LiJiRen, ZhangShunHua differentiation bi syndrome experience (next)

LiYan medical school in various rocky mountain hospital

China's traditional Chinese medicine reported

        Diagnosis and classification

        Bi syndrome of diagnosis, li, zhang two professors think that bi syndrome of cold, heat, wind, humidity etiology and pathology, has many aspects such as important attribute symptoms, including cold, heat and the representative characteristic is more apparent, and can cause phlegm, blood stasis, can cause is deficient. More from the differentiation of card of the cause, the identification of the specimen, mainly to cold, heat treatment cent card. Often is based on wind, cold, wet, hot partial wins, and clips, du, into cent card basis, divided into different wind, the wind cold dampness type, cold du type, etc.

        treatment

        LiJiSheng think bi syndrome in a short time to completely cured, so when treatment in a party should give priority to, live basically unchanged, complementary medicine with the card to add and subtract, in order to reflect the change in the same, constant change rule, law-abiding defending team inside is quite important, must not change the party, supreme endlessly. His attack on the card every card type, are determined the supreme Lord, the party. In addition to the treatment for pointed out, more to remove blood stasis, and resolving phlegm and dredging, helped the teachings, give priority to. In addition, BiZheng according to the clinical features, he is also proposed in domestic treatment early, middle of rheumatoid "cold 3 period new therapy", namely: mainly aimed at the early stage, rheumatoid cold sex therapy (qingrejiedu, blood know luo); In the early period of rheumatoid, alleviate hot sex therapy (liver and kidney, having WenYangYi gas); For rheumatoid disease, BingShi complex in the middle of the patients, the cold and therapy (zang-fu organs, blood and cold and treated).

        LiJiRen for BiZheng treatment within or outside except among with external treatment commonly used have BaDou rice apply method, the pain wipe agent, fumigation method, etc, in addition to massage, acupuncture, with some method. Bi disease in more limbs joint channels, external treatment drugs can be directly to play the role of the lesions ShuJinHuoXie pain, and this kind of medicine XinWenXiang channeling, can strengthen local blood activity, and help to internal and drug function. ZhangShunHua common external treatment drug tougucao, river xiong, cinnamon, lateral, sichuan, the grass, and found the bone wind, old stork grass, angelica, etc.

        Cold certified

        The ZhuZheng for joint skin of not touch the temperature, the area is deeper, like tapped by the dozen, joint activities obstacles, the characteristic is chills, joint pain of heat is comfortable, with less, loose stools, tongue light moss thin, pulse sink string delay. The partial wind, the wind is evil, when the wind stabbing pain, pain go there not limited to joints rooms, and around the joints skin, tongue light thin white, dry moss, pulse slow; The partial wet, then see joints skin acid bilges pain, muscle pain site is given priority to, tongue light thin white and moss oily, Pure cold the type, the unbiased wind, partial wet symptoms, and appear as a pure cold. The total pathogenesis for collaterals haemorrheological nature, collaterals stasis resistance, general clauses pain.

        The treatment to guizhi aconiti tang. Slants cold adds the radix morindae officinalis, psoralea corylifolia, faeries of spleen, turmeric, etc.; Partial wind person with lateral guizhi decoction and Juan bi tonga minus, including necessary river xiong, angelica, danshen; Partial wet person with guizhi decoction and has proved the astragalus tonga, asarum cangzhu, largehead atractylodes rhizome, yam, etc.

        Hot certified

        The ZhuZheng for joint swelling muscles thermal pain, the pain and skin, and bone, press lightly by all cannot heavy resistance, movement disorders, the characteristic is joint pain to cold is comfortable, tongue quality red, moss HuangHou and dry, pulse number. The partial wind, is between the joints like the wind walk channeling, lesions involving many joints, evil wind, the sweat out, tongue quality red, moss thin yellow, pulse floating number; Partial wet person, see more joint swelling, pain in the extremities, why, the activity obstacles obvious, tongue quality NenGong, moss thin HuangHou greasy, thirsty water is not much, mouth sticky KouDan; Pure hot the type, the unbiased wind, partial wet symptoms, and appear as a pure hot. The treatment to the qing winding to drink give priority to, its composition for bitter and, QingFengTeng, golden cypress, Bi solution, partial fever multi-purpose qing winding with drink bone skin, Dan skin, danshen; Partial wind adds the qiang work, live alone, windbreak and river xiong; Partial wet adds the prevent yourself, ze diarrhea, etc.

        WanBi

        WanBi to bi syndrome is repeatedly is not more hair, form body joint deformation, difficult to stretch, trudging, very is bedridden, muscle thin and weak as the body. The reason mainly for the disease long stalemate in collaterals phlegm and blood stasis, with collaterals, the disease has long difficult. For the treatment of LiJiRen WanBi often from the imaginary, from blood stasis, and from sputum differentiation, such as merger paralysis license is confused with disease initiative, from liver and kidney differentiation, take effect is very good.

        Medicine experience

        The initiative to cold formula, two professors think aconiti, sichuan, the grass is the indispensable, but this 3 gout drug and mitigating fierce toxicity. The hot XinWen aconite, toxic, go and do not keep, overpowering force male, invigorating the fire back to shenyang, pass after the work estate, good governance all sink Gu cold cold syndrome, is the first choice of Yin cold disperse drugs. Sichuan, the role of the grass basic same, all have significantly analgesia Massachusetts general role.

        The attack on the thermal formula, LiJiRen attention application CanYi bitter medicine, think bitter and dry wet, with functions of detoxification of wind to fine effect. To bitter and treatment bi syndrome, and the holy Jackie always record "in the treatment of muscle initiative" bitter "pill" similarities. At the same time, often with especially hard wind to moisture, and ShuJinHuoXie, dredging of the QingFengTeng pain medicine.

        LiJiRen initiative in the treatment of the card, still attached great importance to the application of the scriptures medicine, this initiative in effect of card plays a big role. Such as the upper limb pain, of commonly used turmeric, cassia twig; Lower limbs, commonly used to live alone, HuaiNiuXi, proclaims papaya, WuJiaPi; Low back pain can be added a sichuan break, eucommia, dog ridge, merit leaves; Pain can be added a WeiLingXian joints, psoralea corylifolia; Muscle pain, can add tripterygium wilfordii, etc.

        "The timing of making" is LiJiRen treatment of a card and more important characteristics. He thinks the best medicine initiative card time in the morning before sleeping in the evening and each take 1 time, for patients with more card since morning activities to why, the pain by night. Morning, late points take Chinese traditional medicine, to be in time for illness before section, which is beneficial to the efficacy of the play, control the illness, and appropriate attention to the environment changes in temperature, to prevent the attacks from, but also should be long-term functional exercise to prevent joint contracture, and deformation, speed up the function recovery.

        Tripterygium wilfordii is recognized as an effective drug to bi syndrome, has qingrejiedu qufeng dehumidification, acetanilide detumescence role, LiJiRen think tripterygium wilfordii on muscle pain and meridian of the joints of pain relief than between.