Shandong Journal of Traditional Chinese Medicine

期刊封面

Journal Title: Shandong Journal of Traditional Chinese Medicine
ISSN：0257-358X
CN：37-1164/R
Sponsors: Shandong Association of Traditional Chinese Medicine; Shandong University of Traditional Chinese Medicine

Current Contents

Professor YU Renhuan's Experience of Using Guizhi Gancao Longgu Muli Decoction（桂枝甘草龙骨牡蛎汤） in Treating Chronic Kidney Disease Complicated with Emotional Disorders
WANG Wenru;YANG Jiayi;ZHAN Jingyi;ZHAN Tian;YAN Lei;CHEN Yao;LIANG Ying;Department of Nephrology,Xiyuan Hospital,Chinese Academy of Traditional Chinese Medicine;
Chronic kidney disease(CKD) is characterized by a poor prognosis and a long course. Moreover,patients with end-stage renal disease require expensive renal replacement therapy to sustain their lives.Therefore,most CKD patients endure heavy psycho-logical and economic burdens for a long time,and thus concurrently develop emotional disorders. Professor YU Renhuan proposed that the main pathogenesis of CKD complicated with emotional disorders is depression caused by kidney deficiency,including restlessness caused by deficiency of kidney yin resulting in fire without containment,fear caused by deficiency of kidney yang resulting in will without storage,and depression caused by deficiency of kidney qi resulting in qi without support,etc. Guizhi Gancao Longgu Muli Decoction（桂枝甘草龙骨牡蛎汤） has the efficacy of activating yang,restraining yang,and subduing yang to calm the mind. It can be used to treat restlessness caused by the disturbance of the mind and spirit by yang-pathogen due to kidney deficiency. Based on this formula,Professor YU treats CKD complicated with emotional disorders by adding prescriptions or drugs with efficacy of regulating the heart and calming the mind,warming yang and strengthening the spleen,and soothing the liver and relieving depression according to different syndrome types,which has achieved favorable therapeutic outcomes. One proved case is attached.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1700K]

Discussion on Pathogenesis,Syndrome,and Treatment of Idiopathic Pulmonary Fibrosis Based on Unobstructed Flow of Yuanzhen in Five Zang-Organs
SUN Yuxiao;WANG Xiaodong;MA Xinlai;ZHANG Wei;First Clinical Medical College,Shandong University of Traditional Chinese Medicine;Affiliated Hospital of Shandong University of Traditonal Chinese Medicine;
Idiopathic pulmonary fibrosis(IPF) belongs to the category of lung atrophy and lung impediment in traditional Chinese medicine. The pathogenesis of IPF is characterized by phlegm and blood stasis obstruction as the superficial manifestation and deficiency of qi and blood as the root cause,which is generally a condition of root deficiency and superficial excess. The Yuanzhen in five-zang organs are mainly composed of qi and blood,transformed by the congenital essence of the kidney,nourished by the acquired qi of water and grains from the spleen and the stomach,circulating through the triple energizer,and flowing throughout the zang-fu organs and meridians of the whole body,exerting functions such as nourishing and moistening,and defending against external pathogenic factors. The characteristics of the lung,which is responsible for dispersion and descent and is rich in qi and blood,are closely related to the unobstructed flow of the Yuanzhen in five-zang organs. Therefore,the treatment of IPF can be based on the unobstructed flow of the Yuanzhen in five-zang organs. In the early stage of IPF,the main pathological change is the disorder of qi movement,and there is no significant depletion or stagnation of the Yuanzhen in five-zang organs. The treatment should focus on eliminating pathogenic factors and protecting the defensive qi. In the middle stage,based on the disorder of qi movement,abnormal blood circulation mainly caused by blood stasis occurs. Although there is stagnation and deficiency of the Yuanzhen in five-zang organs,it is mainly limited to the lung. The treatment should combine both attacking and tonifying methods. In the late stage,due to the long-term disorder of qi and blood circulation,the Yuanzhen in five-zang organs is severely damaged and the flow of the Yuanzhen in five-zang organs is not smooth. The treatment should focus on nourishing and tonifying the Yuanzhen.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1622K]

Exploration of Pathogenesis,Diagnosis,and Treatment Ideas for Gluteus Medius Syndrome Based on Meridian-Sinew Theory
LIU Jianxiang;DONG Baoqiang;LIN Xingxing;WANG Leichao;ZHANG Feng;WU Xi;WANG Mingxing;College of Acupuncture,Moxibustion,and Tuina,Liaoning University of Traditional Chinese Medicine;
The meridian-sinew system has the functions of connecting the bones and joints throughout the body,governing human movement,providing protection and defense,and regulating the meridians. This article is guided by the meridian-sinew theory. Based on the physiological and pathological characteristics of meridian-sinew,combined with modern anatomy and biomechanics,the correlation between meridian-sinew injury and gluteus medius syndrome(GMS) is explored from both Chinese and Western medicine perspectives.It is believed that invasion of exogenous pathogenic factors,long-term strain,and stress imbalance leading to meridian-sinew injury are important pathogenic mechanisms of GMS. Therefore,the treatment of GMS should follow the principle of “in case of im-balance of sinews and bones,giving priority to the sinews”,and take the soft tissue at the “n”-shaped structure where the gluteus medius attaches to the greater trochanter as the benchmark. Through therapies such as acupuncture and Tuina,the nodular lesion points attached to the anterior,middle,and posterior sides of it are loosened to achieve the therapeutic goal of correcting the bones and softening the muscles,and eliminating pain by restoring the normal flow of qi and blood.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1644K]

Differentiation and Treatment for Coronary Artery Spasm Based on Theory of Liver Governing Sinews
MA Mingru;YANG Jie;College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine;Cardiology Department,Affiliated Hospital of Shandong University of Traditional Chinese Medicine;
Coronary artery spasm(CAS) is an important pathogenic mechanism of non-obstructive ischemic heart disease. It is a kind of vascular vasomotor dysfunction caused by the increased sensitivity of coronary artery vessels and microvascular smooth muscles under stimulation. Blood vessels and smooth muscles can correspond to the generalized sinews in traditional Chinese medicine in terms of function and structure.Therefore,CAS can be classified into the category of sinew diseases in traditional Chinese medicine. Under the guidance of the theory that the liver governs the sinews,CAS can be divided into two types,namely “sinew spasm” and “sinew impediment” based on the changes in the functional state of the sinews. The pathogenesis of “sinew spasm” can be divided into deficiency and excess. The deficiency types are commonly seen as liver yin deficiency and insufficient liver blood,and treatment adopts the method of nourishing yin,tonifying the liver,and menriching the blood. The excess types are mostly due to exuberant liver fire scorching yin fluid. The treatment requires clearing away the liver-fire,calming the liver,and soothing the liver on the basis of nourishing yin to restore the flexibility of the sinews and vessels. The pathogenesis of “muscular arthralgia” is mostly characterized by underlying deficiency and superficial excess. It is based on the deficiency of the liver meridian and is caused by exogenous wind,cold,and dampness pathogens. The pathogens invade the interior and the viscera,resulting in chest pain. The prognosis is of high-risk characteristics,and the treatment is mainly to warm the liver,resolve masses,and eliminate impediment.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1653K]

Interpretation of Compatibility Principle of Huangqi Fushen Decoction（黄芪茯神汤）Based on Yunqi Configuration of Six Gui Years
XU Rui;LU Mingyuan;College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine;
The Huangqi Fushen Decoction（黄芪茯神汤） was a prescription designed by CHEN Wuze in Treatise on Diseases,Patterns,and Prescriptions Related to Unification of the Three Etiologies,which is for disease caused by insufficient fire element in Six Gui years. In the Six Gui years,the fire element is insufficient,resulting in a Yunqi configuration of deficiency of yang qi,insufficient ascending and scattering,depression and obstruction of cold water,and excessive dampness and earth. For this Yunqi configuration,the Huangqi Fushen Decoction takes elevating yang and tonifying fire as the overall treatment approach,while also taking into account methods such as strengthening the spleen and eliminating dampness,promoting yang and relieving depression,and tonifying essence and assisting yang. In this way,by using sweet and warm medicinal herbs to invigorate the yang qi,make the yang qi spread and reach everywhere,exert the warming and promoting functions,and thereby restore the orderly movement of yin,yang,qi,and blood. The exploration of the formulation ideas and compatibility principle of other Yunqi formulas based on the Huangqi Fushen Decoction is conducive to improving the pertinence and effectiveness of the clinical application of Yunqi formulas.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1665K]

Application of Bitter Medicinals with Effect of Promoting Diuresis in Shennong's Classic of Materia Medica in Classical Prescriptions
JIA Lijie;QU Yi;Shandong University of Traditional Chinese Medicine;
The article first screened out 27 kinds of bitter medicinals with the effect of promoting diuresis from Shennong's Classic of Materia Medica,analyzed their efficacy characteristics,then combined the original text of Treatise on Cold Pathogenic and Miscellaneous Diseases to analyze the compatibility and application regularities of 15 medicinals used in classical prescriptions,and finally drew the following conclusions.(1)In the medicinals with the effect of promoting diuresis recorded in Shennong's Classic of Materia Medica,the bitter medicinals accounted for the largest proportion. Most of them were cold in nature and have the efficacy characteristics of dissipating masses,eliminating food stagnation,removing blood stasis,and clearing heat.(2)The bitter medicinals with the effect of promoting diuresis in Shennong's Classic of Materia Medica were mostly used in classical prescriptions to treat various syndromes of qi counterflow caused by stagnation. When combined with pungent medicinals and bitter medicinals with other effects,they were respectively applicable to the stagnation symptoms caused by the accumulation of qi and water in the chest,abdomen and epigastrium,and water accumulation diseases gathering in the blood or accompanied by a heat syndrome.(3)The primary characteristic of bitter medicinals with the effect of promoting diuresis lies in their downward-directing and breaking/dispersing properties.(4)The herb pair of Chishao(Paeoniae Radix Rubra)-Fuling(Poria) has the effect of nourishing yin and promoting diuresis. Its application in classical prescriptions suggests that water accumulation can also cause exterior heat.(5)Zhimu(Anemarrhenae Rhizoma) in Guizhi Shaoyao Zhimu Decoction（桂枝芍药知母汤） serves dual functions:“draining water” and clearing heat.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1667K]

Explaining Concepts of “Form” “Qi” and “Spirit” and Their Mutual Relationships from Perspective of Systematic Traditional Chinese Medicine
ZHANG Yapeng;ZHU Guangqin;ZHANG Jiping;TIAN Jiayi;MA Shuran;College of Traditional Chinese Medicine,Beijing University of Chinese Medicine;
Based on systematic traditional Chinese medicine,this article redefines the connotations and relationships of “form” “qi” and “spirit”,and constructs an integrated systematic theoretical model,so as to provide new ideas for the syndrome differentiation and treatment of complex diseases. Under the framework of systematic traditional Chinese medicine,a systematic analysis of “form” “qi” and “spirit” is conducted:“Form” is the material basis for qi transformation and information transformation,and is the external manifestation and relatively static state of “qi” and “spirit”；“Qi” is the unity of material movement and energy change,with material,functional,informational,and systemic quality characteristics,and is the driving force for the changes of “form” and “spirit”“;Spirit” is the core process of information change and regulation,and is the master of “form” and “qi”. The three jointly constitute the integrated framework of “matter-energy-information” for human life activities,are mutually dependent,and maintain a healthy balance. This meta-holistic view provides theoretical support for the holistic and dynamic diagnosis and treatment of diseases,offering important guidance for the syndrome differentiation and treatment of complex diseases,especially aiding in the comprehensive rehabilitation of patients with psychosomatic diseases.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1617K]

Analysis on Diagnosis and Treatment of Eye Diseases from “Clear Yang moving Upward into the Upper Orifices of the Body”
CHEN Lingling;LI Dian;The First Clinical College of Chinese Medicine,Hunan University of Chinese Medicine;The First Hospital of Hunan University of Chinese Medicine;
The theory of “clear yang moving upward into the upper orifices of the body” proposed in Inner Canon of Huangdi provides diagnostic and therapeutic ideas for diseases of the orifices and has important guiding significance for the diagnosis and treatment of eye diseases. Clear yang refers to the essence generated and transformed by the five zang-organs,including qi that functions to warm,defend,and promote,as well as blood and body fluids that function to nourish and moisturize. Under the coordinated functions of the five zang-organs and six fu-organs,the congenital essence qi,qi from food and water,and the clear qi from nature can all be transformed into clear yang. The clear yang is transported upward to the head and face,nourishing the eyeballs and enabling clear vision. Based on the analysis of “clear yang moving upward into the upper orifices of the body”,the pathogenesis of eye diseases can be classified into two aspects:deficiency and excess. The damage to the five zangorgans and six fu-organs,as well as the depletion and injury of qi,blood,and body fluids,leading to the failure of transformation or ascent of clear yang,is considered deficiency. The obstruction by pathogenic turbidity,which prevents the ascent of clear yang,is regarded as excess. Therefore,in the clinical treatment of eye diseases,one can start from tonifying deficiency or dispelling pathogenic factors based on syndrome differentiation. For deficiency syndromes,the emphasis is on regulating and tonifying the zang-fu organs,qi,blood,and body fluids. For excess syndromes,the emphasis is on dispelling pathogenic factors and reducing turbidity. Through tonifying deficiency and purging excess,the qi movement can be unobstructed,clear yang can ascend,and the eye orifices can be nourished.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1752K]

Clinical Study on Treatment of Elderly Patients with Heart Failure Complicated by Pulmonary Infection Using Method of Benefiting Qi,Purging Lung,and Promoting Diuresis
HUANG Chen;ZHU Meiling;WANG Man;Department of Geriatric Medicine,Ma'anshan General Hospital of Ranger-Duree Healthcare;
Objective:To observe the influence of the method of benefiting qi,purging the lung,and promoting diuresis on the cardiopulmonary endurance,ventricular remodeling,and fibrinolytic indexes of elderly patients with heart failure complicated by pulmonary infection. Methods:A total of 102 elderly patients with heart failure complicated by pulmonary infection were selected and divided into the control group and the observation group,each consisting of 51cases,using the random number table method. During the study process,2 cases dropped out in the control group,leaving a final total of 49 cases. In the observation group,2 cases dropped out and 1 case was excluded due to an aggravated condition,resulting in a final total of 48 cases. The patients in the control group were treated with basic symptomatic treatment of Western medicine,while the patients in the observation group were treated with the method of benefiting qi,purging the lung,and promoting diuresis on this basis. Both groups were treated continuously for 7 days. The traditional Chinese medicine(TCM) syndrome scores,cardiopulmonary endurance indicators(anaerobic threshold oxygen uptake,peak oxygen uptake),six-minute walk test(6MWT) distance,ventricular remodeling indicators(left ventricular ejection fraction,left ventricular mass index,myocardial energy consumption,E peak deceleration time),inflammatory indicators [tumor necrosis factor-α(TNF-α),macrophage inflammatory protein-1α(MIP-1α)],myocardial injury indicators [heart-type fatty acid binding protein(H-FABP),plasminogen activator inhibitor-1(PAI-1)],and adverse reactions of the two groups of patients before and after treatment were observed,and the clinical efficacy of the two groups was evaluated. Results:After treatment,the scores of TCM syndrome,left ventricular mass index,myocardial energy consumption,E peak deceleration time,and the levels of MIP-1α,TNF-α,H-FABP,and PAI-1 in both groups were lower than those before treatment(P<0.05),and those in the observation group were lower than those in the control group(P<0.05). The anaerobic threshold oxygen uptake,peak oxygen uptake,6MWT distance,and left ventricular ejection fraction in both groups were higher than those before treatment(P<0.05),and those in the observation group were higher than those in the control group(P<0.05). After the treatment,the total effective rate of the observation group was 97.91%,and that of the control group was 81.63%. The comparison of clinical efficacy between the two groups was statistically significant(Z=2.412,P=0.009). Conclusions:The method of benefiting qi,purging the lung,and promoting diuresis has the effects of reducing inflammatory responses,lowering the degree of myocardial cell injury,improving ventricular remodeling and fibrinolytic index levels,and enhancing cardiopulmonary endurance and cardiac function in elderly patients with heart failure complicated by pulmonary infection.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1720K]

Clinical Study on Jianpi Tongluo Prescription（健脾通络方） Combined with Chemotherapy for Treating Patients with Qi Deficiency and Blood Stasis Syndrome After Colorectal Cancer Surgery
CUI Wenwen;ZHANG Jie;YU Bianfang;GUAN Zhongan;Affiliated Hospital of Shandong University of Traditional Chinese Medicine;Shandong University of Traditional Chinese Medicine;
Objective:To evaluate the clinical efficacy and safety of the Jianpi Tongluo Prescription（健脾通络方） combined with the m FOLFOX6 chemotherapy regimen in treating patients with qi deficiency and blood stasis syndrome after colorectal cancer surgery. Methods:A total of 60 patients with qi deficiency and blood stasis syndrome after colorectal cancer surgery were divided into a control group and an observation group according to the random number table method,with 30 cases in each group. The control group was given chemotherapy with the m FOLFOX6 regimen,and the observation group was additionally given oral administration of the Jianpi Tongluo Prescription on this basis. Both groups took 14 days as one treatment cycle and received continuous treatment for 4 cycles. The traditional Chinese medicine(TCM) syndromes scores,Karnofsky performance status(KPS) score,and chemotherapy adverse reactions of the two groups of patients were compared,and the therapeutic effects on TCM syndromes in the two groups were evaluated. Results:After treatment,the main symptom score,secondary symptom score,and total score of TCM syndromes in both groups decreased significantly compared with those before treatment(P<0.001). Moreover,the main symptom score,secondary symptom score,and total score of TCM syndromes in the observation group were all lower than those in the control group(P<0.05,or P<0.01,or P<0.001). Additionally,the KPS score of patients in the observation group increased significantly compared with that before treatment(P<0.001) and was higher than that of patients in the control group(P<0.001). During the treatment,the degrees of leukopenia,nausea and vomiting,and diarrhea in the observation group were milder than those in the control group(P<0.05). After treatment,the total effective rate of TCM syndromes in the observation group was higher than that in the control group. The difference of the curative efficacy on TCM syndromes between the two groups was statistically significant(P<0.001). Conclusions:Compared with the simple m FOLFOX6 chemotherapy regimen,the Jianpi Tongluo Prescription combined with the m FOLFOX6 chemotherapy regimen can significantly relieve the clinical symptoms of patients with qi deficiency and blood stasis syndrome after colorectal cancer surgery,improve their functional status,reduce chemotherapy adverse reactions,and enhance the curative efficacy.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1701K]

Discussion on Acupuncture and Moxibustion Treatment for Parkinson's Disease Based on “Brain-Governor Vessel-Kidney” Axis
ZHANG Ruqi;TIAN Minghan;WANG Shengchun;College of Acupuncture-Moxibustion and Tuina,Shandong University of Traditional Chinese Medicine;Department of Acupuncture,Physiotherapy,and Rehabilitation,Shandong Provincial Hospital Affiliated to Shandong First Medical University;
Based on the theory of the mutual reinforcement between the kidney and the brain,as well as the circulation and structural connection of the governor vessel,the “brain-governor vessel-kidney” axis is proposed,and it is believed that the disorder of this functional system is the key pathogenesis of Parkinson's disease(PD). The disharmony of the brain orifices is the primary cause,the deficiency of the kidney and subsequent loss of nourishment is the root cause,and the damage to the governor vessel makes it impossible to connect the brain and the kidney. These three factors jointly contribute to the occur-rence and development of PD. In the acupuncture and moxibustion treatment based on the “braingovernor vessel-kidney” axis for PD,the governor vessel points on the head and neck,such as Baihui(GV20),Shenting(GV24),Yintang(EX-HN3),Fengfu (GV16),and Yamen(GV15),should be selected first to invigorate the brain and replenish the marrow,unblock the governor vessel and regulate the spirit,and relieve tremors by raising yang. Moreover,points such as Taixi(KI3),Yongquan(KI1),Dazhong(KI4),and Shenshu(BL23) should be combined to tonify the kidney and supplement essence,consolidate the foundation and unblock the governor vessel,and nourish yin and cultivate yang. In addition,points like Sanyinjiao(SP6),Guanyuan(CV4),and Qihai(CV6) are used to regulate and tonify qi and blood. For common complications associated with PD,such as depressive and other negative emotional disorders,sleep disorders,and defecation and urination disorders,emphasis is placed on the simultaneous regulation of both body and mind,and acupuncture is administered based on syndrome differentiation to eliminate all symptoms.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1711K]

Clinical Observation of Longsha Opening-Closing Six-Qi Acupuncture Combined with Duhuo Jisheng Decoction（独活寄生汤） in Treating Knee Osteoarthritis of Liver and Kidney Deficiency Type
WANG Junqing;JIA Chaoyi;LIU Wenqiong;The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine;Shandong University of Traditional Chinese Medicine;Affiliated Hospital of Shandong University of Traditional Chinese Medicine;
Objective:To observe the clinical efficacy of Longsha opening-closing six-qi acupuncture(here-after referred to as six-qi acupuncture) combined with Duhuo Jisheng Decoction（独活寄生汤） in treating knee osteoarthritis of the liver and kidney deficiency type. Methods:A total of 60 patients with knee osteoarthritis of the liver and kidney deficiency type were selected and divided into a control group and an observation group according to the random number table method,with 30 cases in each group. Patients in the control group were treated with oral glucosamine hydrochloride capsules,while patients in the observation group were treated with six-qi acupuncture combined with Duhuo Jisheng Decoction. Both groups underwent continuous treatment for 4 weeks. The visual analogue scale(VAS) score for pain,the Western Ontario and Mc Master Universities Osteoarthritis Index(WOMAC) score,the Lequesne index score,adverse reactions,and clinical efficacy were compared between the two groups. Results:After treatment,the scores of VAS,WOMAC,and Lequesne index in both groups were lower than those before treatment(P<0.05),and the scores of the above items in the observation group were lower than those in the control group(P<0.05). During the treatment process,1 patient in the control group presented with mild nausea and vomiting symptoms,while no obvious adverse reactions were observed in the other patients. After treatment,the total effective rate of the observation group(93.3%) was higher than that of the control group(63.3%),and the difference was statistically significant(P<0.05). Conclusions:The combination of six-qi acupuncture and Duhuo Jisheng Decoction has a definite therapeutic effect on knee osteoarthritis of the liver and kidney deficiency type. It can significantly relieve the knee joint pain and inflammation in patients,and improve the knee joint mobility of patients with high safety.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1694K]

Analysis of Key Techniques of LIU Shoushan's Tuina Manipulation in Treating Shoulder Impingement Syndrome
Adilijiang Abudureyimu;CHENG Luyao;LI Xia;GAN Yena;ZANG Fuke;SANG Haoqi;ZHOU Ting;ZHANG Tongtong;YUAN Yi;LI Duoduo;Dongzhimen Hospital,Beijing University of Chinese Medicine;Xicheng District Maternity and Child Healthcare Hospital;Beijing University of Chinese Medicine;
Shoulder impingement syndrome belongs to the category of injury of the anterior part of the shoulder joint or bi disease in traditional Chinese medicine. The late Mr. LIU Shoushan,a renowned orthopedic expert at Dongzhimen Hospital,Beijing University of Chinese Medicine,believed that the core pathogenesis of injury of the anterior part of the shoulder joint and bi disease is the blockage of local meridians,leading to qi stagnation and blood stasis. The clinical practice shows that Mr. LIU Shoushan's techniques of pressing acupoints and plucking tendons,pulling and stretching,shaking and flexing,as well as the method of returning,combining,and dispersing,are effective for shoulder impingement syndrome. The article elaborates on the key points of Mr. LIU Shoushan's manipulation techniques,and discusses the mechanism of the manipulations in combination with the pathological mechanism of shoulder impingement syndrome,providing ideas for the conservative treatment of this disease.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 2018K]

Experience of SHAO Zhengyang in Treating Precocious Puberty in Girls from Perspective of Deficiency,Fire,Phlegm,and Blood Stasis
GE Taihui;GE Liang;TANG Tao;ZHU Yuanqing;SHAO Zhengyang;The Second Clinical Medical College of Zhejiang Chinese Medical University;Department of Paediatrics,Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine;
Deficiency,fire,phlegm,and blood stasis are important pathogenic factors in traditional Chinese medicine. From the aspects of deficiency,fire,phlegm,and blood stasis,Professor SHAO Zhengyang explores the evolution of pathogenesis in the development of precocious puberty in girls and related treatments. He believes that kidney yin deficiency is the root cause of the disease,while fire,phlegm,and blood stasis are the manifestations of the disease development. Liver fire,phlegm accumulation,and blood stasis are the basic pathological manifestations. Clinically,deficiency,fire,phlegm,and blood stasis often intermingle and are difficult to distinguish. Therefore,when treating precocious puberty in girls,he often considers four aspects:nourishing yin,purging fire,resolving phlegm,and promoting blood circulation to remove stasis. Commonly used prescriptions include Zhibai Dihuang Pills（知柏地黄丸）,Siwu Decoction（四物汤）,Chaihu Shugan Powder（柴胡疏肝散）,Danzhi Xiaoyao Pills（丹栀逍遥丸）,and Baohe Pills（保和丸）. He is good at using couplet medicines with the functions of clearing fire,nourishing yin,resolving masses,and eliminating dampness,such as Jiaozhizi(Gardeniae Fructus) combined with Mudanpi(Moutan Cortex),Biejia(Trionycis Carapax) combined with Guijia(Testudinis Carapax Et Plas-trum),Lizhihe(Litchi Semen) combined with Yuzhizi(Akebiae Fructus),Heye(Nelumbinis Folium) combined with Dongguapi(Benincasae Exocarpium). A proved case is attached.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1703K]

ZHANG Fengmei's Experience in Treating Myopia in Children and Adolescents Based on Theory of Prolonged Vision Impairing Blood
LI Qingya;LIU Yingying;ZHANG Meng;ZHANG Fengmei;The Second Clinical Medical College of Henan University of Chinese Medicine;Henan Province Hospital of Traditional Chinese Medicine;
Professor ZHANG Fengmei analyzes the occurrence and development of myopia in children and adolescents from the perspective of the theory that prolonged vision impairs blood. She believes that the abundance of qi and blood is closely related to the heart,liver,kidney,spleen,and stomach. Prolonged vision tends to damage the spleen,stomach,heart,liver,and kidney,leading to blood deficiency in the viscera. Blood deficiency causes qi stagnation,and the eyes lose the nourishment of essence and blood,thus resulting in myopia. Therefore,in treating myopia in children and adolescents,she begins by identifying which organ is deficient and then adjusts the qi and blood functions of the organs. For those with spleen and stomach deficiency,the treatment involves nourishing the spleen and stomach and replenishing qi and blood. The selected prescriptions include Yiqi Congming Decoction（益气聪明汤） and Buzhong Yiqi Decoction（补中益气汤）. For those with liver and kidney insufficiency and essence and blood deficiency,the treatment focuses on nourishing essence and blood. The selected prescriptions include Qiju Dihuang Decoction/Pill（杞菊地黄汤/丸）,Mingmu Dihuang Decoction（明目地黄汤）,and Modified Zhujing Pill（加减驻景丸）,etc. For those with heart blood consumption and yang qi deficiency,the treatment aims to tonify the heart and qi,calm the mind,and stabilize the will. The selected prescriptions include Dingzhi Pill（定志丸） and Guipi Decoction（归脾汤）,etc. For those with blood deficiency and qi stagnation,as well as sluggishness of the ocular collaterals,the treatment involves regulating qi and blood,promoting blood circulation,and dredging collaterals. The selected prescriptions include Danggui Huoxue Drink（当归活血饮） and Buyang Huanwu Decoction（补阳还五汤）,etc. Two proved cases are attached.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1718K]

LI Li's Experience in Treating Cervical Spondylotic Radiculopathy with Technique of Sling Exercise with Tuina Therapy Based on Theory of “Simultaneous Treatment of Meridians and Chains”
FENG Huiyue;DAN Yuqin;DING Yi;FENG Ziyun;LIAO Xuandong;WANG Xueyan;FU Yu;YU Shao-hong;LI Li;Rehabilitation Medical College of Shandong University of Traditional Chinese Medicine;The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine;Medicine College of Shandong University of Traditional Chinese Medicine;
Professor LI Li innovatively combined the meridian-sinew theory in traditional Chinese medicine(TCM) with the myofascial chain theory in biomechanics and proposed the theory of “ simultaneous treatment of meridians and chains”. “Meridians” refer to the meridian and collateral in TCM,and “chains” refer to myofascial chains. “Simultaneous treatment of meridians and chains” means conducting synchronous stimulation and overall intervention on the corresponding acupoints or trigger points of the diseased meridians and myofascial chains. Under the guidance of this theory,Professor LI Li integrates tuina therapy with neuromuscular control and activation technique,classic technique in sling exercise training,to pioneer the technique of sling exercise with Tuina therapy and apply it in the treatment of cervical spondylotic radiculopathy(CSR). Professor LI Li believes that CSR originates from the bad living habits and working environment of modern people. Maintaining abnormal postures for a long time leads to myofascial strain,forming “weak links” in the muscles,thereby causing an imbalance in the biomechanical chain and obstructing the flow of qi and blood in the meridians,which results in functional disorders and pain. The “weak links” of CSR lesions mainly include the Shaoyang meridian chain,Yangming meridian chain,Taiyang meridian chain,Jueyin meridian chain,and Taiyin meridian chain. When applying the technique of sling exercise with Tuina therapy,the patient maintains a good body position and undergoes exercise training with the help of the elastic ropes of the sling equipment. At the same time,meridian-following plucking manipulations are combined to activate the “weak-link” muscles,thereby enhancing the circulation of qi and blood in the meridians,releasing the surface tension of the fascia,and promoting the recovery of the balance of yin and yang and biomechanics in the meridian chain. A proved case is attached.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1738K]

SUN Hua's Experience in Treating Myofascitis with Acupuncture
XU Hong;CHEN Suhui;ZHANG Yamin;ZHANG Qiongqiong;DENG Peiying;SUN Hua;Department of Traditional Chinese Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences;
Midnight-noon ebb-flow is a characteristic theory of traditional Chinese medicine for treating diseases at the right time. Auricular acupuncture therapy is a method of treating corresponding diseases by stimulating the acupoints on the auricle through acupuncture. Professor SUN Hua integrates the theory of midnight-noon ebb-flow with auricular acupuncture therapy,believing that when the qi and blood of a certain meridian are vigorous,the functional activities of the organs associated with that meridian are also active in the ears. When treating myofascitis,according to the patient's visiting time and the flow sequence of qi in the theory of midnight-noon ebb-flow,the corresponding viscera points on the ear are needled first,combined with exercise;at the same time,local acupoint exploration,syndrome differentiation,and meridian differentiation for distant acupoint selection are emphasized. Professor SUN Hua,while inheriting and developing the midnight-noon ebb-flow acupuncture,took the lead in applying it to the acupoints on the ear,achieving remarkable curative effects and demonstrating innovativeness. Two proved cases are attached.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1629K]

Experience of YE Ling in Treating Constipation from Perspective of Dampness-Heat
GAO Xianming;HUANG Xiaojie;YANG Lihua;WU Caixian;HUANG Xuan;CHEN Xiao;CHEN Yong;REN Weitao;Anorectal Department,The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine;Department of Traditional Chinese Medicine for Hemorrhoids,Provincial Hospital Affiliated to Fuzhou University;Anorectal Department,Xiamen Hospital of Traditional Chinese Medicine;
Professor YE Ling believes that the dampness-heat pathogenic factors are prone to damaging the spleen and stomach. When the spleen and stomach are impaired and their transportation and transformation functions are lost,constipation may occur. Both internal and external dampness-heat pathogenic factors can lead to constipation. The external dampness-heat pathogenic factors are mostly related to the climate and environment,while the internal dampness-heat pathogenic factors can be induced by improper diet,liver qi stagnation,excessive thinking,hyperactivity of heart fire,and imbalance between work and rest. For constipation caused by dampness-heat disturbing the spleen,Professor YE Ling treats it by enlivening the spleen first.The preferred medicine is the aromatic dampnessresolving type,and she has created the Huashi Yizi Decoction（化湿乙字汤）,with excellent therapeutic effects. In addition to internal treatment with Chinese materia medica,Professor YE Ling also adopts characteristic external treatment methods such as Chinese materia medica enema,acupoint application,acupuncture,moxibustion,cupping,acupoint embedding thread,abdominal massage,and scraping to treat dampness-heat type constipation. One proved case is attached.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1592K]

Four Cases of Internal Diseases Treated by ZHOU Yabin Using Classical Prescriptions
ZHAO Xin;GE Yuan;WANG He;ZHOU Yabin;Graduate School of Heilongjiang University of Chinese Medicine;The Second Department of Cardiovascular Diseases,The First Affiliated Hospital of Heilongjiang University of Chinese Medicine;
Professor ZHOU Yabin diligently seeks ancient teachings and widely collects various prescriptions.Under the guidance of ZHANG Zhongjing's academic thoughts and based on the theoretical framework of the Treatise on Cold Pathogenic and Miscellaneous Diseases,Professor ZHOU Yabin can skillfully use classical prescriptions,combine them with clinical experience,take the six-meridian syndrome differentiation as the outline,examine the pathogenesis,clarify the meaning of the prescription,support healthy qi,eliminate pathogenic factors,and practice repeatedly. The article selects four effective cases of classic prescriptions used by Professor ZHOU in clinical practice,and introduces his clinical diagnosis and treatment ideas and medication principles for colleagues' reference.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1725K]

Research Progress on Postoperative Integrated Traditional Chinese and Western Medicine Treatment and Adverse Prognostic Factors for Esophageal Squamous Cell Carcinoma
XU Bowen;ZHU Guanghui;LI Jie;SUN Qianhui;KONG Miao;Hunan Cancer Hospital;Guang'anmen Hospital,China Academy of Chinese Medical Sciences;
Esophageal squamous cell carcinoma(ESCC) is the main pathological type of esophageal carcinoma in China,and its recurrence and metastasis are important factors affecting the long-term survival of postoperative patients,as well as key factors affecting the improvement of efficacy. This article reviews the progress of adjuvant therapy for ESCC after surgery and the treatment mode of integrated traditional Chinese and Western medicine,including loading therapy and consolidation therapy with traditional Chinese medicine,and proposes that screening and quantify-ing adverse prognostic factors is an effective means to reduce recurrence and metastasis rates. It is of great significance to fully utilize the advantages of the postoperative comprehensive treatment mode,follow the concept of precise treatment,identify adverse prognostic factors,construct clinical prediction models,and focus on highlighting effective programs with dominant population characteristics for the prevention and treatment of postoperative recurrence and metastasis of esophageal squamous cell carcinoma using integrated traditional Chinese and Western medicine. There are 66 references.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1768K]

Research Progress on Treatment of Atopic Dermatitis Complicated with Depressive Disorder Using Traditional Chinese Medicine
ZHAO Yulei;ZHU Ya'nan;ZHANG Hailong;AN Yuepeng;YANG Suqing;Heilongjiang University of Chinese Medicine;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine;
Atopic dermatitis is an inflammatory skin disease related to allergies. Because its skin lesions often spread all over the body and cause unbearable itching,it is often accompanied by psychological disorders of different degrees. Among them,depressive disorder is closely related to it. The concurrent occurrence of the two usually aggravates clinical symptoms and prolongs the course of the disease. Existing studies have shown that atopic dermatitis and depressive disorder may share common pathological bases in aspects such as genetic susceptibility,immune-inflammatory response,dysfunction of the neuroendocrine system,and imbalance of the intestinal flora. Many active components of Chinese materia medica can play a therapeutic role in atopic dermatitis and depressive disorder by regulating the immune-inflammatory response,the neuroendocrine system,and the intestinal flora. Traditional Chinese medicine characteristic external treatment methods,such as acupuncture,prickingcupping therapy,moxibustion,and Tuina,have also been applied in the treatment of them. There are 55 references.
2025 05 v.44;No.451 [Abstract][OnlineView][Download 1731K]

下载本期数据