Analysis on Syndrome Differentiation of Arthralgia Disease in Xin'an"Zhangyitie Internal Medicine"
10.16466/j.issn1005-5509.2024.06.007
- VernacularTitle:新安"张一帖内科"痹病辨证思路探析
- Author:
Liru YIN
1
;
Tao XIONG
;
Tuo WEI
Author Information
1. 皖南医学院第一附属医院国医大师工作室 新安医学研究中心 安徽,芜湖 241000
- Keywords:
Xin'an medicine;
"Zhangyitie Internal Medicine";
arthralgia disease;
regulate cold and heat;
consolidating basis and cultivating primordial Qi;
harmonize Qi and blood;
resolve phlegm and disperse blood stasis
- From:
Journal of Zhejiang Chinese Medical University
2024;48(6):685-689
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To summarize the traditional Chinese medicine(TCM)syndrome differentiation of"Zhangyitie Internal Medicine"to treat arthralgia disease.[Methods]By following patients and learning,collecting,sorting out and analyzing typical medical cases,consulting relevant ancient books and literature of TCM,comparing with what the main inheritors of"Zhangyitie Internal Medicine",master of Chinese medicine LI Jiren and Professor LI Yan talked about in the clinical treatment of syndrome,summarizing the thought and experience of syndrome differentiation of"Zhangyitie Internal Medicine"in the treatment of arthralgia disease from three aspects:etiology and pathogenesis,innovative new safety theory and clinical treatment,and adding two medical cases to prove it.[Results]Xin'an"Zhangyitie Internal Medicine"innovated Xin'an medical theory,established the"balance of cold and heat,consolidating basis and cultivating primordial Qi"theory and"cold and heat three phases"therapy to treat arthralgia disease,focusing on regulating cold and heat in clinic,consolidating basis and cultivating primordial Qi,harmonizing Qi and blood,resolving phlegm and dispersing blood stasis.In case one,the patient with repeated joint pain,and a long course of the disease was diagnosed with phlegm-stasis mutual obstruction type arthralgia disease,Professor LI Yan used self-created"Yishen Qingluo Huoxui Formula"plus Wutou Decoction to resolve phlegm and disperse blood stasis.The patient was overworked in the second case with felt dampness,multi-joint pain,swelling,adverse activity,local heat sensation and spirit fatigue,Professor LI Yan differentiated the patient as internal obstruction of dampness-heat and deficiency of Qi and blood type arthralgia disease and treated with clearing heat and detoxifying,invigorating Qi and activating blood to regulate cold and heat.[Conclusion]Xin'an"Zhangyitie Internal medicine"has formed its unique clinical characteristics in the treatment of arthralgia disease practice,with flexible syndrome differentiation,very effective,is an important branch of Xin'an medicine,it expands new ideas for TCM treatment of arthralgia disease,worthy of reference.
