly the right part is disordered;When both of the spleen and stomach lose their position, the main principle is treating them at the same time. And pay attention to the regulation of wood and soil, from the liver treatment of distention and fullness.
关键词:ZHANG Zhenyu;Distention and fullness;Academic thoughts
Wang Man,Song Zhixue,Ren Weiguo,Wang Jing,Liu Chuanbo
DOI: 10.3969/j.issn.1004-745X.2022.07.018
摘要:Cancer pain seriously affects the quality of life of patients.Although the promotion of NCCN cancer pain guidelines has greatly promoted the standardized treatment of cancer pain, the side effects of treatment are dif⁃ficult to avoid.Traditional Chinese medicine believes that pain is caused of being blocked or deficiency syndrome.Different researchers had conducted syndrome differentiation and treatment on cancer pain patients, applying differ⁃ent methods of warming yang and removing cold, promoting blood circulation and removing blood stasis, removing phlegm and removing turbidity, regulating qi and promoting qi, warming yang and replenishing qi, nourishing yin and nourishing blood.All had achieved good results.Professor Wang Pei, a well-known oncologist, has rich experi⁃ence in treating cancer-induced pain.He put forward three major rules of external treatment of cancer-induced pain, namely warming and dredging, activating qi, promoting blood circulation for removing blood stasis.Warming and dredging is very important on the choice of medicine.Dingxiang Zhitong Paste, been summed up by Professor Hu Kaiwen based on warming and dredging, has been used clinically for many years and has a good effect on can⁃cer pain.This prescription has played the power of warming and detoxifying and dredging collaterals, invigorating qi and promoting blood circulation and relieving pain.Especially for patients with yang deficiency in the middle and late stages of tumor, the curative effect is quite good.
关键词:Cancer pain;Warming and dredging;Dingxiang Zhitong Paste;TCM paste application