RESUMEN
Objective] To analyse the case disciplines of professor Lian Jianwei treating pediatrics diseases,to deeply understand his experiences of treating pediatrics diseases,so that we can broaden the ideas of clinical diagnosis and treatment of pediatric diseases. [Methods] Reorganizing and selecting pediatrics cases of professor Lian Jianwei, naming the cases according to the different ages of the sick children. Meanwhile, explore and analyse the profound meaning about the five cases, on the basis of interrelated thesis on the classical books such as Inner Canon of Huangdi, BaoYingCuoYao(Key to the Therapeutics of Children's Diseases), Xiao'er WeiSheng Zongwei Fanglun(Total Theory and Recipes of Children's Health) etc. [Results]Professor Lian Jianwei is good at treating the pediatrics diseases,he often writes out a prescription combining the in-line with the different ages, the special physiology and pathology of the children.He treats the infant who suffers the roseola of the whole body, judging the pathogenesis by his pulse, guided by the theory thatthe infant qi often has excess,using the method of dispelling mild wind and promoting eruption to cure the infant. He cured the infant who suffered from lower bone density,guided by the theory of nature and nurture complementing one another,using the method of strengthening spleen, and effect was very good. He treated the child who suffered from the abdominal pain,guided by the article of HuangDiNeiJing,using the method of benefiting spleen qi, so as to search for the primary cause of disease in treatment.He cured the child who suffered from the disease of spermatic cord hydrocele,guided by the theory of meridian doctrine.He cured the child who suffered from night-walking,guided by the theory of Zang Fu theory. Professor Lian Jianwei treats the pediatrics diseases,often combining the ancient fathers experience,using the dispersion to treat the diseases caused by exogenous pathogenic factors, clearing liver fire who has the excess heat syndrome of the liver,tonifying the spleen whose spleen is deficiency,clearing away the phlegm-fire who has internal disturbance of pyrophlegm. The diagnosis is accurate, and often obtains better effect. [Conclusion]The cases this article discussed are just the part of the leopard,the following researchers should study the pediatric disease cases with the Chinese theory, to feel the infant pulse,with comprehensive analysis of data gained by four diagnostic methods,and only in this way we can know the real onset and process of an illness and be a better doctor.
RESUMEN
The hydrocele of the cord presents as a translucent swelling in the inguinal canal or scrotum, separately above the testis. It is more commonly seen in childhood and is rare in adults. It comprises of two varieties based on their communication with the peritoneal cavity. The encysted hydrocele of the cord does not communicate with the peritoneal cavity above or the tunica vaginalis below. The other variety known as the funicular hydrocele communicates with the peritoneal cavity above but does not communicate with the tunica vaginalis below. This case report presents the case of a 22 year old young male with an inguinal swelling. Clinical differential diagnoses were of inguinal lymphadenitis, encysted hydrocele of the cord and irreducible hernia. The aim of this report is to highlight the role of ultrasonogram in early diagnosis and surgical excision as mainstay of treatment.