The Clinical Experience Of Professor Feng Wujin Using "Six As One" Concept Treating "Diarrhea Type IBS"

Professor Feng Wujin, Xiyang, Shanxi people, national fourth inherited old academic experience in Chinese medicine expert instructor, graduated from Beijing University of Chinese medicine, enjoying special subsidy of the State Council, work in clinical, research, and teaching of traditional Chinese medicine for more than 30 years, focusing on modern research of traditional Chinese medicine, clinical experience, specializes in treating spleen and stomach diseases, especially on the stomach swelling, diarrhea effect is more prominent. In recent years, with Elm white powder by two steps of traditional Chinese medicine enema in treating ulcerative colitis, unique, traditional Chinese medicine has opened up a new way of treating intestinal diseases.Mainly content:ⅠProfessor Feng Wujin's academic sources:The rights, in the treatise, and the theory of the spleen and stomach and spleen-stomach disease with TCM's schools to tutor the best inspiration, lay the foundation of academic thought in his spleen and stomach, mentors that "read the classics, medical clinic, good thoughts, summary" is a famous doctor's road to success.Ⅱspleen-stomach theory of traditional Chinese medicine classics of ancient history:Laid the theoretical foundation for spleen-stomach theory, later generations of spleen-stomach theory development, is taking this as a starting point.②the Treatise on Febrile and Miscellaneous Diseases, clinical treatment with syndrome differentiation of spleen-stomach theory laid the Foundation, Zhang Zhongjing's not only made the "four seasons of spleen in Mong Kok against evil" theory, and on the treatment of six, also developed a series of platform for prescriptions and treatment based on syndrome differentiation of spleen and stomach disease, clinical application of spleen-stomach theory has opened up broad prospects.③tangsongjinyuan, spleen-stomach theory to comprehensive development of Li dongyuan's unique, open theory of spleen and stomach first, by the "all things" theory, saying that due to deficiency of spleen and stomach disease caused by loss, clinical in the common supplement, Sun method of invigorating Qi,nourishing stomach, originator of epoxy PuTTY schools.④in Ming and Qing dynasties, spleen-stomach theory to further enrich the perfect, especially on ye Tianshi's elaboration on treatment of spleen and stomach-yin has made excellent contributions, so that gradually developed into a complete theory of spleen-stomach theory system.Ⅲ, Feng wujin academic ideas summary:1, "six to one" concept in the treatment of functional gastrointestinal disorders:the functional gastrointestinal disorders is one of the many factors involved in the process of, its diversity and uncertainty caused by the treatment of clutter, the treatment effect of unstable situation. "2, disease", "card", "disease" with integrated treatment of spleen and stomach disease: advocating for medical treatment should pay attention to "collaborative therapy", traditional Chinese medicine and Western medicine together, local administration and overall treatment of cooperative, collaborative drug and non-drug therapy to enhance the effect. In the course of clinical diagnosis and treatment of diseases, the use of "disease", "card", "disease" with one, from primary elections with the main charge in order to work, from the main syndrome of primary elections to much effect, from the main main method in order to get to the root.3, attach importance to the tongue:"tongue and stomach waiting outside, MOSS is the fumigation of stomach Qi", reflect the motion-sensitive and accurate tongue on the spleen and stomach disease, provide the basis for differentiation of spleen and stomach disease4,comply with the physiological characteristics of the spleen and stomach, machine, and beg for money:①good adjustable gas machine, lifting the Division;②cold, bitter downbearing drop;③Wen Tongshi clearance, dry run fitting;④keep the machine, by the side of the Conference;⑤the samples into account and adjust blood;⑥long illness into the collaterals, don't forget to remove blood stasis;⑦good and soothing the liver and spleen wood, and camp;⑧unauthorized drugs, pay attention to the law.IV Clinical experience of Professor FengPeptic ulcers, gastroesophageal reflux disease, chronic constipation, chronic atrophic gastritis, ulcerative colitis, functional dyspepsia, folk prescription headache summarizes their clinical experienceV The Clinical experience of Professor Feng wujin using "six as one" concept treating "diarrhea type IBS"Objective:Using the mathematical statistics and factor analysis method and in combination with clinical practice to objectively summarize the treatment of diarrhea IBS by Professor Feng wujin, explore the dialectical differentiation rule, and to sum up the clinical experience and academic thinking, and provide for Chinese medicine diagnosis treatment of diarrhea IBS objective scientific evidence.Methods:This study was started from December 2010 to January 2012, with clinical epidemiological survey method of shanxi institute of Chinese medicine outpatient service 237 cases of diarrhea cases of IBS survey, designed syndrome questionnaire, anxiety depression self rating scale, determined the content, the use of EPldata3.0 database establishment and management, and the second entry way audit. The quantitative diagnosis of traditional Chinese medicine explore diarrhea type IBS syndrome factor and explore a disease of sex disease, distribution, statistical methods mainly adopts frequency analysis, cluster analysis, factor analysis and factor analysis method and in combination with clinical practice, the type of diarrhea IBS patients dialectical rule of objective concluded and analyzed.Results:1.This study's 237 patients is composed of 43.45% men and 52.32% women; Age distribution in 40.61±12.91 years; Course in 27.63±18.04 months.2. Diarrhea type main symptoms IBS for:diarrhea> defecate rare discharge takes place > don't think of food, stay not more> long diarrhea; Symptoms of 46 by clustering analysis results and the index of traditional Chinese medicine theory, and the combination of traditional Chinese medical syndrome sums up the rule, four card type name as follows: spleen weak card (18.14%), spleen deficiency stomach (48.52%), spleen and kidney Yang syndrome (20.25%), cold du syndrome (13.08%).3.Useing orthogonal rotating the factor analysis clustery form the four big type of symptoms, analyzed signs variable, and conclude the type of most contribution several variables, form the dialectical points as follows:spleen syndrome differentiation weak point: food don't turn, god, often after food weary force new; Spleen deficiency stomach to purge pain reduction, upset after irritability, dream, mood when not free of abdominal pain, bowel sounds; Spleen and kidney Yang card for pleased with warm and press, diarrhea, form even cold limbs cold; Cold du card is defecate not great, dry mouth bitter, often abdomen xi warm.4.Chinese medicine syndrome factor distribution rule:a disease syndrome factor lies mainly in the small intestine, e., spleen, liver, kidney; Sexual disease syndrome factor mainly have cold, wet, and qi stagnation, Yang, qi.5, drug laws:49 kinds of drug frequency analysis, the top 10:liquorice, big jujube, dangshen, prince Edward and euryale seed, lotus seed, meat, dried tangerine or orange peel, kindhearted YiRen, sand benevolence, faeries spleen; Treatment for the main spleen (57.14%), kidney by the drug (55.10%); The liver (36.73%); The treatment to temperature sexual medicine peace sexual medicine give priority to. Wen sexual medicine 61.21%, cold LiangYao accounted for 18.36%; the treatment is mainly about XinWen XieBiao medicine, Chinese traditional medicine, and temperature acerbity collect medicine, fill gas medicine.6.Formula summary:spleen with weak card and limit lingya scattered; Spleen deficiency stomach in pain diarrhea YaoFang, wood Que 6 gentleman soup; Spleen and kidney Yang card with four god pill+and lingya scattered or proved in Daniel large-headed atractylodes pills; Cold du card with ebony pill.7.Depression self rating scale (SDS), anxiety from rating scale (SAS) score analysis:237 patients,15.61% merger depressed, anxious state with 20.67%,5.08% anxiety state also present.Conclusion: The epidemiological/DME survey methods, application index clustering mathematical statistics and many factor analysis method with traditional Chinese medicine theory, summarizes diarrhea type IBS syndromes distribution rule. To the spleen deficiency disease always throughout, with cold, wet, and qi stagnation, Yang, qi for disease sexual factors, draw four card type and key points of syndrome differentiation, treatment to the spleen is given priority to, especially pay attention to WenTong, always don't forget ShuGan, wen kidney, and good at adjusting patients psychological state. For diarrhea clinical syndrome differentiation type IBS provides an objective basis.