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1.
Journal of Traditional Chinese Medicine ; (12): 2354-2358, 2023.
Article in Chinese | WPRIM | ID: wpr-998586

ABSTRACT

Building on a clear understanding of the diagnosis and treatment patterns for cold-damp epidemics, and incorporating the insights of Academician TONG Xiaolin regarding the differentiation and treatment of such epidemics, this article have distilled the key diagnostic principles. These principles primarily entail observing color and pulse, initially distinguishing between yin and yang, with treatment focusing on dispelling cold and dampness. A comprehensive approach is adopted throughout treatment, with a combination of overall strategies and tailored treatments that evolve in line with the patient's condition. In critical and severe cases, particular attention is given to aspects such as sweating, pulse analysis, and consciousness, preventing the pathogen from penetrating deeply. Efforts are made to open and close organ networks, expelling external pathogens without fixating on resolving constipation. The dosage and efficacy of herbal remedies are adjusted based on individual circumstances and clinical symptoms. The objective is to eliminate pathogens comprehensively, while being vigilant against relapses, ultimately achieving a full recovery. This overview of the thought processes and clinical principles for diagnosing and treating cold-damp epidemics will guide precise clinical practices and provide a theoretical foundation for the involvement of traditional Chinese medicine in epidemic prevention and treatment.

2.
Journal of Traditional Chinese Medicine ; (12): 2584-2587, 2023.
Article in Chinese | WPRIM | ID: wpr-1003905

ABSTRACT

Epidemic cerebrospinal meningitis shows a high degree of consistency with the law of transmission among wei (卫)-qi-ying (营)-blood, in terms of the onset of the season, contagiousness, symptoms, pathogenesis, as well as characteristics of the transmission. It is proposed to use epidemic cerebrospinal meningitis as an example to explore the underlying disease of wei-qi-ying-blood syndrome differentiation system. Epidemic meningitis invades the brain from the upper respiratory tract along the nervous system, and its overall pathogenesis follows from entering the lung system (prodromal period) to entering the blood (bacteremia period, sepsis period) and then entering the brain (shock period). According to the four-dimensional qualitative principle of epidemic pathogen tropism, it corresponds to disease of both wei and qi syndrome, then blazing of both qi and ying syndrome, and then heat blocking pericardium, exuberant heat stirring wind, and internal block and external collapse syndrome. This article explored the laws of transmission among wei-qi-ying-blood and its underlying diseases described in On Warm Heat (《温热论》), and revealed the original appearance of the disease model under the laws of transmission among wei-qi-ying-blood to guide the clinical practice.

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