Traditional Chinese medicine theory eight relations (three)

YinChangJian Shandong university of traditional Chinese medicine hospital

China's traditional Chinese medicine reported

        The whole and the parts

        The overall concept as a methodology of traditional Chinese medicine, mainly have three meanings: namely "heaven corresponding" view, man and society and the integrity of the human body the overall concept of itself. Traditional Chinese medicine has always emphasize health is man and the nature of the harmonious and unified social environment and human's own complete harmonious and unified. Therefore, emphasize the overall concept, paying attention to the macro-control, pursuing comprehensive curative effect of traditional Chinese medicine (TCM) has been as the features and advantages of the academic development of the traditional Chinese medicine have the extremely profound influence, there is no doubt that the overall view is absolutely correct. And the current main awareness deviation is separate the whole and the parts, the relation between the unilateral emphasis on traditional Chinese medicine in the overall view at the same time, the Chinese medicine a great attention to detail change, emphasizes the idea of local treatment ignored.

        First of all, in the diagnosis of disease and syndrome, traditional Chinese medicine is actually pay more attention to emphasize the micro general disease and local disease differentiation. Chinese medicine listening, asking and four diagnostic methods for inspecting the main measure of the disease, the inspecting process to understand, observation and master of all sorts of different disease of different local every slight change, such as the tongue of observation, tongue body fat thin body shape, coating on the tongue, thickness and dryness and corruption sticky; To distinguish the pulse condition of pulse body, MaiLv and parts; Urinate want to distinguish, turbidity, white, yellow, red and so on the different; Sputum thick and thin and to see yellow, white or take the symptom such as purulent blood etc. The doctor is according to these local subtle change of disease and syndrome make whole understanding and diagnosis, the properties of the disease, depth, parts and so on the judgement of the concrete.

        Second, in treatment, traditional Chinese medicine is large, small on, starting with the first cause disease, specific site, specific specific lesions, specific syndrome, specific tongue, specific pulse condition, with corresponding specific treatment respectively, choose corresponding formulae, or implementation acupuncture, massage, fumigation, BianShi, guiding the treatment such as method, so as to make these specific disease to reduce or recovery. With dysentery, for example, Chinese medicine treatment first cause diarrhea celiac color, white or with celiac adhesion under the cold of cold, of gas; White and for the abscess of heat. The red or pure-blooded diarrhea of bright red blood, of the fire; Red white for more less heat, red white much less for cold; Under the experimental galleries for blood stasis, etc, meticulous observation. The hot and humid in treatment to concretion run smoothly, and do the gas law of the sluggish, with herbaceous soup; The WenHua for dampness in cold dampness, stomach lingya WenHua tonga to medicine, etc. These specific treatment and herbs for main is disease of small specific lesions.

        Traditional Chinese medicine treatment is concerned, every method has specific role, each party has the actual effect, each all have their own real sexual flavour to the effect, and adapt to the syndrome. Yellow sputum with ChuanBei, white sputum in zhejiang bei; Urine yellow wrapped in bamboo leaves, with XiaoJi urinetoplasma ratio; And with Chinese bulbul sepsis, having blood in one's stool land yu, constipation with rhubarb, diarrhea and with lentils, all have to law, medicine have to refer. Especially some folk prescription effect also is for the main party a specific disease or local syndrome of establishment, definite effect not only, and can withstand repeated, traditional Chinese medicine is the real treasure. Therefore, the clinical curative effect of Chinese medicine also often firstly embodies in the improvement of the local lesion, and these local curative effect is the important foundation to realize comprehensive effect.

        Of course, for the local lesion in the specific method according to the process of establishment and formula, sometimes need to overall concept of the concept of the guidance, and between the whole and the parts and with are more needs and important.

        Syndrome differentiation and disease differentiation

        For a long time, we always will be the syndrome differentiation and treatment of traditional Chinese medicine clinical diagnosis and treatment as the basic principle and model. The card is refers to the process of the development of the disease in one phase of the pathological generalization, including the etiology, disease, and a nature, and the corresponding relationship between evil is clinical performance etc. The syndrome differentiation and treatment is through the "hope, smell, ask, cut" four diagnostic methods material the comprehensive analysis of the and thinking for a card and judgment, then according to the card legislation, according to law formula, according to party choose medicine, form of medicine diagnosis and treatment system cut with French. The syndrome differentiation and treatment with the establishment and improvement of the system, cause "card" rise gradually to the dominant position, the axis, syndrome differentiation and thus become a prominent feature of traditional Chinese medicine. But we should also see, syndrome differentiation and treatment in constantly strengthened at the same time, Chinese medicine this some disease differentiation treatment was greatly weakened even forgotten, and in some form of traditional Chinese medicine diagnosis and treatment in seems to be only a dialectical way and only western medicine to disease differentiation of one-sided understanding, it's obviously wrong.

        In fact, traditional Chinese medicine and western medicine are first is disease differentiation, TCM syndrome differentiation is in Chinese medicine "disease" within the framework of the, traditional Chinese medicine and western medicine between disease and syndrome and disease also exist widely internal relations. How to know to traditional Chinese medicine "disease" and "card", the cause of disease and syndrome differentiation and disease and syndrome of traditional Chinese medicine and western medicine of the relationship between the disease, we have made it clear the following four aspects of the problem.

        First, the Chinese medicine is the first disease differentiation. The so-called disease, it is to point to by specific etiology, pathogenesis, development rules form, and outcome of a complete process. "Treatise on febrile diseases" is the title the distinguishing so-and-so disease "listed first, then is the pulse license and cure, some people think that pulse card PingLie also is to belong to the disease as. Synopsis of golden chamber as discusses the classic miscellaneous diseases diagnosis and treatment, the full text of article 22, of more than 40 kinds of disease alone. From the later in Chinese clinical document look, also are named for the article, according to the disease treats, or the syndrome differentiation and disease differentiation of earlier. So, some textual research in qing dynasty of China and not the syndrome differentiation and treatment before the said. ZhouZhiGan Ming dynasty the ShenZhai suicide "in the beginning see pattern identification and treatment, the qing dynasty XuGu chapter of the run of medical door" in the beginning to see the syndrome differentiation and treatment, but here's the differentiation is not refers to the only rule of Chinese medicine cure, but to judge in pathogenesis the premise of the syndrome differentiation and cutting.

        Second, the cause of traditional Chinese medicine (TCM) "disease" and the "card" the cause is "outline" and "eye", and the relationship and affiliate. ZhangZhongJing in treatise on febrile disease and syndrome differentiation and disease differentiation is first, the combination of disease and syndrome diagnosis model, "treatise on febrile diseases" articles all the first distinguishing so-and-so disease "and then" pulse license and cure ", the differentiation within the scope of the disease treated. The original arrangement of disease and syndrome differentiation is first to disease all syndrome, disease cent card under the diagnosis of very clear hierarchy. Synopsis of golden chamber to disease classification, with minimal card, form with internal organs differentiation "as the core miscellaneous diseases treatment of theory and practice in the system, such as the" full abdomen "disease into one of the three things decoction syndrome, big bear gas decoction syndrome, one of the seven things decoction syndrome, big radix soup on syndrome differentiation and treatment card and so on. This kind of disease syndrome differentiation system in accordance with the traditional later become the basic model of the clinical diagnosis and treatment.

        Third, the advantages and disadvantages of the syndrome differentiation and treatment. The advantage of the syndrome differentiation and treatment is to maximizing the macroeconomic regulation and control purpose, because "card" not only reflects the local lesion, and they reflect the general state, according to the "card" and legislation to cause treatment of formula, a disease of strong targeted, and were most likely to be good comprehensively curative effect.

        Its limitations mainly reflects in the following aspects: first is the diagnostic methods of intuitive general sex, syndrome is listening, asking and through to get an objective phenomenon speculative and regularity of the classification get to depend only on the human body sensory information, resulting in information collection is insufficient, the judgement of confrontation and quantity analysis capacity is low, is difficult to make an accurate analysis lesions essence and judgment, accordingly, "card" either the problem with representation, often cannot reflect the essence of the disease, so that the accuracy of the treatment were affected. Second, the syndrome differentiation and treatment is the subjective capriciousness, due to the nature of the syndrome happened biological basis and have not yet clear, the academy also is still not fully show the "card" and western medicine some lesions between essence has inevitable correlation. And by knowledge, experience and understanding of the influence of different make clinical doctors to "certificate" and the amount of the establishment of the certificate and degree of judgement, often with larger subjective freedom.

        Fourth, traditional Chinese medicine on clear "ill" and "card" and western medicine "disease" relationship. Say commonly, traditional Chinese medicine and western medicine disease and syndrome, correlation between disease and correspondence from sex three relationships. Some traditional Chinese medicine and western medicine such as disease and syndrome inflate cirrhotic ascites, diarrhea and enteritis, diabetes, asthma and thirst and asthmatic bronchitis has strong correspondence; Some traditional Chinese medicine and western medicine between disease and syndrome is related to the disease, such as jaundice and viral hepatitis, edema and nephritis, cough and bronchitis, etc.; And some traditional Chinese medicine and western medicine between disease and syndrome disease is the deviation, namely card without disease or sick and unlicensed, such as part of the fat sex liver disease, triglycerides certificate, hypertension, etc disease often can unlicensed visible; And clinically ou evil, for abdominal distention, less food, such as the lack of card but may check the normal results, namely card and no disease. Clinically sometimes there a "card" with many diseases cross or related, or a "disease" with a variety of card cross or related phenomenon. Traditional Chinese medicine "disease and syndrome" and western medicine "disease" it had on between the different levels of the complex relationship between and especially when departure from what happens to the sick and unlicensed, often the syndrome differentiation and treatment to bring certain difficulties.

        To sum up, in Chinese clinical practice, syndrome differentiation and treatment is important, but not the only, can not replace the syndrome differentiation and disease differentiation, already can't take the place of cause of traditional Chinese medicine "disease", more can't take the place of cause of western medicine "disease", only clear of traditional Chinese medicine of traditional Chinese medicine "disease" and "card", traditional Chinese medicine and western medicine disease of disease and syndrome relationship, will cause disease and syndrome of traditional Chinese medicine and western medicine cause disease organically, which adhere to the principle and method of the syndrome differentiation and disease differentiation and follow the standard and the basis, to deepen the understanding of the nature of disease, make accurate diagnosis more comprehensive, more safe and effective treatment. In the treatment of disease or in the ruling, or from card and rule, or have the Lord has auxiliary, or complement each other, correctly trade-offs, make more targeted and comprehensive treatment, so as to achieve the goal of the ideal effect. (out)