Clinical medicine notes should pay attention to four questions

Li Zhenhua Henan college of traditional Chinese medicine

China's traditional Chinese medicine to

        Disease treatment must be according to the different etiology and pathogenesis, priorities, symptoms vary, adopt different drugs, after multiple clinical medicine effectively, has the experience to speak of. If just according to the pharmacological studies that use a few flavour particular medicine can treat a disease, so it is hard to stand in the clinical.

        In treatment must be comprehensive analysis, four diagnostic, concludes that virtual and actual primary and secondary change, cold, heat, and choose a medicine used in or the certificate of the virtual to real, a drug used in the certificate of cold or hot. At the same time also note how much drug dosage, taking the length of time, how the disease namely stop; This depends on the medical flexible thinking, clear analysis, to summarize.

        Many people tried to summarize the clinical experience, only to find that the results have no real value. This is because, the traditional Chinese medicine of traditional Chinese medicine (TCM) clinical must use the overall concept, through the four diagnostic parameter, comprehensive analysis, identify the cause of disease, personalized, disease, pathogenesis, and may be the evolution of pathogenesis, and position because of people, because time reasonable prescription drug use, can play the role of Chinese medicine should have, the purpose of treatment. Then through repeated application of confirmed curative effect, the heart to think, gain experience, can be called drug use. If away from the doctor of traditional Chinese medicine theory instruction, the lack of detail and flexible use of the principle of dialectical analysis, it is a good curative effect is only a case, not to mention to summarize medication experience from it. The author is from the following several aspects about how to overcome the difficulties, the thorough clinical, formation and summarize their experience in medicine.

        Disease does not stand still

        Any pathological mechanism is not eternal, may at any time. Even the same disease may also because of the person also change, therefore, to a disease of drug use is not set in stone.

        Such as vertigo disease, according to the questions "Canon" the wind off the computer, all belong to the liver, often considered related to the essence of liver Yang, but its etiology and pathogenesis can be various, have modern shu, liver depression and qi stagnation, qi YuHua hot, something on the reverse, etc. If you have something to excess, liver Yang syndrone, cause in the autumn zephyrlily move, even twitch. Has a day for a long time, change the HuoHao injury kidney Yin, or always Yin deficiency kidney cause water does not contain the wood, the production of body fluid of liver on inverse. Dereliction of duty, have long pixu (spleen deficient), the healthy water wet inside the stop block qi activity, lead to soil indicates wood depression, liver article pathogenesis, and hot, something on the inverse and dizzy. In a word, because the etiology, pathogenesis, clinical course length of different reasons, such as vertigo disease often weight range, the symptoms are different.

        Treatment of vertigo disease, therefore, must according to the different etiology and pathogenesis, priorities, symptoms vary, adopt different drugs, after multiple clinical medicine effectively, has the experience to speak of. If just according to the pharmacological studies, thinks to use a few flavour particular medicine can cure vertigo, and tried to as medicine experience summary, so it is hard to stand in the clinical.

        Pathogenesis is complicated

        Holistic view of traditional Chinese medicine thinks, the viscera interdependence, mutual restrict, inseparable, can maintain the body's normal physiological, reach the generating of exuberant and maintain the function of the physical and mental health. If a dirty sick, will spread to other organs, and even multiple viscera function, complicate the pathogenesis, so the happening of the disease and development can't be isolated for a organs disease.

        Moreover, various kinds of pathogenesis in evolution will be cold, heat, deficiency and excess. At the same time, the pathogeny of virtual and actual, cold, hot and different, there are also caused by real and virtual caused by virtual reality; There is hot or cold YuHua hot long become cold; There is given priority to with virtual and give priority to with real, heat and cold, primary and secondary respectively, etc. This kind of virtual and actual, cold, hot cross is common in chronic diseases. In addition, the actual situation or not mixed, is not eternal.

        In treatment must, therefore, comprehensive analysis, four diagnostic, concludes that virtual and actual primary and secondary change, cold, heat, and choose some kind of medicine can be applied to, or the certificate of the virtual to real, some kind of medicine can be applied to the certificate of cold or hot. At the same time also note how much drug dosage, taking the length of time, how the disease; it depends on the healer flexible thinking, clear analysis.

        Such as hot and humid knot of pathology, are stuck down to the origin, YuHua hot gas. But hot for Yang, wetlands for yinxu (cold evil). Wet from spleen-deficiency, spleen health and form the stagnation of water wet, is because of the wet block qi activity and turn hot. Cure the cold, heat, deficiency and excess of alternating knot is very difficult, so have "hot and humid, lingering disease difficult speed yi".

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