| Professor Wei Zhonghai is the adviser of the fourth group of the national work of study the clinical experience of famous TCM doctor. He had been involved in the field of internal medicine for more than 40 years. He had studied western medicine and traditional Chinese medicine and is good at treating rheumatism disease (Bi-syndrome) using Chinese medicine. This research is divided into three parts.The first part:Professor Wei's academic origin. We summed it by forms of interviews and analysis. He had been studying in Beijing university of TCM, accumulating clinical experience, and studying TCM classics, thus forming his own idea of treating rheumatism disease by using the core method of strengthening body energy and supporting Yang. His idea comes from Neijing and Zhang Zhongjing, and is inspired by Li Donghuan, Zhang Jingyue.The second part:conclusion of Professor Wei's academic thoughts and clinical experience. We summed his idea of the cause of rheumatism disease is body deficiency and the treatment is strengthening body energy and supporting Yang. (1) Bi-syndrome is caused by Yang deficiency, thus kidney Yang should be tonified. The body deficiency, especially Yang deficiency is the main factor affecting the onset and development of rheumatism disease. When the body energy is insufficient, wind, cold, dampness and hotness would invade the body and stagnate meridians, muscles and joint, thus causing rheumatism disease. Medicine like Fuzi, Rougui, Roucongrong, Yinyanghuo should be used to tonify kidney Yang. Meanwhile, medicine that can nourish Yin and regulate Qi and blood should be used. (2) The principle of expelling the evil should not be neglected in the treatment. The cause of Bi-syndrome is not only weakened body resistance, but also some external evil factors. And if the evil factors are stubborn, they would further weaken body resistance. So when treating Bi-syndrome, methods of expelling the evil should be added. Attention should be paid to external evil factors like wind and cold, combining removing the dampness and phlegm. Insect poisonous drugs should be used with extreme caution. (3) In the treatment of Bi-syndrome, disease differentiation should be considered because each different disease of Bi-syndrome has its own features. And to improve therapeutic effect, we should pay attention to the patients'psychological activity and diets.In addition, we also summed professor's experience in treating rheumatic arthritis, rheumatoid Arthritis, postpartum body pain, knee osteoarthritis and insomnia.(1) Experience in treating rheumatic arthritis. The cause of the disease is due to internal factors such as body deficiency and external factors like wind, cold, dampness and heat. When the body energy is insufficient, evil factors would invade the body, causing pain and swelling in muscles, joints, thus causing rheumatism disease. Excessive syndrome would be seen in early stage, and Qi and blood deficiency would follow. In the early stage of treatment, methods like expelling wind, cold and dampness, or clearing meridians by removing heat. Meanwhile, methods like invigorating blood, implementing Qi and blood, tonifying spleen and kidney should be used. In the later stage, the core should be warming Yang and strengthening body resistance. Both cold and warm medicine should be used.(2) Experience in treating postpartum body pain. The cause of postpartum body pain could be divided into external one and internal one. The internal causes like deficiency in Qi and blood, blood stasis, together with external causes would lead to this disease. Based on the root cause, main treatment should be focused on implementing Qi and blood, and regulate Ying and Wei. Clearing and activating the channels and collaterals and removing wind and dampness are the key of the treatment. And the chose of medicine should be flexible.(3) Experience in treating rheumatoid Arthritis. This disease is caused by external evil factors as well as internal deficient factors especially kidney Yang deficiency. The etiological factors could be summed up as three aspects:deficiency, evil, and stasis. And the main treatment should be warming Yang, tonifying Qi, nourishing blood, tonifying liver and kidney, removing wind, cold and dampness, activating blood to remove stasis, clearing heat to free channels, combined with external treatment as warming Yang to expel cold, and invigorating blood circulation to expel the evil.(4) Experience in treating knee osteoarthritis. The onset of the disease is related with old age, excessive work, and exposure to evil factors. The main pathological basis of the disease is deficiency in kidney and liver, deficiency in spleen and kidney Yang, deficiency in Qi and blood, and also other factors such as phlegm. The treatment should mainly be tonifying liver and kidney, combined with expelling evil and activating blood circulation. When tonifying kidney and liver, due attention should be given to kidney and liver Yang. Daily care should be accompanied by decoctions.(5) Experience in treating insomnia. It is believed that the causes of insomnia are related with dysfunction of heart, liver, spleen and kidney, and heart is the most important. The treatment should be modified recipe of Dingzhiwan, and adopting the nerves-soothing methods of supplementing Qi and nourishing Yin, soothing the liver to removing depression, and coordinating heart-kidney. And above this, Professor Wei would adopt some heavy material therapy to soothe nerves and nourish heart. Besides, psychological counseling is used to avoid the trigger of the disease.The third part:Clinical study treating knee osteoarthritis using methods of tonifying the kidney. By prospective, randomized and compared research design,90 cases with knee osteoarthritis patients were chosen, and divided by ratio of 2:1 into the treatment group of 60 patients, which would adopt the treatment of warming the kidney invigorating blood circulation, and 30 cases which would use Diacerein and Celecoxib. The treatments lasted for a month. Then we observed the overall evaluation (scores)of the knee osteoarthritis from both patients and doctors, and, the overall evaluation (scores)of levels of pain in knees from patients, and the changes of the indexes of WOMAC to evaluate the therapeutic effect of decoction of tonifying kidney, warming the kidney Yang. The results show that:after treatment, the overall evaluation (scores)of the knee osteoarthritis from both patients and doctors, and, the overall evaluation (scores)of levels of pain in knees from patients, and the indexes of WOMAC(P< 0.01) from both of the two groups have all been improved. In aspects of the overall evaluation (scores)of the knee osteoarthritis from the doctors, the overall evaluation (scores) of levels of pain in knees from patients, and the degree of decline in the indexes of WOMAC, there is a Significant difference between the treatment group and the control group(P<0.05,0.01). Based on the general curative effects, two groups showed no obvious difference, but the treatment group was better than control group in terms of clinical controlled rate (P<0.05). The study confirms:1.When adopting the principle of tonifying the kidney and warming Yang, invigorate blood circulation in treatment of knee osteoarthritis, the symptoms could be improved, and the therapeutic effect is better than regular treatment using western medicine.2. The therapeutic effect of adopting the principle of tonifying the kidney and warming Yang, invigorate blood circulation in treatment of knee osteoarthritis has been concerned.
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