Clinical when heavy traditional Chinese medicine combined therapy

ZhaoBin Gansu province into a county hospital of traditional Chinese medicine

China's traditional Chinese medicine to

        Traditional Chinese medicine contains rich and curative effect of distinguished diagnosis and treatment techniques, distinguished curative effect. However, from the present most TCM clinical treatment phenomenon to see, the mainstream procedures often seem more onefold, even if it was fit, also is passive, mechanical piece together, lack of positive, organic whole deployment and strict arrangement, and objectively in the face of severe and urgent abilities when the treatment, often is shows that treatment is relatively insufficient, in the certain extent influence the absolute advantage of traditional Chinese medicine. The author long-term clinical treatment in the first line, deeply the doctor of traditional Chinese medicine therapy comprehensive application, no matter from clinical curative effect to improve the guarantee, or from the doctor of traditional Chinese medicine scientific value of the social acceptance sense, are very important, therefore put forward "traditional Chinese medicine combined therapy" theory, is for the purpose of effective fill the doctor of traditional Chinese medicine clinical theory system be short of, and more effective in guiding clinical treatment.

        TCM therapy overview

        The doctor of traditional Chinese medicine for clinical treatment of diseases, the method real is beyond end, only direct contact part of the neaf speaking, have inside governance and external rule points; The treatment for the carrier, there are things therapy and heart therapy, natural therapy of points; Just morbid contact distances, have direct and indirect treatment treatment points; The treatment of time speaking, have continuous treatment and intermittent treatment points; In the treatment of tools, in addition to the application of the most many Chinese herbal medicine store, and other natural objects, simple technique, technique, technique applied by metal or other instrument common customs of the generalized surgery, psychological resources and so on; You performed specific treatment for into way, oral, hypoglossal including clothing, BiSi, ear therapy, eye drops, hair root infiltration, skin department, meridians, anal rectally, urethra to medicine, vaginal drug, drip, intramuscular injection, etc.; The treatment of carrier form character, have tangible and intangible points, such as tangible next points solid state (pill, powder, paste, Dan, ingot, etc.), liquid (soup, dew, injection, etc.), intangible, including oxygen (breathing fresh air), qigong, psychological guidance, etc. Throughout ancient and modern Chinese medicine treatment the biggest advantage, is still the drug applications. And the application of medicines, from direct action part is concerned, nothing more than take orally and external treatment, including official opening accepted because the drug is limited, so oral medication is mainly oral way, as for specific application skills, mainly including in drug formula measurement exquisite, suitable dosage form and the specific time control attached behind, is thousands of years the endless.

        The doctor of traditional Chinese medicine and external treatment easy work quickly, but the content is various and not be contemporary they know or understand person, in the use of traditional Chinese medicine combined therapy, attention should be paid to the external treatment with application.

        Such as the first aid treatment outside the atomization inhalation, hemostasis, push several begin to understand method, brush teeth keep open method, enema drop method.

        Facial features nine orifices of external treatment drop method and point eye method, Chu nasal method, the nose suction method, plug nose method, sitz bath method, medicine cloth winding stain method, plug medicine method and dry method of hemorrhoids.

        Acupuncture points outside the apply umbilical treatment method, iron umbilical method, chicken Yan therapy, the ears pressure bean method, moxibustion method, hot ironing method, acupuncture point shots, foaming method, cold tube method, fumigation, sweet peja method, including gargle method, the ear blow powder method, plug ear method.

        The skin of the external treatment bath method, dip method, YaoZhen method, wine wax treatments, TCM external method, white drop Dan row mat method, medicine couch and medicine was method, DouDu method, drug insoles method, steam therapy.

        Modern external treatment of Chinese medicine, Chinese medicine to the shots muscle ion penetration method, Chinese medicine electric ironing method, electric drug WenTong method, magnetic vibration massage method, net apply therapy, ultrasonic drug penetration method.

        In the face of so much treatment, combined with traditional Chinese medicine characteristics extremely acupuncture massage etc, we must accurately grasp the various methods of mechanism and clinical application points, syndrome differentiation and treatment, three for condition, in order to play out the ideal curative effect.

        The basic meaning of traditional Chinese medicine combined therapy

        The doctor of traditional Chinese medicine therapy dizzying variety, each therapy each has its length places; A famous ancient savoring necessary many admirable skill case, we can comprehend their optimization to choose the kind of therapy, highly effective prevention and control of the disease and syndrome deep thinking and exquisite craftsmanship. Modern society due to the influence of many external environment, together with age, quality of the internal cause, not only the increasing number of critical abilities, disease, even if a lot of common diseases are often several add at a suit, "complex" basic become modern patients common pathological characteristics, the author deeply only will many cures the most simple, most first-class combination application, to maximize achieve good curative effect, but the idea has not really be treasured.

        So we propose a variety of therapy organic fit the use of the new principle - "traditional Chinese medicine combined therapy", also is the overall concept and syndrome differentiation and treatment of under the guidance of the principle, according to the patient, timely optimization to select more than one type of treatment, implement all-round, plenty of joint prevention and rescue therapy, which can quickly efficiently resolve the pathogenesis, maximize the curative effect.

        The basic principle of traditional Chinese medicine combined therapy

        Traditional Chinese medicine combined therapy as a kind of independence theory of TCM treatment, it in the whole pattern should have the basic principle is:

        1. Must be in the doctor of traditional Chinese medicine therapy is given priority to, discretionary choose other modern scientific method, but not the sauce is better than the fish;

        2. Relative to a patient with a sick, it must be two or more therapy combined application of application at the same time, can also successively implement step by step, but specific to determine the number to the illness needs and personal academic ideas shall prevail, no limit on the number of the highest, the use of time and frequency is also not limited, overall, there should be in line with optimization and contracted, saving requirements;

        3. From the logical relation point of view, must achieve tie-in appropriate, don't abuse not disorderly, and not repeat single, in line with the production operation process specification and medical theory of the aesthetic principles;

        4. Therapy implementation effect index should be force enemy on the disease, but don't lack, enough is enough, restore "Yin pingyang secret" as the highest testimonies.

        The application of traditional Chinese medicine combined therapy rule

        1. In full measure patient priorities, physical condition and the environment, on the basis of scientific and feasible set the prevention and control of the total target, and corresponding treatment worked out the total amount and index, and the total set mainly in the overall concept and TDS under the guidance of the principle, in order to return to the pathogens and the theory as the foundation, a certain extent learn fair of modern medicine "blood concentration" theory. For example: in general, disease light person therapeutic dose is lesser, otherwise, it should give big; Adults and physical condition better can consider a lot, conversely, infants or infirm relative consider small quantity. The overall status of accurate analysis and treatment amount of appropriate budget, is the first key comprehensive therapy application, but also the prevention and control of the top priority.

        2. In patients with full consideration of the constitution and so on factors, closely around the total target or then set up on the basis of the goal of the XiangZi, selecting the best treatment plan with a variety of therapy, and strive to accurately estimate all kinds of therapy in the treatment of share amount, in a timely manner, such as method into practice, divide and conquer, guaranteed with all one's strength the overall goal of complete and safety. For example: sane and don't be afraid of oral drug person, can consider first oral medicine method, suitable for abdominal cavity stick person added to acupuncture points attached method, it is necessary to strengthen the effect of give acupuncture method; And dottiness person, except can continue to use the above scheme, oral, should instead be BiSi overlying suction or, when necessary, still can add a drip, rectum drip, and so on. But the most avoid isolated thinking, regardless of the amount, impetuous disorderly in, because it is strictly prohibited to appear in many patients with iatrogenic disease.

        3. According to the patient's condition dynamic, personal adaptability and treatment care needs, formulate appropriate therapy implementation procedure, and compact orderly implementation in place one. For example, in acute rescue period, many can consider tightening interval period and in turn, continuous, it can also be much method simultaneously, and strive to do our best to save the patients life. In alleviating period, can consider relaxing interval period, many method for step, or choose assault, so that can from multiple aspects of disease evil implementation orderly attack, or from multiple aspects of virtual body to have enough appropriate tonic, and at the same time let sick body "be able to stand", not by the artificial excessive treatment and things go contrary to one's wishes, which fully embodies the modern TCM prevention and cure to save human advantage.

        4. In the overall strategy, must fully consider the disease evil regression changes as well as for autologous upright dynamic transformation, to keep strict implementation of the patients with clinical nursing, at any time analysis boils down to change the status quo, adjust therapy application plan and treatment, dose, neither make its shortage, and don't make too, avoid by all means is rigid dogma, more avoid potato to medicine not light cast, proper as the highest principle, finally realizes the right amount, rapid and thorough control objective.

        Traditional Chinese medicine combined therapy applied examples

        Myocardial infarction case

        Zhang mou, male, 76 years old, on March 5, 2004 to hold the outpatient service to the hospital.

        With more than 30 years history of hypertension, cerebral hemorrhage history 7 years, chest pain, nausea and vomiting recurrent episodes 1 day, usually easily excited mood. Admission god clear, spirit is poor, pain face, private prosecution yesterday morning at about 9 appear epigastric and abdominal pain, accompanied by nausea, vomiting break out repeatedly, went to a hospital that do colour to exceed diagnosis, the report as "gallbladder stones, cholecystitis".

        Income the hospital western medicine diagnosis for gallbladder calculus merge infection; Stroke sequela; Hypertension disease (phase III). The doctor of traditional Chinese medicine diagnosis of vertigo, hypochondriac pain, Certificate of liver-kidney Yin deficiency qi and courage.

        By combining traditional Chinese and western medicine treatment early after the disease significantly reduce, spirit better; But because on March 9, again at night to eat greasy quality and appear xiphoid process the pain, the whole body kubla khah dripping wet. Quick check ecg and left atrial overloads, acute under wall, the anterior wall myocardial infarction, left before a block; Diagnosis of myocardial infarction. Treatment of western medicine to fight bolt, suit, support treatment was the main method. The doctor of traditional Chinese medicine syndrome differentiation for chest Yang, depressed, stagnancy of qi and blood stasis; Treatment with WenTong heart Yang, promoting blood circulation to do gas primarily, by lamps asarum injection 20 ml add 5% glucose injection 250 ml of static drop, every day 1, disease see better.

        But on March 11, afternoon dash forward show dottiness, be agitated absent, differentiation of symptoms and signs for sputum food resistance closed, Yin hand; When to clearing heat and transforming phlegm, nourish Yin latent Yang for treatment method. Told non-use western medicine, pure with traditional Chinese medicine treatment, the first to clear open spirit 40 ml, kudzuvine root element 0.2 grams of fractional static drop, once a day.

        At the same time give 3 armour complex pulse tonga minus: tortoise plastron 10 grams, turtle shell 10 grams, oyster 10 grams, radix paeoniae alba 6 grams, the dwarf lilyturf 6 grams, dogwood 6 grams, poria cocos 6 grams, cedar seed kernel 6 grams, salvia miltiorrhiza 12 grams, the whole trichosanthes kirilowii maxim 8 grams, bamboo shavings 15 grams, phragmites communis 6 grams, cold water immersion Fried, daily 1 agent; Frequent drops of clothing collocation 2 agent. With another bezoar chest functioning pill change fluid continuous overlap suction. Two days after the patients with ibs interference to sleepiness, call the should be, even the heart rate, pulse slippery, differentiation of symptoms and signs is phlegmy heat by the bladder; Adjustment for treatment concretion run smoothly, eliminating phlegm to begin to understand, party with artemisia capillaris soup, calamus depression jintang, three kernel soup three party unity to add and subtract, cold water immersion Fried, continuous frequency feeding 2 agent, mind turn clear and halcyon, FuZhuan top after with complex pulse tonga reduced more than 10 agent, spirit up, dietary daily life are normal, chest discomfort all loss, review electrocardiogram improved, told take medicine hospital discharge, then slow map.

        According to the history of patients is very complex, and because of characteristic estrangement and diet immodesty and induced myocardial infarction, and even frequency is absence of trillion, diagnosis and treatment is difficult. In this at the juncture, based on flexible differentiation of symptoms and signs, bold non-use western medicine treatment, follow the doctor of traditional Chinese medicine emergency urgent cure principle, quickly switch to pure Chinese herbal medicine from the mouth, nose, vein three ways at the same time shunt together into, especially in key machine give full play to the original small dose speed treatment and overlying suction therapy advantage, because making rapid accurate, make evil no choise but to force, upright DeJi stream, so get satisfied results.

        The appendix punch rehabilitation case

        Wu a, male, 16 years old, gansu, in August 9, 1997 afternoon emergency admission. Hope its hands by protecting the right abdomen, toss restless, moan unceasingly, cut its appendix point bounce pain intense, quasi diagnostics for suppurative appendicitis, the family after consultation with, decided to timely line having your appendix removed. But when the abdominal cavity is opened, visible appendix only leave residual speed, pus immersed intestinal rooms, peritoneal marked hyperemia, have to in the cleaned completely lumen, foreign indwelling drainage tube, closed abdominal cavity, and then static drop cephradine, butylamine Carla amphotericin and support therapy liquid, and according to the conventional fast water. But only and week, because of money shortage and families to interrupt cooperate cure, hence from its family circumstances consideration, termination of western medicine infusion, convert the doctor of traditional Chinese medicine decoction oral, and at the same time, every local to western medicine conventional method dressing change, at any time clear seepage purulent blood.

        The renewal on August 23,, competent doctor has two days dressing, have shown that the deep wound 7 cm, exit and watermelon seed farther than anyone else at out that patients without eating fruit, and gut cavity already and abdominal external direct interlinked, pus out every day more than that inducing wounds, fistula and living, back problem. The author invited to examine and analyse the sallow complexion, phonetic sound low timid, nano stay god weakness, abdominal soft not expansion, the wound fester, who are many, but the color such as m Gan, its mass clear dilute and black and white smelly, tongue mass reddish, moss thin white and embellish, vein thin. The analysis, both inside and outside the joint governance and the poor by, the edge is deficiency of qi, wet poison detention is for second, so complex made tonifying qi to raise blood, change chaotic remove stasis of law.

        Choose Toni disinfection powder add and subtract: radix astragali 30 grams, cultivated land 10 grams, 10 g angelica sinensis, rhizoma ligustici wallichii 10 grams, rhizoma atractylodis 10 grams, sand kernel 10 grams, coix seed 30 grams, patrinia 10 grams, radix aucklandiae 10 grams, gleditsia sinensis Lamarck 6 grams, pangolin scales 6 grams, first with warm water immersion Fried two agent, each suit 60 ml per day, 6 times interval into clothing; The other to the Lord told daily with birth muscle jade red paste dressing disposal.

        To diagnosis, patients dramatically increase appetite, spirit, add, wound sanies gradually decrease with visible first blood, hence the in front to join red ginseng 10 grams, renewal suit 3 agent. Three diagnosis, patients have freely and activities, the wound sanies all disappear, but go ahead zhongshan armour, soap thorn, new add eucommia bark, notoginseng each 10 grams, again with 2 agent.

        To September 5,, the wound has entirely removes, request discharge. Fear of the disease for a long time, upright wounds, short time difficult to dash, so must the stay four days later, with traditional Chinese medicine hospital ahead and agent. After two months follow-up, patients have completely rehabilitation and continue to go to school.

        According to the patients is system youth, but show ferrite thin and weak physique, with perforation after disease, and then are not evil, so long not to more, the formation of fistula. YuShiZhi, not for intestinal carbuncle Lord of clearing away heat and toxic material often method have bounded, closely is virtual evil against the machine and keep tonifying qi to raise blood, Joe evil out of law, internal and choose the YiZong JinJian "Toni disinfection powder add and subtract party, applied the surgical authentic" raw muscle jade red paste party, medicine and external share chitin, comprehensive treatment, hence make upright to complex, pus poison must in addition to, the wound speed, intestinal setting since Ann.