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Tongue diagnosis endoscopic coherent Theory of qi deficiency and blood stasis heat disease

2014年08月21日

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Tongue diagnosis endoscopic coherent Theory of qi deficiency and blood stasis heat disease 
 
 
Experience - ChanZhaoWei cure spleen and stomach disease 
 
 
Shen Hong Jiangsu province hospital ChanZhaoWei studio 
 
 
China's traditional Chinese medicine to 

 

 

        Jiangsu province hospital professor ChanZhaoWei is the old Chinese medicine expert academic experience inheritance work instruction in the country teacher. He work in the spleen and stomach disease clinical research of traditional Chinese medicine for a long time, from the national famous expert, the spleen and stomach disease Meng He descendants YiPa ze-sheng zhang, professor and master of national physician Xu Jingfan professor. Academic first proposed the "qi deficiency and blood stasis hot depression" is a chronic atrophic gastritis, the stomach precancerous lesions and helicobacter pylori correlation stomach disease common pathological basis, and gradually formed a complete system of diagnosis and treatment, improve and enrich the theory of traditional Chinese medicine spleen and stomach. Today just do a brief ChanZhaoWei main academic thoughts. 
 
        Blends together the ancient and modern thinking Syndrome differentiation and disease 
 
        Five diagnosis and participation Attaches great importance to the tongue diagnosis 
 
        Traditional medicine "inspection, auscultation and olfaction, inquiry, and pulse-taking and palpation" summed up the four methods of diagnosis, each has its unique role, cannot replace each other, so in clinical use, they must be organically, namely "four" refs. With the development of science and technology, ChanZhaoWei think clinical still needs some inspection means and methods of modern medicine, is helpful to identify the change after the transition of the disease and treatment, and so on and so forth. 
 
        In addition, in the diagnosis, the spleen and stomach disease ChanZhaoWei attach great importance to the diagnosis of the tongue, often shed from the tongue of arteries and veins, or a certificate from the tongue. The shape color outside clinical JianMa tongue coating bian ", said: "moss is a stomach gas fumigation, five zang-organs are situated on gas in the stomach, so the way of diagnosis of the five zang-organs was not the actual situation is." Tongue for spleen syndrome, lunar spleen by tongue under this, loose tongue, the inner parts of yangming, how much blood gas, often carry pathogens tide on the tongue, so the ancients have "the tongue to the language of gastroscope" again, so every tongue inspection moss, diagnosis is an important means of spleen and stomach disease. 
 
        ChanZhaoWei through tongue diagnosis combined with endoscopy and the patient's clinical symptoms, determine the treatment and prognosis of canker, illness and atrophic gastritis, the stomach of the improvement of power function, bile reflux, situation, etc., thereby greatly improving the cure rate of these diseases. 
 
        He also attaches great importance to the change of the sublingual collaterals, this is very helpful to the diagnosis of atrophic gastritis. After long-term clinical observation and research, from the extension of the colour and lustre of sublingual collaterals, context degrees, filling degree, context of enlargement, the distortion and contexts of the branch to observe. 
 
        Such as sublingual veins color lavender and sluggish, extending degree of poor, poor filling, small can be diagnosed as deficiency syndrome; Combined with tongue, endoscopic mucosa and pathology, clinical symptoms can be respectively diagnosed as deficiency, blood deficiency, Yang deficiency, Yin deficiency and clamp, etc. 
 
        Such as sublingual veins dark violet and hysteresis, extend excessive (sometimes up to the tip of the tongue), full bilge, enlargement, such as large distortion can be diagnosed as positive, or for heat or blood stasis, especially bigger help to the diagnosis of blood stasis. 
 
        Elucidate the purport Creation of new 
 
        ChanZhaoWei non-stop for decades of clinical practice, pay attention to the theory with practice, constantly description medical knowledge, expounds the germination, and the development. Ask him for the element, regulate the menstrual function theory ":" somewhat tired, less gas line failure, the valley spirit not fill, non-digestion, often under the impassability, stomach heat, gas heat bosom so the internal heat "this Duan Wenxian, combined with the long duration of chronic atrophic gastritis; the characteristics of the" long illness will stasis ", founded the theory of "deficiency of wet and heat and blood stasis resistance". 
 
        The upper abdomen spleen and stomach qi deficiency, the operation is not healthy, wet implication, YuJiu hot, form a hot and humid; Long illness will stasis, and qi deficiency, blood, and blood stasis resistance, damp and hot accumulate in the collaterals, can also cause blood stasis, so the pathological mechanism of chronic atrophic gastritis qi deficiency of damp heat and blood stasis resistance, blood deficiency, dyspepsia, or clamp and qi stagnation, etc. Clinical according to qi deficiency, hot and humid, the weight of the relationship among blood stasis and disease to speculate that the progress and change. 
 
        Through clinical observation and research, ChanZhaoWei think most of the tumor was born in the gut and the skin, redness, swelling, heat, pain, positive disease characteristics, such as the tumor pathogenic factors summed up as "mean". The viscera function disorder, qi phlegm turbidity, and various kinds of pathogenic factors to qi, blood, body fluid inside body inverse chaos, poly product, long into poison. So the cancer detoxification solution for the treatment of tumor, clinical according to syndrome differentiation, combined with tonify deficiency (tonifying qi, blood, Yin and Yang) or remove solid (blood, phlegm, qi and eliminate product, etc.). 
 
        The study of Chinese and western to seek new road 
 
        ChanZhaoWei think Chinese medicine is a natural discipline, must adapt to the demand of society development. Of traditional Chinese medicine (TCM) as a worker, must be good at both inheritance, more have the courage to blaze new trails, draw lessons from the modern medical experimental research methods and detection means, in their place. 
 
        ChanZhaoWei in atrophic gastritis research for many years, the combination of disease and syndrome differentiation, and the combination of macro and microcosmic syndrome differentiation, summed up a set of syndrome classification and manifestations and pathological changes of gastric mucosa under gastroscope, stomach WeiXianTi secretion function, the prompting function, etc. The diagnosis method of combining. 
 
        Such as bian qi deficiency of spleen and stomach in atrophic gastritis, gastric collaterals alongwith, clinical symptoms can have the diagnosis the new expansion, dull pain, stay, belching, face yellow, lack of China form thin god weakness, shortness of breath, thin white coating on the tongue, tongue pale white, marginal teeth marks, veins thin, etc. And show the mucosa under gastroscope pale gray, large area, uneven color, pale mucosa become shallow, pathology as a gland atrophy, im part (or small intestine, or colon), slow gastric dynamics, serum gastric secrete element and saliva amylase levels drop, pepsin activity, organization cAMP content in the content, significantly lower than the normal gastric mucosa, and the score to distinguish between the degree of spleen and stomach deficiency of light, medium and heavy. 
 
        He found in helicobacter pylori in the study of correlation between stomach trouble, helicobacter pylori can be separated into strain and strain. Have a toadstool stomach, duodenum diseases caused by clinical manifestations of the damp and hot accumulate knot, how the spleen and stomach qi deficiency and invasion of the pathological basis of helicobacter pylori, so deficiency of damp and hot is the pathogenesis of h. pylori correlation tummy bug. 
 
        Studies show that hot and humid embodiment of environment conducive to the survival and reproduction of helicobacter pylori, so this card type helicobacter pylori detection rate is high, the amount of bacteria, decomposition of toxins, mucosal cell degeneration disintegration, inflammation of higher activity than other kind of this syndrome. Thus, grasp modern means of physical and chemical inspection, draw lessons from modern medical diagnostic methods, is helpful to the development of traditional Chinese medicine. 
 
        Treatment based on syndrome as the criterion Sent the clinical testimonies 
 
        ChanZhaoWei think the disease is caused by an imbalance in the body of Yin and Yang, qi and blood, the treatment to eliminate pathogenic but the centralizer, adjust qi and blood, Yin and Yang to rectify abuses, with flat, a leveller, will depend on its efficacy; For drugs shall be sent with syndrome differentiation as the criterion, abide by the statutes.
 
 
 
Unfinished, full text links:
http://www.cntcmvideo.com/zgzyyb/html/2014-08/20/content_89739.htm