The crisis of the lesson 
 
 
Chen Ming Beijing university of Chinese medicine 
 
 
China's traditional Chinese medicine to 

        Treatise on febrile disease of zhang zhongjing not only teach us the ancient sages diagnosis technology, also told us a lot of easy mistakes in clinical. In the treatise on febrile disease is the core content of the square, a total of 398, which talked about the disease has more than 130. The so-called disease, is refers to using the incorrect treatment or medication, caused pain to the patient, and even endanger the patient's life. The disease teaching experience more than the treatment can enlighten one's understanding. Throughout the cause of the disease, usually has the following kinds: 
 
        Syndrome is unknown 
 
        I just graduated from university, a friends and family to find me a doctor, chests are oppressed, shortness of breath, belching. I immediately thought of the golden chamber in fructus scallions white soup of pinellia tuber, nor identify more carefully, and then open the 3 agent, then remember snakegourd fruit with 30 grams. Shows two days later, someone told me: you give someone what party, after he finished his have loose bowels, now hospital fluids intravenously. I was very sad after hearing, pain due to his careless caused the relatives and friends. Then I think carefully, the patient of chest breath may be a deficiency syndrome, caused by a lack of the sun be the spirit of the heart, heart to wander, chest also is rather tight, ought to use WenXinYang drugs, like zhang zhongjing guizhi soup of licorice, cassia twig to peony soup and so on. And fructus scallions white pinellia decoction is used for phlegm turbidity of closed chest Yang, although there are chest Yang in pathogenesis, but in terms of the prescription is wide chest phlegm. Besides diarrhoea of trichosanthes role, improper use can cause diarrhea. Fall into the pit, a gain in your wit, later again see the bosom is frowsty kind of disease, I will give special attention to, after serious differentiation, appropriate compatibility, can achieve very good effect. 
 
        One example is the deficiency syndrome as the empirical, also have a positive as deficiency syndrome clinical treatment. The following is the basis of friends at a very persuasive. 
 
        A 91 - year - old female patient with low back pain for half a month. Due to patients and a half months before a bath, bath finish up, feeling back pain, and gradually increase, struggle, pain, especially at night, all night groaning, difficult to fall asleep. And make a diagnosis and give treatment with traditional Chinese and western medicine. Patients, though a year more than old, but the body is fit, usually less pain, dislikes cold hot, about food or dry mouth mouth, like drinking cool tea to recuperate. Medicine throughout and a half months, mostly in the form of kidney and blood drug. Defecate row 2 ~ 3, qualitative hard, dry mouth like drinking. Hence bian for empirical, thermal resistance for stasis in channels and collaterals, in treatise on febrile disease peach kernel bearing gas tonga subtraction. Prescription: peach kernel 10 grams, red sage root, rhubarb (below) after each 12 g, 5 g main licorice, natrii powder (rushed) 6 g, panax notoginseng (washed) at the end of the 3 g, 2 doses. Visit: family generation v, the medicine 1 agent in black and 2 times, immediately back pain, has been able to sleep, night into the agent 1 again in 1 time again, back pain reduction, three clinical peach siwu tonga minus 2 doses of regulate, disease recovery. 
 
        Although patients age, flat ferrite, Jude xi is cool, and dry mouth mouth is common, often drink cool tea recuperate. It shows blank in patients with partial hot, low back pain due to flash fell, and the pain at night, so for heat and blood stasis syndrome differentiation, not kidney empty or qi and blood deficiency, so use stasis heat remedies work. 
 
        Clinical can see, the empirical error, keep on making mistakes, long delay caused by illness, not many. In recent years to improve people's living standard, the blindly believe that more can prolong life and therefore miss fill unabated. 
 
        Tonic to the misuse of reason induces has the following several aspects: (1) because of the illness is complex, uncertain, syndrome differentiation and the empirical when deficiency syndrome treatment. (2) affected by the modern pharmacology research, think herbal supplements may boost immune function. (3) affected by used to know, such as the elderly more virtual, more virtual, neuropsychology, take down spray insecticide qi and blood, when use tonic, and make concrete analysis to clinical disease. (4) to accommodate patients, unprincipled satisfies the requirement of patients. (5) the influence of market economy, economic benefits, the effect of clinical, are caused by mistake. 
 
        Not according to the theory of traditional Chinese medicine syndrome differentiation 
 
        To open Chinese traditional medicine, it must be carried out in accordance with the theory of traditional Chinese medicine instruction, to check the result of modern instruments, can be used as a reference, but should know is that between the two is not equal. Don't see a virus, heat-clearing and detoxifying drugs; At the sight of the inflammation, with clear heat purging fire. Virus diseases, bacterial disease, also have belong to cold sex, be sure to syndrome differentiation and treatment, must not arbitrarily considered toxic heat work and jump with their medicine, or light injury of spleen Yang, or injured kidney Yang, even curse not immediately. 
 
        I just started to also made similar mistakes, such as viral hepatitis, often long-term heavy use of heat-clearing and detoxifying drugs, some curative effect can be, but some are not so good. A young man of hepatitis B viral hepatitis, and check for second liver is big 3 this world, liver function and HBV DNA levels are high, ultrasound showed diffuse liver damage. I'll give he qingrejiedu Chinese medicine, the start of the transaminase also quickly under a month. But later, do not fall transaminase rise, and loose stool pond. The patient assay liver meritorious service is once a week, each time to let me see it. As transaminase rise ceaselessly, the young man's mood in gradually decline, later said he had no confidence to me. I, of course, also very worried, after careful differentiation, decided to change tack, use warm medicine, wrote his treatise on febrile disease wood Hu Gui branches ginger soup, and dried ginger reuse. Just 1 weeks, transaminase is halved, defecate is basically formed. Three weeks later, transaminase dropped to normal. Later with some drugs to regulate spleen and 3 months, big 3 this world into a small 3 this world. 
 
        The medical record shows that no matter what disease of traditional Chinese medicine, according to the theory of TCM to serious syndromes, don't be affected by viruses, bacteria, concept. At the same time, the more deeply I realize, liver disease is very easy to affect the spleen, told by zhang zhongjing "see liver disease, liver and spleen, ohlendorf spleen", is of great significance in clinical practice.
 
 
 
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