| GAO Caida chief TCM doctor was born in the traditional Chinese medicine family, national famous old doctor of traditional Chinese medicine, and the fifth batch of old Chinese medicine expert academic experience inheritance guidance teacher. He has more than 50 years of experience for a variety of internal and external of diagnosis and treatment, and has in-depth study of children’s diseases. He has formed the unique academic thoughts, has accumulated rich clinical experience. I had the honor as teaching assistant diagnosis for three years, there is some rewarding.The purpose of this paper is to dig from different sides of GAO’s academic background, from different angles to explore the diagnosis and treatment, and academic thoughts and clinical experience of GAO’s system arrange, summarizes its characteristics and drug treating rule, and focus on the treatment of rapid arrhythmia in clinical research, to provide comprehensive inheritance, application and innovation development theory in accordance with GAO’s experience.The main content of this article is divided into three parts:Part 1:GAO’s overview of traditional Chinese medicine academic thoughts origin and induction1.1 academic thoughts origin:GAO’s familial home was in Ningbo, Zhejiang province, as the fourth generation successor, his father GAO Feng-xi habitat from shunyi famous doctor who is good at Chinese medicine internal medicine, gynecology, and pediatrics. Under the guidance of his father, GAO reads-through TCM classics. After he graduating from secondary school, gone to court for two years, with the father diagnosis in the side and learned the family inheritance. In 1962 learned from Tong zhi-bin, an old doctor of traditional Chinese medicine clinical study for four years. After starting ShunYi County hospital regions engaged in clinical work. During work in county hospital, and learned from, such as, Wang Jingxi, Ren Rushu, Liu Duzhou, everybody gave directions of traditional Chinese medicine, on the basis of traditional Chinese medicine to improve clinical experience and lay a solid foundation. When he was 44 years old, he was admitted to Beijing institute of traditional Chinese medicine. After four years of study, make its basic and clinical theory of TCM deeper. GAO experienced from three paths of traditional Chinese medicine (TCM), family inherited, teacher’s taught and the school, the three paths for the formation of his academic thought had a profound impact, he upholds summarize unceasingly, the family learned experience and educational background combined with an efficient and more than 50 years of clinical practice on the basis of inheriting predecessors’experience, achieve mastery through a comprehensive study, and gradually form a unique set of their own academic thoughts and clinical experience, concise into"Yi Wu Chan Wei","Fang Yao Du Yan"two main academic thinking book.1.2 Main academic feature:1.2.1 cure disease from basis, disease and syndrome coherentGAO emphasizes the integration concept, pay attention to the dialectical treatment, "in this" treating disease, emphasis on "cure disease from basis, disease and syndrome coherent". On the basis of the holistic concept, GAO attached great importance to the combination of disease and syndrome differentiation, put forward "to cause disease first, give priority to with syndrome differentiation" of clinical diagnosis and treatment.1.2.2 Four diagnosis, detailed analysis the tongue veinsGAO think "cure this disease, and ginseng disease" is the basis of the inspection, auscultation and olfaction, inquiry, and pulse-taking and palpation test of basic skills. Must pass the inspection, auscultation and olfaction, inquiry, and pulse-taking and palpation of full information, comprehensive analysis, determine the cause, illness, disease, and even, and outcome, can make the correct judgment and diagnosis and treatment.1.2.3 Attention to the role of Qi and blood, Qi Yin in the treatmentGAO think qi and blood is constitute the basic material of human body, the fundamental cause of diseases lies in qi dysfunction, treatment is the key to regulate qi and blood, qi and blood flow, the impediment to heal. It considers blood disorders to affect qi and Yin, put forward "in the qi and blood, with qi and Yin" point of view, and emphasized in line with the principles of regulate qi and blood, should actively qi and Yin.1.2.4 Cultural After-born, mutual helpGAO pointed out that the kidney is the foundation of the "nature", the spleen and stomach as the origin of "the day after tomorrow", the two interdependence on physiological, pathologically causal, he attaches great importance to the relationship between nature and nurture, nourishing liver and kidney in regard to protect the spleen and stomach, regulating the spleen and stomach and kidney, make both each other, promote each other, so as to achieve the purpose of supporting.1.2.5 humanities in TCMGAO think "major medical" be good behavior, the so-called "biggest sincere", at the same time, creativity and artistry of traditional Chinese medicine are put forward, he often mentioned in clinical prescriptions "the art", the relationship between think each song by the party or prescription is a work of art, the images of its clinical application is art or art in innovation.Part2:clinical experience and characteristics of chief physicianBy following GAO’s diagnosis, summarizes medical record, collecting treatment prescriptions, analysis with the train of thought, read GAO’s papers, books, listen to old for the interpretation of clinical case analysis, to participate in GAO’s ward round and lectures. Patients of GAO had diseases such as internal medicine, gynecology, dermatology, etiology and pathogenesis, syndrome differentiation treatment, etc. A detailed analysis of the formulas, conclude and summarize, complete the GAO’s and summary of clinical experience.2.1 clinical experience summary2.1.1 medical experiences2.1.1.1 Obstruction of heart palpitations.GAO summarized clinical experience for many years, think the happening of the obstruction of palpitation by qi and Yin deficiency and blood stasis, treatment with qi and nourishing Yin, activating blood as the method, clinical use experience fontanel pine pulse-activating decoction plus or minus, treating obstruction heart palpitations insufficient effort.2.1.1.2 The syndrome of feeling fullness and distension in the upper abdomenGAO put forward the common pathogenesis characteristic is "spleen imbalance, qi activity block", treatment is the key to the evacuation, the main method to the choice of lifting and level fever, balance of Yin and Yang, or virtual reality, flexible use of five xie heart soup treatment, to reconcile the spleen and stomach, regulating qi and blood.2.1.1.3 Chronic constipationGAO think chronic constipation caused by deficiency and disorder of spleen and stomach qi activity of the intestinal fluid, purge to migration and spleen, qi activity of lifting method choose flavored atractylodes soup to treat, the key for the reuse of atractylodes.2.1.1.4 Treat sweat syndromeGAO believes qi and Yin deficiency is the basic pathogenesis of deficiency, spontaneous perspiration is given priority to with qi deficiency, night sweat is given priority to with Yin deficiency, decrease clinical bamboo leaves gypsum soup treatment of spontaneous perspiration, with dang treatment when six night sweats.2.1.1.5 The treatment of chronic fatigue syndromeGAO believe that chronic fatigue to speed up the pace of life, work pressure is too large, thinking over, diet weary, daily life disorder caused by a state of sub-health, core and pathogenesis of kidney Yin deficiency of heart, to the bushing kidney qi, to treatment with the subtraction.2.1.1.6 Treatment of tension headachesGAO summarized core pathogenesis of neuropathic headache for blood deficiency wind, on qing qiao, to invigorate the circulation of nourishing blood and functions of the pain as the method, choose Chen shiduo save brain soup in the qing dynasty on the basis of party with disease to add and subtract, the clinical curative effect is remarkable.2.1.2 The experience summary of department of gynaecology2.1.2.1 Menstruation irregularGAO thought women take blood as this, is innate with liver, liver storing blood factor; Woman more than air, easy to cause liver depression and qi stagnation, pathogenesis, cause of estrangement and the abnormal line. So according to the ancients "regulate the menstrual function first liver, liver through adjusting" theory, the GAO’s to liver qi, nourishing blood regulate the menstrual function for the law, with xiaoyao powder to treat various menstruation to be not moved.2.1.2.2 LeucorrheaGAO thought many for the origin of the bet, take the basic treatment, leucorrhea basic pathogenesis of liver depression pi xu (spleen deficient) bet the origin, to finish with tonga subtraction; Basic pathogenesis of kidney empty treating yellow belt, put in when to add and subtract.2.1.2.3 InfertilityGAO emphasis on infertility ginseng to examination of department of gynaecology, basic pathogenesis, along with the rule. Long marriage infertility, to adjust to treat liver tonga subtraction;long time itreament,to adjust to treat tonicChongren Decoction;Secondary infertility, cure to seed Dan add and subtract. Uterine dysplasia of infertility, to warm the soup; Ovulation dysfunction, infertility cure to experience the ovulation tonga subtraction.2.1.3 experience summary2.1.3.1 AcneGAO summarized many years clinical experience in treating acne found that lung and stomach toxic heat and blood stasis hot junction is the standard of acne flare-ups, whereas ferrite phase Yin deficiency and fire move is the foundation of the disease, so summarize Yin blood heat for acne pathogenesis is the most basic pathogenesis, hong zi kidney Yin, cold heat with blood for the law, in matters of tonga subtraction treatment.2.1.3.2 ChiliasmGAO thought chiliasm is high performance, blood stasis is the essence, and form is the wind, the basic pathogenesis of blood stasis wind depression, disease in the table, related to the liver and spleen kidney. Treated with promoting blood circulation to remove blood stasis (eliminate spot as the basic law, choose blood spot tonga subtraction treatment.2.1.3.3 neurodermatitisGAO thought that the basic pathogenesis of blood deficiency wind drying, the treatment when to keep blood dryness, functions of dehumidification method, choose Zhao Bingnan old experience person is whole worm and subtract the treatment of traditional Chinese medicine, and on this basis, the treatment of various skin diseases.2.2 sent the herbal medicine featuresGAO’s formula is rigorous, emphasize "drugs such as fight", strive to medicine specialized, mastering many skills while specializing in less force; Pay attention to different similar to traditional Chinese medicine processing, according to the clinical need to be screened applications; Drug use clever, in accordance with the laws of lifting and, often fill and elimination, lifting with use, flexible of compatibility of medicine used to treat; Pay attention to the use of adjuvant, emphasize the important role of adjuvant in prescription compatibility.Part3:Clinical study of treatment of atrial contraction of Dan-Song pulse-activatingThe purpose of study is to explore the clinical experience of treatment of atrial premature contraction. This study collected 80 cases of conforms to the standard of atrial premature contraction (TCM syndrome type for the deficiency of both qi and Yin palpitations) patients, and analysis clinical symptoms,24 hour dynamic electrocardiogram changes.Results:patients taking Dan-Song pulse-activatingand Wenxin granule can improve heart palpitations and other symptoms,24 hours ECG display the number of premature than before treatment was significantly less, but the former effect is better. |
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