Study On The Academic Thoughts Of Treating Vertigo By Professor Gao Tisan

Professor Gao Tisan is a remarkable national practitioner and educator of TCM,and is one of instructors on the work of inheriting academic experience of national veteran physicians of TCM.Engaged in clinic,teaching,and scientific research of TCM for decades,he has accumulated rich clinical experience,especially in treating miscellaneous diseases of internal medicine.With long-term teaching and clinic of TCM,he has established a unique TCM clinical diagnosis and treatment system,and formed the “Shuinuan-Tuhe-Muda”and SanYin academic thoughts,getting apparent curative effect using them to guide clinic and to treat miscellaneous diseases.Objective: discovered the academic thoughts of treating vertigo by Professor Gao Tisan,which blended principle-method-formula-medicines.Methods: referring to Professor Gao Tisan's academic works,manuscript notes,achievements in scientific research,teaching plans and medical records to dig deeply the academic thoughts and clinical experience of treating vertigo by Professor Gao Tisan,this study collated,analyzed and summarized Professor Gao Tisan's understanding of vertigo,and carded the thoughts of syndrome differentiation,therapeutic principles and methods,and Characteristics of herbal administration rules.Professor Gao's clinical cases were retrospectively analysed with medical statistics.The collected medical cases of Professor Gao's clinical treatment of vertigo were standardized according to the retrospective study questionnaire of vertigo cases,and these data were input and managed with Microsoft Excel 2013,and then using frequency analysis with statistical software SPSS 23.0,the frequencies and properties-tastes-channel tropism of Chinese medicines were analysed,to summarize the herbal administration rules of Professor Gao's treatment of vertigo.Results: the results is divided into the following three parts.1.The first part: Professor Gao Tisan's SanYin academic thoughts.Tracing the source and exploring the formation of the academic thoughts of the SanYin disease,the theoretical core of the professor Gao' academic thoughts was summed up.Deeply rooted in the "huangdi neijing",following the ways combining six-meridian syndrome differentiation and visceral syndrome differentiation in "shanghan zabing lun",setting reinforcing yang to suppress Yin as the first essential,holding Huang Yuanyu's viewpoints of "six Qi controlling six meridians" and "under the controlling of ZhongQi,Qi moves left up and right down" in esteem,his unique academic thoughts of treatment of SanYin disease and “Shuinuan-Tuhe-Muda”were formed.The theoretical core of his academic thoughts can be understood from following three perspectives :(1)Inheriting Zhang Zhongjing's thoughts of reinforcing yang to suppress Yin;(2)Holding Huang Yuanyu's thoughts of valuing the circumfluence of Qi movement;(3)Setting the viscera syndrome differentiation as the core,and the six-meridian syndrome differentiation as the guiding principle.2.the second part: the academic thoughts of treating vertigo by Professor Gao Tisan.They were elaborated through the following four aspects.(1)The principle: Professor Gao considers vertigo from the perspective of the pathological changes of three organs-liver?spleen and kidney,thinks that the location of vertigo is upper orifices,and the basic reason of causing vertigo is liver's disfunction,and spleen and kidney were involved in it,so it is a sort of foot-three-yin syndrome caused by disfunctions of liver,spleen and kidney,which pathogenesis is that clear yang fails to ascend and turbid yin fails to descend.(2)The method: Professor Gao Tisan puts forward the therapeutic principle of "Warm water,Dry earth and Free wood" based on physiological functions and pathological changes of liver,spleen and kidney,and suggests that the liver,spleen and kidney three organs should be treated simultaneously to promote the clear yang rising from the left to nourish the upper orifices.(3)The formula: Professor Gao has categorized the classic formulas and usually combines the three yin formulas for vertigo,of which the common formulas include Xiao Chaihu Decoction,Guizhi Decoction,Lizhong Decoction,Ling Gui Zhu Gan Decoction,Zhenwu Decoction,Fuling Sini Decoction,Zhengan Xifeng Decoction.(4)The medicines: The guiding principles and features of Professor Gao composing medicines are summarized that Professor Gao sets the four properties,five tastes and channel distribution as the main line,uses medicines revolving around the liver,spleen and kidney three organs,leading with warm and hot medicines,combining cold and hot medicines,and commonly using medicines with sweet,pungent,bitter and sour.3.The third part: Researching on the herbal administration rules of Professor Gao's treatment of vertigo.Professor Gao's treatment of vertigo revolves commonly around the foot three yin of liver,spleen and kidney,and its core medicines are liquorice,aconite,radix paeoniae alba,cassia twig,poria cocos,atractylodes,radix scutellariae,radix bupleuri,dried ginger,ginger.The channel tropism of these medicines is mainly in the liver,spleen and kidney,following in the heart and lung.their properties are mostly warm and hot,supplemented by cool and cold,combining cold and hot together.Their flavors are mainly sweet,pungent,bitter and sour.Conclusion: Professor Gao considers vertigo is a sort of foot-three-yin syndrome caused by disfunctions of liver,spleen and kidney,so suggests that the liver,spleen and kidney three organs should be treated simultaneously.Professor Gao composes medicines according the four properties-five tastes and channel distribution as the main line,relieving liver depression,drying damp and strengthening spleen,warming kidney for dispelling cold,keeping the body in a normal state,so that vertigo could be cured.