A Medical Case of Combining Disease Differentiation and Syndrome Differentiation to Treat Cancer ous Fever / 中国中医药信息杂志

TCM treatment for cancer ous fever puts more emphasis on syndrome differentiation and treatment. This article recognized that the treatment for cancerous fever needs not only syndrome differentiation and treatment, but also the combination of disease differentiation and syndrome differentiation by reviewing the treatment of a case of cancerous fever. Combination of disease differentiation and syndrome differentiation will obtain good efficacy.

Syndrome and Disease Differentiation of Acne Vulgaris / 中国中医药信息杂志

This article mainly discussed acne vulgaris from the aspects of Western medicine and TCM, and emphasized that Western and TCM is not only the combination of treatment, but also the overall integration of the names of diseases, etiology and pathogenesis, clinical manifestations and internal and external treatment. This is also the future development direction and the trend of medical science.

Explore and Analyse the Use of Activating the Spleen and Regulating the Liver in the Treatment on Chronic Abdominal Pain of Children / 浙江中医药大学学报

Objective] The article explores and analyses the clinical dialectical experience of my postgraduate tutor in the treatment on chronic abdominal pain of children. [Methods]From following professor Sang Gao clinical studies,summarize the experience and thoughts of treating chronic abdominal pain of children,and with a case. [Results]My tutor believes that the pathogenesis of chronic abdominal pain of children caused by weakness of middle energizer, disorder of Qi, which lead to the spleen deficiency and qi stagnation, to cure the disease must treat with liver and spleen together, with activating the spleen and regulating the liver, harmonizing stomach and relieving pain as a rule which can achieve good effect. [Conclusion] Activating the spleen and regulating the liver is an effective treatment, it is worthy of in-depth study and promotion.

An analysis on importance of drugs in traditional Chinese medicine for treatment of complications and symptoms of hypertension by QUEST algorithms / 中国中西医结合急救杂志

Objective To approach Professor Zhu Guangli's regular pattern of differentiation of symptoms and signs in patients with hypertension accompanied by complications and in accord with the individual manifestations to add or subtract the ingredients in the prescription.Methods The patients with essential hypertension selected were those who the first time came to the Affiliated Guangxing Hospital of Zhejiang Chinese Medical University or Hangzhou Hospital of Traditional Chinese Medicine (TCM) of Zhejiang Province from September 2012 to January 2015, and were continuously followed up in the hospitals having their clinical data comprehensive. The complications, combination diseases and symptoms of hypertension were conducted as dependent variables, while the applied Chinese medicines were acted as independent variables. QUEST algorithms were employed to analyze the different dependent variables to evaluate the importance contribution rate (ICR) of every kind of Chinese medicine.Results There were 9 types of complications or combination diseases [including hyperlipemia, coronary heart disease, cardiac arrhythmia, hyperglycemia, trace albuminuria, lacunar cerebral infarction, elevation of creatinine in blood (azotemia), liver dysfunction and cardiac dysfunction] and 39 types of symptoms obtained (including dizziness, palpitation, chest oppression, insomnia, lack of strength, soreness of the waist and knees, dry mouth, loose stool, fatigue, apontaneous sweating, headache, shortness of breath, coprostasis, fullness in the stomach, blurred vision, limb numbness, low spirit, chest pain, poor appetite, abdominal distension, excessive dreaming, tinnitus, flush of the face, neck rigidity, hectic fever, bitterness in the mouth, cough, ructus, nocturia, fremitus, stenagma, pharyngalgia, heaviness in head, nocturnal sweating, frequent urination, coughing of sputum, chillness and cold limbs, aphthous stomatitis and sialosis) being the QUEST decision models. All kinds of the TCM employed in all the patients paying visits for 755 times were summed up, and the individual drug frequency of presentation in the prescription was recorded. In the study, 171 sorts of TCM and 10 620 of cumulative frequency (freq.) were involved in 755 prescriptions. The average sorts of TCM was 14.07±1.53 per prescription. The top ten kinds of TCM the most commonly used (freq.) were as follows: tuckahoe (588), Chinese yam (551), wolfberry fruit (496), white peony root (442), abalone shell (405), gastrodia tuber (395), lilyturf root (325), Huai wheat (293), curcuma root (281), rush pith (277), accounting for 38.16% in the total frequency. There were 33 kinds of TCM with frequency > 100, accounting for 74.65% in the total frequency. By the analyses of QUEST algorithms directing to the complications and combination diseases to add or subtract the items of TCM, it was discovered that the drugs with ICR > 5% were as follows: in lacunar cerebral infarction, the drug application frequencies or ICRs of batryticated silkworm and bitter cardamom were 32.69% and 50.74% respectively; in coronary heart disease, the ICRs of pseudostellaria root, astragalus root, white sandal wood and lepidium seed were 23.05%, 17.70%, 15.31% and 5.06% respectively; in cardiac arrhythmia, the ICRs of astragalus root, flavescent sophora root, Huai wheat and dragon tooth and dragon bone were 46.65%, 11.56%, 7.56%, 7.13% and 6.28% respectively; in cardiac dysfunction, the ICRs of lepidium seed and white hyaciath bean were 92.97% and 7.03%; in hyperlipemia, the ICRs of cassia seed, white sandal wood, dried rehmannia root and sargentgloryvine stem were 24.26%, 12.47%, 10.51% and 5.81% respectively; in hyperglycemia, the ICRs of trichosanthes root and dried hawthorn fruit were 51.02% and 30.18%; in trace albuminuria, the ICR of snow in June herb was 83.33%; in elevation of creatinine in blood, the ICRs of Chinese actinidia root, herb of snow in June, glossy privet fruit and centella were 81.37%, 6.21%, 6.21% and 6.21% respectively; in liver dysfunction, the ICRs of coral ardisia root, purse grass and herb of stringy stonecrop were 86.37%, 6.82% and 6.82% respectively. When the symptoms were used as the dependent variables, for the top 3 commonly seen symptoms, in the prescription, the items of TCM used with ICR > 5% were as follows: in cases with elevation of blood pressure, parasitic loranthus (ICR 89.59%) was used; with dizziness, gastrodia tuber (ICR 46.96%) and/or abalone shell (ICR 33.61%) were added; headache, rhizome of Chinese ligusticum and/or rhizome of Sichuan lovage and/or large gentian with ICR at 85.77%, 7.11% and 7.11% respectively. Conclusion Professor Zhu's essential thought in differentiation of disease and expectant treatment of hypertension in accord with the individual manifestations to add and subtract drugs in TCM is under the guidance of TCM principle of differentiation of symptoms and signs for treatment, and based on the classical theories in TCM, the reliable drugs whose actions are demonstrated clinically and experimentally are preferentially selected.

The Academic Thought of Dr. Shen Chunti for Treating Chronic Cough / 浙江中医药大学学报

[Objective] The aim of this article is to summarize the clinical experience of Dr. Shen Chunti, the successor of Menghe school in Jiangsu province ,for treating chronic cough.[Method] By following Dr. Shen, this article summarizes the academic point and clinical experience in the treatment of chronic cough, including etiology and pathogenesis, the combination of syndrome differentiation and disease differentiation ,and analyzes typical clinical cases. [Result] Dr. Shen Chunti thinks the etiology and pathogenesis of chronic cough cannot do without the wind, phlegm, Yin deficiency. The treatment should focus on dispelling wind and dispersing lung, reducing phlegm, nourishing Yin and moistening lung. And it is also important to combine the syndrome differentiation and disease differentiation .[Conclusion] Dr. Shen has accumulated rich experience in treating chronic cough ,it is worth to popularize her outstanding experience.

The Experience of Professor Gao Xiangfu in the Diagnosis and Treatment on Ankylosing Spondylitis by Combination of Disease and Syn-drome / 浙江中医药大学学报

[Objective] The article summarizes the essentials of clinical dialectical experience in the diagnosis and treatment on ankylosing spondylitis by combination of disease and syndrome by professor Gao Xiangfu. [Methods]From following professor Gao Xiangfu clinical studies,summarize the experience and thoughts of treating ankylosing spondylitis,and with a case. [Results]The professor Gao Xiangfu believes that the pathogenesis of ankylosing spondylitis is caused by liver and kidney deficiency,deficiency of Qi and blood,yang-qi deficiency of DU-MAI,induced by external factors,mixing with blood stasis. Xin Wen Sanhan,tonifying the liver and kidney,removing blood stasis and dispeling evil can achieve good effect. [Conclusion] Professor Gao Xiangfu's academic thoughts and clinical experience on ankylosing spondylitis is worthy of in-depth study and understanding.

Discussion of analogy thinking on disease differentiation treatment guide / 国际中医中药杂志

Analogy is to construct the theory of traditional Chinese medicine in clinical thinking method,which the proper use of this thinking is helpful to improve the clinical thinking of Chinese medicine,contributes to the development of disease differentiation and treatment ideas.This article tried to analyze the diagnosis and treatment of kidney diseases with Professor Zhu Zongyuan on the process,to explore the analogy on disease differentiation treatment guide.

Analyses of idea and method in syndrome differentiation and treatment for lung cancer by integrated traditional and western medicine / 中华中医药杂志

According to the causes and pathogenesis of lung cancer in traditional medicine,the principle of syndrome differentiation and treatment,the research achievements of modern medicine,we discuss the idea and method of syndrome differentiation and treatment of lung cancer by integrated traditional and western medicine.We believe the treatment of lung cancer can be taken from several aspects:strengthening body essence and eliminating pathogen;individualized treatment according to the principle of syndrome differentiation and treatment;combining differential symptoms and diagnosis of diseases according to achievements of lung cancer treatment in traditional medicine;choosing suitable treatment by integrated traditional and western medicine considering the different stage of lung cancer.