Chief Physician TIAN Binwu's experience in treating heat impediment with cold-heat complex syndrome
According to the five excesses of wind,cold,dampness,heat and dryness,traditional Chinese medicine classifies arthralgia diseases.Heat impediment is a arthralgia disease caused by the invasion of heat pathogenic factors.The pathogenesis of heat impediment is mixed with cold and heat,deficiency and excess,and the clinical treatment is complex and difficult.TIAN Binwu,a chief physician of the Department of orthopedics,Baoding hospital,Guang'anmen Hospital,Chinese Academy of traditional Chinese medicine,has been treating heat impediment for many years and has rich experience.He believed that in clinical cases of heat impediment patients with mixed cold and heat types,their medical history should be inquired in detail,and they should be treated based on syndrome differentiation according to the pulse condition of the tongue and concurrent symptoms.He stressed that if the curative effect is not good,we should reflect on it in time and change the treatment direction,especially for patients with Yang(阳)deficiency and chronic arthralgia.It is not only necessary to clear away heat,but also to treat the root cause and strive to treat both the exterior and interior.He remindes that the clinical treatment also needs to avoid long-term or excessive use of cold drugs,and always pay attention to regulating stomach Qi(气).Chief Physician Tian uses the Baihu Guizhi decoction(白虎桂枝汤)and the Guizhi Shaoyao Zhimu decoction(桂枝芍药知母汤)to treat heat impediment flexibly and dialectically,and achieves satisfactory results.This article introduces TIAN's experience in treating heat impediment through two proven cases,in order to provide reference for clinical practice.
Cold-heat complexHeat impedimentFamous doctors'experienceProven case
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