Treatment of Hepatic Osteodystrophy by Stages based on Root Deficiency and Branch Excess / 中医杂志

Hepatic osteodystrophy （HO） should be treated by stages based on the differentiation of root deficiency and branch excess. The root cause of HO is the insufficiency of the liver， spleen， and kidney， and the branch onset should be differentiated by stages that in the incubation， the pathogenesis is shaoyang （少阳） constraint and block and cardinal disturbance， while in the attack period， it is turbid toxin， static heat， scorching marrow and withering bones. In treatment， attention should be paid to regulating and tonifying the depletion of the liver， spleen， and kidney to cultivate the foundation. In the incubation period， it is suggested to put focus on unblocking cardinal disturbance of shaoyang liver and gallbladder so as to regulate and harmonize qi and blood. In the attack period， the focus should be on dissolving stasis， removing turbidity， and clearing the source to promote gallbladder function and bone strength. In clinical practice， medication should be modified according to individual symptoms， and the root and the branch， the primary and the secondary should be differentiated to closely follow the pathogenesis and be tailored according to the symptoms. At the same time， reasonable and safe medication should be emphasized to protect liver function.

To Discuss the Treatment with the Pathogenesis of Weak Yang and Stringy Yin in Golden Chamber in Atherosclerosis / 浙江中医药大学学报

[Objective]To explore the application of the pathogenesis of"weak yang and stringy yin"in the treatment of atherosclerosis. [Methods] Analyze the symptoms and prescriptions of atherosclerosis in the Synopsis of the Golden Chamber, and refer to the literatures on the prescriptions. To describe the concept of atherosclerosis from the "virtual" and "real" two aspects of the pathogenesis of atherosclerosis; access to the literature on the anti-cut Guibao White Liquor Soup, Gualou Xiebai Pinellia Decoction, Guizhi Tang, Guizhi Decoction, Ginseng Decoction, Jizhi Amethyst Decoction, Aconitum Red Stone Pills, Rhubarb Pills and Dazhuai Decoction, and other classic prescriptions of the Golden Chamber. [Results] Although there was no disease of atherosclerosis in Chinese medicine, there were many descriptions of its symptoms and etiology and pathogenesis. "The virtual", "standard" were its main pathogenesis,"Golden Chamber"in the proposed"weak yang and stringy yin" theory, and created a large number of prescriptions, such as Gualou Xiebai white liquor soup, Gualou Xiebai Pinellia Soup, Citrus aurantium Decoction Guizhi Decoction, Guizhi Decoction, Ginseng Decoction, Jizhi Feizhi Decoction, Aconitum Red Stone Pills, Rhubarb Pills and Da Chai Hu Tang. According to the literature, "Golden Chamber" in these prescriptions can be used to treat atherosclerosis. [Conclusion] The general theory of the pathogenesis of"chest palsy"and"weak yang and stringy yin"in the Synopsis of the Golden Chamber is the same as the pathogenesis of atherosclerosis. According to this pathogenesis Zhongjing created a large number of prescriptions, modern pharmacological studies have shown that they can treat atherosclerosis. Therefore, we can extend "weak yang and stringy yin" of the pathogenesis theory to the treatment of atherosclerosis. This treatment is worthy of our further exploration, for the present use, to be effective.