Dissertation
Dissertation > Medicine, health > Chinese Medicine > Chinese medicine practitioners of other disciplines > TCM urology

Bing- thick academic thought and clinical experience and empirical studies apply to turtle soups treatment of chronic kidney disease

Author DuanZuoFang
Tutor ZhangBingHou
School Beijing University of Traditional Chinese Medicine
Course Chinese medical science
Keywords to turtle soup empirical studies class parties clinical experience chronic kidney disease data mining academic thought academic origin Bing- thick
CLC R249.2
Type Master's thesis
Year 2011
Downloads 32
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Zhang Binghou, the national famous old doctor of traditional Chinese medicine, who was the tutor of the second, the third and the forth groups of inheritance in the academic experience of the old Chinese medicine. He worked nearly 50 years and had a lot of experience. Depend on assiduous research on the theory of traditional Chinese medicine and the clinical practice, he summarized a set of special diagnosis and treatment rule which took the organs differentiation as the core and used the novel and unique drugs.1 The ideological origin of Zhang Binghou.Zhang Binghou was graduated from the Beijing university of traditional Chinese medicine in 1964.During the university period, teacher Zhang was studied from more than ten famous old doctors just as Qin Bowei, Wang Wending, Song Xiangyuan, Liu Duzhou, Wang Mianzhi, Zhu Zhanyu. He learnt how to seize the main card, proficient in syndrome differentiation, pay attention to the internal organs, pay attention to the Pi and kidney, create a class of prescriptions, application existing prescriptions, emphasize the content of drugs, and study their treating in Pi and stomach disease, kidney disease, diabetes mellitus, headache, allergic diseases, and so on.Zhang Binghou respected Yang Chang You Yu and Yin Chang Bu Zu, which was Zhu Danxi’s point of view. Based on Zhu’s famous Da Bu Yin Wan he created Digui soup. He also learnt Zhang Jingyue’s viewpoint that pay attention to Xian Tian, especially Shen Yin and Yin Zhong Qiu Yang, and created a class of new Digui soups, which were based on previous, to treat various pathologies of Shen Xu. From the "Treatise on the spleen and stomach" in, the teacher realized the important role of Pi Qi Sheng Fa, and created Qingshu Yiqi soup to treat Qi Xu Fa Re.In addition, he used Zisheng Qingyang soup which came from the book "Yi Chun Sheng Yi" to treat hypertension, trigeminal neuralgia. He used Huo Xue Hua Yu which came from "Yi Lin Gai Cuo" to treat pain syndrome and difficult disease. He used nearly 1000 prescriptions which came from "Yi Zong Jin Jian" to treat different diseases of nternal medicine, surgery, gynecology and pediatrics, and obtained good curative effects. This reflects the teacher is good at innovating. 2 Academic thoughts and clinical experiences of Professor Zhang Bingho2.1 Academic thoughtsZhang Binghou thought differentiation is the key in treating and syndromes are the basics of differentiation. By taking differentiation around the main syndromes, and taking differentiation in the development of diseases, and distinguishing differentiation and diseases, we can achieve satisfactory effects.On the differentiation Zhang Binghou focuses on the main symptoms, through the four kinds of diagnostic methods, and takes the organs differentiation as the core. He focuses on the importance of the kidney, because the kidney is the innate, which contents the true Yang and the true Yin, and is the root of yin and yang in organs.In the treatment he pays attention to movement form of Qi which conform to the characteristics of diseased organs. In treating diseases of Xin, Yi Qi, Li Qi, Yang Xue and Huo Xue are the commonly used and stressed on Zhen Fen Xin Yang. He believes that when treating lung disease lowering Fei Qi is important. He believes that it is normal law that Pi Qi should rise and Wei Qi should fall. In treating diseases of Gan and Dan, he used drugs of Shu Gan and even drugs which conforms Gan’s characteristic. He believes that deficiency of the kidney is a common disease and summarizes eight ways to treat different types of kidney disease. That are HuanBu, JunBu, QingBu, WenBu, SeBu, ShuangBu and JianJieBu.In selecting of drugs, he is good at using kinds of prescriptions, and uses simple medicine to win. My teacher believes that basic prescriptions are used to resolve the commonness of diseases, and prescriptions which evolved out from basics to resolve the individual circumstances.2.2 Clinical experiencesMy teacher Zhang Binghou likes to use prescriptions in the clinical can be divided into three parts. First, basic prescriptions treat Ben and prescriptions which evolved out from basics treat Biao, such as DiGui soup is used to treat Shen Xu, and San Liang San soup is used to treat Feng Han Shi Bi. Second, treat Biao, and prescriptions which evolved out from basics treat Ben, such as An Mei soup is used to treat insomnia. Third, basic prescriptions are use to lead all the drugs to sick organs, such as Chuan Xiong Cha Tiao soup is used to treat headache and Wu Pi Wu Teng soup is used to treat skin diseases.My teacher believes that coronary heart disease can be divided into five types, but no matter what type, the key to the pathogenesis is Xiong Yang Bu Zhen, and can lead to the result of Xue Mai Yu Zu. He applied a large number of Astragalus to Zhen Fen Xin Yang in order to treat Ben, and Pseudo-ginseng to Huo Xue Hua Yu in order to treat Biao.In the digestive system disease, liver disease is divided into Gan Pi Bu He and Gan Wei Bu He. Gan Pi Bu He should be divided into the GanYu-based, or to PiXu-based; Gan Wei Bu He also should be divided into Gan Yu Qi Zhi, Gan Yin Bu Zu and Gan Dan Shi Re, and should be treated separately.My teacher believes that if coughing last a long time, it should inevitably hurt Fei Yin. Therefore, in treatment of chronic cough, it should be divided into three stages by thecondition from light to serious: Fei Zao serious and Shang Yin light; Fei Zao light and Shang Yin serious; Fei Shen Yin Xu. And can be treated by Qing Zao Jiu Fei soup, Yang Yin Qing Fei soup and Bai He Gu Jin soup.My teacher applies four ways to treatdysmenorrhea, those are Wen Jing San Han, Li Qi Huo Xue, Yi Qi Yang Xue and Jian Pi Bu Shen, and has achieved good effect.3 The clinical research of Zhang Binghou in using Digui soup to treat chronic kidney diseaseUnder the guidance of Zhang Binghou we collected his experiences of differentiations and treatment in using Digui soup in the treatment of chronic kidney disease by using the application database. So that we can explore his academic connotation and his rule of treatment by using Digui soup, and make a good Summary.3.1 MethodWe worked with teacher to study his prescriptions, and organized the literature of Chinese medicine, and made interviews with patients. We input the import informations into database which named as "system of Zhang Binghou in clinical experience" by Access and analyzed.114 cases and 279 visits in chronic kidney disease were analyzed. 3.2 Results and conclusionsThe common symptoms of chronic kidney disease were pain in back, edema, yellow urine, nocturia increased, dry throat, weakness, frequent micturition, foam in urine, the palm of the hand and foot fever and so on.According to the analysis from the results, it can be seen that Zhang Binghou believes that Benxubiaoshi or Chunshiwuxu is the essence of chronic kidney disease and Yinxu is the most in common. Shen Yang Xu, Shen Qi Yin Xu, Shen Yin Yang Xu, Pi Shen Yang Xu, Shen Yin Xu and Pi Qi Xu, Shen Yin Xue Xu and Shen Wei Fei Yin Xu are also seen. Shen Yin Xu and Pi Qi Xu and Shen Yin Yang Xu are more common. Combined syndromes can be seen as Shire, Shuishi, Xuere, Yuxue, Zhuodu and Ganyang. IgA nephropathy, chronic renal failure, chronic nephritis, nephrotic syndrome, diabetic nephropathy, occult nephritis, purpuric nephritis are very common, and have their respective characteristics of the pathogenesis and the corresponding syndromes.Farwell, Tuckahoe and Rumex were added in Digui soup and were made into the new Digui soup which was as the based method of the treatment for chronic kidney disease. Others:Jianpi Digui soup in treating ShenYinXu combined with Pi Qi Xu and proteinuria is more obvious; Wen Yang Digui soup in the treatment with Shen Yang Xu, Qing Li Digui soup in the treatment of Xia Jiao Shi Re, Lishui Digui soup in the treatment of edema, Liangxue Digui soup in the treatment of hematuria by Xue Re, Huoxue Digui soup in the treatment Yuxue. Huazhuo Digui soupin the treatment of Zhuo Du Nei Yun, Pinggan Digui soup in the treatment with hypertension, Jiangtang Digui soup in the treatment of diabetic nephropathy, Huaban Digui soup in the treatment purpura nephritis which purpura is obvious, Erteng Digui soup in the treatment of chronic renal failure patients with gouty arthritis.Through the use of the database and finishing the case, we can flexibly mastering and using medicine, and can lead us using traditional Chinese medicine in the treatment of chronic kidney disease to the effective direction. Information mining technology can make us mining old traditional Chinese medicine experiences further more from the depth and breadth, which is beneficial to the development of traditional Chinese medicine. Zhang Binghou is the academic leaders of the department of nephropathy and has the very deep attainments in the treatment of chronic kidney disease. I followed him to study for three years and collected nearly a thousand cases of which contented a considerable number of CKD. His using DiGui soup in treatment of CKD is one of his characteristics.1 ObjectiveUnder the guidance of Zhang Binghou we collected his experiences of differentiations and treatment in using DiGui soup in the treatment of CKD by using the application database. So that we can explore his academic connotation and his rule of treatment by using DiGui soup, and make a good Summary.2 ContentsZhang Binghou believed that CKD is a kind of chronic deficiency disease, although the pathogenesis of the actual situation is mixture, but based on kidney deficiency, and with different symptoms. So BuShen is import. We use the DiGui soup as the based prescription to treat many diseases, such as CRF, CN, IgAN, NS, DN, ON, PN and so on. According to the different syndromes, corresponding drug are added. We summed up the teacher’s treating rule of CKD and his habit of using drugs.3 MethodWe worked with teacher to study his prescriptions, and organized the literature of chinese medicine, and made interviews with patients. We input the import informations into database and analyzed.114 cases and 279 visits in CKD were analyzed.4 Results and conclusions4.1 Symptoms regularityThe common symptoms of CKD were pain in back, edema, yellow urine, dry throat, the palm of the hand and foot fever and so on.4.2 Differentiations rule According to the analysis of the results, it can be seen that Zhang Binghou believes that Benxubiaoshi or Chunshiwuxu is the essence of CKD and Yinxu is the most in common.Yang deficiency of kidney, both yin and qi deficiency of kidney, yin and yang deficiency of kidney, yang deficiency of Pi and kidney, yin deficiency of kidney and qi deficiency of Pi, yin and blood deficiency of kidney, yin deficiency of kidney, Wei and Fei. Yin deficiency of kidney and qi deficiency of Pi and both yin and qi deficiency of kidney are more common. Combined syndromes can be seen as Shi and hot, Shuishi, Xuere, Yuxue, Zhuodu and Ganyang.IgAN, CRF, CN, NS, DN, ON, PN are very common, and have their respective characteristics of the pathogenesis and the corresponding syndromes.4.3 Experience and regularity in using Digui soupFarwell, Tuckahoe and Rumex were used in high frequency, made the Digui soup to the new Digui soup which was as the based method of the treatment for CKD. Others: Jianpi Digui soup in treating yin deficiency of kidney combined with Qi deficiency of Pi and proteinuria is more obvious; Wenyang Digui soup in the treatment with syndromes of yang deficiency of kidney; Qingli Digui soup in the treatment of yellow urine and hot urine; Lishui Digui soup in the treatment of edema; Liangxue Digui soup in the treatment of hematuria Yinxueneire and Xuerewangxing; Huoxue Digui soup in the treatment Yuxue; Huazhuo Digui soup in the treatment of Zhuoduneiyun; Pinggan Digui soup in the treatment with hypertension; Jiangtang Digui soup in the treatment of diabetic nephropathy; Huaban Digui soup in the treatment purpura nephritis which purpura is obvious; Erteng Digui soup in the treatment of chronic renal failure patients with gouty arthritis.Through the use of the database and finishing the case, we can flexibly mastering and using medicine, and can lead us using traditional Chinese medicine in the treatment of CKD to the effective direction. Information mining technology can make us mining old traditional Chinese medicine experiences further more from the depth and breadth, which is beneficial to the development of traditional Chinese medicine.

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