| 1.PurposeExplore Director Gu Weichao, which is the first batch academic experience expert of traditional Chinese medicine in jiangsu province and the fifth batch in China (hereafter called Mr. Gu),based on Mr. Zhang Xichun (hereafter called Mr. Zhang)’s theory of "DaQi", He has a forward in theory and practice of atmosphere doctrine, and rechieved a fruitful results.especially deeping in summarizing Mr. Zhang’s academic thoughts.2.Methods(1) collecting, sorting the cases during 2012.08.01-2015.7.31,which time is learning from Mr. Gu. Mr.Gu improves a lot of cause and treatment about DaQi subsidence syndromes. We included 93 cases that in the standard of the clinical data and establish medical record databases;(2) Pretreatment all the medical record information, methods including classified medical name of disease, symptoms, analysis of the cause, the standard drug names, etc, On the basis of these, we could analyze the database and discover relevant knowledge;(3) consult literature, through learning and insight with the teacher combined with division Gu’s work, teaching materials, the confirm recording, etc., repeatedly depth interviews with Mr.Gu, summarizing clinical experience of" DaQi subsidence" Pathogenesis and treatment of difficult condition,3. Results(1) medical record distribution:93 patients included:male 27 cases, female 66 cases.Age:5-92 years old. mean age 55.4 years. DaQi subsidence etiology, can be summarized as weakness, emotional disorders, weary internal injuries, after a variety of surgical, menstrual volume, organs failure, viscera drooping. Involving 48 kinds of Western disease, the distribution in circulation, gynecology, urology, ENT, neurological, endocrine, respiratory, cancer, rheumatism, blood, digestion. Advantage single disease 10,followed by cardiovascular neurosis, chronic heart failure, perimenopausal syndrome, arrhythmias (frequent premature ventricular contractions), low blood pressure, diabetes, urinary tract infections, Meniere’s disease, chronic fatigue syndrome, cervical spondylosis.(2) syndromes distribution:In addition to the tongue and pulse, the total of 83 kinds of symptoms appears,559 times. Each medical record appears an average of 6.0 symptoms, and each symptom appears an average of 6.7 times. Mainly records has dark red and pink tongue with thin white fur. Common pulse is weak、sink and folders or string guitar, generation pulse and so on. And then summarized Mr.Gu’s experience Keys of DaQi subsidence syndrome: ① collapse status, or sense of flu death;② intolerance work, sweating and asthma more after moving;③chronic disease aggravation or relapse when fatigue or load;④urinary urgency, urinary endless, with lower abdomen bulge;⑤ fatigue,feeling weakness;⑥feel better if you deep breathing;⑦ want to eat when feeling hungry, if not, you will feel weakness with sweating; ⑧dizziness, fatigue, palpitation, easy sweating; ⑨lower abdomen and vulva, anus feeling heavy; ⑩ pause sense of heartbeat, visual dim; (11) feel tightness of chest, shortness of breath, associated with angina, cardial infarction. (12) dark or pink tongue, thin white fur. Weak pulse or knot generation and so on.(3) the distribution of medication:co-medication 1514 times, averaging 16 kings of drugs every record. Involving 186 herbs, with an average 8.1 times per herb. In addition Shengxian Tang 5 herbs outside, more than the average number of drugs was a total of 34 herbs, medication frequency count 708 times. And then summed Mr.Gu’s experience of DaQi subsidence:① Modified Shengxian drink composed of 11 herbs, includes:Astragalus 30g, Anemarrhena 12g, Cimicifuga 6g, Bupleurum 6g, bellflower 8g, Rhodiola 30g, Agrimony 30g, Loranthaceae 30g, cornus 20g, nard 10g, licorice 10g. ② Based on the sun lifter depression, according to his symptoms, matched strengthening the economy, warming yang qi, promoting blood circulation to removing phlegm stagnation, dropping the inverse gas, nourishing Yin and clearing stomach fire, replenishing liver and spleen. These six kinds methods can be flexible used in clincal treatment.4.Conclusion(1) Summarizes Mr.Gu’s heritage and innovation of DaQi doctrine, mainly includes:1) induces the five physiological function of the DaQi.2) extends the cause of DaQi subsidence, besides Mr.Zhang’s saying "caused by virtual", also includes a variety of real evil atmosphere can lead to subsidence.3)propose DaQi subsidence symptoms of the various areas on the human body’s upper、middle、lower.And then extract the Mr.Gu’s Key symptoms and medical experience of DaQi subsidence syndrome.(2) Through in-depth analysis of typical cases showes that many clinical conditions, especially in difficult emergency and severe stages, prones to appear DaQi subsidence sydrom. At this time through the air doctrine theoretical guidance, treat by Mr.Gu’s "Modified Shengxian drink", will get a good clinical effect, fully embodies the principles of Chinese medicine " different diseases with the same treatment", in line with Mr.Gu’s treatment concept--combination of diseases and syndromes, which is worth to further exploring and researching. |
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