Professor Lin Chuangjian noticed that middle-aged and elderly individuals,as well as patients with weakened spleen and kidney function,are prone to developing gouty arthritis of phlegm-turbidity and blood stasis obstruction type.The clinical manifestations of gouty arthritis of phlegm-turbidity and blood stasis obstruction type were characterized by recurrent and prolonged episodes,marked joint pain(worse at night),joint deformities,numbness and stiffness of the skin,difficulty in walking,spasm of muscles,and limited joint movement,and were probably accompanied by facial and pedal edema,chest and epigastric fullness,dizziness and tinnitus,flushed cheeks and dry mouth,and soreness and weakness of the lower back and knees.Gouty arthritis of phlegm-turbidity and blood stasis obstruction type is a fundamentally-deficiency and incidentally-excess syndrome,characterized by phlegm-turbidity-stasis as the symptomatic features,and spleen-kidney deficiency as the root cause.During syndrome differentiation,Professor Lin emphasizes the relationship between phlegm-turbidity-stasis and the zang-orga nis of spleen and kidneys,and considers that the dysfunction of spleen and kidneys is the root cause of phlegm-turbidity-stasis formation.During treatment,therapeutic principle of simultaneously treating the symptom and root cause was followed,primary methods of fortifying the spleen and tonifying the kidneys,removing phlegm and resolving turbidity,and activating blood circulation to resolve stasis were adopted,and Bushen Juanbi Yipi Decoction was used as the foundational prescription.Bushen Juanbi Yipi Decoction consists of the herbs of Notopterygii Rhizoma et Radix,Angelicae Pubescentis Radix,Cinnamomi Cortex,Gentianae Macrophyllae Radix,Angelicae Sinensis Radix,Chuanxiong Rhizoma,Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,Piperis Kadsurae Caulis,Mori Ramulus,Olibanum,Aucklandiae Radix,salt-processed Morindae Officinalis Radix,Taxilli Herb,Saposhnikoviae Radix,Smilacis Glabrae Rhizoma,Microctis Folium,Atractylodis Macrocephalae Rhizoma,Pinelliae Rhizoma Praeparatum,Clematidis Radix et Rhizoma,and Eupatorii Herba.In clinical practice,adjunct herbs for fortifying spleen,ventilating lung,soothing liver,or tranquilizing heart may be added based on accompanying symptoms.Professor Lin's diagnostic and therapeutic approach will provide valuable insights for the traditional Chinese medicine management of gouty arthritis.

Objective To observe the clinical efficacy of Sanyinjiao acupoint sticking with Gushen Yutai Tie on threatened abortion. Methods A total of 216 women diagnosed with threatened abortion were randomly assigned to trial group (108 cases) and control group (108 cases). Both groups were treated with TCM syndrome differentiation treatment and progesterone soft capsule, and the trial group was treated with Gushen Yutai Tie acupoint sticking at Sanyinjiao (SP6) additionally. One treatment course was five days, and both groups were treated for three courses. Vaginal bleeding and lower abdominal pain, lumbar pain, nausea and vomiting were observed, pulsatility index (PI) and resistance index (RI) of the uterine artery were detected after treatment. Results The total effective rate in the trial group was 97.22% (105/108), which was significantly higher than that of 90.74% (98/108) in the control group (P<0.05). Symptom scores in the trial group were also significantly higher than those in the control group (P<0.01). PI and RI in the ineffective (pregnancy failure) group were much lower than that of effective (threatened abortions with normal outcome) group (P<0.01). Conclusion The treatment that Gushen Yutai Tie acupoint sticking at Sanyinjiao combined with TCM syndrome differentiation and progesterone soft capsule had a better effect to improve pregnancy success rate in threatened abortion. PI and RI in uterine artery could be used to evaluate the outcome of pregnancy.