Study Professor Wang Luqiu’s Academic Thoughts In Treating Arthromyodynia

Professor Wang Luqiu (1919～1999), the late nationally famous veteran terandoctors of TCM, expert in Internal Medicine, had been working with the University ofTraditional Chinese Medicine and as a traditional Chinese physician in JiangsuProvincial Hospital of TCM. In his over sixty years of working as a doctor, he hadbeen a master in Internal Medicine, especially good at diseases caused by exogenouspathogenic factor and various internal damage. He has accumulated plentifulexperiences in the treatment of Rheumarthritis, arthritis deformans, Behcet’s disease,and systemic lupus erythematosus (arthromyodynia). And this paper is to discuss hisacademic thoughts in treating arthromyodynia.Professor Wang believed that the main causes for arthromyodynia includewind-cold-wetness evil, polyarthritis rheumatica acuta, improper food and medicine,injury from falling down, work and rest, age-old invalidism, deficiency in constitution,and so on. The pathogenesis for arthromyodynia are mainly exogenous evil hinderingextremity and meridian, and the loss of QI-blood circulation. The pathological natureshows the state of evil domination at the very beginning, and inclusion of excess anddeficiency if the evil stays for long. The evil of cold ,dampness, and heat locksmeridian, so as to affect the operation of QI-blood and body fluid. Or the deficiency inliver and kidney, and the insufficiency of vital energy and blood affect the operation ofQI-blood and body fluid, making the body fluid into sputum, causing the bloodstagnation. At the beginning, the evil stays between the surface and meridian, so thatthe arthralgia spasm in the limbs features all joints being painful. If it stays for longand not being cured for long, the evil will go through the surface to the inner part,forming the obstructed visceral pain that will be hard to cure.Professor Wang believed that arthromyodynia can be concluded into the following16 types of syndrome: cold hypochondrium protrusion by wind-cold, coldhypochondrium protrusion by wind-cold, cold hypochondrium protrusion by coldwetness, cold hypochondrium protrusion by wet heat, cold hypochondrium protrusionby stagnated blood, blockage of phlegm and blood stasis, stagnation of blood bydeficiency of vital energy, asdthenic splenonephro-yang, and hepatic and renal yin deficiency. And the treating methods can be divided into the following ways:expelling wind, scatter cold, dehumidity, eliminate sputum to removing blood stasis,nurish Yin to clear heat and pryetic tonification of spleen and kidney.In the process of treating the diseases of arthromyodynia. Professor Wang claimedthat at the initial stage, diaphoresis by dispersing the interior should be adopted; ifacute pain appears, the symptom should be treated first, then expelling pathogenshould activating meridians to stop pain should be adopted; if the disease exists forlong, healthy energy has become weak, so that nourishing both qi and blood, ornourishing liver and kidney, should put strengthening body resistance in the first place.In treating cold-damp syndrome,fragrantly warm and fierce substance should be usedtemporarily in case arthromyodynia stay. If arthromyodynia leads to heat-transmission,cool substances should be used, while the spleen and stomach should be taken intoaccount. If damp pathogen prevails, fragrantly warm substances can be used.Prof. Wang had his distinct experiences in treating arthritis deformans, systemiclupus erythematosis, arthrolithiasis, and dermatomyositis. Arthritis deformans showsome similarities with rheumatism involving bone, obstinate arthralgia, and so on. Themain reasons lie in the invasion of exogenous evil. And the internal cause has to dowith insufficiency of vital energy and blood, deficiency in liver and kidney. Itspathogenesis shows the evil factor hinders meridian, stagnant QI-blood circulation, andso forth.Systemic lupus erythematosus shows many symptoms that are the same with thatin TCM, for example, Lantzna camara, solar dermatitis and solar dermatitis. Thedamage on internal organs can be concluded into dropsy, cardiopalmus, cough,dyspnea and so on.Dermatomyositis is similar to skin itching. When the muscles weakens, it can betreated according to paralysis.Behcet disease has internal and external causes. The external causes are mainlyfrom the reception of excessive Qi, and the internal causes are chiefly from thedisorder of the function of entrails.Polyarthritis rheumatica acuta belongs to the arthromyodynia in TCM. Damage onheart is similar to the such diseases as cardiac obstruction, thoracic obstruction,cardialgia and cardiopalmus...