Jin Bohua's Academic Thoughts And Clinical Experience And Clinical Research On The Treatment Of Ankylosing Spondylitis With Kidney Deficiency And Cold Syndrome

This article is a relatively comprehensive summary of Prof.Jin Bohua’s academic thought and clinical experience from my three years’ study as an assistant to Prof.Jin.It includes four aspects:source of Prof.Jin’s academic thought:outline of Prof.Jin’s academic thought;experience in diagnosis and treatment:and clinical research of treating ankylosing spondylitis renal deficiency and cold syndrome with warming needling through moxibustion on governor vessel.1.Source of Prof.Jin Bohua’s Academic ThoughtIt includes the following contens in terms of the Prof.Jin Bohua’s Academic Thought formation:(1)Joined the army to study medicine and participated in the War to Resist U.S.Aggression and Aid Korea:studied in Bethune Medical School of North China Military and Political University,rescued the wounded in battle,and laid a solid foundation in western medicine;(2)Nurtured and influenced by famous masters of medicine on her road to traditional Chinese medicine:Through studies in the Out-patient Department of The No.2 Traditional Chinese Medicine of China Academy of Chinese Medical Sciences and Beijing Hospital of TCM.absorbed essence of the academic achievements of famous masters of internal medicine.such as Yinnan Wu.Mingqian Fang.Guozhang Zhou and famous acupuncturists,such as "Golden Needle" Leting Wang.Puren He.Shouren Xia and others;(3)Intensive and extensive reading and research on ancient Chinese medical books and records.demonstrated unique style:completed junior college studies on classical Chinese medicine and four classics,namely."Canon of Internal Medicine"."Treatise on Febrile Diseases","Great Compendium of Acupuncture and Moxibustion" and others,formed her own unique style of thinking on clinical diagnosis and treatment and developed her own Jin Style Needle Operation skills;(4)Combined Chinese with western,and overcame difficulties:hosted"The 8th Five-Plan on Tackling Key Problems-Traditional Chinese Medicine Preparation on’Zhuifengsu’ Acupoint Solution Injection and Acupuncture and Moxibustion Treatment of Rheumatoid Arthritis" research organized by Beijing Municipal Science and Technology Commission,and achieved a national patent.Her project research report and academic papers won the "Scientific and Technical Achievement Award of Beijing Municipal Health Bureau"and the World Traditional Medicine "Vitality Cup" award;(5)As old as Prof.Jin is.still he cherishes high aspirations with students all over the world:Prof.Jin imparted her knowledge to her students and gave them earnest instructions,and has subsequently trained over 30 disciples in her academic field,now distributed in more than 10 countries all over the world.So.we can say that Prof.Jin has played a key role in rejuvenating the traditional Chinese medicine and serving the society.2.Outline of Prof.Jin Bohua’s Academic ThoughtCombining Prof.Jin’s monographs,such as "Succinct of Prof.Jin’s Acupuncture and Moxibustion Clinical Practice","Jin Bohua’s Collection on Poliomyelitis Testing and Treatment","Jin Bohua-Heroine in Acuputure and Moxibustion" and others,based on Prof.Jin Bohua’s acupunctural clinical theory and insight of clinical practical,by deepening and sublimating Prof.Jin’s academic point of views,summarized creatively the "Gist of Jin Style Acupuncture Methods" which consists of the following seven points;"Treatment on the root of disease,most of diseases can be traced to the stagnation of qi","unique diagnostic methods,detailed observation","regulation as key.heart and kidney as foundation","combine acupuncture and medicine for mutual supplementation","make the best use of single acupoint,and the effect is swift","carry forward the needling methods,develop a style of its own",and "pay attention to blood stasis,and skilled in blood-letting puncture".2.1 In clinical treatment,with the theory of "The Internal Canon of Medicine" as guide,we must strictly obey the overall traditional Chinese medicinal concept and the basic approach of syndrome differential treatment to cure the root of the disease,emphasize that,for difficult and miscellaneous diseases,we must trace their roots,believing that various modern diseases are caused by the damage of excess of the seven emotions and the six exogenous pathogenic factors.however due to work pressure,life environment and other factors,the main diseases of moden times are mainly due to the stagnation of qi.2.2 Unique diagnostic method,paying attention to the meridian and local diagnosis and observation.For instance,the stroke patients,observe the vascular changes on both sides of the sublingual frenum,make a preliminary judgment on whether the patients belong to hemorrhage or infarction:for patients with facial paralysis,judge the severity of the disease and its outcome through the Yifeng(SJ17)acupoint pressing pain reaction.2.3 Advocate that for all kinds of diseases,priority shall be given to "regulation"-regulate the qi mechanism,regulate the internal organs,regulate Yin and Yang.regulate the blood,and regulate the meridians,so as to achieve the balance of the meridians’yin and yang before the disease can be cured.Clinical diagnostic discrimination emphasizes the heart and kidney:"heart,the king of all organs,the source of spirit",principal of the vital organs of the human body;"kidney,receptor and storage of essence of the vital organs of the human body,"the congenital foundation.Make good use of Neiguan(PC6),Danzhong(RNl7),Jiuwei(RN15)to regulate the mind,and Shenshu(HT7),Mingmen(DU4).and Taixi(KI3)to regulate the kidney essence.2.4 Pay attention to the combination of acupuncture with drug,advocate the combined use of acupuncture with medicine.Sun Simiao.once pointed out that "the poorest doctor is one who resorts only to the use of acupuncture without medication and service of medication alone without acupuncture....The best doctor is one who knows how to use both acupuncture and medicine." that is,an acupuncture physician must make a collaborative use of acupuncture and traditional Chinese medicine:clinical medication should observe the following procedure:principle(theories of traditional Chinese medicine)-method(diagnosis and treatment methods)-recipe(medical prescription)-medicines(medicinal drugs),focusing on the six-meridian pattern dialectics:Acupuncture should follow the following steps:principle(theories of traditional Chinese medicine)-method(diagnosis and treatment methods)-recipe(medical prescription)-acupoint(acupuncture point),focusing on the main and collateral meridian pattern dialectics,with a combination of multiple acupuncture methods.These have achieved significant effects on the clinical treatment of thoracic obstruction,hair loss,intractable constipation and others.2.5 Adept at single acupoint treatment of disease.with unique experience in clinical acupoint selection.Regardless of single acupoint treatment or symptomatic acupoint selection,the effects are all significant.Skilled in single acupoint treatment.For clinical treatment,she often uses the Quchi(LI11)acupoint for treatment of hypochondriac pain,stomach pain;Cuanzhu(BL2)acupoint for treatment of hiccup,acute backpain or lumbago:Gongsun(SP4)acupoint for treatment of acute stomach pain,spleen deficiency headache:Taixi(KI3)acupoint for treatment of dry throat,nephrasthenia headache:Shouzhenzugen acupoint for treatment of heel pain;and the flexible application of Xiajngming etc.for symptomatic treatment.2.6 Conducted research meticulously on the needling techniques recorded in The Internal Canon of Medicine,applied the triple needling method(Oici)and centro-square needling method(Yangci)commonly used in clinic treatment of blockage of clod dampness syndrome,and created special needling methods,such as Liuci.Chilunci,Paicid,Meihuaci and other needling methods.Acupuncture needling emphasizes three degrees,namely,depth,angle,and force;for clinical treatment,acupoints are often selected from far end so that acupoints from lower part of the body are often selected for sickness or disease of the upper part of the body,or acupoints from upper part of the body are often selected for sickness of the lower part of the body,make sure that the needling sensation tends to the aching part of the body;imporved the fire burning methods for treatment of diseases,such as paralysis,cold-dampness and arthralgia spasm pain,cold limbs,and stomach cold and other syndrome,the operation is simple.2.7 In combination with the ancient acupuncture and modern blood stasis pathogenesis theory,skilled in blood-letting puncture for clinical treatment,which is widely applied in all kinds of skin diseases,such as erysipelas,eczema,gout,rheumatoid arthritis,headache,facial paralysis,cervical spondylosis and other diseases.3.Prof.Jin’s Experience in Diagnosis and Treatment;This study will combine and collect the records of Prof.Jin Bohua’s clinical medical cases.analyze his unique diagnostic and treatment methods based on the academic thought of the "Gist of Jin Style Acupuncture Methods" and,through the composition and functional of the commonly used acupuncture and moxibustion prescription,analyse and summarize Prof.Jin’s dialectical methods of the acupuncture prescription and the academic characteristics of combined use of acupuncture and medication.Starting from the valuable experience of Prof.Jin in her acupuncture treatment of rheumatoid arthritis,stroke,paralysis,facial paralysis,constipation,ankylosing spondylitis,depression and other difficult and miscellaneous diseases,and through her unique etiology and pathogenesis,diagnosis and treatment key points,as well as typical case analysis,give a comprehensive introduction to her diagnosis and treatment experience.4.Clinical Research of Warming Needle Moxibustion Huatuo Spine Points to Treat Ankylosing SpondylitisOn the basis of the clinical experience of Prof.Jin’s treatment of ankylosing spondylitis,by applying the clinical observation of patients through warming needle moxibustion Huatuo spine points to treat ankylosing spondylitis,adopt randomized controlled study method to clarify that the said therapeutic method can effectively improve the occiput-to-wall distance,thoracic mobility,Schorber test etc.of the patients who suffer from the AS(Ankylosing Spondylitis)renal deficiency and cold syndrome,and with the spinal pain VAS scoring standard,ASAS 20,and BASDAI index as efficacy evaluation indicators,through statistical analysis and summary,it shows that the effect of treatment is significant.Through analysis of ancient and modern literature on the Huatuo Jiaji(EX-B2)Point and Prof.Jin’s clinical acupoint selection,re-determine the Shu acupoint and locate Huatuo Jiaji(EX-B2)Point at 0.5 or 1-cun(a unit of length,= 1/3 decimeter)to the spine,thereby extending the scope of its clinical application.The deep needling method of 1-cun to the Jiaji Point 45°inward oblique needling,called deep needling Jiaji Point,can cure a number of difficult and miscellaneous diseases,such as paraplegia,neck lumbar intervertebral disc protrusion,as well as spinal canal stenosis,thereby providing acupoint selection basis for improving the clinical curative effect,with therefore very good social benefit and application prospects...