Master Wu Bingcai’s Academic Experience Summary In The Differentiation And Treatment Of Premenopausal And Postmenopausal Syndromes

Objective:This paper aims to summarize medical records of master Wu Bingcai’s treatment of premenopausal and postmenopausal syndromes and make a study of relevant literatures of Professor Wu Bingcai’s treatment of this disease,refer to relevant literatures of modern doctors’ treatment of this disease,and systematically sort out and summarize the syndrome differentiation,treatment characteristics and drug compatibility rules of Professor Wu Bingcai’s treatment of premenopausal and postmenopausal syndromes.In order to better explore Professor Wu Bingcai’s academic experience in the treatment of premenopausal and postmenopausal syndromes,for modern clinical aid.Research methods:Clinical medical records of Professor Wu Bingcai’s treatment of premenopausal and postmenopausal syndromes were collected and summarized,including pictures and audio recordings,to ensure the authenticity and integrity of the information and data as far as possible.EXCEL tables were used to make statistical analysis of all medical records that met the inclusion and exclusion criteria by using frequency statistical analysis method,and on this basis,more typical medical records were sorted out for display.Summarize the papers and literatures of Professor Wu Bingcai on the treatment of premenopausal and postmenopausal syndromes;By using databases such as CNKI,Wanfang and Chaoxing Digital Library and the book retrieval system of Jiangxi University of Traditional Chinese Medicine,this paper summarized the academic views of ancient doctors on the premenopausal and postmenopausal syndromes and the clinical treatment experience of modern doctors on the premenopausal and postmenopausal syndromes,and finally systematically summarized the clinical academic experience of Professor Wu Bingcai in the treatment of premenopausal and postmenopausal syndromes.Research results:1.Among the 163 cases included,the number of patients aged 50-54 was the largest,with a total of 105 patients aged 45-54,accounting for more than 64%.2.Symptom frequency is more than 10 times of a total of 61 kinds,among which "fatigue" appeared the highest frequency,frequency of the top ten symptoms for fatigue,insomnia,thirst,fear of cold,dizziness,ill wind,chest tightness,palpidity,headache and bitter mouth,the frequency of symptoms is more than 130 times,and 17 symptoms are more than 100 times.3.A total of 17 tongue images were recorded,in which tongue red appeared the most frequently.The top five tongue images were tongue red,thin yellow tongue coating,light red tongue coating,yellow greasy tongue coating and dark red tongue,all with more than 60 times.4.A total of 14 kinds of pulse were recorded,among which the frequency of pulse stringiness was the most.The top five pulse frequency were pulse stringiness,two-inch float,one-inch bloom,pulse stringiness and pulse moistening,all of which were more than 70 times.5.A total of 31 prescriptions were recorded,of which Chaihu Guizhi Decoction had the highest frequency of use.Among the 31 prescriptions,15 were from "Treatise on Febrile Diseases" and "Synopsis of the Golden Chamber".The top five prescriptions used frequently are Chaihu Guizhi Decoction,Ganmai Dazao Decoction,Dan Zhi Xiaoyao Powder,Dongyuan Qingsu Yiqi Decoction and Wendan Decoction,the frequency of use is more than 60 times.6.There were 169 kinds of traditional Chinese medicines recorded,51 kinds of traditional Chinese medicines were used more than 30 times,radix glycyrrhizae praeparata was the most used more frequently,followed by ginger and bupleurum,and 8 kinds of traditional Chinese medicines were used more than 200 times.7.The drugs that enter the liver meridians are used more frequently than 50 times,and the frequency of use exceeds 50 times,followed by the lung meridians,stomach meridians,spleen meridians,kidney meridians and heart meridians.The meridian tropism of traditional Chinese medicine mainly consists of five zang organs,including large intestine,bladder and gallbladder.Research conclusion:1.The occurrence of premenopausal and postmenopausal syndromes are based on the five Zang organs,among which the kidney is the origin of the disease.On the basis of the deficiency,the manifestations of dampness,heat,depression and blood stasis appear.2.Syndrome and treatment classification can be divided into four categories:(1)Zang-fu organ disorders:the syndrome is classified into kidney Yin deficiency syndrome,kidney Yang deficiency syndrome,kidney Yin and Yang deficiency syndrome,liver and spleen(stomach)disharmony syndrome,heart liver and blood deficiency syndrome,heart and spleen deficiency syndrome,heart and lung Yin deficiency syndrome,heart and kidney disharmony syndrome;(2)Damp-heat syndromes:including spleen deficiency damp-heat syndrome,liver meridian damp-heat syndrome,upper jiao damp-heat syndrome,three jiao damp-heat syndrome;(3)Superficial syndroms:including too few syndroms of two senses,superficial deficiency of feng shui syndrome;(4)Throat manifestations:wet temperature laryngeal obstruction syndrome,spittoon stagnation syndrome;(5)Abnormal emotion category:including the syndrome of dirty dryness,three jiao fire stagnation,Cardiopulmonary Yin deficiency syndrome,blood deficiency phlegm-dampness syndrome.3.The differentiation and treatment ideas of premenopausal and postmenopausal syndromes are to cure the disease,which is in the five zang organs;Treat from dampness,treat dampness disease;Start with the throat,good grasp the key;Pay attention to symptoms,treatment points successively;Attach importance to emotion,flexible treatment;Pay attention to pulse diagnosis,according to the pulse syndrome differentiation of these six aspects.