The Study Of Liao Pin Zheng's Academic Thought In TCM Ophthalmology

Liao Pin Zheng,female(born Oct 1938 in Chengdu Sichuan),is a professor of Chengdu University of Traditional Chinese Medicine,and Chief of TCM,PhD Supervisor.She has devoted to TCM ophthalmology clinical,teaching and scientific research for 53 years.And she was named the 3rd Edition of Master of TCM by government Mar 2017.She is the first PhD Supervisor of TCM Ophthalmology in all national universities of TCM.In recent twenty years,she' s been mainly working on the clinical study of diabetic eye disease,and has presided and undertaken almost 10 national or station researches successively She was the first one interiorly using the prospective clinical study to definite TCM syndrome characteristics and development regularity of diabetic retinopathy(DR),and by means of normatively multi-center clinical random controlled trails(RCT),cleared the effect of TCM compound working on DR,by which developed the first TCM Qi Ming granule(originally You Tang Ming),which gained the national medicine permission new medicine certificate and produced officially.She is the editor-in-chief for a dozen TCM ophthalmologic textbooks and treatises of national colleges and universities,whose academic success is influential in TCM ophthalmology.Purpose:This paper aims at collating,preserving and succeeding Professor Liao Pin Zheng's precious TCM Ophthalmologic academic experience,expanding scientific research thinking,improving clinical effects.We hope this phased summary and conclusion of her academic success could guide TCM ophthalmologic academic inheritance and provide the gist of TCM high-level talented person cultivation.To analyze and summarize Professor Liao' s academic ideas characteristics,focus on her academic thoughts and clinical experience in using TCM to cure miscellaneous cataract diseases such as DR.Collating and concluding professor Liao' s experiential effective recipes on ophthalmology(You Tang Ming No.1&2 Recipes for DR,xerophthalmia,glaucoma,AMD etc;Nourishing yin and Improving Eyesight Recipe;Stasis Detumescence Recipe;Tu Ling Dan),provide important theoretical and clinical guidance on main difficult blinding eyes diseases.Method:collect data of Professor Liao Pin Zheng' s family culture,studying medicine experience,succeeding path,mentor-disciple relationship pedigree etc,and combine with fully realized the humanity factors such as medical expert' s personal characteristic,family environment,education background etc to enlighten successors.record and collect Professor Liao' s usual teaching sayings,notes,academic interviews,and multi-view media reports and appraisal from others,present her research results,summarize and generalize her distinctive academic view and main research thinking.Collect and collate Professor Liao' s all-sided detailed data such as academic works in chronological order,scientific research achievement,teaching fruition,academic inheritance etc,conclude her outstanding achievement.As a student of Professor Liao,I retrospect the experience of treating patients with her,collate medical records and specialized prescriptions,collect clinical cases,analyze successful cases,elaborate Fang Yi,interview patients who returned.And combine with my personal clinical practice,experience and the inspiration my tutor gives to me,and generalize further her clinical experience academic connotation and thought characteristic,compact further her academic thought,summarize and generalize her academic thought and clinical experience in miscellaneous cataract diseases such as DR which she' s good at,provide important theoretical and clinical guidance on main difficult blinding eyes diseases.Achievements:summarized the expert course of Professor Liao:there were 5 phrases for her course,including:Received her first TCM culture education by her grandfather in her childhood;abandoned the recommend for admission to THU and Peking University,and determined to learn TCM;diligent study and great moral integrity,laying a solid TCM foundation;devote to Ophthalmology,persistent efforts;Studious and diligent,do as good as her famous teachers;thinking more,and exploring and innovating,integrate new knowledge.Her many achievements are closely related to her experience of early life,and this could be guidance for successors growth and provide the gist of TCM high-level talented person cultivation.Summarized Professor Liao' s academic achievement and speciality:inherited and promoted TCM syndrome differentiation ideology in Ophthalmology;apt at TCM eyes difficult and complicated diseases;pay attention to researching innovation in TCM Ophthalmology;commit herself to TCM Ophthalmology pedagogical reform;boost TCM Ophthalmology international communication.Summarized Professor Liao' s academic thought:Professor Liao handed down in a direct line from the master Professor Chen Da Fu,deepgoing inheriting and developing TCM Ophthalmology six-meridian theory and intraocular tissues connecting with organs and meridians theory.According to dialectical treatment of TCM Ophthalmology,she deemed that there are lots of methods to eye's differentiation of symptoms and signs,and differentiation of symptoms and diseases in ancient and modern,each has its own strong points.However,eyes are sprout orifices,and closely related with organs and meridians,the best way of treatment is to associate the body as a whole with the part to treat,analyze comprehensively and dialectically,distinguish between organs and meridians,symptoms and the causes,deficiency and excess.For years,she has lots of understandings on curing miscellaneous cataract diseases by TCM.And she deems that intra-ocular is exquisite and fragile,liable to deficiency or excess,the onset of diseases always be a complex of both deficiency and excess,the treatment of them can neither nourishing only nor attacking only.Therefor,she advocated alleviate cataract diseases' symptoms,attack pathogen just right,notice to reinforce the essence to solidify the root constantly.She aimed to make the prescription nutritious without stagnating or acerbic,effective without hurting healthy qi,cold without coagulated or astringed,hot without injuring Yin or motivating blood,circulating without depleted Qi,hemostasis without congestion.There are 7 points of her main academic thought:1 phthalmology is part of internal medicine,one should be first of all proficient in basic dialectical and then master of specialty.2 Focus on Ophthalmologic dialectical method,using modern techniques to medical checkup.3 Treatment must not be excessive because ocular region is very exquisite and delicate.4 Take advantage of external therapy of TCM,flexible use all kinds of clinical treatments5 Use the method of simulating blood circulation to end stasis and diuresis appropriately,with a phased treatment if ocular is bleeding.6 keep savvy,diligent,sensitive and perceived,advance with the times,research new methods of curing multiple eye diseases nowadays.7 To which do not rigidly adhere,the ancient wisdom we must both inherit and develop.Summarized Professor Liao' s clinical experiences:By studying and analyzing Professor Liao' s medical records and specialized prescriptions,we summarized the TCM syndrome characteristics and development regularities of the cataract eye diseases especially diabetic retinopathy(DR),type and phrase should be concerned in dialectical method,systemic syndrome therapeutic principle and method pointed to various disease courses and fundus appearances,especially the experiences in appropriately using the method of simulating blood circulation to end stasis and diuresis to deal with different phrases of DR ocular bleeding.According to her opinion,as DR is a ocular complication of diabetes,the important basic therapy is to treat diabetes,control glucose and relieve the patient' s pathogenic condition.Ocular local lesion has the peculiarities through which is closely related to whole body disease.As ocular tissue local,the underlying cause of DR is deficiency of both qi and yin,deficiency of liver and kidney,malnutrition of eye.The DR' s important pathogenesis is blood stasis and phlegm coagulation,and mesh winding stasis resistance.The syndrome of DR is deficiency in origin and excess in superficies,deficiency-excess intermingled.TCM therapeutic principle is to associate the body as a whole with the part,make priority after balancing origin against superficies,syndrome differentiation and treatment administration.For example,if fundus lesions' alleviating(generally in mild or moderate non-proliferative DR),treatment should be given the priority to the whole body syndrome,combining with the part of eye;if fundus lesion' s aggravating(generally in severe non-proliferative DR or proliferative DR),treatment should be given the priority to the local eye tissue,combining with the whole body.DR local eye lesion is varied,mainly as retinal microcirculation dysfunction,micro-aneurysm,blooding,edema,effusion,neovascularization and etc,which all caused by the category of congestion and phlegm-damp in TCM pathology,and to which the treatment is activating blood circulation to dissipate stasis,making expectoration easy,dehumidifying.If phlegm intermingled with congestion,the therapy of Soften harness and dissipate binds must be added.However,DR happens in mid-term or advanced diabetes,is caused by deficiency of both qi and yin,deficiency of liver and kidney,so far as to deficiency of both Yin and Yang,malnutrition of eye,which result in congestion and phlegm-damp.The syndrome of DR is deficiency in origin and excess in superficies,so when think about the treatment,pay attention to protect healthy qi,strengthening the body resistance to eliminate pathogenic factors,only then may avoid an acute relapse.If retina and vitreous body bleed heavily or critically,which is one of various lesions of DR,will rapidly lead to severe dysopia.With the principle of treating the symptom first in exigency,ameliorating the fundus hemorrhage should be primary.According to the different features in each stage of the course of disease,there could be 3 stages:bleeding stage,bleeding resting stage and congestion stasis stage.First of all,it is definite that therapeutic principle of each stage is different.When in bleeding stage,priority is hemostasis,and with discretion using medicines of which can disperse blood stasis and stanch blood,to recover eyesight.When in bleeding resting stage(usually 1-2 weeks after bleeding rested),the blood stasis still there,the therapy should turn to activating blood circulation to dissipate stasis,dissipate the blood stasis which deviated from meridian system,promoting to recover eyesight.When in congestion stasis stage,the blood stasis is petunia dim thick and dense,constant and stable,gradually the stasis would mingle with phlegm,and later could become white organizational tissues.So the therapy should be activate blood circulation to dissipate stasis,soften harness and dissipate binds,which is hoped to avoid the consequence of blindness such as retinal detachment.Meanwhile,combining with whole body disease,treating both symptoms and the causes,prescribe dialectically.In accordance with etiology,pathology and developing of disease course,she defined DR in 4 types of syndrome:deficiency of both qi and yin,venation tardiness;deficiency of both qi and yin,venation stasis;yin deficiency affecting yang,blood stasis and phlegm stagnation;yin-yang deficiency,phlegm-blood stasis.Furthermore,according to her valid TCM curative effects in difficult eye diseases such as xerophthalmia,glaucoma,AMD etc,this paper enumerates 5 well proved clinical recipes:You Tang Ming 1&2 Recipes,Nourishing yin and Improving Eyesight Recipe;Stasis Detumescence Recipe;Tu Ling Dan,to make a certain extent of summarizing in respects of dialectic analysis,compound and compatibility,administration features,actions and indications,clinical efficacy.Conclusion:Being brought up with profound family origin,Professor Liao Pin Zheng was determined to devote herself to the TCM ophthalmology when she's young.With her stick-to-traditional-culture academic point,and famous teachers handed down,strict systematic educated from university of TCM,she has acquired lots of outstanding achievements,indispensable with herself perpetual diligent assiduous research and exploration.Endeavoring to perfect her clinical skill in TCM ophthalmology,she concerns with the latest developments of modern medical science constantly.She combined TCM treatment technology with modern medical science to complement each other' s advantages,in order to cure the various eye diseases,especially cataract diseases,by which come into being her unique clinical specialty with remarkable efficiency.Besides,she' d been so discerning that she extended scientific research subjects,mainly working on eye disease in diabetes,and was the first one in our country who using the prospective clinical study to definite TCM syndrome characteristics and development regularity of diabetic retinopathy(DR),and developed the first TCM Qi Ming granule for DR which has been produced.She is the editor-in-chief for a dozen TCM ophthalmology textbooks and treatises of national colleges and universities,whose academic success is influential in TCM ophthalmology.She was named Master of TCM by government in 2017,which certified she is a highly respected,skillful quintessence of TCM doctor.With rigorous thought and open-minded,Professor Liao also is an author with many works to her credit.It would be great significance to summary her academic thought and clinical experience,which would not only accelerate TCM ophthalmologic academic theory development,but also promote TCM ophthalmologic clinical treatment and research.