| 1.ObjectTaking the clinical experience of the doctors contained in the Chinese 100-year hundred Traditional Chinese Medicine Clinical Experts Series as the main data,the study involves the application of kidney-reinforcing method of the group of distinguished senior experts of traditional Chinese medicine(TCM),sums up their theoretical understanding on the kidney-reinforcing method,the scope of the treatment,the use of prescriptions,etc.Some reference is provided for disease prevention,treatment,and health care using kidney-reinforcing method.2.Content(1)Sorting out the evolution of the concept of traditional Chinese medicine kidney and kidney-reinforcing method in the past and the development of prescription and medicine,the study sums up the modern research results of the kidney-reinforcing method,and shows its development context and scientific connotation.(2)Studying and analyzing the disease spectrum that using the kidney-reinforcing method by the group of distinguished senior experts of TCM,analyzing the typical medical case,the study explores the disease spectrum of kidney-reinforcing method and its application in the clinical departments.(3)Studying and arranging the special elaboration of the group of distinguished senior experts of TCM on the kidney-reinforcing method,the study analyzes and summarizes the understanding rules of the old Chinese medicine practitioners on the theory and medicine of kidney-reinforcing.3.Methods(1)Document collationReading the books related to the kidney-reinforcing method,including the ancient books of traditional Chinese medicine,the history of the doctors,the research papers of modern research,and more than one hundred books of Chinese 100-year hundred Traditional Chiese Medicine Clinical Experts Series,the study sorts out and summarizes the contents of the kidney-reinforcing method.(2)Theoretical researchComprehensively using the methods of induction,analysis,comparison,and literature measurement,the study sorts out the relevant contents of the kidney-reinforcing method and extracts a reasonable viewpoint.For example,classifying the diseases that the group of distinguished senior experts of TCM use the kidney-reinforcing method.By counting the frequency of medical records,and then using statistical analysis method,the distribution of disease spectrum can be explored.(3)Case analysisThe typical medical cases of the group of distinguished senior experts of TCM applying the kidney-reinforcing method were selected,and their special explanations on the kidney-reinforcing method were represented.Finally,the clinical application rules of various kidney-reinforcing methods and the understanding rules of the group of distinguished senior experts of TCM on the theory of kidney-reinforcing medicine were analyzed.4.Results(1)Starting from Yellow Emperor's Canon of Medicine,the kidney theory of traditional Chinese medicine has been inherited and innovated by successive medical doctors.It has been increasingly enriched and systematic,and its status has gradually become prominent,occupying a dominant position in the five internal organs.The development of the kidney-reinforcing method is supported by the evolution of the concept of the kidney.After the doctor's theoretical thinking and clinical practice,it has also been continuously improved.Modern scientific researches have found that the function of Chinese medicine kidney is related to the comprehensive effects of endocrine,immune,and nervous systems,affecting the basic physiological functions of the whole body by the hypothalamic-pituitary-target gland.The kidney-reinforcing method can regulate the functions of these pathways,thus treating various diseases,resisting aging and prolonging life.(2)The disease spectrum of kidney-reinforcing method is widely distributed in various clinical departments.The gynecological diseases mainly include:amenorrhea,uterine bleeding,fetal leakage,fetal movement,habitual abortion,postpartum diseases,infertility and menopausal syndrome.Male diseases mainly include:excretion,impotence and infertility.Kidney diseases mainly include:chronic nephritis,edema,turbidity,enuresis,hematuria and urinary calculi,nephrotic syndrome and so on.Liver diseases mainly include:dizziness,stroke,high blood pressure,bloating,hepatitis and the like.Cardiovascular diseases mainly include:coronary heart disease,heart palpitations,impotence,rheumatic heart disease and the like.The spleen diseases mainly include:diarrhea,constipation,ulcerative colitis and the like.Pulmonary diseases mainly include:asthma,the syndrome of dyspnea,cough and so on.Limb meridian diseases mainly include:arthralgia syndrome,flaccidity syndrome,low back pain,hair loss,osteophytes and so on.The diseases of body fluid and sensory organs and orifices and the intractable diseases include:blood syndrome,eye diseases,tinnitus and deafness,sweat syndrome,diabetes,aplastic anemia,leukemia,myeloma and so on.(3)Various types of kidney-reinforcing method have certain rules in the treatment of clinical diseases.For example,replenishing kidney yang is often used in the treatment of male,spleen,lung and kidney diseases,nourishing kidney yin is often used for liver diseases,and regulating liver,spleen and kidney at the same time is commonly recuperated in gynecology,and limbs and meridian disease.Regulating spleen,lung and kidney together is often used for metabolic diseases of the body fluid.In the application of specific diseases in various departments,the slippery fetus adopts the method of kidney-reinforcing and filling the essence,seminal emission adopts the method of regulating heart and kidney together,edema and diarrhea mainly adopt the method of warming the kidney yang,and the eye diseases are mainly to nourish the yin of the liver and kidney.The kidney-reinforcing method application of distinguished senior experts of TCM does not deviate from the understanding of kidney of traditional Chinese medicine theory.The prescriptions used are based on the classic prescription of the kidney-reinforcing,varying according to specific symptoms.5.Conclusions(1)The development situation of the kidney-reinforcing method:From the pre-Qin and Han Dynasties to the Ming and Qing Dynasties,the kidney-reinforcing method has undergone four major periods of transformation,and finally established its core position.The famous kidney-reinforcing prescriptions include Shenqi Wan,Liuwei Dihuang Wan,Dihuang Yinzi,Zuogui Yin,Yougui Yin,etc..Modern researches have found that kidney deficiency syndrome is related to the dysfunction of the hypothalamic-pituitary-target gland axis,involving the comprehensive functions of the nervous,endocrine,and immune systems,affecting the whole process of growth,development and aging.The kidney-reinforcing method is mainly applied in the prevention and treatment of diseases of reproductive development and bone marrow.It is effective in the late stage of visceral major diseases,and is widely used in the prevention and treatment of anti-aging and geriatric diseases.The pharmacological and toxicological studies of modern kidney-reinforcing drugs and compound medicines have found that kidney-reinforcing recipe can enhance the functions of whole body systems,such as enhancing immunity,improving reproductive vitality,and delaying the aging process.Some single kidney-reinforcing drugs are toxic,and the compatibility of the prescriptions can increase efficiency and reduce toxicity.(2)The kidney-reinforcing method is widely used in the prevention and treatment of various diseases in the clinic.The kidney-reinforcing method is mainly applied to diseases of reproductive dysfunction and menstrual pregnancy disorder in gynaecology and andrology,such as uterine bleeding,habitual abortion,seminal emission,infertility,etc.;in internal medicine,the kidney-reinforcing method is mainly applied to disorders of abnormal water and liquid metabolism,imbalance of yin and yang,and visceral dysfunction diseases,such as edema,palpitations,diarrhea,dizziness,asthma,etc.;in terms of limb meridian,body fluid and sensory organs and orifices,it is used in the treatment of denutrition of meridian and sensory organs and orifices,dysfunction of derivation and distribution of body fluid,abnormal hematopoietic function,such as arthralgia syndrome,flaccidity syndrome,eye diseases,blood syndrome,sweat syndrome,aplastic anemia,leukemia,etc.For other intractable diseases,the kidney-reinforcing method can also promote the healing of diseases,such as the treatment of advanced cancer.(3)Gynecological diseases involve abnormal liver and spleen function,affecting the formation and operation of qi and blood.Therefore,the method of regulating and tonifying the liver and kidney or invigorating spleen and kidney are often adjusted,together with the method of regulating qi or resolving stagnation.The male diseases are mostly caused by insufficient kidney essence or loss of kidney yang,thus the application of kidney-reinforcing method in andrology always refers to strengthen the kidney yang or fill the kidney essence.In the medical diseases,the kidney is prone to be deficient in yang,therefore,the kidney-reinforcing method used here is always moderate reinforcement or warming yang;Heart yang deficiency is often due to lack of kidney yang,and also see blood stasis,heart yin deficiency is often due to kidney yin deficiency,together with restlessness,so to treat heart diseases by the kidney-reinforcing method,nourishing yin and tranquilizing shen or warming yang and resolving stagnation are usually adopted;liver diseases are mostly liver and kidney yin deficiency due to the imbalance of yin and yang,or the disease due to failure of kidney essence nourishing liver yin,so reinforcing kidney to treat liver always comes to nourishing liver and kidney yin;spleen is tend to be deficient in yang,so tonifying the fire to nourish the earth is always adopted;the disease of the lungs is mostly due to insufficient of kidney yang or kidney qi,and there is a syndrome of respiratory failure,so warming kidney yang and tonifying kidney qi are mostly used in kidney-reinforcing method.The limb and the meridian diseases are always due to spleen and kidney yang deficiency or liver and kidney yin deficiency,as well as phlegm stagnation,so the application of kidney-reinforcing method tend to be warming spleen and kidney yang or nourishing liver and kidney yin,and in combination with the method of resolving stagnation,dredging collaterals and eliminating phlegm;in body fluid diseases,the kidney-reinforcing method tends to be regulating the spleen,lung and kidney together;in the case of cancer,it tends to be reinforcing the healthy qi and eliminating the pathogenic qi.(4)The theoretical understanding of the group of distinguished senior experts of TCM on the kidney-reinforcing method:Whether it is from the treatises of the distinguished senior experts of TCM on the kidney-reinforcing method,or from the analysis of their clinical cases,it can be found that the principle of applying the kidney-reinforcing method in the current era still follows the traditional Chinese medicine theory on the kidney-reinforcing method.The kidney closely relates to water metabolism,the essence of life,the reproductive ability and aging,so kidney treatment is suitable for all these type of dysfunction.The kidney is congenital,hidden the true yin and yang dominating the basic functions of other viscera,and the five internal organs are integrated,therefore,other visceral diseases can be treated from the kidney,such as the absorption of the lungs,the yin deficiency and yang hyperactivity of the liver,the failure of nourishing the spleen,and so on.The diseases of the bone marrow,the diseases of the five organs and meridians,the diseases of skin,if there is kidney deficiency,can be treated by nourish the kidney.The kidney is the foundation of life,like the last line of defense.If it is difficult to treat the disease for a long time,it will hurt the root.At this time,the kidney-reinforcing method should be used.(5)Analyzing the experts'special discussion and clinical medical cases,it is found that the kidney-reinforcing medicine used by the distinguished senior experts of TCM mainly inherited from the classic kidney recipe,with addition and subtraction according to the degree of deficiency of essence,qi,yin and yang.Classical prescriptions include Shenqi Pill,Liuwei Dihuang Wang,Zuogui Pill,Yougui Pill,Wuzi Pill,Erzhi Pill,Dihuang Yinzi,Erxian Tang,etc.,and the lack of essence often fills in the refined products such as shudi,mulberry,antler,Polygonum,Ziheche,Ejiao,etc.,mainly with flesh and blood;those with insufficient qi should add more dodder,mulberry parasitic,continuation,dog ridge,etc.;those with yin deficiency should add scorpion,Huang Jing,Dendrobium,Ligustrum lucidum,Eclipta prostrata etc.yang deficiency add aconite,cinnamon,epimedium,curculigo,Cistanche,Basil,psoralen,etc.;the use of kidney-reinforcing herbs for health care is more suitable for moderate reinforcement,with grain diet and flesh and blood,such as goji porridge,meat,etc.,or with the soft extract or pills.In summary,the kidney-reinforcing method has been developed through theoretical research and clinical practice of the past generations of doctors,and finally established its important status.Its concept connotation is closely related to the physiological functions of the kidney of the Chinese medicine,mainly involving the yin and yang of the kidney,the close connection between the kidney and other organs,meridian,fur and body and sensory orgens and orifices.The modern group of the distinguished senior experts of TCM has expanded the disease spectrum of the kidney-reinforcing method,such as the treatment of leukemia,aplastic anemia,bone tumor,cancer,etc.with the kidney-reinforcing method.The kidney-reinforcing method is widely used in the prevention and treatment of diseases in clinical departments and health care.Throughout the whole process of life,the kidney is the innate foundation and the basis of life activities.Although the scope of treatment has been expanded,its application is still in accordance with the traditional Chinese medicine theory on kidney,the prescriptions used are also based on the experience of predecessors,varying according to practice. |
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