Prelimilary Research On Professor Liu Xinxiang's Clinical Experiences In Treating Various Internal Diseases Through Spleen And Kidney

My tutor practises medicine over 30 years and has profound understanding in Spleen-kidney Theory.This thesis discusses my tutor's academic thought by analysing his drug application in clinical practice.Derived from Li dongyuan's Spleen-stomach Theory and Zhang jingyue's Kidney Water Theory, supplemented by theories of Schools of Yishui,and giving consideration to local climate and people's living habits of Hunan,he developed his academic thought mainly featured by treatment of Spleen and kidney.Great emphasis is put on summarizing my tutor's academic thought and clinical experiences.By close observation in clinical practice as an apprentice and relative ancient books' reading,6 features can be concluded from his treatment:1.Strengthening the spleen and stomach.To invigorate spleen and stomach and reinforce spleen-yin,Buzhong Yiqi Decoction and Shenlingbaizhusan are preferred.2.Balancing the kidney.To warm the kidney-yang or to replenish kidney-yin,Zuogui decoction(Pellet) and yougui decoction(pellet) are preferred.3.Banishing prejudice and advocating the combination of TCM and Western Medicine to improve curative effects.4.Being good at curing kidney diseases.Chronic kidney diseases mainly manifests its syndrome as deficiency of spleen and kidney,especially as deficiency of Yang.The treatment is to reinforce both the spleen and kidney,supplemented by methods of diffusion,diuresis and dissolving stasis.Self made shen'an decoction is proved effective clinically.5.Regulating ascending and descending movement of Qi when treating diseases of digestive system.Herbs such as Rhizoma Cimicifugae,Bupleurum,Rhizoma Pinelliae,Loquat Leaf,Radix Puerariae, Radix Platycodi are preferred.6.Combined with his own clinical experiences,drug application is usually based on classical traditional Chinese medical formula.Five features can be detected:1st the formula is very simple,and commonly consists of no more than 10 herbs;2nd Radix Astragali is usually preferred;3rd herbs regulating Qi which can promote Qi circulation without consuming Qi,regulate Qi without injuring yin and relieve depression such as Cortex Albizziae,Fructus Citri Sarcodactylis,etc are preferred;4th herbs warming yang which won't cause warm dryness such as Herba Epimedii,Radix Morindae Officinalis,Rhizoma Curculiginis,etc are preferred.;5th flower and leaf herbs are preferred.At the same time,the application of statistics can confirm the characteristic of my tutor's prescription:to start from spleen and kidney, when prescribes for urinary system,the core prescription tends to be Shen'an Decoction;when prescribes for digestive system,attention is paid on balancing yin and yang,adjusting firmness and tenderness and regulating Qi movement.