| Professor Jingyuan Liu (Prof. Liu) is one of inheritors of the fifth group in academic experience in Traditional Chinese Medicine (TCM) in China, a famous clinical specialist about epidemic febrile disease, engaging in teaching and researching Traditional Chinese Medicine with plenty of clinical experiences for 46 years. During the last 3 years, the author has got lots of benefits from Prof. Liu in clinical course.The purpose and scope of this experiment is summarizing the academic studies, clinical experience of Prof. Liu, in particular, the brilliant results in herb therapy with decoction of modified Huangqi Jianzhong in treatment of chronic atrophic gastritis, the type of deficit in spleen-stomach.This clinical experiment of Prof. Liu has been divided into 3 parts:Part 1 is the academic origin of Prof. Liu; Part 2 is to study his academic theory and clinical experience; Part 3 is a clinical research in herb therapy with decoction of modified Huangqi Jianzhong in treatment of chronic atrophic gastritis, the type of deficit in spleen-stomach.Part 1:the academic origin of Prof. LiuThe academic theory of Prof. Liu comes from classical works in traditional Chinese medicine, such as "harmony between human being and nature, pneumatism, theory of organ-tissue" in "Neijing of Huangdi". These theories are very dialectical and philosophical. Until now these theories occupy extremely important situations in development of traditional Chinese medicine. "Treatise on exogenous febrile disease" and "Synopsis of gold chamber" are final works of Zhongjing Zhang before Han Dynasty in traditional Chinese medicine. "Treatise on exogenous febrile disease" has not only positive effects in exogenous disease, but also has significant effects in treatment of diseases in general medicine. Prof. Liu focused on "Treatise on exogenous febrile disease" and "Synopsis of gold chamber" in the past years. He is doing studies on these classical theories and using these on clinical practice until now. He is considering insistently that it is a key word to learning very well, and using flexibly "Treatise on exogenous febrile diseases" and "Synopsis of gold chamber" in clinical practice for every student in medical school and practicing-doctors. They must use these classical theories depending on the situation of patients. For example, the formula "Shenfu decoction" is made up of "Ginseng" (which is principal herb, monarch medicine, of the prescription invigorating Qi for relieving desertion "Shengmai powder"), and "Radix aconiti lateralis preparata" (which is principal herb, monarch medicine, of the prescription to restore Yang from collapse "Sini decoction"). And the new one is used to invigorate Qi for relieving desertion and restoring Yang from collapse. The older method of splitting up and making up of a new formula again is a model of "studying classical theories, practicing on clinical work". We must study it very well. Prof. Liu has lots of clinical experiences for over 40 years in epidemic febrile disease in traditional Chinese medicine. He studied deeply these famous books written by the greatest masters in science epidemic febrile disease such as Tianshi Ye, Gengchu Yu, Jutong Wu, Mengying Wang, and so on. He has continued to study the system of syndrome differentiation of Jutong Wu in diagnosis of epidemic febrile disease, inherited the theory of his mentor, Prof. Huihe Yin. The proposition of Prof. Liu is to discriminate epidemic febrile disease in syndrome differentiation of defense, Qi, nutrient, and blood; and to discriminate damp-heat disease in syndrome differentiation of triple energizer. He has unique insights in treating epidemic febrile disease with the method of heat-clearing with coolness and acridity, and in treating damp-heat disease with the method of eliminating pathogens through purgation and dieresis. He also improved his own theories in clinical practice, and in academic sessions in China.In the course of science of epidemic febrile disease in traditional Chinese medicine, Prof. Liu is admired deeply by students because he usually teaches his own clinical experiences and his own theories as examples so that these theories could be well documented in an accessible and engaging way. Prof. Liu has also studied many books written by some specialists of modern times in traditional Chinese medicine, and has learned much from them so that he can get positive results in clinical practice, because he uses prescriptions very flexibly, never rigidly adheres to any doctrines. Prof. Liu always considers that in the development of traditional Chinese medicine, there are all kinds of theories because of the differences in times, location, gender, race, gene, age of patients. Each school of theory has its own strong opinion that deserves to be learned and used. There cannot be a perfect school of theory in each side. So practicing-doctors should draw upon all useful opinions both in learning traditional Chinese medicine and in clinical practice.Part 2:the summary and research about academic theories and clinical experience of Prof. LiuThere are plenty of academic theories of Prof. Liu, divided into two parts:researches and clinical practice of science of epidemic febrile disease, and clinical practice in other subjects of science. Prof. Liu is a famous clinical specialist about epidemic febrile disease in Traditional Chinese Medicine, engaging in teaching and researching Traditional Chinese Medicine with plenty of clinical experiences for 46 years. He studied deeply these classical works written by the greatest masters in science of epidemic febrile disease of traditional Chinese medicine such as Tianshi Ye, Gengchu Yu, Jutong Wu, Mengying Wang. The core of his theory about syndrome differentiation of defense, Qi, nutrient, and blood is the syndrome differentiation of Qi, and blood. The damage of Qi-blood by warm-heat pathogen can be divided into 4 different periods from mild to severe. The lesions of Qi have two kinds of syndrome:Weifen, and Qifen; the lesions of blood have two types of syndrome too:Yingfen, and Xuefen. Human body has 3 parts in syndrome differentiation of triple energizer as upper, middle and lower energizer, which symbolized sites, rules of development of lesions. In the theory of Prof. Liu, there are 2 kinds of epidemic febrile diseases:warm disease, and damp-heat disease. The rule of progress about warm disease is from Weifen to Qifen, then to Yingfen, and to Xuefen at last. The rule of progress about damp-heat disease is from upper energizer to middle energizer, and to lower energizer. The syndrome differentiation of defense, Qi, nutrient, and blood should be used in treatment of warm disease. The syndrome differentiation of triple energizer should be used in treatment of damp-heat disease. Prof. Liu is a clinical specialist in treatment of fever-disease. He considers that the exogenous fever is caused by the external pathogen, affecting the human body, struggling with Qi (vital energy). The fever due to internal pathogen is caused by the disequilibration Qi-Blood, Yin-Yang. In clinical practice, eliminating these pathogens is an important method for treating exogenous fever. The fever will relieve after the pathogenic factor is gone. The equilibration of Qi-Blood, Yin-Yang is the main method for treating fever due to internal pathogen. The vital energy will be recovered when Yin-Yang are in equilibrium again. Prof. Liu considers that every practicing-doctor must take a personalized therapy about the different time, local situation, patients for miscellaneous disease. In the last several years, diseases caused by phlegm, retained fluid, water, and dampness become much more common because of dietetic transformation. These negative factors such as Phlegm, retained fluid, water, and dampness block the normal function of Qi-Blood, failed to send up lucid Yang, which often manifest deprivation of energy or vigor, fatigue or exhaust. Tonics will aggravate the block, and make it hard to deal with if it is deficiency syndrome, elimination of pathogens through purgation, and dieresis should be used in this case to remove phlegm, retained fluid, water, and dampness. The lucid Yang will send up by himself after the negative Qi gone. In this paper, the clinical experience of Prof. Iiu is divided into 4 parts:internal medicine, chirurgery, gynecology, and pediatrics in traditional Chinese medicine. The author made a general summary, and some research.Part 3:clinical research on treating chronic atrophic gastritis, type of deficit of spleen-stomach with modified Huanqi Jianzhong Decoction of Prof. Liu.Objective:To take an observation and comparison of clinical effect in patients with chronic atrophic gastritis, type of deficit of spleen-stomach, between modified Huangqi Jianzhong Decoction and Huangqi Jianzhong Decoction, in order to make a summary and analysis of clinical experience of Prof. Liu, and to improve the clinical effect of chronic atrophic gastritis with traditional Chinese medicine.Methods:100 patients with chronic atrophic gastritis, type of deficit of spleen-stomach, randomly divided into two groups:treatment group with 50 patients, control group with 50 patients, for 2 month; in the treatment group 50 patients used modified Huangqi Jianzhong Decoction, in the control group used Huangqi Jianzhong Decoction; in period of follow-up for 3 month after the treatment.5 patients lost,1 in the treatment group and 4 in the control group. Compare with the 2 groups with scores of system of symptomatic classification in traditional Chinese medicine, and then make an evaluation with the grade of improvement and the efficiency of treatment in both groups.Results:After 2 months’treatment, the efficiency in treatment group is 93.88%, better than that of the one in control group which is 78.26%; in period of the 3 months follow-up after 2 months’treatment, the efficiency for 5 total months (2 months for treatment,3 months follow-up in the treatment group, and in the control group) is 93.88% for treatment group, and 78.26% for control group. The score of system of symptomatic classification in traditional Chinese medicine has been showed that the effect of treatment group with modified Huangqi Jianzhong Decoction is superior than the one of control group with Huangqi Jianzhong Decoction.Conclusion:In chronic atrophic gastritis, the type of deficit of spleen-stomach, the effect, and the positive results with follow-up for 3 months in treatment group with modified Huangqi Jianzhong Decoction is better than those of control group with Huangqi Jianzhong Decoction. The clinical experience of Prof. Liu, in chronic atrophic gastritis, the type of deficit of spleen-stomach, with modified Huangqi Jianzhong Decoction, should be studied by most of practicing-doctor in traditional Chinese medicine.
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