Philosophy Chinese Medicine | "Dynamic-Preface to Fan Fan's Eight Dharma" theory is heated after the treatment

Author:Guangdong Provincial Hospital Time:2022.09.26

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"Dynamic-Fan Fan Guan Fan's Eight Dharma" is the theory of traditional Chinese medicine proposed by Professor Fan Guanjie. For many years of research and practice of the team, the book "Philosophy Traditional Chinese Medicine-" Moving-Preface to Fan Fan's Eight Laws "and the clinical thinking of Chinese medicine use philosophy to interpret Chinese medicine and verify philosophy through traditional Chinese medicine. Through the push of this column, it is hoped that Chinese medicine practitioners will develop their thinking and improve the clinical level.

Medical Guidance: Director of the Department of Endocrinology of the Department of Endocrinology of Guangdong Province, Fan Guanjie, an academic leader

introduction

The theory of "Dynamic-Fan Fan Guan Fan's Eight Laws" is Professor Fan Guanjie rooted in traditional Chinese culture and traditional Chinese medicine theory. Comprehensive modern medicine's understanding of diseases, the experience of traditional medical sages, combined with personal rich clinical practice, from the height of philosophy , Creative new Chinese medicine thinking theory. This theory emphasizes the core disease and internal rules of the disease through complex clinical manifestations, and then use relatively fixed and dynamic Chinese medicine skewers to carry out system and orderly treatment Essence

Osteoporosis is a metabolic bone disease that causes bone crispyness and increased bone crispy and increased risk of fracture due to bone mass loss and decrease in bone tissue. At present, dual phosphate preparations are first -line anti -osteoporosis treatment drugs recommended by major guidelines, which can effectively reduce the risk of fracture. Treatment can be completely relieved. We are reporting a case of repeated heating medical treatment after the treatment of anti-osteoporosis. After the theory of "Dynamic-Preface to Fan Fan's Eight Laws" was applied, the patient's fever finally faded, and the face was re-smiled.

Case

Huo, male, 60 years old, was diagnosed on April 08, 2022.

First diagnosis: Main complaint: Repeated fever with headaches for 13 days. For more than 4 years of diabetic history, patients used Akaba Candy with Reagliena to take oral hypoglycemic. On March 18, 2022, due to the poor blood glucose control than the hospitalization treatment of our department. During the period, the bone density reminded osteoporosis and the fracture was high. On March 24, 2022 After the medication, recurrent fever occurs, and the average treatment of non -steroidal anti -inflammatory drugs and antibiotics is not effective. Symptoms: Patient's expression, mental fatigue, repeated fever, peak 38.4 ° C, headache, paroxysmal head twitching, flashing pain, several daily seizures, heavy foreheads, dry mouth, nano, poor sleep, easy to wake up, easy to wake up , Dream Duo, two stools. The tongue is red, the moss is white, and the pulse is slippery. Examination: 105/70mmHg of blood pressure, no special for cardiopulmonary abdominal examination. Auxiliary inspection: Normal range of blood. CRP 90mg/L. New crown nucleic acid detect negative.

Western medicine diagnosis: fever

TCM diagnosis: fever

Traditional Chinese Medicine Syndrome: Evil Flux Mircons

Traditional Chinese Medicine Law: Following and turbidity, opening the membrane original.

Specific prescriptions: 30g of Bupleurum, 30g of white peony, 10g of licorice, 15g of mothers, 15g betel nut, 15g of Hou Pu, scutellaria baicalensis, 10g of grass fruit, 50g of gypsum (fried first). A total of 4 doses, one dose a day, divided into time in the morning and evening.

Second diagnosis: April 12, 2022.

After the upper service, the body temperature can be reduced to 37.5 ° C. It still has headaches. Dark tongue, white moss, pulse strings. Test: Self -exemptions, three items of vasculitis, 3 items of tonic, and original calcium is normal. The syndrome differentiation is the same. Recipe: 30g of Chaihu, 30g of white peony, 10g of licorice, 15g of mothers, 15g of betel nut, 15g of Luopu, 15g of scutellaria baicalensis, 10g of grass fruit, 50g of gypsum (first fried), Chuanxiong 15g, Kawadozi 15g, Baiji 15g. A total of 4 doses. One dose of the day, will be divided up in the morning and evening. After taking the medicine, the patient did not fever anymore, and the headache relieved.

note

With the increase of population aging, the proportion of the elderly has gradually increased, and osteoporosis has become the "frequent visitor" of internal secretion and orthopedics. Anti -osteoporosis has always been the key to clinical treatment. Adverse reactions, after being treated with non -steroidal anti -inflammatory drugs, it is not effective. How should we deal with it? Traditional Chinese medicine textbooks do not have relevant information, but the theory of "Dynamic-Preface to Fan Fan" can be used to indicate the direction. "Movement" refers to the ever -changing and chaotic manifestations of clinical manifestations, "stance" "emphasizes the main symptoms, combines the foundation of traditional Chinese medicine and classic theory, and finds the core disease machine. There is a law that can be followed, there will be a turnaround, and it will not be helpless. This is the further sublimation of the essence of the essence of traditional Chinese medicine "same -disease heterogeneity, different diseases of different diseases".

The patient complained with repeated fever and should be based on the characteristics of fever. It was urgent, and the course of the disease was generally short, and there was no obvious signs of qi and bloody yin and yang disorders. It was considered that it belongs to the category of traditional Chinese medicine. As for the disease position, it has been fever for 13 days. It is accompanied by the pain, red tongue, white fur, slippery pulse, without cold, sweat, nasal congestion, and pulse floating. The stool is dry, the pulse Hong Da, etc., consider the evil in the membrane. In the middle and half, the evil enlightenment, the evil is fighting, so it sees repeated heat; Therefore, the use of filth and turbidity, the original diaphragm was used as the method, and the original Dian was used to add and subtract. Da Yuan Drinking Naiwu can be used in the "Warm Plant" to treat the original classic prescriptions of the wicked membrane. It has a cloud: "From the beginning of the temperature, the cold is the first, but the fever will be hot in the future. Body pain. At that time, before the ridge, after the stomach and intestines, although there was a headache and body pain, the evil heat became more popular than the scriptures. It is not necessary to think of typhoid fever evidence. , Khanzhi wounded qi, and the heat is not reduced. It is not possible. This evil is not inside, the lower below hurts the stomach, and its thirst is even more. " Wind, non -cold, non -summer, non -wetness, is that there is a feeling of different gas in the heavens and the earth. " Although the patients in this case were not harmed by the epidemic, they were clearly fever caused by drugs, but the clinical manifestations were similar to the original evil film. Although the disease is different, Fang Tongzhi is the same, and the core disease machine is consistent. A large dose of gypsum in the square, with a large dose of Chaihu cooling and heating, relieving muscle transparency; grass fruit aroma and avoiding filth, qi and turbidity, coda baicalensis clearing Shaoyang Yu heat, combined by both Licorice relieve pain to relieve pain; know the heat of clearing the sun to prevent heat from the heat; 4 doses can be retreated with high fever, the headache is slightly reduced, and the pulse turns from slippery strings. Considering the semi -solution of turbid evils. When the string is in spring, Jiachuan Grasson is based on the heavens to relieve the liver, the chuanxiongxuexue and the blood, and the white pupa slows down. Yangming's headache, and the symptoms after 4 doses were completely relieved. The clinical fever is extremely complicated, with many performance, and it is often headache. This is "moving". Here, by carefully analyzing the characteristics and tongue veins, combined with the classic Chinese medicine classics, the core disease machine is found. This is the manifestation of "fixed". On the basis of the classic theory, combined with the current situation of the patient, it is played on the basis of the scriptures to determine the corresponding governance and prescriptions. The subsequent adjustment of the medication based on the changes in the condition, and the exorcism to go out, reflecting the meaning of "sequential". This case fully shows the importance of clinically grasping the method of thinking. Professor Fan Guanjie believes that the classics should not end in books, and the prescription should not stop in one disease. During the certificate, he should learn from many clinical manifestations, grasp the main symptoms, diagnose and identify diagnosis, identify core diseases, and combine the classic Chinese medicine classics And basic theory, establish personal dialectical ideas and medication characteristics, become innovators, jointly expand the connotation of Chinese medicine, improve clinical efficacy, and do not stick to one side and one method. The modern illness spectrum is constantly changing. Under the guidance of the theory of "movement-preface", it can "constant change in unchanged", keep up with the pace of the times, and meet the needs of the new era.

Medical Guidance:

Fan Guanjie, a provincial -level famous Chinese medicine medicine, a professor of clinical talents in the country's outstanding Chinese medicine, the seventh batch of academic experience inheritance of academic experience in the academic experience of old Chinese medicine experts, chief physicians, doctoral supervisors, and postdoctoral cooperative professors.

Good at: integrated Chinese and Western medicine to treat diabetes, diabetic peripheral neuropathy, diabetes and nephropathy and other diabetes complications, as well as endocrine metabolic diseases such as hyperthyroidism, hyperthyroidism, thyroid gland nodules, nailitis and other thyroid diseases, gout, obesity, and hyperlipidemia.

Diagnosis time

Location of the diagnosis

Tuesday afternoon (13: 30-16: 00)

Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine

Thursday afternoon (13: 30-15: 30)

Fangcun Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine

Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine: No. 111, Dade Road, Guangzhou City

Fangcun Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine: No. 36 Yong'an Street, Guangzhou

Traditional Chinese medicine is an excellent representative of traditional Chinese culture. The book "Philosophy Traditional Chinese Medicine-" Dynamic-Preface to Fan Fan's Eight Laws "and the clinical thinking of Chinese medicine" uses various mainstream philosophical thinking methods of ancient and modern Chinese and foreign And building is a new attempt for breakthroughs in the theory of Chinese medicine, and it is also a lively example of self -confidence in Chinese culture. The theory of "Chinese Medicine" comes from clinical, and it is higher than the clinic, and instructs clinical use. This book systematically describes Professor Fan Guanjie's clinical medicine ideas and is also a summary of Professor Fan's clinical experience.

Supply: Wu Lulu Han Peilin

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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