With the transformation of the medical model, drug-induced diseases and refractory diseases have an increasing trend, and doctors are urgently required to have a clear mind and a keen eye, see the subtle things, and conduct research as soon as possible, so as to prevent the opportunity. In the clinical process, it is necessary to refer to the data of modern medical examinations. However, the historical conditions of the formation of Chinese and Western medicine and the methods of disease recognition and observation are different, so two different theoretical systems have emerged. Western medicine starts from the microscopic level and focuses on local lesions; Traditional Chinese medicine emphasizes the holistic view of man and nature, and is biased towards treating people, each with its own strengths and weaknesses. For this reason, when distinguishing and treating, it is still advisable to treat according to the theory of traditional Chinese medicine, the four diagnoses and eight outlines, and the differentiation of syndromes, and it is not advisable to be confined by the name of Western medicine, which will restrict one's thinking and affect the curative effect.
For example, a medical case of Mr. Lu Zhizheng, a well-known Chinese medicine doctor, is very illustrative: on March 28, 1974, I consulted a 61-year-old male elderly patient with a high fever of 38.8°C for half a month, sluggish stomach, and a small egg-sized mass palpable under the right hypochondrium. The surgeon believes that the cystic duct has been blocked, the bile cannot flow out, it has swelled to the size of a small egg, the gallbladder has no ability to contract, it is impossible to drain the stone, and surgery is required. The patient was old and frail, unwilling to undergo surgery, and had been cured of high fever for half a month with the Chinese medicine I had prescribed, so he repeatedly asked me for diagnosis and treatment. In view of the patient's advanced age and frailty, it is not suitable to attack the stone drainage, and the method of tonifying and eliminating the stone is adopted, that is, the tonifying and eliminating qi is cultivated and supplemented by the tonic and beneficial qi decoction, accompanied by desmodium, chicken gold and other dampness and accumulation products, and the stone is finally discharged, and the stone is a bark-like stone, which is rare in the treatment of a large number of stone patients.
Traditional Chinese medicine must have Chinese medicine thinking in the treatment of diseases, and do not follow Western medicine. Let's take a look at the following medical case: Ren, male, 71 years old. Fever and cough for half a month, treatment with penicloptomycin for two weeks is ineffective, the body temperature is above 38 during the day, and as high as 40 at 1~3 o'clock in the morning. Cough, spitting yellow sputum, bitter mouth, like hot drinks, like heavy clothes and thick quilts, eat less and loose stools, blood count: white blood cells 18.300/mm3, neutral 88%. After X-ray fluoroscopy, the diagnosis was "left lower pneumonia". The patient's complexion is dull, thin and tired, the tongue is pale blue, yellow and greasy, and the pulse is thin and intermittent. According to the syndrome differentiation of traditional Chinese medicine, the complexion is dull, the appearance is thin and tired, the cold likes warmth, and the yang deficiency and yin are prosperous; The mouth is bitter and spitting, yellow and turbid, and the moss is greasy and abundant, which is caused by the floating of the void yang; After midnight, the yin deficiency is even worse, forcing the yang to cross outward, so the body temperature rises; The tongue is pale blue, and the pulse is weak and intermittent, which is also a sign of yin and yang. Prescription: aconite, dry ginger, codonopsis, atractylodes, tangerine peel, banxia, oil cinnamon (chong), almonds, winter flowers, aster, baibu, broken paper, dodder seeds, licorice. After taking three doses of medicine, the body temperature dropped below 38, the cough decreased, the spirit improved, the diet increased slightly, and the stool was still loose. After taking three doses, the body temperature returned to normal. Chest X-ray: left lower lung still slightly opaque. After taking three more doses, the shadow in the lungs disappeared and the food intake improved. Go to almonds, winter flowers, and 100 parts above, add three immortals, Huoxiang, and grass cardamom, and regulate and be safe ("Henan Traditional Chinese Medicine").
This medical case is worth pondering: in the face of the diagnosis of "pneumonia", the body temperature reaches 40, and the white blood cells are 18.300/mm3. Don't be confused by the detection indicators, and adhere to the principle of "according to the syndrome differentiation of traditional Chinese medicine, the complexion is dark, the shape is thin and tired, the cold likes warmth, and the yang deficiency and yin are prosperous; The mouth is bitter and spitting, yellow and turbid, and the moss is greasy and abundant, which is caused by the floating of the void yang; After midnight, the yin deficiency is even worse, forcing the yang to cross outward, so the body temperature rises; The tongue is light blue, the pulse is weak and intermittent, and it is also the image of yin and yang floating", layer by layer analysis, investigating the haze, and breaking it as the evidence of yin and yang floating, and the party uses the four reverse soup and the six gentlemen's soup to add and subtract, not only the symptoms disappear, but the shadow of the lungs also disappears, and it is completely cured.
Traditional Chinese medicine must have Chinese medicine thinking when seeing a doctor, otherwise it will not cure the disease! Mr. He Shaoqi of the China Academy of Traditional Chinese Medicine once treated a girl who had a sesame-sized depression on her left eyeball, so she came to seek treatment. He regarded it as a corneal ulcer, but he had no experience, so he tried his best to prescribe a heat-clearing and detoxification prescription, and participated in chrysanthemum and Menghua ophthalmic medicines. After taking a few doses, it didn't work. He also asked Dr. Wang Rushun of the ophthalmology department to diagnose and treat him, and Wang sentenced him to 10 doses of Buzhong Yiqi decoction. What do you think, the ulcer is caused by inflammation, and it can be remedied? Quite unimpressed. After 10 doses, the ulcer has healed. He Nai bowed his head and begged the king for advice, and the king said: "I don't know the ulcers, but I know the four words 'those who fall into the trap ascend'." ”
Corneal ulcers are indeed inflammation, but that is the Western medicine theory, according to the Western medicine treatment, it should be anti-inflammatory. However, from the perspective of traditional Chinese medicine, this is a "depression", according to the principle of traditional Chinese medicine, it should be used as the method of "the trapped person ascends", and the tonic zhongyi qi decoction is used to obtain the desired curative effect. Efficacy is the last word, and there is a public opinion on which is right and which is wrong.
Traditional Chinese medicine is the quintessence of China, and Chinese medicine should first have the surname "Zhong", that is, to maintain and carry forward the traditional advantages and unique characteristics of traditional Chinese medicine. Dialectical treatment is the most fundamental embodiment of this advantage and characteristics, and it can also be said to be the soul and root of traditional Chinese medicine. However, since the spread of Western learning to the East and the collision between Chinese medicine and Western medicine, the diagnosis methods, medication ideas, and research methods of Chinese medicine have increasingly taken on the color of Western medicine, and Chinese medicine has become somewhat different from Chinese medicine. Many people follow the diagnosis and laboratory indicators of Western medicine, get the right seat, clear heat and detoxify when they see inflammation, calm the liver and latent yang if it is high blood pressure, and treat tumors - all use white flower snake grass and half branch lotus...... Putting the dialectical argument in the back of the mind, it is called "forgetting the scriptures", or "forgetting the roots". To put it mildly, this is "picking up sesame seeds and losing watermelons".
Don't run with Western medicine. Many famous doctors have spoken out about this, adhered to the principle of syndrome differentiation and treatment, and adhered to the position of traditional Chinese medicine. Mr. Fan Wenfu said: "In the treatment of our people, we should focus on syndrome differentiation and treatment, and we don't have to worry about the name of the disease. "The first thing for the doctor is to recognize the evidence, so that the disease can be cured, and the name of the disease does not have to be forced." If it is necessary to have a name for the disease and then talk about the treatment, then when the disease is ambiguous, it will not be treated! Mr. Xie Haizhou also said: "Don't be confused by the name of the disease, remember to distinguish between syndromes and treatments." There are no major or small symptoms, and all of them need to be differentiated before they can be treated; There are difficulties and difficulties in disease, and only syndrome differentiation can be successful. At the time of the diagnosis, do not be confused by the name of the disease in Western medicine, and whether it is famous or not, whether it is a syndrome or a syndrome, it is enough to distinguish the syndrome and treat it. "Ligen is in traditional Chinese medicine. Being led by the nose by Western medicine will always be a crappy Chinese medicine practitioner.