Study On The Inheritance Of Dialectical Thinking Of Palpitation Treatment By Professor Yuan Haibo

Objective: By using the method of literature research,analyze and summarize the relevant articles and works that reflect Professor Yuan Haibo’s academic thought and clinical experience.At the same time,adopt the method of medical case study.We plan to collect 508 effective cases of palpitations diagnosed by Professor Yuan Haibo(including retrospective and prospective medical records),and standardize the terms of diagnosis and treatment in the original medical records according to Yuan Lao’s commonly used terms of diagnosis and treatment and the terms of diagnosis and treatment in teaching materials.The collected data were collected,the relevant database was established,and the statistics software was used to analyze the age,sex,symptoms,tongue manifestation,pulse condition,etiology,pathogenesis and syndrome type of palpitation cases.In this paper,the author studies and analyzes the dialectical thinking of Yuan Lao in the diagnosis and treatment of palpitation.By using epistemology of perceptual knowledge and rational knowledge,summarize the experience of the dialectical thinking of Professor Yuan Haibo,a famous specialists of TCM,in the treatment of palpitation.Methods: During the postgraduate study,studied from our tutor,Professor Yuan Haibo,and collected relevant articles and works reflecting Professor Yuan Haibo’s academic thought and clinical experience,to make analysis and summary.At the same time,the effective medical records of palpitations diagnosed by Professor Yuan Haibo(including retrospective and prospective medical records)were collected,arranged,analysized,researched.All clinical data of 508 medical cases which met the standard of inclusion were created by EXCEL software.The data base is stored,and the age,sex,symptom,tongue manifestation,pulse condition and syndrome type are counted by the method of frequency distribution,and the results are analyzed,and the conclusion is drawn based on the results of literature research.Result:Yuan Lao thinks that:1.Palpitation is a disease,its location is in the heart,and lung,spleen,liver,kidney are closely related.The people suffering from palpitation increases obviously after the age of 50.It is consistent with the description of the law of human growth and old age in the Internal Classic.In addition to the changes in contemporary environment and lifestyle,the factors affecting the function of the body’s viscera gradually increase,directly or indirectly affecting the function of the heart.Cause palpitations.People should pay more attention to living,health care,strong physique.2.The etiology of palpitation can be divided into two categories.One is the external sensation,which is directly into the heart by external pathogens such as wind-cold,summer-heat and dampness,warm disease and epidemic poison,which result in the damage of heart function,the spirit cannot be stored in the heart and cause palpitation;the second is internal injury,which is caused by natural deficiency,emotion,and deficiency of old body,laborious loss,chronic disease and other factors gradually affecting the heart,lead to palpitations.3.Deficiency syndrome is the most common syndromes in palpitation.Yuan Lao divided them into heart qi deficiency syndrome,heart and liver disharmony syndrome,heart and spleen deficiency syndrome,heart and kidney deficiency syndrome,heart and lung disharmony syndrome,qi and yin deficiency syndrome,liver and spleen disharmony syndrome in clinical practice.The common symptoms were palpitation,chest tightness,fatigue,poor sleep,shortness of breath,dim tongue quality,thin white tongue coating and weak pulse string.4.The main points of syndrome differentiation:Main points of syndrome differentiation of heart and liver syndromes: the main symptoms of palpitation combined with liver disease syndrome as syndrome differentiation points: palpitation,poor sleep,chest and liver syndromes differentiation points: tightness,fatigue,shortness of breath,dizziness,headache,dim tongue quality,edge red,thin white tongue coating,fine pulse string and so on.Main points of Syndrome differentiation of Heart and Kidney deficiency: the main symptoms of palpitation combined with syndrome group of renal disease are as follows: palpitation,poor sleep,shortness of breath,fatigue,chest tightness,night sweating,dizziness,chest pain,chills and cold,weakness of waist and knee,Pale tongue,thin white or greasy tongue coating,pulse frequency knot or thin weak and so on.Main points of syndrome differentiation of heart and spleen deficiency syndrome: the main symptoms of palpitation combined with syndrome group of spleen disease are as follows: palpitation,fatigue,chest tightness,shortness of breath,poor sleep,dizziness,anorexia,pantothenic acid,constipation,burning heart,loose stools,Epigastric fullness,pale or dark tongue,edge red,thin white fur or thin white greasy,thin or weak pulse around.Main points of syndrome differentiation of qi and yin deficiency: the main symptoms of palpitation combined with deficiency of qi and syndrome of yin deficiency were the main points of syndrome differentiation.The common symptoms were palpitation,chest tightness,poor sleep,fatigue,shortness of breath,constipation,agitation,abdominal distension,five upset heat,dry mouth.Pale or dark tongue,red edge,thin white fur or thin white greasy,weak veins,etc.Main points of syndrome differentiation of heart qi deficiency: the main symptoms of palpitation are palpitation,poor sleep,fatigue,chest tightness,shortness of breath,dizziness,chest pain,fear of cold,self-sweating,dark or dim tongue,thin white or white tongue coating,Pulse strings are weak or vary from left to right,etc.Main points of syndrome differentiation of cardiopulmonary disharmony: the main symptoms of palpitation combined with pulmonary disease syndrome are as follows: palpitation,chest tightness,shortness of breath,fatigue,poor sleep,asthma,cough,expectoration,dim tongue,thin white tongue coating or thin white greasy,A thin string or string,etc.Main points of syndrome differentiation of liver and spleen disharmony: the main symptoms of palpitation combined with liver and spleen diseases syndrome are as follows: palpitation,chest tightness,fatigue,shortness of breath,poor sleep,dizziness,headache,bitter mouth,agitation,abdominal distension,constipation,Fear cold,swelling,dark tongue,thin white or thick tongue coating,left or right pulse or weak string,etc.Main points of syndrome differentiation of liver and kidney yin deficiency: the main symptoms of palpitation combined with liver,kidney and visceral yin deficiency syndrome are the main points of syndrome differentiation.The common symptoms are palpitation,frequent urination,hypochondriac pain,night sweating,chest tightness,fatigue,drowsiness,dizziness,and five upset heat.Dull or quivering tongue,thin white or greasy tongue coating,thin string of pulse,etc.Main points of syndrome differentiation of spleen and kidney yang deficiency: the main symptoms of palpitation combined with spleen and kidney yang deficiency syndrome are the main syndrome differentiation points.The common symptoms are palpitation,chest tightness,shortness of breath,fatigue,fear of cold,loose stool,weak waist and knee.Urination long,swollen,tongue dark or light,thin white fur,thin veins late weakness,or knot or generation,etc.5.In treating palpitation,we should treat palpitation with the principle of replenishing the heart qi and harmonizing the viscera.Conclusion: Yuan Lao believes that the root of disease is "deficiency of body".The basis of palpitation lies in deficiency of the heart leading to losing its duty of storing the spirit and defending the outside.Therefore,the external evil can directly hit the heart,and the other viscera function loss can also hurt the heart.Causing damage to heart function,loss of qi and blood,failure of storing the spirit,causing palpitations,or intermittent attacks,or persistent puzzlement,or even abnormal pulse rhythm.The treatment of palpitation should be mainly to replenish the heart qi,and to reconcile the viscera,The number of patients with palpitation increased with age,and the occurrence of the disease was closely related to the function of the body’s viscera.Yuan Lao was differentiating the symptoms and signs of the disease.The common symptoms are palpitation,chest tightness,fatigue,poor sleep,shortness of breath,dim tongue quality,thin white tongue coating,weak veins,etc.,depending on the viscera of the lesion,Yuan Lao,while treating palpitations with drugs,also paid attention to regulating nursing,reasonable diet,proper exercise,and unobstructing emotion,in order to balance the yin and yang,so as to keep the healthy qi and resist the eil qi and smooth the blood and veins,achieve the purpose of treating palpitations.