Chao Enxiang is a master of traditional Chinese medicine
Professor Chao Enxiang is the chief expert of the Department of Traditional Chinese Medicine of China-Japan Friendship Hospital, who has been practicing medicine for more than 50 years, and has a deep understanding of the treatment of difficult diseases, lung diseases, spleen and stomach diseases, etc., especially the treatment of lung diseases. The author studied with the teacher, although the time is still short, but in the bit by bit, the benefit is great, now take one of the two of his experience in making good use of the following method, introduced as follows.
"Fang" comes out of "law"
Chao Shi pays attention to the collection of medical evidence data through the four diagnoses of looking, smelling, asking, and cutting, and analyzes the eight programs to establish evidence, and then legislates according to evidence, dispatches prescriptions, and carefully explores its disease mechanisms.
The author consulted a male patient with the teacher, more than 90 years old, Western medicine diagnosed cognitive dysfunction, by Western medicine treatment, the patient has no mania, but see day and night staggered, sleepless at night, night more panic dreams, dry stool knots, red tip of the tongue, moss white, pulse strings. The author secretly discerns the above symptoms in his heart, and he has no point.
Chao Shi identified it as the evidence of the elderly patients' "qi and yin deficiency, mental loss, restlessness, and seeing the dryness of the intestines", so he set up the method of "nourishing yin and nourishing qi, nourishing the heart and calming the spirit, and calming the nerves and laxatives", fang used Mai Dong, Schizandra, Taizi ginseng, and wu yi qi to nourish the yin, fried jujube kernels, yuanzhi, and acacia flowers to nourish the heart and cure the root cause, and also used the product of the raw dragon mu and the mother of pearl to calm the spirit, and the stone calamus puning god to open the trick to cure the symptoms; the patient had dry stool.
"Su Qing • Contrarian Theory" Yun: "Stomach discord is lying restless", stagnant and full of qi will also cause restlessness at night, so with hemp seed, Yu Li Renrun intestinal laxative, rhubarb, Magnolia diarrhea under the removal of full, but also to achieve the main certificate and secondary evidence and cure the merit. The whole party to supplement and cure the root cause, the town to cure the symptoms, take into account the stool is not passed, so that the accumulation of stagnation, the qi machine is smooth, and the heart is soothed, and the effect of calming the mind and calming the mind is calm. In the process of diagnosis and treatment of Chao Shi, the disease machine is carefully observed, the dialectical treatment is reflected in every link, the disease mechanism is clear, the treatment method is established, and the prescription medicine jumps out and is used freely.
Dialectical theory is the foundation of Chinese medicine, and it is not an overnight achievement to truly reflect and obtain good clinical efficacy in the clinic. At the time of the testimony, the mechanism of illness was not clear, the legislation was unclear, and the prescription was at a loss, which was difficult to work. The diseases seen clinically are often cold and hot, virtual and real coexist, qi and blood are the same disease, yin and yang are virtual, and the main points of dialectics are not obviously conclusive.
This tests a doctor's clinical perception, clinical accumulation is the key, there should also be Chao Shi said that "doctors should be good at thinking" in it, for each patient to "seriously think, consider, seriously speculate, repeatedly deliberate, review their own experience, the knowledge they have learned, seriously treat the solution of clinical problems", and constantly cultivate their own understanding. Chinese medicine is profound, and it needs to be studied tirelessly and accumulated and verified bit by bit in order to appreciate one or two of them. Chao Shi believes that the theories of the ancients are derived from practice, and they are all observed by walking between patients all their lives. Therefore, to experience the accuracy of TCM theory in clinical practice is an effective way to improve the level of clinical diagnosis and treatment.
Unique mind method
Chao Shi's clinical prescription has its own mental method, the medicinal taste is not much, but it takes into account all symptoms, and is especially good at linking the theory of Traditional Chinese medicine with clinical practice, which works well.
Master Chao uses zhu chengqi freely, the dialectic is accurate, and the passage does not hurt its righteousness, and the evil qi restores itself. Its clinical treatment of lung diseases pays special attention to the specific clinical application of the theory of lung and large intestine.
The author consulted with the teacher to consult a patient with interstitial fibrosis and infection of the lungs, coughing, wheezing, unable to lie flat, unable to turn sideways, moving is very wheezing, and stool has not been performed for 7 days. Chao Shi distinguishes the lung qi loss, sputum turbidity internal obstruction, internal knots in the intestines, and treats the lungs to calm asthma, cough and dissolve phlegm, and diarrhea and laxative. Fang is mainly based on cough and phlegm and asthma medicine, supplemented by the meaning of gastric soup, medicinal raw rhubarb 5 grams, Xuanming powder 3 grams (fen chong), licorice 10 grams. After 5 days of consultation, the patient's cough was significantly reduced, the wheezing was relieved, and the stool could be turned sideways, and the stool was 1 line per day.
Chao Shi believes that Chinese medicine also has advantages in the treatment of emergencies, especially for patients with dry abdomen, and the use of the agent is appropriate, and every time it plays an unexpected effect. A patient with clinical treatment, a female, 65 years old, 4 years after colon cancer surgery, came to the clinic for 10 days due to unfavorable stool. 10 days ago after the cold appeared epigastric fullness, followed by unfavorable stool, daily solution of a very small amount of stool, abdominal distension is obvious, less exhaust, 2 days before the emergency department considered incomplete intestinal obstruction, night abdominal distention is obvious, red tongue yellow slightly greasy, pulse strings.
Chao Shi's first diagnosis was constipation (dry knots in the abdomen, stagnant blood stasis), treatment to attack laxative, rational qi and activate blood, accompanied by moisturizing intestines, Fang with the meaning of large chengqi soup, medicinal Magnolia 10 grams, citrus aurantium 10 grams, rhubarb 6 grams, YuanMing powder 2 grams (fenchong), 10 grams of salvia of Li Qi and blood, 10 grams of Sichuan root, 10 grams of wood incense, 10 grams of sand kernels, 10 grams of Jiao Sanxian, 10 grams of angelica, 25 grams of hemp seeds, and 10 grams of licorice. 3 doses, decoction. After taking the above 3 doses, the abdomen is full of relief, the amount of bowel movements is slightly increased, hiccups are more, eat 2 to 3 times a day, stool 2 to 3 times / day, abdominal distention and pain at night are relieved, the tongue is red and white, and the pulse strings are slightly greasy. Followed by the meaning of small chengqi soup (10 grams of magnolia, 10 grams of citrus fruit, 5 grams of rhubarb), accompanied by a healthy spleen to vaporize wet, moisturize the intestines and laxative products, 7 doses of water decoction. Abdominal distension has been significantly relieved at the third diagnosis.
Master Chao believes that the use of qi soup should be based on Ke Qin's cloud: "All diseases are caused by qi, and the impurities do not go away, and because of the unhappiness of qi." Therefore, the agent for attacking the accumulation will use the medicine of qi, because it is famous for bearing the qi soup." According to Wu Kun's "Examination of the Medical Prescription", "Typhoid fever and yang are evil, and those who are full, full, dry, solid, and firm are all in a hurry." Seasoning the qi soup does not use citrus and simple, with its non-fullness, with the fear of injury on the scorched nothingness of the yuan qi also; small chengqi soup does not use the mango salt, in fact but not firm, with the fear of hurting the true yin of the scorched blood, it is said not to cut its roots.
In this case, the upper, middle and lower two jiao are all sick, and the pimple, fullness, dryness, solidity, and firmness are all complete, so the Lord treats it with this side. Magnolia bitter and warm to remove the, citrus fruit bitter cold to vent full, mango salt salt cold to moist and soft firm, rhubarb bitter cold to drain the solid to remove heat. Although the clinical application of Dacheng Qi Soup should be based on the four diseases of "pimple, fullness, dryness and reality", it is not appropriate to stick to this, and the patients seen in the clinic are often not typical manifestations.
The patient in the above case, with a medical history of more than 10 days, does not rush to attack in fact, afraid of changing him, and it is difficult to adjust the stomach and bear the gas, and the small gas soup is difficult to work. However, due to the atypical large-scale gas soup evidence, it takes its meaning in clinical application, adjusts the dosage, so that the attack is not fierce, and the course of the disease is examined in detail, the disease mechanism is examined in detail, and many factors in the process of forming the disease certificate are taken into account, such as stagnation, blood stasis, blood deficiency, intestinal detention, etc.
The first party takes effect, the defender is afraid of hurting its positive, and turns to the meaning of small gas soup, slow down, still take rhubarb diarrhea under the heat to treat its symptoms, but the dosage is reduced, not confined to the original intention, and the stagnation is the evidence of the specimen and the evidence, so the thickness of the rational qi and the practical amount of citrus are large. Therefore, Master Chao believes that the focus of clinical application is flexible, and the key to effectiveness is to learn from the ancient and not to mud in the ancient. ■
【Source: Guangdong Provincial Bureau of Traditional Chinese Medicine】
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