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1.
Journal of Traditional Chinese Medicine ; (12): 2176-2178, 2023.
Artigo em Chinês | WPRIM | ID: wpr-997281

RESUMO

To summarize Professor ZHANG Zhiyuan's experience in treating leukorrheal diseases based on syndrome differentiation. It is believed that the main pathogenesis of leukorrheal diseases includes mainly depression, dampness and deficiency. Leukorrheal diseases can be classified into four syndrome types: syndrome of stagnation of liver qi and spleen deficiency, syndrome of internal retention of damp-heat, syndrome of cold-dampness invading downward, and syndrome of kidney yang deficiency. The treatment approach focuses on restoring the ascending and descending opening and closing of qi, regulating the liver and spleen to promote yang qi respectively. The four types of syndromes correspond to the application of four different herbal formulas: By using the combination of Danggui Shaoyao Powder (当归芍药散) from the Synopsis of Golden Chamber (《金匮要略》) with wind-dispelling herbs, adjustments are made to harmonize the liver and spleen; By applying modifications to the Baxian Drink (八仙饮) from the Obstetrics Enlightenment (《产科发蒙》) to clear heat and promote diuresis; A self-designed Shiwei Wendai Decoction (十味温带汤) is adjusted to warm the yang and dispel cold; The Baji Tusi Decoction (巴戟菟丝汤) from the New Compilation of Effective Recipes (《验方新编》) is adjusted to tonify and warm the kidney yang.

2.
Journal of Traditional Chinese Medicine ; (12): 2063-2066, 2023.
Artigo em Chinês | WPRIM | ID: wpr-997261

RESUMO

Professor Zhang Zhiyuan, a master of Chinese medicine, made good use of Baizhu (Atractylis macrocephala (Koidz.)). Except for defecation in clinical practice, he usually prescribed processed Baizhu after stir-frying with soil. Baizhu is good at excreting water and removing dampness, so applied it in the formula series with Fuling (Poria cocos) and Guizhi (Cassia Twig) or self-made decoction for diarrhea. High-dose Baizhu could be used for edema by treating obstructive syndrome with tonics, so Baizhu were added in self-made Shugan Qushui Decoction (疏肝祛水汤) or modified Lizhong Decoction (理中汤) for liver cirrhosis ascites. It was emphasized that Baizhu could eliminate phlegm, so added it in modified Zexei Decoction (泽泻汤) for excess syndrome of vertigo. It was also acknow-ledged that Baizhu could strengthen the spleen and stomach, and was suitable for deficiency or excess syndrome of abdominal distension, so applied it in Burun Decoction (补润汤) for abdominal distension with deficiency-excess in complexity, and applied it in Zhizhu Decoction (枳术汤) or self-made Tiaozhong Decoction (调中汤) for deficient abdominal distention.

3.
Journal of Traditional Chinese Medicine ; (12): 2495-2499, 2023.
Artigo em Chinês | WPRIM | ID: wpr-1003892

RESUMO

This parer summarized the clinical experience of Professor ZHANG Zhiyuan in treating stroke sequelae from the perspective of regulating qi and blood. It is believed that the basic pathogenesis of stroke sequelae is disharmony of qi and blood, and it is advocated that the basic treatment method is to regulate qi and blood. For the three major symptoms of stroke sequelae, including hemiplegia, cognitive dysfunction, and sluggish speech, the effective formulas have been summarized. Hemiplegia is often treated with Chongsu Qiju Decoction (重塑起居汤) to tonify the center and replenish qi, activate blood and dredge collaterals. Cognitive dysfunction is often treated with modified San Hua Decoction (三化汤) to resolve phlegm and purge heat, regulate qi and tonify blood. And sluggish speech is often treated with Zishou Jieyu Decoction (资寿解语汤) to warm and tonify yang qi, expel wind and remove phlegm. Meanwhile, the self-made Zhinao Huayu Decoction (治脑化瘀汤) is used to prevent the occurrence of stroke sequelae, and to regulate the blood and qi by using wind medicinals and the method of relaxing and purging bowels to cure the disease.

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