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Objective To discuss the medication law of Professor Gu Shizhe in the treatment of insomnia based on various data mining techniques.Methods Clinical information of patients of Professor Gu was collected from the hospital management information system of outpatient clinic of Beijing University of Chinese Medicine(BUCM)and BUCM Famous Elderly TCM Inheritance Research Integrated Platform from January 2018 to October 2022.Professor Gu's books,such as Zhi Zhen Zhi Yao,and Gu Jisheng,Gu Shizhe Yi An Yi Hua Jing Cui,and the medical records from CNKI were screened.WPS Office 5.2.1 was used to build a database of medicine data for Professor Gu's TCM prescriptions,and R 4.2.1 was used for descriptive analysis and Apriori association rule analysis.SPSS Statistics 26.0 was used for clustering analysis,combined with theoretical analysis,to extract Professor Gu's medication law and characteristics in the treatment of insomnia.Results A total of 307 prescriptions were included,involving 250 kinds of Chinese materia medica,among which 30 were high-frequency drugs.The top 5 most frequently used were Glycyrrhizae Radix et Rhizoma Praeparata Cum Melle,Fossilizid,Poria,Bupleuri Radix,and Ziziphi Spinosae Semen.The meridians were mainly liver and lung meridian,and the properties were mainly warm and cold,and the tastes were mainly sweet and bitter.Five core drug groups were obtained by clustering analysis,including Xiaochaihu Decoction,Erchen Decoction,Huanglian Wendan Decoction,Suanzaoren Decoction,Xiaoyao Powder and other prescriptions.Conclusion The characteristics of Professor Gu's treatment of insomnia are to reconcile Shaoyang,clear the heart and soothe the mind;pay attention to yin and yang,regulate the liver;pay attention to the liver,gallbladder,spleen and stomach;the main idea of syndrome differentiation is to reconcile Shaoyang,run the Shaoyang cardinal,and at the same time regulate qi and benefit qi and nourishes yin.
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This article summarized Professor Liu Qiquan's clinical experience in treating urethral syndrome from the perspective of"regulating the five internal organs to calm the spleen and stomach".It is believed that urethral syndrome is located in the urethra,and its core pathogenesis is disharmony between the spleen and stomach,obstruction of dampness,and unfavorable water channel.Therefore,"tranquilizing the spleen and stomach"should be carried out throughout the treatment.At the same time,the occurrence of the disease is closely related to the disorder of the five internal organs.External sensation,internal injury,emotion,diet,fatigue and visceral disorders will affect the function of the five internal organs and then the disease will occur.In clinical practice,based on the idea of"regulating the five internal organs to calm the spleen and stomach",according to the symptoms and manifestations of the patients,the treatment can be guided by comprehensively using the methods of raising the clear and lowering the turbid to harmonize the stomach and dredge the drench,nourishing the heart and clearing the heart to purge heat and dredge the drench,benefiting the lung and purging heat to relieve dampness and dredge the drench,tonifying the kidney and warming the yang to dissipate qi and dredge the drench,dredging the liver and clearing the liver to promote the flow of qi and dredge the drench,which can make the five internal organs harmonious,benefit the waterways.Finally,the symptoms would be reduced and the disease would be cured.
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This article summarized the experience of Professor Xiong Jibai,a national TCM master,in treating pulmonary nodules based on the theory of"body fluids and blood stasis mixing"in Huang Di Nei Jing.Professor Xiong Jibai believes that the basic pathogenesis of pulmonary nodules is that"body fluids and blood stasis mixing"accumulate in lung collaterals,and the fundamental pathological factor is phlegm and blood stasis.Xiong's treatment is based on dissipating phlegm and activating qi,activating blood circulation and resolving masses,paying attention to syndrome differentiation and treatment,examining syndromes and seeking causes,flexibly selecting prescriptions and treating both symptoms and root causes;attaching importance to maintaining healthy qi,preventing both illness and change,and preventing recovery after illness.Clinical medical records were attached to prove the clinical thinking and medication characteristics.
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This article summarized the experience of national TCM master Wang Qingguo in treating liver cirrhosis with triplet herbs.Professor Wang believes that the etiology and pathogenesis of liver cirrhosis are always based on the disorders of liver,spleen and kidney function,the dampness and heat retention is an important factor of the disease.When the disease enters the collaterals,blood stasis runs through the development of the disease,qi,blood and water are both pathological products and pathogenic factors.Therefore,supporting the healthy qi and eliminating pathogens,and treating both manifestation and root cause of disease are important treatment principles for liver cirrhosis.Professor Wang takes the whole as the main principle and selects triplet herbs that are suitable for the pathogenesis at different stages of disease development.He emphasizes the three methods of soothing the liver and promoting dampness,removing blood stasis and diuresis,and supporting the healthy qi and eliminating pathogens.He flexibly applies the treatment,and the clinical efficacy is remarkable.
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[Objective]To study and summarize the experience of traditional Chinese medicine Master ZHOU Zhongying in treating systemic sclerosis from the pathogenesis of phlegm-stasis-heat junction,providing references for clinical practice.[Methods]Through the clinical learning,collation and analysis of Professor ZHOU's medical cases in the treatment of systemic sclerosis,the paper elaborated his clinical thinking and experience in the treatment of systemic sclerosis,which included etiology,pathogenesis,therapy and characteristic clinical medication,and verified it with medical records.[Results]Professor ZHOU thinks the key pathogenesis is phlegm-stasis-heat junction,pathological factors of systemic sclerosis mainly include phlegm,blood stasis and heat,which can depend on each other mutually throughout the course of disease.According to the progression of the disease and the evolution of pathological factors,treatment is primarily focused on phlegm-stasis-heat junction.Phlegm and blood stasis are interrelated,obstructing the circulation of Qi-blood so as to lead to pain and swelling,the treatment should be resolving phlegm,removing blood stasis and activating meridians;phlegm and heat are lingered each other,exacerbating the progression of the condition,it is appropriate to clear away phlegm and heat so that symptoms of skin redness and swelling can be relieved;blood and heat are interweaved together,which invade the skin and joints seriously,it is advisable to expel pathogenic factors by clearing away heat and resolving blood stagnation;Yin is damaged and Qi is consumed terribly,subsequently deficiency-heat is gradually emerging,the way to solve it is to supplement Qi,nourish Yin and strengthen the body resistance to eliminate pathogenic factors.The case was diagnosed as accumulation of phlegm stasis heat,blockage of wind-dampness and deficiency of Qi and Yin by Professor ZHOU,and treated with dissipating phlegm and removing blood stasis,clearing heat and unblocking collaterals,supplementing Qi and nourishing Yin,and the recipe Baiwei Decoction combined with Qinjiao Biejia Powder modified was used.[Conclusion]ZHOU Zhongying,the traditional Chinese medicine Master,who advocates attaching importance to the pathogenesis firstly in the process of syndrome differentiation,treating systemic sclerosis from the pathogenesis of phlegm-stasis-heat junction,which plays a unique role in relief of clinical symptoms,and his experiences are worthy of inheritance and promotion.
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[Objective]To summarize Professor SHU Qijin's academic experience in diagnosing and treating salty taste in the mouth after anti-tumor therapy.[Methods]Through learning from teacher in outpatient,reading ancient books and analyzing the medical records,this paper arranged Professor SHU's medical records of salty taste in the mouth after anti-tumor therapy and introduced his clinical experience in treating that from following aspects:etiology and pathogenesis,principles and laws of treatment,and provided one medical case as evidence.[Results]Professor SHU believes that salty taste in the mouth after anti-tumor therapy is closely related to overgrowth of the kidney fluid due to the imbalance of Yin and Yang and dampness caused by unrestriction of water-liquid metabolism of the kidney and spleen,and briefly summarizes the treatment principles in three aspects:reconciling and replenishing Yin and Yang of the kidney,invigorating the spleen and eliminating dampness.The attached medical record was identified as fire excess from Yin deficiency and damp abundance.Professor SHU treated the case by nourishing Yin and reducing fire as well as invigorating the spleen and eliminating dampness,modified Zhibai Dihuang Pill and Pingwei Powder was used for treatment and good results were achieved.[Conclusion]In the treatment of salty taste in the mouth after anti-tumor therapy,Professor SHU adheres to comprehensive analysis by the four examination methods and advocates flexible syndrome differentiation.Professor SHU's academic experience is rich and clinical curative effect is remarkable.Summarizing his medication characteristics has high guiding significance for the clinical application.
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[Objective]To summarize the academic experience of Professor ZENG Qingqi in the use of classical prescription in the diagnosis and treatment of insomnia combined with reproductive system diseases.[Methods]Through clinical follow-up studying,reading ancient books,Professor ZENG's clinical experience in treating insomnia and reproductive system diseases was analyzed from the aspects of the treatment of insomnia with classical prescription,the treatment ideas of reproductive system diseases with classical prescription,and the concept of homotherapy for heteropathy in Chinese medicine for insomnia combined with reproductive system diseases,which was supported by medical cases.[Results]Professor ZENG's treatment of insomnia combined with reproductive system diseases follows the concept of homotherapy for heteropathy in Chinese medicine,advocating the use of the"five differentiation"diagnostic and treatment mode based on Chinese medicine viewpoint,such as body differentiation,disease differentiation,syndrome differentiation,local differentiation and micro differentiation,and paying attention to promoting medication according to the situation,combining warming and clearing,dredging and tonifying.It is believed that the key to the effectiveness of classical prescription in treating insomnia combined with reproductive system diseases lies in dealing with the problems of"suppressing hyperactivity"and"releasing",emphasizing the reconciliation between the relationship of heart(brain),heart and kidney,and not only dredging to treat the symptoms,but also cultivating and replenishing to treat the root cause.The patient in case one was of insomnia combined with impotence,identified as liver depression and Qi stagnation,spleen and kidney deficiency syndrome,modified Sini Powder and Shenqi Pills was used in treatment.Case two was of insomnia combined with menstruation,identified as disconnection of the heart and kidney,deficiency cold of Chong Ren and blood stasis blocking the uterus,treated with Huanglian Ejiao Decoction and Zhizishi Decoction combined with Wenjing Decoction.Both used classical prescriptions and achieved good results.[Conclusion]Professor ZENG specializes in the treatment of insomnia combined with reproductive system diseases with the use of meridian prescription,flexible identification,and appropriate prescription,with precise efficacy,its rich clinical experience is worth clinical learning and further promotion.
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Objective To analyze the medication rules of Professor LAO Shaoxian in the treatment of gastric stuffiness based on syndrome differentiation.Methods The effective prescriptions for patients with gastric stuffiness treated by Professor LAO Shaoxian from March 2017 to March 2022 were collected,and the general information,chief complaints,diagnosis,syndrome differentiation and prescriptions of patients were extracted.Excel software and the ancient and modern medical records cloud platform(V 2.3.7)were used to construct the prescription database.Data mining function was used to carry out analysis of the syndrome type of prescription,analysis of the frequency and property of Chinese herbs,as well as association rule analysis and cluster analysis.Results A total of 272 prescriptions were included,involving 164 kinds of medicinal herbs.The main traditional Chinese medicine(TCM)syndrome types are damp-heat syndrome and qi stagnation syndrome.The frequency of 25 herbs was more than or equal to 30 times.The representative herbs is Pinellinae Rhizoma Praeparatum,Glycyrrhizae Radix et Rhizoma,Citri Reticulatae Pericarpium,Perillae Caulis and Aucklandiae Radix.The medicinal properties are mainly warm and flat.The medicinal flavors are spicy,bitter and sweet.The drug meridians mainly included the spleen,stomach and lung meridians,followed by the liver meridian.There were 23 core drug pairs obtained by association rules,such as"Aucklandiae Radix-Perillae Caulis","Citri Reticulatae Pericarpium-Perillae Caulis",and"Pinellinae Rhizoma Praeparatum-Citri Reticulatae Pericarpium".Clustering analysis of drugs can be divided into three combinations,which have the effects of regulating qi and relieving distension,resolving dampness,and clearing heat and detoxifying.Conclusion The core prescription of Professor LAO Shaoxian in the treatment of gastric stuffiness is Aucklandiae Radix,Perillae Caulis,Citri Reticulatae Pericarpium,Pinellinae Rhizoma Praeparatum,Glycyrrhizae Radix et Rhizoma,Kaki Calyx,Aurantii Fructus Immaturus and Arecae Pericarpium.It focuses on regulating qi movement of middle jiao and treating spleen and stomach simultaneously.The main therapeutic method is regulating qi and relieving distension.At the same time,attention should be paid to the application of dampness-dispelling and stagnation-removing,heat-clearing and detoxifying drugs.The clinical therapy of Professor LAO Shaoxian on gastric stuffiness is significant,which can be used as a reference for diagnosis and treatment.
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This paper summarized Professor ZHOU Zhongying's experience in differentiating and treating hepatitis and liver cirrhosis from deficiency and excess. It is considered that the pathogenesis of hepatitis and liver cirrhosis belongs to deficiency in root and excess in branch, with depletion of liver, spleen and kidney as the root, and constraint and bind of damp-heat and stasis toxin as the branch. Moreover, mutual cause and promotion between deficiency and excess leads to the disease. For general principle of treatment, it is recommended to clear and transform pathogenic excess, supplement deficiency and rectify the healthy qi. In the early stage of hepatitis and cirrhosis, excess pathogen hyperactivity is the main manifestation, which can be treated by clearing and transforming damp-heat and stasis toxin, supplemented by regulating spleen and stomach, with modified Yinchenhao Decoction (茵陈蒿汤) and Biejiajian Pill (鳖甲煎丸). In the middle and late stages, cases with deficiency-excess complex were more common, which should be treated by clearing damp-heat and stasis toxin, regulating and supplementing liver-spleen-kidney, using medicinals with the function of clearing heat and dispelling damp, dissolving stasis and resolving toxins to treat the branch. Moreover, Liujunzi Decoction (六君子汤), Yiguan Decoction (一贯煎)plus Erzhi Pill (二至丸) and Buzhong Yiqi Decoction (补中益气汤) modifications are suggested respectively in correspondence to the different kinds of root deficiency including irregular liver and spleen, liver and kidney yin deficiency, and liver-spleen-kidney deficiency.
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This paper summarized Professor LI Haisong's clinical experience in treating spermatorrhea based on the view of "spirit controlling essence and qi". It is emphasized that the heart spirit has the function of controlling the essence and qi of the human body, believing the frenetic stirring of heart spirit and the insecurity of essence gate are the core pathogenesis of spermatorrhea, LI advocates to regulate the heart spirit first and take into account of the zang-fu organs, essence and qi simultaneously for the treatment. Treatment should be performed according the clinical syndromes differentiatied. For those with heart spirit failing to nourish syndrome, it is recommended to supplement heart qi, nourish spirit and consolidate essence with self-made Yangxin Mijing Formula (养心秘精方). In case of heart fire hyperactivity, the method of clearing heart heat and draining fire, calming spirit and consolidating essence should be used, and self-made Xiexin Gujing Formula (泻心固精方) is recommended. For heart-liver qi constraint, it is advised to soothe the liver and calm heart, calm the mind and regulate essence with self-made Jieyu Anshen Tiaojing Formula (解郁安神调精方) which is a modifcation to Chaihu Shugan Powder (柴胡疏肝散). In terms of deficiency of both heart and liver, the treatment principle is supplementing spleen and nourishing heart, calming the mind and controlling essence, for which self-made Xinpi Tongtiao Shejing Formula (心脾同调摄精方) modified from Guipi Decoction (归脾汤) can be used. For deficiency of both heart and kidney, it is better to nourish the kidney and calm heart, calm the mind and consolidate essence with self-made Xinshen Liangzi Tianjing Formula (心肾两滋填精方) that modified from Shuilu Erxian Elixir (水陆二仙丹) and Wuzi Yanzong Pill (五子衍宗丸). Prescriptions are used to treat the root by harmonizing the zang-fu organs, nourish the spirit by regulating qi and blood, and calm the mind by taking special medi-cinals, and they should be flexibly modified according to the disease.
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This paper summarized the clinical experience of Professor GE Linyi in treating ulcerative colitis (UC) by stages with the method of clearing. Professor GE believes that the core pathogenesis of UC is dampness and heat in the intestines, and by taking the method of clearing as the basis, he proposed four methods for treatment of UC including clearing and transforming, clearing and dispersing,clearing and moisterning, clearing and nourishing. The pathogenesis of UC in its active stage is dampness and heat in the intestines, congestion and stagnation of qi and blood, and accumulation of stasis toxins, for which the treatment method is to clear and transform, accompanied by clearing and dispersing method. In terms of the clearing and transforming method, Bai Tou Weng Decoction (白头翁汤) combined with Haungqin (Radix Scutellariae), Machixian (Herba Portulacae) and Pugongying (Herba Taraxaci) is taken as the basic prescription to clear and transform dampness and heat, cool blood, resolve toxins and stop dysentery. For the clearing and dispersing method, medicinals to rectify qi such as Chaihu (Radix Bupleuri), Cuxiangfu (Vingar Rhizoma Cyperi), Muxiang (Radix Aucklandiae), Zhiqiao (Fructus Aurantii), and Binlang (Semen Arecae), as well as those to regulate blood such as Danggui (Radix Angelicae Sinensis), Cebaiye (Cacumen Platycladi) and Diyutan (Radix Sanguisorbae Carbonisatus) are recommended. The pathogenesis of the remission stage is healthy qi depletion and lingering pathogen of dampness and heat stasis toxin in the intestines, for which the method of clearing and nourishing, clearing and moistening can be used; the latter is mainly for people with yin fluids injury, and self-made Qingrun Yichang Decoction (清润益肠汤) is recommended, while the former is for those with spleen and stomach weakness, and self-made Qingyang Jianpi Decoction (清养健脾汤) can be used.
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To summarize the clinical experience of Professor YAN Huimin in pattern identification and treatment for chest tightness variant asthma in children with the method of regulating qi movement. It is believed that children's chest tightness variant asthma is mainly located in lungs and involves liver and spleen, and the core mechanism of the disease is disturbance of qi movement. On the basis of regulating qi, syndrome differentiation and treatment is conducted: for pattern of lung qi deficiency and cold, phlegm-fluid retention, the treatment is appropriate to tonify the lung and benefit qi, and warm phlegm-fluid, which commonly used in modified Yupingfeng Powder (玉屏风散) and Xiaoqinglong Decoction (小青龙汤); for pattern of phlegm and qi binding constraint, the treatment is appropriate to soothe the liver and resolve constraint, and dissolve phlegm and dissipate masses, which commonly used in modified Banxia Houpo Decoction (半夏厚朴汤) and Jinlingzi Powder (金铃子散); for pattern of qi deficiency and blood stasis, the treatment is appropriate to tonify the deficiency to reinforce healthy qi, and move qi to invigorate blood, which commonly used in modified Xuefu Zhuyu Decoction (血府逐瘀汤). It is emphasised that during the treatment process, the developmental dynamics of the disease should be grasped, patterns and treat should be identified, and special attention to the changes of qi movement should be paid.
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This paper summarized professor WANG Xinlu's experience in clinical application of hongjingtian (Radix et Rhizoma Rhodiolae Crenulatae). It is believed that hongjingtian is good at boosting qi and supplementing deficiency, moving qi and resolving constraint, invigorating blood and unblocking vessels, which can be widely used in various diseases caused by qi-blood disorders such as qi deficiency, qi constraint, and blood stasis. Hongjingtian is commonly used with jixueteng (Caulis Spatholobi) to boost qi and nourish blood, invigorate blood and unblock vessels, and together with yuzhizi (Fructus Akebiae) to regulate qi and invigorate blood, dissolve stasis and dissipate masses. According to the specific symptoms, hongjingtian can be flexibly combined with other medicinal herbs to prepare different experienced formulas, such as self-made Sanhong Yangxin Decoction (三红养心汤) for palpitation with qi deficiency and blood stasis syndrome, self-made Anfei Dingchuan Decoction (安肺定喘汤) for exacerbation of asthma with deficiency syndrome, self-made Honghu Jieyu Decoction (红胡解郁汤) for constraint syndrome of qi constraint and blood stasis, and self-made Shexue Chudian Decoction (摄血除癜汤) for idiopathic thrombocytopenic purpura with qi deficiency failing to contain syndrome. For severe cases of coronavirus disease 2019 (COVID-19) with qi-yin desertion syndrome, hongjingtian is commonly used together with modified Shengmai Powder and Tingli Dazao Xiefei Decoction (生脉散合葶苈大枣泻肺汤), and for those with yang qi external desertion syndrome, hongjingtian combined with shanyurou (Fructus Corni) and Shenfu Decoction (参附汤) is recommended. Moreover, long COVID-19 with healthy qi deficiency and pathogen lingering syndrome can be treated with self-made Xinguan Fuyu Decoction (新冠复愈汤).
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To summarize the clinical experience of Professor AI Rudi in treating acne with triple Chinese medicinal groups combined with Chinese medicinal mask. It is believed that the pathogenesis and treatment of male and female acne are different. The key mechanism of male acne is the dysfunction of the "lung-spleen and stomach-large intestine" axis, and the method of three jiao differentiation should be used. Clinically, the triple Chinese medicinal group, Rendongteng (Lonicera japonica) - Qishe (Portulaca oleracea) - Shicangpu (Acorus gramineus), can scatter wind to relieve heat, and diffuse and disperse upper jiao; group Baihua Sheshecao (Scleromitrion diffusum) - Baixianpi (Dictamnus dasycarpus) - Tanxiang (Santalum album) can clear heat and drain dampness, and regulate middle jiao; group Huaimi (Styphnolobium japonicum) - Juemingzi (Senna tora) - Baizhu (Atractylodes macrocephala) can tonify and moisten to unblock the lower jiao. The core mechanism of female acne is the imbalance of the function of the "liver and kidney- Tiangui (reproduction-stimulating essence, corresponds with the tenth heavenly stem) - Chong and ren" axis, and the method of staged tratment based on menstrual cycle should be used. Before the menstrual period, group Tusizi (Cuscuta chinensis) - Yujing (Curcuma longa) - Qianghuoyu (Hansenia forbesii) can tonify kidney and relax liver; during the menstrual period, group Chuanxiong (Rhizoma Ligustici Chuangxiong) - Yimucao (Leonurus japonicus)- Cansha (Bombycis Faeces) can invigorate blood and regulate menstrual flow; after the menstrual period, group Huangjing (Polygonatum sibiricum) - Shanyurou (Corni Fructus) - Roucongrong (Cistanche deserticola) can nourish blood, assist yang and boost yin. Meanwhile, we attached importance to the internal and external treatment. Based on the internal administration of traditional Chinese medicine, Chinese medicinal masks were used for external application, commonly used in self-prescribed Xianglian Jinhuang Powder (香连金黄散) combined with Huoxue Powder (活血散) as the prescription for Chinese medicinal mask.
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This paper summarized Professor ZHU Zongyuan's clinical experience in applying the treatment method of nourishing yin. Professor ZHU attaches great importance to the guidance of traditional Chinese medicine classic theory to prescription. He is good at combining self-made empirical prescription with classical formulas, and applying the five treatment methods, including clearing and moistening lung yin with sweet-cold medicinals, nourishing stomach yin with sweet-cold medicinals, nourishing kidney yin with sweet-cold medicinals, enriching liver and subduing yang with normal salty medicinals, enriching and astringing heart yin with sour-cold medicinals. In addition, advocating the use of small doses of medicinals in groups can avoid the disadvantages of yin-nourishing medicinals encumbering the spleen and reduce the damage caused by long-term administration, but also easy to handle the cold-heat-warm-cool property of prescriptions, and ensure that the circulation of the qi movement when the five viscera's yin essence to be nourished.
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This article systematically described the background of the construction of Professor ZHANG Yonghua's theory of emotion-mind pattern identification, the theoretical basis and the ideas of pattern identification and treatment, and its application. The theory is guided by the concept of the unity of body and spirit, focusing on individual endowment and the characteristics of the seven emotions and five minds of the individual, especially the "vexation, constraint, consideration, frightening and sorrow" emotional symptoms, and adherence to the three core disease mechanism "qi, phlegm, fire", then prescribed based on the patterns, which is suitable for treatment of emotion-mind diseases and related symptoms. For those with "fire" as the main disease mechanism, identify the manifestation of their emotion and mind: patients with impatience, violent rage mostly belong to excess fire, treated with Zhizi Chi Decoction (栀子豉汤), Longdan Xiegan Decoction (龙胆泻肝汤); patients with vexation, easy to anger, mostly belong to deficiency fire, treated with Huanglian Ejiao Decoction (黄连阿胶汤); patients with vexation, constraint anger, mostly belong to constraint fire, treated with Danzhi Xiaoyao Powder (丹栀逍遥散), Qinlian Wendan Decoction (芩连温胆汤); patients with overjoy, usually due to exuberance of heart fire, or phlegm clouding the pericardium, treated with Wendan Decoction (温胆汤), or Diankuang Mengxing Decoction (癫狂梦醒汤). For those with "phlegm" as the main disease mechanism, accompanied by excessive consideration and thinking, treated with Wendan Decoction. For those with "qi" as the main disease mechanism, Ganmai Dazao Decoction (甘麦大枣汤) is the main treatment for shorter duration of disease, while Banxia Houpo Decoction (半夏厚朴汤) is the main treatment for longer duration of disease.
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To summarize Professor TU Jinwen's clinical experience in the treatment of severe influenza based on the “heat toxin theory”. He believed that “heat toxin” is the main disease mechanism of severe influenza, emphasized the pathogenesis process that toxin enters with the pathogenic qi, heat generates by the toxin, and changes initiate from the toxin, and proposed simultaneous treatment of warmth and toxin and combination of multiple methods as the treatment principles. Syndrome differentiation in clinic should combine with wei-qi-ying-blood. The disease in the early stage located in wei (defensive) and qi level, treated by clearing heat and resolving toxins, releasing the exterior and expelling pathogen, harmonizing the exterior and interior, dredging the bowels with diarrhea, and combining other methods to get rid of the heat and toxin, and modified Self-Prescribed Tuire No. 1 Formula (自拟退热1号方) is recommended; the disease in progression stage located in ying-blood, treated by relieving heat and resolving toxins, and clearing the ying level and cool the blood, with prescriptions as modified Self-Prescribed Tuire No. 1 Formula plus Qingying Decoction (清营汤), or Xijiao Dihuang Decoction (犀角地黄汤); the disease in the late stage with of yin fluid consumption, and heat toxin in the blood level, treated by eliminating heat and resolving toxins, and enriching yin and cooling the blood, with prescriptions as modified Shashen Maidong Decoction (沙参麦冬汤) and Zhuye Shigao Decoction (竹叶石膏汤). At the same time, it is emphasised that heat-clearing and fire-draining method and harmonising methods are important, and that dispelling pathogen should not injure healthy qi, and that the selection of prescriptions and medicines need consider syndrome differentiation and treatment.
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This paper summarized Professor PENG Peichu's experience in the differentiation and treatment of prostate cancer in three phases and four stages. It is considered that prostatic cancer is categorized into root deficiency and branch excess, with depletion of healthy qi as the root, and the accumulation of cancer toxin as the minifestation. Clinical diagnosis and treatment of prostatic cancer can be divided into three phases and four stages according to the exuberance and decline of pathogenic and healthy qi and the changes of deficiency and excess of yin and yang. In the initial accumulation phase of cancer toxin (yang excess stage), the key pathogenesis is the accumulation of dampness, heat and static blood, and internal generation of cancer toxin, and the treatment should be resolving toxins, fighting cancer and dispelling yang excess. In the phase of healthy qi deficiency and toxin accumulation (yin deficiency stage), with the lung and kidney yin deficiency, dampness, heat and static toxin accumulation as the key pathogenesis, the treatment should be centered on mutual generation between metal and water to nourish kidney yin, supplemented with the method of clearing heat and draining dampness, activating blood and resolving toxins, for which self-made Nanbei Formula(南北方)is usually used. In the phase of yang deficiency and cold stagnation (yang deficiency stage and yin excess stage), with the spleen and kidney yang deficiency, cold dampness stagnation, static heat and toxin accumulation as the key pathogenesis, the treatment should be warming and tonifying spleen and kidney to dissipate cold accumulation; for deficiency of both yin and yang, and excess pathogen obstruction, modified Yanghe Decoction(阳和汤) is recommended, while for yang deficiency, cold congealing and blood stasis, self-made Wenshen Sanjie Formula(温肾散结方) can be used, and for cold dampness binding with cancer toxin, and cold complex with heat, self-made Quanan Formula (泉安方) is advised.
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This paper summarized the clinical experience of professor XUAN Guowei in treating non-specific vulvitis from spleen. He believes that the core pathological mechanism of this condition lies in spleen deficiency and dampness accumulation; in the acute phase, spleen deficiency is taken as the root cause and damp-heat toxins accumulated in the vulva as the key; in the chronic phase, spleen deficiency and dampness accumulation is the main pathogenesis, accompanied by kidney deficiency. In clinical practice, the basic method of fortifying spleen and eliminating dampness is used, and self-made Jianpi Shenshi Formula (健脾渗湿方) is recommended as the basic prescription. During the acute phase, the medicinals of clearing heat and resolving toxins are supplemented, while during the chronic phase, medicinals aims at fortifying the spleen and consolidating the kidneys, boosting qi and nourishing yin are added. Simultaneously, there is an emphasis on integrated treatment combining internal and external treatment, and both Chinese and western medicine, and he highlights the importance of daily prevention and care for patients. Additionally, external used Xiaoyan Zhiyang Cream (消炎止痒霜) is created.
الملخص
This paper summarized the experience of ZHANG Zhiyuan, a master of traditional Chinese medicine, in treating gastric diseases with Daizheshi (Haematitum). It is believed that the treatment of gastric diseases should focus on restoring the purification and descent of stomach qi, and Daizheshi, as the essential medicine for directing stomach qi and counterflow downward, is especially suitable. Commonly, Daizheshi is used in combination with herbal medicinals Chaihu (Radix Bupleuri) and Wuzhuyu (Fructus Evodiae) to relieve constraint and direct counterflow downward, with Dahuang (Radix et Rhizoma Rhei) and Gualou (Fructus Trichosanthis) to disperse phlegm and direct qi downward, with Chenxiang (Lignum Aquilariae Resinatum) to regulate qi and unblock the center, and with Renshen (Radix et Rhizoma Ginseng) to open congestion and supplement deficiency. For the syndrome of disharmony between the liver and stomach, the addition of Daizheshi to liver soothing and qi regulating medicinals can lower liver Qi and calm Chong Qi(冲气), restore the unblock and purge nature of stomach qi. For the syndrome of disharmony between the gallbladder and stomach, adding Daizheshi to the medicinals for gallbladder function promoting and phlegm resolving can direct phlegm turbidity downward, and promote gallbladder fire to reach the stomach, permitting the clear qi of the gallbladder rising naturally.For spleen and stomach disharmony syndrome, adding Daizheshi to the medicinals for spleen fortifying and stomach warming can calm the counterflow and the center, allowing the deficiency can be replenished. For lung and stomach disharmony, the addition of Daizheshi to medicinals for lung moistening and stomach clearing can directing stomach qi downward and harmonizing yin, direct repulsion of hyperactive fire, assist metal to purify qi, bank up earth to generate metal, and help with transformation of body fluids.