Let's look at a medical record first
Yang female, 42 years old, went to the doctor on November 27, 2007.
Main complaint: numbness in both hands, often wakes up from numbness at night ; at the same time suffering from irritable bowel syndrome, stools 1-2 times a day, basically formed, containing indigestible food residue, abdominal Sometimes pain, pale red tongue, thin coating, pulse string.
treatment starts from two aspects. On the one hand, Buyang Huanwu Decoction mainly focuses on to promote blood circulation to treat hand hemp : astragalus, red peony 13 , Angelica, Dilong, safflower, peach kernel, Yuanhu, Epimedium , Caulis spatholobi;
On the other hand, use , spleen and digestion , etc. Acute syndrome: Poria, Chinese yam, Pueraria lobata, Paojiang, Plantago, Purslane,Shenqu, malt , Gallus gallus , Jiao Hawthorn , the above two types of drugs are composed of prescriptions, 7 doses.
Second visit (December 28): After taking the medicine, the hand numbness was reduced by more than half, and the stool was normalized, so I stopped the medicine for 2 weeks. In this complaint, the usual head pain has been onset recently, sore throat, red tongue, thin coating, and narrow pulse. The original recipe includes 7 doses of yam, kudzu root, paojiang, plantain, purslane, divine comedy, gallinarum, burnt hawthorn, plus honeysuckle, shegan, and 7 doses.
Third visit (January 22, 2008): After taking the medicine, the numbness of the hands continued to decrease, and it was slight to nowhere, and the migraine and sore throat also stopped. However, ten days after the drug was stopped, I felt numbness in my right finger again in the morning. When I was nervous, I had stool twice a day, formed, containing indigestibles, abdominal pain, even pantothenic acid, pale red tongue, thin coating, and narrow pulse.
The treatment still starts from two aspects. On the one hand, Huangqi Guizhi Wuwu Decoction Modified Yiwenjingjing, Hexuetongbi : Huangqi, span cassia _span Peony, jujube, ginger, licorice, angelica, Yuanhu, Epimedium; on the other hand, pain relief prescription add flavor to treat irritable bowel syndrome: 13span_span_span_span_span_span_span_span_span_span_span_span_span_span_span_span_span , Atractylodes macrocephala, Poria, Shenqu, Malt, the above two types of drugs constitute a prescription,Give 14 doses.
Fourth visit (February 12): Finger numbness improved greatly, and stool was basically normal. The patient reported that the original menstrual flow was low and dark red. After taking the medicine, the menstrual flow increased and the color was bright red, and the number of migraine attacks was significantly reduced. The original prescription is to go to Yuanhu, Fangfeng, add red peony root, Gallus gallus domesticus, 14 doses.
Fifth Clinic (March 18): There is little numbness in the hands.
Regardless of irritable bowel syndrome, is only used to treat hand numbness . Due to its relatively few clinical manifestations, it is difficult to differentiate and treat . During this period, the type of syndrome did not change significantly.
The first visit was treated with Buyang Huanwu Decoction, and the third visit was changed to Huangqi Guizhi Wuwu Decoction. The results were satisfactory.
Buyang Huanwu Decoction has the function of invigorating qi, activating blood and dredging collaterals, mainly treating stroke sequelae hemiplegia ;
Huangqi Guizhi Wuwu Decoction is for replenishing qi and blood, warming meridian and clearing the collaterals, mainly treating stroke sequelae hemiplegia ; Blood Bi .
Although the two prescriptions have some similarities, after all, the composition of the drugs and their mechanism of action are different. Traditional Chinese prescriptions classify the former to , and the latter to Wenjing Sanhan category .
can be seen here, in terms of "same disease with different treatment", if it is the same disease but different syndrome types, it is another matter. If the disease is the same with the same syndrome, especially the method or prescription for treating the same disease of the same patient, it can often be different from doctor to doctor; even the method or prescription for treating the same disease of the same patient, even in the same doctor. It may be different due to different treatment time. The benevolent sees benevolence, the wise sees wisdom, the prescriptions and medicines are very different, and the different routes are the same.
This certainly reflects the breadth and depth of Chinese medicine , but theoretically speaking, among the many effective methods of treating the same disease, there must be only one that is the best or the most economical. If we Having been able to know this very clearly, I will inevitably choose it.
Therefore, sometimes under the guise of "same disease but different treatment", it is actually possible to conceal our ignorance. This requires modern Chinese medicine practitioners to conduct in-depth comparative research to find the "best" treatment plan. It is far from enough to be satisfied with the advantages of traditional Chinese medicine "same disease with different treatment" in theory, because Western medicine also has the medical practice of "same disease with different treatment".
References
[1]Wu Yingen. Same disease with different treatment effect of hand anesthesia [N]. Shanghai Journal of Traditional Chinese Medicine, 2009-10-02(011).
Expert introduction:
Wu Yingen, Chief Physician Shanghai Famous TCM doctors in the city
Mainly in the Department of TCM Respiratory Medicine, treating bronchial asthma, acute and chronic bronchitis, bronchiectasis, hemoptysis, chronic obstructive pulmonary disease, interstitial lung disease, chronic cough, pulmonary heart disease , Post-tumor conditioning, asthenia cold, lung and kidney deficiency syndrome conditioning, and internal medicine intractable diseases have accumulated rich experience in traditional Chinese medicine treatment. The prevention and treatment of bronchial asthma has formed a series of integrated Chinese and Western medicine programs. Chuang "Kechuanluo" and "Zhichuan Capsule" are used to invigorate the kidney and inhale qi, and are used for the treatment of asthma attack and remission respectively. The treatment of interstitial pneumonia is mainly based on the method of invigorating the kidney, replenishing qi, dredging the collaterals and softening the firmness. It has achieved satisfactory results in controlling symptoms and assisting in the withdrawal of hormones.
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