Febrile Diseases Theory To Guide Treatment In Taiwan Damp Heat Diarrhea

Damp-heat diarrhea is a kind of diarrhea disease which mainly manifested as urgent diarrhea, or yellow foul smell stool, and greasy yellow tongue. In Taiwan province, Damp-heat diarrhea is the most common kind diarrhea. The issue aims at exploring the damp-heat diarrhea in Taiwan province using the Seasonal Febrile theory.The article firstly reviewed diagnosis and treatment progression of damp-heat diarrhea about the modern traditional Chinese medicine, it includes the pathological mechanism of damp-heat diarrhea, the ancient formula and self-creating foumula used for treating damp-heat diarrhea, special medication and special treatment studies, the theory advanced by famous chinese medcine doctors and Pediatric Diarrhea research. Although many literatures have been collected, but only a little reporting and thesises for Damp-heat Diarrhea treatment have been published. Considering the existing published articles are mostly published by young Chinese medicine staff, who inevitably lack of experience and knowledge, so an important task for the present study of traditional Chinese medicine is learn and inherit the experiences of the old Chinese medical doctors.In the instruction of my turtor, I have systematically studied the China nation Key Book-"Clinic experience Series of 100 chinese medicine doctor in a century". There are 143 volumes and 143 doctor's Clinic experiences in the series in total, each book addresses a doctor. There are 57 doctors have addressed to the Diarrhea Treatment experience, and 248 diarrhea cases were listed(too simple documented medical records not counted). In these records, there are 28 cases of damp-heat diarrhea, of which, there are 27 cases treated with traditional Chinese medicine. Of these 27 cases, I have researched their treatment season, treatment location,diseases diagnosis, the use of set prescription, treatment duration and frequency of medication treatment, and the following results have got:damp-heat diarrhea in the spring, summer, autumn and winter respectively is 13.6%,36.4%,36.4%,13.6%, damp-heat diarrhea accounted for 72.8% happened in summer and autumn totally. All the results show that the distribution of damp-heat diarrhea are seasonal in nature. The results show that damp-heat diarrhea happened in the south and north of China respectively is 59.3% and 22.2%, this also show that the distribution of damp-heat diarrhea are regional, maybe the reason is the weather is more hot and humid in the South of China. Besides, the frequency statistics for the medicines used showed that Gegenqinlian Decoction is the most commonly used, and showed that the most commonly used drugs are berberine, licorice root, puerarin, baicalin, costas, Radix Paeoniae Alba, Poria, Citrus aurantium, and talc. This result globlally reflects the current understanding and advantages of traditional Chinese medicine for Damp-heat diarrhea,but also exposes the lack of diversity in treatment methods and theoretical innovation.From the above research we can see that the damp-heat diarrhea is not in the main proportion in mainland, but then how is the situation in Taiwan? Taiwan is located on the continental shelf in the southeast coast of mainland, its location is between east longitude 119°18'03" to 124°34'30 ", north latitude 20°45'25" to 25°56'30 ". The island is The long and narrow, the southerly island of the central region just across the Tropic of Cancer, the northern region is a subtropical climate, the southern region enjoys a tropical climate. Taiwan's climate strongly influenced by both maritime and continental climate, but the maritime climate is more obvious, the climate characteristics shows high temperatures, rainy, windy in total. This climate characteristics is bound to result in differences in physical and disease syndromes.For which, I have investigated Chinese medicine physical type and the onset type of diarrhea of Taiwan residents.Physical survey was undertaken through questionnaires. According to the Chinese Medical Association published "Chinese constitution Classification and determination" issued in 2009,700 copies of "constitutions Survey Form" had been issued, and 624 copies had recovered. Excluding invalid form, a total of 435 forms were valid. In which, thare are 196 males and 239 females.23 people are less than 20 years old,386 people are between 21-59 years old,26 people are more than 60 years old. According to constitution judgement standards issued by the Chinese Society of Traditional Chinese Medicine, the constitution can eventually determined in 423 people. The results showed that:if we count according to the frequency of different constitutions, the most common constitution is yin dificience biased body, and followed by Qi dificience biased body, Yang dificience biased body and phlegm-dampness biased body;but if we simplify the relative constitution, then the most common constitution is yang dificience biased body, and followed by Yin dificience biased body, phlegm-dampness biased body and Qi dificience biased body. All these reflect two physical bias characteristics of Taiwan residents,that is:1) from the point of positive dificience vital Qi, there is a tendency to polarization, or yang, or yin deficiency;2) from the point of excess evil Qi, wet evil factor is more excess, compared between wet,stasis and stagnation. These two physical characteristics are related to Taiwan's environment and climate-related. Taiwan's climate is hot, people will have more sweat, sweat always injured the jin and yin,so the Yin dificience biased body is more common. Besides, because it's hot, people liked have air conditioners, and drink cold drinks and herbal tea, which resulted in many people have Yang deficiency biased body, especially in youngsters. Taiwan's climate is humid, the air humidity is very high, this cause Taiwan residents have wet excess baise body. If the wet excess baise body combined with the yang dificience quality, which will result in many people have phlegm-wet biased constitution.In the survey of Diarrhea Syndromes of the Taiwan, I have used " TCM Syndrome diagnosis and determine the efficacy of standards" issued by the State Chinese Medicine Administration.in this standards, the diarrhea is divided into 6 classification:cold-wet syndrome,damp-heat syndrome,food stagnation syndrome, liver depression spiting spleen syndrome, spleen-stomach deficiency syndrome and kidney deficiency syndrome. All investigators have abundant clinical knowledge of traditional Chinese medicine, and the objects of research are diarrhea patients. All investigation have got patient's consent. The investigation form is writed by doctor, and there are two parts need to fill in:"diarrhea symptoms questionnaire" and "Diarrhea symptoms questionnaire". One pare is the basic conditions of the patient, including name, gender, age, tobacco and alcohol habits, occupation; Another part is about the symptoms, which is a major part of the table. I have totally investigated 86 cases,47 cases were males, and 39 females. Age distribution:3 cases are less than 20 years old,23 cases are 21 to 29 years old,20 cases are 30-39 years old,17 cases are 40-49 years old,13 cases are 50-59 years old,10 cases are more than 60 old. Finding: cold-wet syndrome 4 cases(4.7%),damp-heat syndrome 22 cases(25.6%), food stagnation syndrome 12 cases(14%), liver depression spiting spleen syndrome 7 cases(8.1%), spleen-stomach deficiency syndrome 34 cases(39.5%),kidney deficiency syndrome 7 cases(8.1%). The results shown in the spleen and stomach deficiency syndrome is most common(39.5%,34/86),followed by damp-heat syndrome (25.6%,22/86). This result is most different from the last research about national famous old Chinese medicine treatment of 57 cases of diarrhea results, in which including 248 cases of diarrhea, but there are only 248 cases of damp-heat diarrhea. There are maybe two reasons:1)regional differences.hot and humid diarrhea mostly occurs in the south, Taiwan is the South, and is an island, the climate is always hot and humid, the opportunities occurring hot and humid diarrhea is much more.2) our survey is between May to July, exactly the most hot and humid period in a year.My tutor has extensive knowledge on Febrile Diseases, and have extensive experience in treating damp-heat diarrhea. According to her clinic experience, she have created a formula-"Qu shi qing re zhi xie formula", which is especially suitable for damp-heat diarrhea in Taiwan. This formula is composed of Agastache rugosa, Atractylodes, puerarin, berberine, costas, Plantago, Artemisia, Pinellia, fried hawthorn, Huang Qin, Magnolia, Bidens (Bidens), a total of 12 Herbs. And the research is conducted at benevolence and the health care system in Taichung.52 cases were selected for treatment group, using'Qu shi qing re zhi xie formula'for treatment, and control group 38 cases, using'Ge gen qin lian tang' for treatment.In the study, I have trained the doctors, all participating doctors must get the lesson. In the training, the following thesis must be mastered:learning knowledge of Febrile Diseases, focusing on the use of damp-heat diarrhea in Treating Febrile Diseases; guideing doctors using Febrile Diseases academic thinking to treatment hot and humid diarrhea; mastering the theory of Wujutong about 'treating exogenous evil invading disease likes general, and treating internal disease likes Chancellor','the middle energizer likes weight, the treating principal must be balance';mastering the theory of Yetianshi about'do not warm to through yang qi, but induce urination'. The second step is to use " Qu shi qing re zhi xie formula " to treat damp-heat diarrhea. One treating course is 2 days, and the treating courses must less than 4. The result:in the 52 cases of damp-heat diarrhea, after two treatment courses,the total effective rate is 100%; three treatment courses, the markedly effective rate was 100%; 4 treatment courses, the clinical cure rate was 100%. The efficacy is satisfactory, and is much good effect than the control group. Besides, I have recalled 30 cases, by the recalling research, I have get the further evidence that if doctors have the thesis guide of Febrile Diseases, the treating effect will be much better, comparred to those who do not study the Febrile Diseases theory.Through research projects, I have learned so much. The Febrile Diseases can not only solve the clinical practice problems, but also improved my self-cultivation in TCM theory. The completion of the subject is not the end of learning, but more in-depth study start.