Discussion On Professor Zhang Jue Ren's Experience Of Treating Pulmonic Enoephadoptahy By TCM Syndrome Differentiation

ObiectiveTo explore Professor Zhang Jue ren's experience of treating pulmonic enoephadoptahy by TCM syndrome differentiation.SignificanceIn order to provide new approaches and ways to treat pulmonic enoephadoptahy.MethodsThe clinical study methods of Traditional Chinese Medicine.Professor ZhangJueren is a well -known Chinese medicine in Hubei Province. He is now chief Physician in Wuhan Hospital of Traditional Chinese Medicine, also medicine Professor and supervisor of Master in Hubei University of Chinese Medicine. Being engaged in clinical teaching and scientific research for more than 30 years, Professor Zhang is expert in curing encephalopathy, geriatric medicine, and other difficult and complicated diseases, having an unique academic thinking and clinical experience on the study of encephalopathy in Particular. I am very privileged to study under Professor Zhang and learn a lot. Here are experience of treating pulmonic enoephadoptahy by TCM syndrome differentiation seen below. Brain is known as "the house of lucid yang ". All the essence of blood of the five Zang-organs and lucid yang of Qi of the six Fu-organs are sent upward to the head. As a result, invasion by six exogenous pathogens, or endogenous pathogens can intrude the top of the body, obstruct lucid yang, block the upper orifices, stagnate the Meridian, leading to headaches, vertigo, madness, dementia, stroke, coma and other symPtoms. Pulmonic enoephadoptahy is usually caused by a long course of the lung disease or treatment improper, vital Qi harmed, failure to resist the pathogens, phlegm, heat, blood stasis retention, six exogenous pathogens, or endogenous pathogens adverse ascending, the upper orifices blocked, mentality abnormal, symptoms such as unconsciousness occuring. Based on clinical characteristics, five syndromes are described as follows:1. Phlegm-damp stagnating in the lung, the upper orifices confusion syndrome. Wandering, a dullexpression, delirium, sleepiness, unconsciousness, dyspnea, shortness of breath, sputum rale in the throat, plenty of white thin sputum, or sticky sputum with difficulty in coughing up, dark tongue with white greasy coating, rolling, or rolling and rapid pule, would be evident. Take drying dampness, resolving turbid. flushing phlegm, free the orifices as therapeutic method. Prescription:Modified Di Tan Decoction.2. Phlegm-heat accumulating in the lung, abdominal stuffed, orifices confusion syndrome. Unconsciousness, delirium, restlessness, even mania, body fever, flushed face, cough, oppression in the chest, dyspnea with coarse breath, sputum rale in the throat, yellow sticky sputum, thirst with willingness to cold drink, dry stool, yellow scanty urine, red tongue with yellow greasy coating, rolling and rapid pule, may be observed. Comply with the therapeutic method that clearing lung, resolving phlegm, purgation free the orifices. Prescription:Modified Sang Bai Pi Decoction and Xiao Cheng Qi Decoction.3. Hyperactive liver-Yang stiring up the liver-wind, disturbing orifices syndrome. Delirium, restlessness, unconsciousness, vertigo, dizziness, eyes distending, tinnitus, limbs trembling, numbness of the limbs, chest oppression, sputum rale in the throat, cough, dyspnea, yellow sputum, dark red tongue with yellow coating, taut pule, may be seen. Obey the therapeutic method that nourishing Yin to subdue hyperactive liver-Yang, distingishing endogeneous wind. Prescription:Modified Zhen Gan Xi Feng Decoction.4. Intermingled phlegm and blood stasis, Qiao confusion and obstruction of collaterals syndrome. There may be wandering, sleepiness, delirium, unconsciousness, bluish complexion, purplish lips, dyspnea, rapid respiration, dry stool, dark purple tongue with greasy coating, rolling, or taut and uneven pule. Take flushing phlegm, free the orifices, removing stasis, dredging the collaterals as therapeutic method. Prescription:Modified Di Tan Decoction and Tong Qiao Huo Xue Decoction.5. Deficiency of lung and kidney, original Yang collapsing syndrome. Presenting mental weariness, sleepiness, or even unconsciousness, bluish complexion, purplish lips, extremely cold limbs, dyspnea, labored breathing with cough, weak breath, irregular respiration, or sighing respiration, plenty of phlegm, palpitation, profuse cold sweat, edema of the limbs and face, pale purple tongue, faint pulepresent. Follow the therapeutic method that reinforcing lung and kidney to hold Qi, saving from prostration by supporting Yang. Prescription:Modified Shen Fu Decoction and Sheng Mai Decoction.As we know, there are nine orifices eyes, nose, ears, mouth, the anterior Yin-orifice and the posterior Yin-orifice in Traditional Chinese Medicine. Brain Qiao should be the seven of nine orifices except the two Yin-orifices. However, there is heart Qiao besides nine orifices, Brain Qiao and heart Qiao are more importance than others. Pathogens obstructing orifices is an unique theory in Traditional Chinese Medicine. Do not confound Pathogens blocking Brain Qiao and Pathogens obstructing heart Qiao. The therapeutic methods are different, the former free the orifices, the latter inducing resuscitation. When obstruction of heart Qiao, follow the therapeutic method inducing resuscitation, and take one of the three treasures of Traditional Chinese Medicine Angong Niuhuang Pills as top choice.