| ObjectiveThe mian purpose of this study is preliminary summary and discussed professor li using warm-method and heat-clearing-method concurrent classical prescriptions to therapy difficult disease clinical experience.Hope for the current clinical application warm-method and heat-clearing-method research and for the current academic experience of traditional Chinese medicine inheritance and summarizes the research to provide certain reference.Methods1 The research object:This research mainly to collect and organize in november 2014 to September 2015 professor li sai mei have practical use of the party cold-temperate and party outpatient medical records. Through screening met inclusion and exclusion standard the medical records has 556 copies.2 Establish a database:According to each medical records used by the warm-method and heat-clearing-method concurrent classical prescriptions to classify the meets the requirements of medical records. For each of classical prescriptions to create a large database separately. In each of large database according to the disease and syndrome, disease, method, square, medicine and so on six aspects to create small database.3 Through the formal concept analysis of statistical partial order structure model to analyze the information in each database. Formal concept analysis method of the partial order structure mode of statistics is the formal structure of unstructured data representation. Its core idea is according to the data characteristics of the frequency of determine the features in the sequence of partial order structure, according to the partial order and partial order to implement the clustering structure formation in the set. Then from the formation of the whole or partial partial order structure found in the universality and specificity of things. This study will each medical records of warm-method and heat-clearing-method concurrent classical prescriptions as an object.Its disease and syndrome, disease, method, square and medicine respectively as attributes. Through the formal concept analysis of the statistics of partial order structure model for each database data for analysis.ResultsThis research through screening medical records, establish a databa se and through formal concept analysis of the statistics of partial order structure model for each database data analysis. Summarize the whole sit uation of professor li made use of warm-method and heat-clearing-method c oncurrent classical prescriptions. With more than 100 medical records dat abase to data analysis (including chaihuguizhitang, banxiaxiexintang, xiaoch aihutang, chaihuguizhiganjiangtang, chaihujialonggumulitang). From disease and syndrome, disease, method, square, medicine and so on six aspects to explore the clinical experience of professor li use each by the warm-meth od and heat-clearing-method concurrent classical prescriptions. Prelimina ry discussion on professor li using the prescription to treat difficulty miscellaneous disease’s academic thoughts.1 The results of data analysis:(1) The overall situation:Each war m-method and heat-clearing-method concurrent classical prescriptions in 5 56 medical records held by the number and percentage as follows chaihugui zhitang 157 copies of medical records (25%),banxiaxiexintang 104 copies o f medical records (16%), xiaochaihutang 138 copies of medical records (2 1%), chaihuguizhiganjiangtang 102 copies of medical records (15%), chaih ujialonggumulitang 105 copies of medical records (16%), The rest of the 4 9 copies of medical records (7%) is other warm-method and heat-clearing-me thod concurrent classical prescriptions. (2) Chaihuguizhitang:Professor 1 i commonly used chaihuguizhitang treatment of endocrine disease such as d iabetes, hyperthyroidism, goiter, treat these illnesses such as colds, co ugh. The second is gastritis, anxiety and so on; often symptoms mainly in elude dry mouth, poor sleep, fatigue weakness, limb paralysis, sweat is m uch, waist ache, etc; the most common tongue veins have wiry pulse, white coating on the tongue, yellow coating on the tongue; the main treatment is harmonizing Shaoyang and sweat. The second is tonifying spleen, clearin g heat, activating blood, harmonizing Shaoyang and tongyangxiere etc. Oft en associated with chaihujialonggumulitang and guizhijiagegentang, guizhi jiagegentang and banxiaxiexintang, banxiaxiexintang, sijunzitang, dachaih utang, dangguishaoyangsan at the same time use; often use white peony roo t, but sometimes replace white peony root by red peony root. If use white peony root is often paired with the keel、oyster, rhizoma chuanxiong, an gelica, pueraria, poria cocos、atractylodes macrocephala koidz, epimedium. If use red peony root is often paired with epimedium、amomum, poria coco s, dried ginger, oyster.(3) Banxiaxiexintang:Professor li commonly used Banxiaxiexintang treatment a variety cold-heat jumble of difficulty misce llaneous disease; commonly used Banxiaxiexintang treat taiyin disease, so metimes treat shaoyang disease and yangming disease etc; often symptoms m ainly include sleep is poor, dry mouth, often abdominal distension full, bosom frowsty, loose stools etc; the most common tongue veins have wiry p ulse, yellow tongue fur, white tongue fur; the main treatment is and the reverse away the new reduction. The second is strengthening spleen, tonif ying kidney etc;often associated with xiaochaihutang, chaihuguizhitang, s ijunzitang, sinisan, fuzilizhongtang at the same time use; often add bupl eurum or epimedium. Commonly used medicines have epimedium and amomum, ev odia and coptidis rhizome, angelica sinensis and rhizoma chuanxiong, rad ix curcumae and gallus gallus domesticus, cuttlebone and wulingzhi, wulin gzhi and walengzi, inula flower and daizheshi. (4) Xiaochaihutang:Profess or li use xiaochaihutang treat endocrine disease, exogenous diseases, amo ng them a cold and cough is more. The second is the digestive tract dise ases; Treatment of shaoyang disease is given priority to, sometimes treat taiyin disease, taiyang disease, qi depression, yangming disease or phle gm-damp etc; main symptoms often are dry mouth, poor sleep, tired weaknes s, menstrual blood stasis, loose stool, cough etc; the most common tongue veins have wiry pulse, white tongue fur, yellow tongue fur; the main tre atment is harmonizing shaoyang, tuning of cardinal and strengthening sple en. The second is clearing heat, resolve phlegm, promoting blood circulat ion; often associated with banxiaxiexintang, wendantang, sinisan, sijunzi tang, xiaoleiwan, gegenhuangqinhuangliantang, dachaihutang, guizhijiagege ntang, wulingsan at the same time use; offen used to add and subtract dru gs are poria cocos, dried ginger, epimedium, red peony root; commonly use d medicines have periostracum cicadae and phillyrin and scrophulariae, an gelica sinensis and rhizoma chuanxiong, endothelium corneum gigeriae gall i and curcuma, epimedium and amomum etc. (5) Chaihuguizhiganjiangtang:Pro fessor li use xiaochaihutang treat endocrine disease (such as diabetes, hy perthyroidism, thyroid nodules), cough, liver disease etc; often treat s haoyang disease and taiyin disease appear at the same time, sometimes tre at qi depression, taiyang disease, phlegm-damp, depression etc; main symp toms often are dry mouth, poor sleep, loose stools etc; the most common t ongue veins have white tongue fur, yellow tongue fur; the main treatment is harmonizing shaoyang, warms the fluid retention syndrome. Harmonizing shaoyang, warms the fluid retention syndrome often associated with streng thening spleen, clearing heat, promoting the circulation of qi, nourishin g liver and kiney, soothing the liver at the same time use; chaihuguizhig anjiangtang often associated with xiaochaihutang, chaihuguizhitang, sijun zitang, sinisan, fuzilizhongtang at the same time use; offen used to add and subtract drugs are epimedium or red peony root. Epimedium often assoc iated with amomum or red peony root at the same time use.’Red peony root often associated with poria cocos, fructus aurantii immaturus at the same time use; commonly used medicines have epimedium and amomum, fructus a urantii immaturus and paeony, poria cocos and atractylodes macrocephala k oidz, poria cocos and rhizoma atractylodis, angelica sinensis and rhizoma chuanxiong, esliptae herba and ligustrum lucidum ait etc. (6) Chaihujialo nggumulitang:Professor li use chaihujialonggumulitang treat endocrine di sease (such as diabetes, hyperthyroidism, thyroid nodules), psychiatric d isease (such as insomnia, anxiety), cold, cough etc; often treat shaoyang disease with taiyang disease, taiyin disease, phlegm-damp, blood stasi s appear at the same time etc; Main symptoms often are Sleep is poor, dr y mouth, upset, irritability, sweating etc; the most common tongue veins have wiry pulse, white tongue fur, yellow tongue fur; the main treatment is harmonizing shaoyang, tongyangxiere, tranquillization with heavy presc ription. Harmonizing shaoyang, tongyangxiere and tranquillization with he avy prescription often associated with strengthening spleen, harmonizing shaoyang, relieving exterior syndrome, clearing heat, resolve phlegm at t he same time use; chaihujialonggumulitang often associated with chaihugui zhitang, sinisan or wendantang at the same time use; offen used to add an d subtract drugs are cassia twig, red peony root, poria cocos. Commonly us ed medicines have epimedium and amomum, angelica sinensis and rhizoma ch uanxiong, curcuma and endothelium corneum gigeriae galli, polygala root a nd acorus tatarinowii, polygala root and bile arisaema etc.2 Using the thinking of prescription:(1) Chaihugui zhitang:Professor li use chaihuguizhitang treat shaoyang disease and taiyang disease. Professor li think chaihuguizhitang can dredge the sanjiao, but it can help to relieving exterior syndrome, regulating nutrition qi and defensive qi and strengthening spleen. So chaihuguizhitang can treat a cold, fever, cough etc. Anyone has intertwist of shaoyangdisease and taiyang disease of intertwist of cold with heat disease, or both the taiyin disease can using. (2) Banxiaxiexintang:Professor li use banxiaxiexintang treat difficulty and miscellaneous disease of intertwist of cold with heat, but mainly treatment of gastrointestinal diseases such as gastritis, enteritis etc, mainly treatment of taiyin diseases. Common symptoms are abdominal distension, borborygmus, loose stools, vomiting, tongue coating is white and greasy fur or yellow and greasy fur etc. Professor li often add ginger when using banxiaxiexintang, as banxiaxiexintang and shengjiangxiexintang use at the same time. (3) Xiaochaihutang:Professor li in clinical use xiaochaihutang broader range. Among them use it treat endocrine disease (such as diabetes, hyperthyroidism, goiter), gastrointestinal disease (such as gastritis, liver disease), cold, cough, gynecological diseases (such as abnormal menstruation) more. (4) Chaihuguizhiganjiangtang:Professor li think the main pathogenesis of chaihuguizhiganjingtang syndrome is evil made shaoyang, cardinal disadvantageous gallbladder heat the spleen cold syndrome, the shaoyang disease and taiying disease appear at the same time. Common symptoms are dry mouth, or bitter mouth, loose stools, often abdominal distension full, upset, urination, quadriplegia etc. Chaihuguizhiganjiangtang be used for the treatment of diabetes, hyperthyroidism, cold, liver disease, gastritis, enteritis, cholecystitis of intertwist of cold with heat of incurable diseases or intermingled deficiency and excess of incurable diseases, such as diabetes, hyperthyroidism, cold, liver disease, gastritis, enteritis, cholecystitis. (5) Chaihujialonggumulitang:Professor li commonly used drugs is actually are xiaochaihutang and fossil fragments and oyster. She use it treat cardinal disadvantageous of triple energizer and bravery fire inflammation of shanyang disease. Common symptoms are dry mouth, mouth pain, dizziness, rib pain, upset, irritability, palpitations, flustered,feel nauseated.The clinical treatment of endocrine disease (such as diabetes, hyperthyroidism, goiter), mental illness (such as anxiety, insomnia, and epilepsy), dizziness, cold, cough, climacteric syndrome. Among them diabetes is more.3 Medicine suits and dose:In the clinical professor li commonly used medicine suits to have epimedium(15-30g)and amomum(6g), warming spleen-kidney, elevating the sun be the spirit; scrophulariae 15g and scrophulariae 30g、 zhejiang fritillary lOg use to treat sore throat, dry throat, pharyngeal swelling of exogenous diseases; periostracum cicadae lOg and bombyx batryticatus lOg use to treat pharyngeal itching, voice hoarse of exogenous diseases; rhizome 10g, cassia twig 10g and radix liquiritiaelOg (or 6g) use to treat a sore throat of exogenous diseases; fructus schizandraelOg and dried ginger 10g use to treat cough of shaoyin disease;angelica sinensis lOg and rhizoma chuanxiong lOg use to treat qi stagnation and blood stasis of arthralgia and pain such as diabetic peripheral neuropathy, limb paralysis, limb pain, neck pain, menstrual disorders etc; curcuma 15g, endothelium corneum gigeriae galli 15g and albizzia julibrissin durazz 30g use soothing the liver and relieving depression, to treat depression and liver depression and spleen deficiency; evodia 6g and coptidis rhizoma 6g use to treat threats to pain, bitter taste, pantothenic acid, feel nauseated; trogopterus dung 15g, cuttlebone 30g and concha arcae 30g use to treat belching, acid regurgitation of abdominal pain syndrome; fructus kochiae 15g and dictamnus dasycarpus turcz 15g use to treat skin rash; semen ziziphi spinosae 20g and tuber fleeceflower stem 30g use to treat insomnia, much dream of yin blood deficiency.4 Academic thought:(1) Using classical prescription and attaches great importance to diagnosis and treatment:Professor li think selection of treatment based on differential disease and diagnosis and treatment are a basic method of TCM clinical disease. Every disease has a common pathogenesis or characteristics. Various factors in the process of the progress of the disease can appear different syndrome. So each phase have different condition change, symptoms, treatment is different. (2) Protection of vital qi and attaches great importance to reinforcing spleen and kidney:Professor li think at haven’t sick centralizer can prevent illness, at sick the centralizer can help fight evil has been sick. The centralizer is mainly in the spleen and kidney. Kidney is the root of one’s. The spleen is the foundation of the day after tomorrow. (3) Regulation of qi and blood and reconciliation as the main:Professor li think the viscera function reflected in qi and blood. Qi and blood can affect the function of viscera, is both Viscera, meridian, qi and blood, list a consistent. In the treatment of difficulty miscellaneous disease professor li regulation of qi and blood. The commonly used curcuma and endothelium corneum gigeriae galli and albizzia julibrissin durazz soothing the liver and relieving depression, fructus aurantii immaturus and fructus auranti and cortex magnoliae officinalis promoting the circulation of qi, angelica sinensis and rhizoma chuanxiong nourishing blood and promoting blood flow and promoting the circulation of qi.ConclusionWith the development of the society people’s life rhythm and lifestyle changes, in clinical intertwist of cold with heat of disease is more, It’s the best treatment is cold-warm combination. Professor li for many years engaged in teaching and clinical work good at using cold-warm combination of classical prescription treat difficulty and miscellaneous disease, clinically significant curative effect. Induction and summary cold-warm combination of classical prescription of professor li of clinical experience more than helpful in current clinical use it research for the treatment of refractory disease can also for a summary of the current chinese academic experience inheritance and research to provide certain reference. |
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