Advances in traditional Chinese medicine for liver disease therapy in 2020
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With my own TCM practitioner’s knowledge and experience, I do not think different opinion have obvious correctness or wrong. Only efficacy really matter. It relies on the individual’s situation and whichever method with better effectiveness than the other should be brought to application.
I personally believe that if it is a simple case, we stress the importance of diagnosis of Zheng-syndrome in TCM with support of disease diagnosis of conventional medicine. Takes common cold as example, it does matter if it is a wind-heat type or wind-cold type, we usually apply Daqingye or Banglangen because its anti-virus effect. Last issue I recommend Ganmao Qingre Keli plus Banglanggen Chongji for common cold and flu, which is on basis of this theory.
When we treat a very complicated case or condition or syndrome without biomedical diagnosis, we should follow TCM Zheng-syndrome differentiation. It is not uncommon that for some cases there is no diagnosis in conventional medicine. This is where we need to rely on our knowledge and experience of TCM. Takes a patient with main complain of eczema, accompanying with hay fever, asthma and IBS, we should deal with all four condition in one prescription, rather than dealing the four conditions separately like conventional medicine, in order to achieve the best result.
>(Neijing) tells us to ‘search a cure from the root of illness’. The root is usually identified by TCM Zheng-syndrome differentiation, which enables us to establish a treatment principles. On basis of the treatment principle we are able to decide formulae and choice of medicines or acupoints. Dealing with this kind of complicated cases by applying TCM syndrome differentiation shows the strengths of TCM. Not only me, but all well qualified TCM practitioner, are armed with this strength. In addition, we should mainly rely on disease diagnosis of conventional medicine if it is definite but without any symptoms. For example, hepatitis B virus carrier or pre-clinical diabetes patient, we have no choice but to deal with it on basis of the diagnosis from conventional medicine. Take common cold as an example. To a child, an old, a young strong me or a young pregnancy women catching a cold, the treatment should be different for them, also cold occurring in different season or different region should be treated differently. Although we can apply formula to cover most cases of cold, we still need to take individual’s condition into consideration to tailor our prescription.
To simplify a complicated case, we should apply four diagnostic techniques and eight principle differentiation to lead to a unique syndrome pattern, i.e. Zheng of bian zheng lun zhi. In one word, syndrome differentiation is core of TCM practice and the essence of art in TCM system.
In essential, this is a question how to deal with the relationship between TCM and conventional medicine. I remembered when I participated in editorial work of a TCM pediatrics textbook in 1990s’, a question was raised to my supervisor Prof. Shaochuan Li on whether the contents of the book should be categorized by diseases of conventional medicine or TCM syndromes. Professor Li’s answer was using diseases of conventional medicine as titles and supplemented by TCM syndromes. As a famous clinician in TCM for sixty years, Profs Li had an open-mind to accept conventional medicine as main stream. In practice he always applied TCM theory into practice and he never gave up TCM principles and techniques. He always believed that TCM and conventional medicine should learn from each other in order to achieve best result for our patients. As early as in 1960s, Mr Li had published research reports about TCM treatment on children’s acute nephritis and nephritic syndrome. Both of acute nephritis and nephritic syndrome belongs to edema-syndrome in TCM but their treatment is quite different. There are so many different methods of TCM syndrome differentiation based on eight principles, zang-fu-theory, Channels (Jingluo), six-channel syndromes (liujing), defence-qi-nutriention-blood system (wei qi ying xue system), three-warmers. If we add a new method like selection of treatment on basis of diagnosis from conventional medicine, I believe it would be a good way for TCM to further develop. This is actually from ancient tradition reflected in Dr Zhang Zhongjing’s > 1800 years ago.
Eight and half years ago, when I came to the UK, this is the first question I asked Dr Junkun Bai. Coincidentally, my friend Dr Mingjing Cai, he asked me the same question when he came to the UK one and half years ago. I am hoping my answer have a little help to Dr Cai and my reader who are interested in this topic.
Mandarin Chinese
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Hand-foot-and-mouth disease is caused by intestinal virus infection. The viruses coxsackie A16 (CA16) and enterovirus 71 (EV71) are the main pathogens. Between them, the virus EV71 is more dangerous and easier to cause serious complications, which leads to death or disability. Currently, there are no effective antiviral drugs to treat EV71 infection. Therefore, developing an effective drug against EV71 virus activity is significant. It has a huge potency of screening the anti-EV71 components and developing the new drugs from the abundant traditional Chinese medicines (TCMs). Meanwhile, since hand-foot-and-mouth disease spread in Shanghai in 1981, a growing number of reports on TCMs treatment in clinic have been published. In addition, most of treatments with various ways are effective, which play a positive role on improving clinic treatment and controlling diseases. Moreover, special clinic advantages and features of TCMs were obviously shown.
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To explore the optimal therapy for constipation of excess fu syndrome due to phlegm heat in acute cerebral infarction.One hundred and sixty cases were randomized into acupuncture plus herbal medicine group, Chinese herbal medicine group, acupuncture group and Glycerine Enema group, 40 cases in each one. All the patients of 4 groups had received the conventional management in neurological internal medicine department and acupuncture according to the theory of SHI's regaining consciousness. Additionally, in acupuncture plus herbal medicine group, acupuncture and oral administration of Chinese herbal medicine were adopted. Acupuncture was applied to Shaoshang (LU 11), Shangyang (LI 1), Fenglong (ST 40), Tianshu (ST 25), Zhigou (TE 6), etc. Chinese herbal medicine was composed of Jinyinhua (Lonicera Japonica), Liangqiao (Fructus Forysthiae; Weeping Forsythia), Huangqin (Radix Scutellariae), Zhizi (Gardenia jasminoides Ellis; Cape Jasmine), Dannanxing (Rhizoma Arisaematis Cum Bile), Quangualou (Fructus Trichosanthis), etc. In acupuncture group, acupuncture was used simply. In Chinese herbal medicine group, only Chinese herbal medicine was administered orally. In Glycerine Enema group, Glycerine Enema was adopted. The interval time of defecation, stool quality, efficacy on constipation and nerve function score in 7 days and 21 days after treatment were compared among groups.After 7 days treatment of constipation, the total effective rate was 97.5% (39/40) in acupuncture plus herbal medicine group, which was superior apparently to 87.5% (35/40) in Chinese herbal medicine group, 82.5% (33/40) in acupuncture group and 80.0% (32/40) in Glycerine Enema group (all P < 0.05). After 21 days treatment, the total effective rate of constipation was 92.5% (37/40) in acupuncture plus herbal medicine group, which was superior apparently to 82.5% (33/40) in Chinese herbal medicine group. 80.5% (32/40) in acupuncture group and 67.5% (27/40) in Glycerine Enema group (all P < 0.01). The differences in the interval time of defection, stool quality and nerve function score after 7 days and 21 days treatment were significant statistically in comparison among 4 groups (P < 0.05, P < 0.01). The results in acupuncture plus herbal medicine group were superior apparently to the other groups.The integrated acupuncture and herbal medicine is effective definitely on constipation in acute cerebral infarction. Additionally, this therapy may improve the clinical efficacy of cerebral infarction and suggest the coordination between acupuncture-moxibustion and Chinese herbal medicine.
Enema
Moxibustion
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Acupuncture exerts diffuse analgesic effects through the release of endogenous opioids and other locally and centrally acting mediators. Successful therapeutic interventions for various musculoskeletal conditions in horses are well documented, and acupuncture may significantly enhance performance. The use of acupuncture is specifically supported in treating nonsurgical gastrointestinal disorders, in which specific techniques can alter motility and contribute to visceral analgesia. This article describes the use of acupuncture and Chinese herbal medicine for equine reproductive management and for treating respiratory disease. A careful review of available data and ongoing efforts to enhance unbiased research should continue to guide practitioners of evidence-based medicine in refining the most useful applications of acupuncture and Chinese herbal medicine.
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