Physician Day Special | Yan Chaoguang: Doing Law Reduction Chinese Medicine

On August 19th, the fifth "Chinese Physician's Day" came, and Weifang Hospital of Traditional Chinese Medicine launched the "Physician Day Special" to pay tribute to the clinical first -line white angels. We interviewed experts from the clinical first -tier line. Among them, they had both famous experts from medical dozens and young backbones that supported the development of the department. Looking back at the journey of the "medical" road, let us listen to their obsession, " "The voice of the battle, or the heartwarming story buried in the bottom of the heart.

Doing legal Chinese medicine

There are some perceptions of learning Chinese medicine for many years. I think that the most important thing for learning Chinese medicine is to learn to do subtraction. Perhaps this subtraction needs to be returned by the blog, and it is simple to delete complexity. So how to give a subtraction for Chinese medicine, I summarized the following aspects:

1. Start from the disease, think about the disease first

The first subtraction that needs to be done is: first that Chinese medicine must be based on diseases. Traditional Chinese medicine has always been arguing that "disease discrimination theory" or "dialectical treatment". In fact, this big face is red -ears, because traditional Chinese medicine has always been discerned, and "dialectical treatment" is in the Qing Dynasty. · On the earliest proposal in Jing Yueshu. After a long time, after the western medicine east, the Chinese medicine community learned the western medicine translation of western medicine translated by the missionary doctors, and the missionary doctors and new scholars who came back to study abroad also learned about Chinese medicine through reading Chinese medicine books. They looked at each other's medicine based on their own knowledge, summarized the characteristics of traditional Chinese medicine "dialectical theory", and the characteristics of western medicine "discern disease".

In 1955, "Syndrome Differential Treatment" really appeared as a fixed term in traditional Chinese medicine. In February that year, Mr. Ren Yingqiu published the article "The achievement of the Great Motherland Medicine" in the "Magazine of Traditional Chinese Medicine": " It is mainly due to the establishment of the treatment system of the "syndrome differentiation". "The fourth edition of the" Basis of Traditional Chinese Medicine "published in 1974 took" syndrome differentiation "as one of the" characteristics "of traditional Chinese medicine into textbooks.

From the proposal to maturity, the history of the "dialectics" is just two hundred years of history. Compared with the two thousand years of traditional Chinese medicine culture, how is the core of dialectical discrimination is the core of traditional Chinese medicine? How to represent the characteristics of Chinese medicine? Mr. Qian Zuwang, the famous Chinese medicine medicine, said in the article "Talking about the Syndrome (Shi)" stated: "Before the old Chinese medicine medicine was established in New China, we did not know what dialectical treatment and dialectical treatment." It can be seen " "Syndrome discrimination" does not mean traditional Chinese medicine, not only does it represent Chinese medicine, but also more complicated, more difficult to understand, and less practical.

So if you want to learn Chinese medicine well, and if you want to do subtraction, you must avoid "dialectical treatment". From a higher level, starting from disease, because only the entire disease can the cause, the disease, the disease position, the pathogenesis, and the transition to these five major elements. This is actually a collection of time and space elements, and these elements have accurate guiding significance for clinical diagnosis and treatment. Therefore, whether it is the earliest "Fifty -two Diseases" and "Yellow Emperor's Canon", "Treatment of Febrile Miscellaneous Diseases" is also the later "The Source of Diseases", "Thousands of Gold Fang" and other works. The development law of disease. And from the earliest disease classification system, the disease is named from the naming naming to the use of the five elements of the five elements of yin, yang, and five elements, and it is also the process of complexity. Among them The name of the disease, which is the so -called Sixth Classic disease in later generations. We only need to grasp the general laws and universal laws of the disease from the highest level or the six categories of disease. Only from then on, we can use the method of simplicity and complication to belong to all diseases to the five elements of the five elements of the yin and yang.

2. Start with yin and yang, first form an image thinking

With the concept of illness, we must form an image thinking in the next step to classify the concept of the disease with the concept of yin and yang. The visceral disease of the "Yellow Emperor's Canon" belongs to yin, and the disease is yang is yin and yang classification method. The Sanyang disease and Sanyin disease of the six meridians are also yin and yang classification. The definition is not only a category of disease, but also involves a series of problems such as the disease, disease position, and return of the disease, because the first consideration of the disease thinking is time, and the timeline always runs through the disease.

Positive disease is a positive response to the human body against diseases, sufficient human disease resistance, can tolerate and compensate the disease and its damage, and can even be cured by the self -healing of the human body. Under negative diseases cannot actively respond when the human body fights against diseases, insufficient disease resistance, damage to the disease cannot be compensated, and it is difficult to heal itself. This is the general situation of positive and negative diseases, revealing the deeper relationship between the disease and the human body. Without the idea of ​​disease, it is difficult to have such a cognition based on dialectics.

This category of disease is the content of image thinking. This is difficult to apply the objective indicators of modern medicine to define what is negative and what is positive. This is why it is difficult for Chinese medicine to go to the current objective quantification of medicine. This elephant is passed through mouth, which is expressed by language depiction. Only the collection and choice can be obtained through the collection and choice of information. Through the subtraction, the disease of traditional Chinese medicine starts with the image of yin and yang, which is actually very simple. There are only six diseases treated with traditional Chinese medicine, which is the sun, Shaoyang, Yangming, Taiyin, Shaoyin, and Jueyin. The illness of acupuncture treatment is only five internal organs and six internal diseases, and the six diseases are also attached to the five internal organs. Therefore, there are only five or six numbers of traditional Chinese medicine, but the overall is not pushed, so it is said. In this way, there are very few diseases that need to be mastered. You only need to master the diseases of the five and six of the disease to determine the transition and prognosis and treatment principles of the disease. Sutra starts. 3. Starting from the scriptures, use the most repeated prescriptions

The development of traditional Chinese medicine prescriptions has been very complicated and huge. Taking the "Dictionary of Traditional Chinese Medicine Prescriptions" as an example, it has been collected from Qin and Han dynasties. At the end of 1986, more than 1,800 prescriptions in Chinese medicine and relevant documents. It has reached more than 90,000, and the speed of manufacturing according to the prescription is still increasing at the level. Human resources are sometimes poor, just like mastering the disease. Can you do a subtraction in terms of prescriptions? You can start with the sutra of simplification, stool, inspection, and integrity.

The currently recognized by Zhang Zhongjing's works in Zhang Zhongjing's works. These prescriptions are effective prescriptions preserved during the struggle between tens of thousands of years or even hundreds of thousands of years. It is a prescription that has been continuously screening, error correction, and correction, and has the four major characteristics of simple, convenient, inspection, and integrity mentioned above. Different from the prescriptions formed under most theoretical guidance, the purpose of its initial birth is very pure, that is, it is rare to treat the disease. The formation process of the sutra is generally inferred as follows: Millions of million or 100,000 years ago, a series of tricks may have a series of formulas of "headache, heating the Guizhi Lord" because of the needs of survival. In the hands of the most knowledgeable witch (medicine), as time goes by, it is found that licorice has a good taste function, and it can increase the treatment effect and reduce the side reaction of the treatment. , Guizhi Licorice is ruled by Licorice, because of the convenience of memory and the convenience of word of mouth. The previous tips must be eliminated. Over time, the formula is constantly improved, error correction, and enrichment.那么这种治病口诀是保证氏族繁衍的基础，一定会被充实、继承和保存下来，而且最后遗留下来的口诀一定是最具有实战价值的，也就是治病效果最好，副反应最小，成本The lowest, the most repeatable. So this forms the earliest sutra, the recipe of experience. With the emergence of text and the convenience of records, some fixed combinations have formed the name of the soup due to the needs of the records, such as "Guizhi 3 Paeonia 3 Ginger 3 Ginger 3 Jujube 12" was recorded as "Guizhi Decoction "". This is probably the first process of the soup. The prescriptions in the "Treatment of Treatment of Treatmental Diseases" came from the soup of the soup, so the sutra in "Typhoid" is the most direct recipe for cure, and it has the characteristics of simplicity and integrity.

The more valuable point of the "Treatment of Treatment of Treatise" is that Zhang Zhongjing combed these prescriptions through the system to connect the diseases and prescriptions through the complete system of the prescription prescription. That is to say, the six diseases mentioned above are connected in series, and the square agents are used to use the image thinking to classify the prescriptions into the six major disease systems. At present, the most complete and most in line. Since we need to learn Chinese medicine with subtraction thinking, we are standing directly on the shoulders of the giant to learn, and the effort is half.

Compared with many prescriptions in later generations, they were created under theoretical guidance. They were prescriptions that have not been tested for hundreds of thousands of years. This is one of its deficiencies. The second is the currently popular prescription classification system, such as solving tablets, detoxifying prescriptions, diarrhea squares, etc. It seems that it is also a classification of functional effects. Need to solve the table, which diseases need to be detoxified and which diseases need to be diarrhea. Without the connection of the bridge, the Chinese medicine is based on the reason-method-square-medicine-medicine is actually separated in the current prescription system. Great difficulty. Therefore, instead of starting from the sutra, we must start with the theory of typhoid fever, and it is more appropriate to use the yin and yang system to control diseases and prescriptions.

The above is a little experience of studying Chinese medicine. Using the thinking of subtraction, the focus of the yin and yang, starting from the disease, from the sutra, the perseverance, the reasons, the avenue to the simple.

Yan Chaoguang

Deputy Chief Physician, Deputy Director of the Second Department of Oncology. The nation ’s famous Chinese medicine medicine Chen Hantui brought the apprenticeship, and Zhang Xichun's fourth -generation heirs. Member of the Cancer Professional Committee of the Shandong Provincial Society of Traditional Chinese Medicine, a member of the Tumor Branch of the World Economic and Food Committee, and Secretary -General of the Weifang Medical Association Cancer Internal Medicine Society.

He has been engaged in the study of combined anti-tumors of traditional Chinese and western medicine for more than ten years, and has read classic works. He has studied typhoid fever and has a deep study.The factor dialectical method is used to treat a variety of tumor diseases and various incurable diseases, and the clinical efficacy is prominent.Source: Weifang Hospital of Traditional Chinese Medicine

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