Professor Zhang Yu-zhen's medication rule in treating metrorrhagia and bleeding based on data mining

Objective:To explore the medication rules of Professor Zhang Yuzhen in treating the bleeding period of metrorrhagia and metrostaxisthe,and to explore the treatment of the disease.Methods:Collected 520 prescriptions of Professor Zhang Yuzhen in the treatment of patients with the bleeding period of metrorrhagia and metrostaxis,and analyzed the regularity of medication by using"TCM inheritance assist platform(V2.5)".Results:According to the analysis,the top 30 most frequently used herbs for treating the bleeding period of metrorrhagia and metrostaxisthe were Codonopsis pilosula,Trogopterus dung,Cattail pollen,Motherwort,Cornus,Ophiopogon japonicas,Schisandra,Tortoiseshell,Panax notoginseng,Radix Paeoniae Alba,etc.Core combination 35 In the group,the core prescription has 1 hemostasis,followed by 2 hemostasis,and evolves to get 3 new prescriptions.Conclusion:Professor Zhang Yuzhen's medication for the treatment of metrorrhagia and metrostaxisthe is mostly Gan Wen's product.The treatment is based on the three organs of the liver,spleen,and kidney,and the disease is treated with"tonifying the kidney and benefiting qi,reducing blood stasis and stopping bleeding".

Research Progress on Refractory Hypertension in Traditional Chinese Medicine

At present,the mortality rate and disability rate caused by cardiovascular and cerebrovascular diseases are very high in China.Individuals with refractory hypertension are at a greater risk of developing chronic kidney disease,heart failure,stroke and myocardial infarction.Therefore,how to effectively control blood pressure and identify the cause of refractory hypertension is a problem that medical workers need to solve,and it is also the key to prevent cardiovascular disease.In recent years,the government actively supports the development of traditional Chinese medicine.Since the curative effect of traditional Chinese medicine is recognized by the public,the prospect of traditional Chinese medicine in the prevention and treatment of refractory hypertension is considerable,and it is expected to become the main key research direction in the future.

Experience of professor JIA Chun-sheng in rapid analgesia by subcutaneous penetration needling of auricular acupuncture

To introduce the experience of professor JIA Chun-sheng in rapid analgesia and motor function rehabilitation by subcutaneous penetration needling of auricular acupuncture.Subcutaneous penetration needling of auricular acupuncture plays a role in rapid analgesia and motor function rehabilitation in treatment of pain in limbs and trunk and/or limb dysfunction caused by migraine,cervical spondylosis,acute lumbar sprain,soft tissue injury,scapulohumeral periarthritis,lumbar disc herniation,sciatica,stroke or cerebral trauma,and it is worthy of being widely promoted and applied clinically.

Essence of GAO Yu-chun's experience in treatment of stroke

Professor GAO Yu-chun＇s experience in treatment of stroke was systematically summarized in this study.Regulating governor vessel and unblocking brain was used to balance yin and yang and regulate vital activity,and nourishing water to moisten wood was used to restore essence,which were adopted as guiding principles.Qi and blood was observed carefully,acupoint property was known well,and time,acupoints and fomula were selected based on pattern differentiation.Opposing needling and contralateral collateral needling were combined,and needling was used to control the spirit and regulate qi,so as to flatly regulate qi-blood and yin-yang.At the same time,spleen and stomach functions were reinforced and protected.It was emphasized to regulate the mind and body simultaneously for stroke patients,which indicated professor GAO＇s academic ideas and clinical experience of careful observation of qi and blood,flat regulation of yin and yang,and treating disease according to its origin.

Chief physician Zhang Tang-fa＇s experience of acupuncture for gouty arthritis

Skillful in the treatment of gouty arthritis （GA） by integrated therapies of Chinese and Western medicine, chief physician Zhang Tang-fa proposes to ＇deal with the exterior with the needles, and attack the interior with the drugs, by integrated application of acupuncture and herbal medicine＇, in combination with comprehensive intervention of dietetic therapy and health education. In the treatment of GA, he adopts the syndrome differentiation based upon the pathogenic factors, in combination of syndrome differentiation based upon the six meridians, to reinforce and benefit the spleen and kidney, clear away heat and remove dampness as the therapeutic principle. By acupuncture mainly at the acupoints of the Spleen and Liver Meridians, he also proposes to select the acupoints by the theory of Na Zi Fa （earthly branch method） ofZi Wu Liu Zhu （midnight-noon ebb-flow）, and to puncture the surrounding area of the involved joints shallowly by multiple needles as the major needling method, simultaneously with the reinforcing and reducing manipulations based upon the respiration. In the treatment, acupuncture and acupoint-injection are often used. In diet, low purine diet is often suggested. In health education, the patients are often instructed to understand the disease correctly, eliminate fears and cooperate with doctor＇s treatment positively.

Professor Wei-hua ZHANG’s clinical experience in treatment of primary dysmenorrhea with warming-unblocking needling method

The professor Wei-hua ZHANG’s experiences in treatment of primary dysmenorrhea with"warmingunblocking needling method"was introduced in this paper.Prof.Zhang believes that obstruction is the crucial in pathogenesis of primary dysmenorrhea no matter of the excess or the deficiency syndrome.Warming and unblocking principle is the essential in treatment.Hence,an unique therapeutic method is innovated,named warming-unblocking needling method,including three-layer and two-direction warming needling technique at Sanyinjiao(三阴交SP6),two-layer rotating warming-unblocking technique at Zhongji(中极CV3)and one-layer and two-direction warming needling technique at Ciliao(次髎BL32).In this set of needling procedure,acupoint is viewed as a three-dimensional hierarchical structure.A layered and multidirectional needling technique is adopted at main acupoints to enhance the sensations of diqi and to generate heat effect in the local.Additionally,moxibustion is combined to intensify warming and unblocking effect.Simultaneously,the supplementary acupoints are used in response to symptoms.All of the acupoints coordinately warm up the uterus,promote meridian circulation and stop pain.Hence,this therapeutic method achieves relatively excellent effect and deserves to be promoted in practice.

Professor Yu Hai-bo's clinical experience in treating acute attack of hemorrhoids with acupuncture-moxibustion

Hemorrhoid refers to soft vein mass formed by varicosity of submucosal veins around the end of the rectum and subcutanceous veins of the anal canal. It is the most common anorectal disease. This article summarized the regular patterns, features and advantages of Professor Yu Hai-Bo＇s acupuncture-moxibustion therapy for hemorrhoids, in order to guide the acupuncture treatment for hemorrhoids.

ZHANG Ren＇s Needling Experience in Treating Refractory Diseases

Chief doctor ZHANG Ren has been engaged in acupuncture practice and literature research for about forty years, with abundant knowledge and clinical experience, particularly in the application of needling techniques. This article presents his experience in the treatment of refractory diseases.

Introduction to Dr. MA Shao-qun＇s Clinical Experience in Warm Moxibustion

Dr. MA Shao-qun （1903-1992）, a native of Hejian County, Hebei Province, loved reading medical books in his spare time, and thus knew about moxibustion. In 1934, he learnt warm-tube moxibustion by correspondence teaching from the ＂Oriental Acupuncture Agency＂ in Ningbo City,

Brief Talk on Sun Lijuan’s Clinical Experience in Acupuncture

Professor Sun Lijuan has been engaged in acupuncture clinics for over 40 years and has created many specific acupuncture methods based upon her academic thoughts in respecting but not limited to ancient methods and by creating but not indulgent in new techniques, and by learning widely from other＇s strong points, she has achieved remarkable therapeutic effects in the treatment of difficult and intractable diseases not ideally treated by Chinese and western medications. The authors are very lucky to study with Prof. Sun in clinical workshop and to listen to her teachings. Now, Prof. Sun＇s clinical experience in acupuncture is briefly explained as follows.

王垂杰关于慢性腹泻的中医诊治策略

慢性腹泻为消化内科临床常见病,属于中医"泄泻"的范畴。王垂杰教授认为脾虚湿盛为其病机关键,"无虚无湿不成泻",提出先分清虚实明寒热、再辨虚损责脏腑、见症识证定治法与三因制宜来辨治的诊疗策略。

蔡氏妇科流派治疗崩漏历代学术特色探析

[目的]初步探析上海蔡氏妇科流派历代治疗崩漏的学术特色。[方法]通过前辈有关记载如《江湾蔡氏妇科述要》《通治验方》等及临床跟师随诊,对蔡氏妇科流派历代治疗崩漏的临证经验进行研究,并归纳整理其特色。[结果]蔡氏妇科流派治疗崩漏不仅具有重视气血、治病求本、调理冲任、用药轻灵等整体学术特色,历代传人更是在传承的过程中融汇贯通,吸纳新知,不断演绎发展,各具特色。如四代砚香公治疗崩漏初起清热,日久温补;五代小香公治疗崩漏以益气养营,调摄止血为要;七代蔡小荪教授诊治崩漏首辨阴阳,求因为主、止血为辅,血止之后运用蔡氏周期疗法调理冲任,重建月经周期;八代传人之一黄素英主任对血瘀崩漏,重用通法。[结论]蔡氏妇科流派治疗崩漏特色鲜明,疗效显著,值得研究和学习。

基于病案的国医大师何任胃痛证治经验探析

[目的]基于病案探析国医大师何任先生治疗胃痛的经验。[方法]通过整理何老本人的著述、何老门人弟子辑录的何老验案医论以及公开发表的期刊杂志,共收集何老论治胃痛案38案,将此38案分别编号后进行分析,总结何老论治胃痛的经验。[结果]胃痛38案中,肝气犯胃20案,何老用自拟脘腹蠲痛汤为主进行治疗。肝胃阴虚9案,用一贯煎为主方进行加减;肝旺脾虚2案,治以四逆散加四君子汤;寒邪客胃轻证1案,用良附丸,重证2案,用乌头赤石脂丸;脾胃虚弱1案,用黄芪建中汤;胃痛兼见肺热、遗精各1案,分别治以千金苇茎汤和金锁固精丸;阴虚胃痛1案,治以清润和降之膏方。[结论]何老辨治胃痛重视脾胃分治,其证治心法以八字为纲,尤重虚实和重视肝胃关系。

中层理论及扎根于老中医经验的中医理论建构

从中医理论建构的方法学角度,探讨基于老中医经验的自下而上建构中医中层理论的研究思路。通过解读中层理论的概念与内涵,例举分析近年来名老中医经验传承研究的主要成果和问题,提出基于老中医经验开展中医中层理论建构的策略,包括提高自觉意识、资料收集阶段引入质的研究方法、在分析和建构阶段运用质性研究中扎根理论方法,探索系统化、程序化理论建构方法等。

陆金根教授治疗轻中度溃疡性结肠炎学术思想探析

从陆金根教授对轻度和(或)中度溃疡性结肠炎的病因病机、辨证论治等方面的认识入手,阐述陆金根教授中西并举、整体辨证治疗轻度和(或)中度溃疡性结肠炎的学术思想和特点。

张炳厚教授运用通法治疗慢性肾脏病经验

慢性肾脏病患病率逐年升高,中医治疗有一定优势。“通”是机体的生理常态,“不通”则是机体病理常态,通法是中医的重要治法之一,通法的内涵包括泻通和补通,泻通指方药具有通滞功效,补通指为扶正作用而论。张炳厚教授认为慢性肾脏病病性为虚实夹杂,存在脾肾亏虚,肾络瘀阻的基本病机,主张在补肾的基础上,重视运用通法治疗慢性肾脏病,辨证使用祛风通络、搜风通络、清热化湿、活血通脉等治法。膜性肾病多表现为肾病综合征,高凝状态较为突出,容易形成血栓,治疗应重视活血通脉治法,药物常用桃仁、红花、鬼箭羽、三棱、莪术、水蛭等。乙肝相关性肾脏病湿热较为突出,多表现为脘腹痞满,身困乏力,大便黏滞不爽,泡沫尿,治疗重视清热化湿治法,药物常用生薏米、白蔻仁、藿香、佩兰、白花蛇舌草等。IgA肾病尤易感受外邪反复发作,治疗应该从风论治,药物常用荆芥炭、防风、金银花、连翘等。张炳厚教授擅长使用全蝎、蜈蚣、僵蚕、水蛭等虫类药治疗慢性肾脏病,同时注意结合辨病及分期论治。

张静生活用五苓散临证经验

五苓散是《伤寒论》中的名方,是仲景为太阳蓄水证而记,具有利水渗湿、健脾通阳功能。张静生教授为首届全国名中医,在临床上善于运用五苓散治疗多种内、外科疾病。文章先对五苓散的经典理论出处进行文献挖掘,将《伤寒论》《金匮要略》中有关五苓散的11条条文做了全面梳理,经归纳整理后,对其中的6条做了阐述,着重介绍张老对条文的独到领悟,其后结合张老在多种具体疾病的运用做一总结。指出五苓散不仅用于经典中所记载的太阳蓄水证、霍乱吐泻和痰饮咳嗽3个方面,而是广泛用于治疗自汗、盗汗、腹泻、尿路综合征、尿崩症、多尿症、遗尿症、睾丸鞘膜积液、特发性水肿、美尼尔氏综合征、心源性水肿等多种疾病。对每种疾病的治疗阐释均结合了张老师多年的临床经验、药量使用、配伍规律,读者读后可直接运用于临床,对活用经典、扩大经方的适应范围起到启迪的作用。

陈意教授中西医六异解析

[目的]解析陈意教授所论的中西医六大差异,回归中医本源,呼吁继承。[方法]从理论、思维、文化、治法、药物、疾病认知这六方面解析陈意教授所提出的中西医差异,归纳总结陈意教授对中医继承、发展与创新的独到见解。[结果]陈意教授的中西医六异观点认为中医的理论以原则为基础,采用宏观调控思维,扎根在中华文化之中,注重辨证,以一方治一证,以药性理论驾驭中药,并认为健康的标准是和谐;西医的理论以现实为基础,采用微观因果思维,建立在西方文化之上,注重辨病,以一药治一病,用分子式说明西药,对抗病原或病灶。[结论]陈意教授解析中西医六大差异,强调中医当在继承的基础上发展创新,这在方法论上具有启示意义。

黄福斌治疗难治性胃食管反流病经验

难治性胃食管反流病是消化内科临床常见的疾病。黄福斌教授认为本病病因胃逆,关乎虚、痰、瘀,治疗以通降平逆、制酸护膜为主,并将其分为中虚气逆、津伤胃燥、痰气交阻、痰瘀互结等4型进行论治。

基于信息化知识管理系统的中医拔尖人才培养模式

中医拔尖人才的培养是新时期中医院校和中医医院发展的“核心竞争力”,信息化知识管理系统是运用信息技术将名老中医的隐性知识转化为显性知识,利用网络存储、系统开发、资源共享的便捷性探索适用面更广、形式更灵活多样、可操作性更强的中医拔尖人才培养模式.