Professor DONG Jianwen's experience in treating fracture based on the theory of Pingbu
Traditional Chinese medicine(TCM)has a long history in treating fractures,accumulating a wealth of clinical experience.Especially since the Ming and Qing dynasties,the Pingbu(平补)theory represented by XUE Ji in Zhengti Leiyao(《正体类要》),and the theory of early,middle,and late-stage treatment of injury in Zhengzhi Zhunsheng(《证治准绳》),had a profound impact on later generations.Professor DONG Jianwen with over 50 years of clinical practice experience summarized the predecessors'theories and built upon the theory of Pingbu based on the three-phase syndrome differentiation of fractures.Professor DONG's theory of Pingbu originates from the theory of Qi(气)and blood(血)and the theory of Zangfu organs(脏腑)in the Ming and Qing Dynasties,emphasizes the oppositeness unity of Yin(阴)and Yang(阳),the combination of Qi tonification and Qi movement,and the integration of nourishing Yin and strengthening Yang,and focuses on treating disease from the root cause and prevention before disease onset.In clinical practice,Professor DONG particularly emphasizes the regulation of the functions of spleen,stomach,liver,and kidney,believes that spleen and stomach,as the acquired basis,are the source of Qi and blood production,that their robust function is the basis and guarantee for fracture healing,and that the growth,development,and repair of bones depends on the nourishment of kidney essence and Qi.In treating fractures,Professor DONG combines syndrome differentiation with the patient's actual condition,and advocates the combination of holistic syndrome differentiation and localized syndrome differentiation according to the time,location,and individual circumstances,so as to achieve the purpose of Yin and Yang in equilibrium.Professor DONG has created numerous TCM prescriptions for treating fractures and soft tissue injuries,with remarkable clinical effects,and has also conducted innovative research on the action mechanisms of TCM.Based on summarizing the experience of predecessors,Professor DONG advocates the Pingbu method characterized by syndrome differentiation and treatment,harmonizing Qi and blood simultaneously,harmonizing spleen and stomach,balancing Yin and Yang,and treating disease from the root cause.This method has been reflected in all stages of fracture treatment,showing the essence of TCM syndrome differentiation and treatment.
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