The Summarization Of Famous Professor LiLiyun's Clinical Experience In Gynecology Of TCM In South China

Background of theoryProfessor Li Liyun is the famous doctor of traditional Chinese medicine all over China, and also is the Famous doctor of TCM in Guangdong Province. She has been engaging in teaching, doctoring for over fifty years. Her academic theory and clinical experience are the very precious fortune for TCM that needs to be collected immediately. Some part of the collecting job has been worked, but limited. Most of them are just one single theory, or spreading experience in many books, which is deficient in characteristic and systematization. At the same time, it is lack of huge successful cases of Professor Li, which are full of South China character in gynecology of TCM, so that it' s hard to reveal the breakthrough achievement in the field of gynecology of TCM and the sublimation in the academic theory. So it is very urgent to collect the academic theory and clinical experience of Professor Li comprehensively and systematically, and so are the dialectical thinking and characteristic of using Chinese medicine that are dug out from the typical cases.ObjectiveThis subject's objective has four points. First is to collect and systematize the academic theory and clinical experience of Professor Li in the field of gynecology of TCM, through the successful cases. Second is to study the typical cases, academic theory and the clinical experience by using the logic of TCM science. Third is to summarize the dialectical thinking and regulation of using Chinese medicine. At last, it comes out with a Professor Li's Chinese medicine case set. Then we can completely reserve and inherit her academic theory and clinical experience. It is more practical to guide the clinical of gynecology of TCM. MethodsSystematically collecting the theses, works, interview of Professor Li all these years. And then analyzing and arranging them carefully, so that we can systematize the theory of female physiology and the disease of gynecology. Systematically collecting the usual cases of gynecology disease and the oral and external therapies. Then analyzing and arranging the dialectical thinking and ways of treatments. Totally collecting the formulations Professor Li usually using, and analyzing the components of them, and handing to Professor Li to correct them.Resaults1,The academic theory of Professor Li is concentrating in regulating menstrual function, which Professor Li often uses to regulate the menstrual cycle by supplementing kidney. And this emphasizes that supplementarity of essence in kidney can grow the ovarian follicles, promotability of Yang in kidney can help ovulate, adjusting the liver, spleen and kidney at the same time can mature the Corpus luteum. Also in the pregnant period, supplementing the kidney is very important. Professor Li then comes out with the theory of 'having a good baby needs to act elegantly' . Her treatment of cureing leukorragia depends on the moist heat theory. And she advocates using different therapies. Such as tubal obstruction, she is willing to remove dampness, relax vein and promote blood circulation by removing blood stasis. In the field of lump, the key to the pathogenesis is about the stagnation of the circulation of vital energy and the blood stasis. The stagnation of the circulation of vital energy can lead to the blood stasis, while the blood stasis can also strengthen the stagnation of the circulation of vital energy. Both of them can affect each other. Besides, dysmenorrheal has very close relationship with the lump. The nature of uterine bleeding is the deficiency of the kidney yin and the spleen qi. The blood heat and stasis are just the pathological factors in some period.2,The function of formulations: No.1 is for supplementing the kidney yang; No. 2 nourishing Yin and clearing heat; No. 3 supplementing essence and blood; No. 4 clearing heat and removing dampness; No.5 promoting blood circulation by removing blood stasis and clearing the lump; No. 6 strengthening the spleen and replenishing qi; No. 7 completing the liver yin and blood in order to sooth it; No. 8 supplementing kidney, strengthening the spleen and completing the liver; No. 9 strengthening the spleen qi to hold blood; No.10 promoting blood circulation by removing blood stasis; No. 11 removing dampness and clearing heat; No. 12 clearing the lump and phlegmy; No. 13 removing dampness, relaxing vein and strengthening spleen qi; No. 14 supplementing yin and blood of kidney and liver; No. 15 clearing the heat and moist in liver and gall; No. 16 strengthening spleen qi in order to clean phlegmy and dampness; No. 17 soothing the liver qi and curing the pain; No. 18 promoting blood circulation by removing blood stasis, clearing lump and phlegmy; No. 19 supplementing qi and blood; No. 20 cooling blood and stopping bleeding; No. 21 soothing the liver qi to relax the sullen; Chinese medicine bag one and two promoting blood circulation, removing dampness and relaxing vein.3,Supplementing kidney to regulate the menstrual cycle: after the menstrual period we need to analyze that which is missed, the kidney yin, yang or essence. Deficiency of kidney yang is going to use No. 1 formulation to complete yang. Deficiency of kidney yin can use No. 2 formulation to supply yin and clear heat, but it must add epimedium Herba Epimedii and Morinda officinal is to promote the growth of ovarian follicles. Deficiency of kidney essence must use No. 3 formulation. Besides, if it is the patients who suffer PCOS and full of the phlegmy and dampness in the body, No. 16 formulation will be useful. At ovulation time, Professor Li emphasizes that strengthen the kidney yang can promote to ovulate. And this time it must use No. 1 formulation. Plum-blossom needle rapping the Chong, Ren, Du, Dai channel, Shenque and Shenxue meridians also help. But for the patients of PCOS can also use No. 18 formulation to ovulate because of the thick albuginea of ovarians. For the patients who is efficiency of spleen qi, it can use No. 6 formulation adding epimedium Herba Epimedii or Viscum albummistletoe to ovulate the follicles. In the period of Corpus luteum, adjusting liver, spleen and kidney is the key to promote the robustness of corpus luteum. But the most important thing is to supplement kidney, second is the liver and spleen. So this time Professor Li use No. 8 formulation. At the menstrual bleeding period, it is very important that the menses must be unobstructed. If you consider the menses is obstructed, you can use No.10 formulation to smooth it. If the blood is blocked by the lump or the phlegmy, you can use No.18 or No.12 formulation. But if the patient is menorrhagia, you should analyze which is the main reason, the deficiency of yin causing the heat or shortage of spleen qi hold blood. The former can use No. 20 formulation, the last can use No.9. 4,The moist cause the Genital inflammation. According to the dialectical analysis, you can use No. 4 formulation to clear the heat and moist; and No. 11 to remove the dampness. For the tubal obstruction, you can use No. 13 formulation together with Tongyu No. 1 capsule for oral therapy in order to remove dampness and relax vein. And according to the condition level and with the PID or not, you can choose Chinese medicine bag, Sihuangshuimi or Maodongqing clyster liquid for external therapy. For the cervicitis, you can put some Chinese medicine on the cervix base on the oral medicine.5,The theory of cure lump: Professor Li usually treat the lump disease in several parts. In the dismenstrual period, it must distinguish the lump alone or with the phlegmy. The former can use No. 5 formulation; while the last can use No.18 or No.12 formulation. At the menses bleeding time, it must distinguish the stagnation of the circulation of vital energy or just the lump. The former can use No. 17 formulation, while the last can use No. 18 formulation.6,The theory of curing uterine bleeding: While in the period of bleeding, stopping the bleeding is urgent, and you can use No. 20 formulation. And add some supplement medicine of qi. If the bleeding lasts a long time and appears the deficiency of qi and blood, it can use No. 9 formulation. If the bleeding has been stopped, you can use No. 19 formulation to complete the qi and blood.