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[Objective] Research for the pulse mechanism, diagnosis and treatment of Pro. Lian Jianwei on right guan large virtual pulse. [Method] Through analyzing Pro. Lian learning process of pulses and his outpatient cases, explore his clinical diagnosis and treatment on right guan large virtual pulse, summarize the right guan large virtual pulse mechanism and the use of formula and medication by Pro. Lian. [Result] Pro. Lian attaches importance to the value of Li Dongyuan’s academy of spleen and stomach, skil in pulse diagnosis. He considers that right guan large virtual pulse is the pulse on right hand guan which is wide and large, soft and empty when taking pulse. Internal injury due to emotional disorder and diet fatigue are the main factors that result to deficiency of spleen qi and stomach qi, endophytic of yin-fire, consumed yin-blood, causing qi detached from blood and lead to the rising of qi to surface. The treatment obeys the rules of“debilitated patients treated with herbs warm in property ”by“Neijing”, uses Li Dongyuan’s Buzhongyiqi decoction with herbs sweet in flavor and warm in property to invigorate qi to elevate spleen-yang, for sufficient primordial qi and convergence yin-fire, also modifying the formula accord-ing to the patient’s syndrome. [Conclusion] Pro. Lian is good at inheriting Li Dongyuan’s spleen and stomach academy, attaches importance to the pulse diag-nosis in his clinical practice, good at using Li Dongyuan’s Buzhongyiqi decoction and modifying it according to the patient’s syndrome as the treatment for right guan large virtual pulse.
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@#ObjectiveTo observe the effect of Buzhongyiqi decoction on post stroke fatigue.Methods60 stroke patients with fatigue were given Buzhongyiqi decoction for 4 weeks continuously. Chinese New Drug Clinical Guidelines was to evaluate the effect for patients according to improvement of symptoms.ResultsIn 60 cases, markedly effective in 47 cases (78.33%), effective in 10 patients (16.67%), invalid in 3 cases (5%). Symptoms of malaise, anorexia, muscle soreness were significantly improved.ConclusionBuzhongyiqi decoction can improve post stroke fatigue of stroke patients.
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Objective To observe clinical effect of treating stomachache of spleen-stomach deficiency syndrome with modified Buzhongyiqi decoction. Methods 29 stomachache patients of spleen-stomach deficiency syndrome were randomly recurited into a control group and a treatment group. The control group was treated with western medicine, and the treatment group was treated with modified Buzhongyiqi decoction. The clinical effect was observed in both groups. Results The clinical effect in the treatment group was significantly higher than that of the control group (P<0.05). Condusion The treatment of stomachache patients with spleen-stomach deficiency syndrome with modified Buzhongyiqi decoction was more effective than western medicine.
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Objective To establish the fingerprint chromatogram of Buzhong Yiqi Decoction(BYD) by multiple wavelength method,and to analyze the substance of formulas as a whole.Methods HPLC-PDA method was adopted.The chromatographic conditions were as follows:Hypersil ODS2 analytical column,the mobile phase consisting of 0.05 %phosphate acid and acetonitrile with gradient elution,detecting wavelength at 254 and 280 nm,the flow rate being 1.0 mL/min and the temperature of the column at 30 ℃.Results The methodological results were good.The results of dual-wavelength fingerprint chromatogram showed the all-around information of the fingerprints at 254 and 280 nm.The similarity of 10 batches of BuzhongYiqi Decoction was over 0.98.Conclusion Dual-wavelength fingerprint chromatogram can realize the analysis of a formulas as a whole,which supplies references for improving the quality control of BuzhongYiqi Decoction.