中医临床经验:英文

作者商宪敏/等
出版社
出版时间1998-01-01

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IntroductionClinicalExperiences,thefifthvolumeintheseries"PracticalTradi-tionalChineseMedicineandPharmacology"joinswithtwoothers,MedicifnalHerbsandHerbalFormulae,inprovidingpracticalapplica-tionsofChinesemedicine.Assuch,itwillbemostusefulifthereaderhasaworkingknowledgeofthetheoriesandprinciplesoftraditionalChinesemedicineandpharmcalogyaspresentedinthefirstvolumeofthisseries.Anunderstandingofthephysiologyandpathologyofthehumanbody,diseaseetiology,diagnosis,anddifferentiationofsymptom-complexes,includingthetheoriesofYin-Yang,FiveEle-ments,zang-ju,channels-collaterals,qi,blood,andbodyfluid,willenableonetomakethemostefficientuseoftheinformationcontainedhere.Thecontentsofthisvolumearearrangedaccordingtothecharac-teristicsandtherapeuticmethodsoftreatingcommondiseases,bothinternalandexternal.Eachsectionbeginswithabriefdescriptionofthedisease.Thisisfollowedbyadiscussionofthedisease'sEtiologyandPathogenesis.Thenextsectionincludestwoparts:(a)SyndromeDifferentiation,whichidentifiesthecharacteristicsofthedisease;and(b)TherapeuticPrinciples,whichoutlinestherecommendedtherapiesforthevarioussyndromes.TheClassificationandTreatmentsectionwhichfollowsismostpracticalinthatitincludesdetaileddescriptionsofthemanifestationsofeachsyndrome,thetherapeuticprinciplesinvolved,andtheprescrip-tionsrecommendedfortreatment.TheseprescriptionslisttheLatinnameforeachcomponentaswellasthequantityrequiredintheformula.Inmanycases,aRemarkssectionspecifiesslightalterationswhichcanbemadetotheformulatomakeitmoreeffectiveintreatingasyndromewithunusualmanifestations,andasectioncalledExperien-tialPrescriptionslistsadditionalformulae.Thepresentationofthematerialinthiswell-organized,step-by-stepmannermakesthisvolumeespeciallyusefulforself-study.Finally,ClinicalExperiencesisunique.ItbringstogetherforthefirsttimetheclinicalexperiencesofancientpractitionersaswellasthoseofthefinestdoctorspracticingthroughoutChinatoday.Useofthisvolume,withitspracticalapplications,willenablereadersandusersofthismaterialtojoininthelongtraditionofChinesemedicineandpharmacologyandthushelppromotethedevelopmentanddissemina-tionofthisancientartandscience.片断:Chapter1INTERNALMEDICINECOMMONCOLDThecommoncoldisadisorderwithnasalobstructionanddischarge,sneezing,headache,cough,fever,chillinessandmalaiseasitschiefmanifestations.Itusuallyoccursinwinterandspring,butmayalsobeseenthroughouttheyear.InfluenzaisalsogroupedunderthiscategoryintraditionalChinesemedicineandtreatedaccordingtotheprinciplesmentionedbelow.EtiologyandPathogenesisThisdiseaseismainlyduetotheinvasionofexogenouswindandusuallyoccursduringasuddenchangeofweatherwithunexpectedcoldorwarmth.Inappropriateclothing,beingdrenchedbyrainandfatiguemaydecreaseone'sbodyresistanceandpredisposeonetocatchacold.Thepathogenicfactorsusuallyaredifferentinthefourseasons.Forexample,wind-coldisthefactorinwinter,wind-heatinspring,associationwithsummer-heatanddampnessinsummer,withdrynessinautumnandwithdampnessintherainyseason.Hence,accordingtothevariationsoftheclimate,thepathogenicfactorandthepatient'sconstitution,thediseasemaybemanifestedasawind-heatsyndromeoradisorderassociatedwithsummer-heatoradampnesssyndrome,whichmaychangeorcomplicateeachotherduringthecourseofthisdisease.However,nomatterwhatkindsofpathogenicfactorsareinvolved,theyimpairthedescendinganddispersingfunctionsofthelungs,leadingtotheblockageofthesweatpores.Inthecaseofamaladycausedbyseasonalpestilence,suchasinfluenza,thegeneralsymptomsareremarkableandsevereandmaybecomplicatedbyotherdiseases.SyndromeDifferentiationandTherapeuticPrinciplesA.Syndromedifferentiation(a)Whenthepathogenicfactorislocatedinthelungsandbodysuperficies,thedisorderisusuallyattributedtosuperficies-stheniasyn-drome.(b)Toidentifythenatureofpathogenicfactors,soastodistinguishthewind-coldsyndrome,wind-heatsyndrome,andcomplicationofsummer-heatsyndromeanddampnesssyndrome.B.TherapeuticprinciplesEliminatingwind,releasingstagnatedlung-qiandexpellingsuperfi-cialevilsarethemaintherapeuticprinciples.ClassificationandTreatmentA.Wind-coldsyndromeManifestations:Severechillinesswithmildfever,anhidrosis,headache,sorenessandpainofthelimbs,nasalobstructionordis-charge,itchingofthethroat,coughwiththinsputum,nothirstorthirstwithdesireforhotdrink,thin-whiteandmoisttonguecoatingandsuperficialorsuperficial-tensepulse.Therapeuticprinciples:Expelsuperficialevilwithdrugsofacridtasteandwarmnature,releasethestagnatedlung-qi,anddispelcold.Prescription:(1)TheModifiedDecoctionofAlliiFistulosiandSojaePraeparatumformildcasesBulbusAlliiFistulosiSemenSojaePraeparatumHerbaSchizonepetaeRadixLedebouriellaeFoliumPerillaeSemenArmeniacaeAmarum

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