Gynecological experience

Someone asked me: after practicing medicine for more than 30 years, do you have any secrets or prescriptions for treating gynecological diseases?    I said, “The secret is to master the laws of diagnosis and treatment; the prescriptions contained in gynecology books are all good prescriptions that have been tested by the ancients, and if they can be applied, they are all tested prescriptions. As for having unique insights in reading and unique clinical experience, it seems to be another story. The combination of traditional Chinese and Western medicine in Taixing Pi Defense Hospital, Yin Lihua Fu Qingzhu, who is famous as a gynecologist, uses Wanzhi Tang to treat leucorrhea with spleen deficiency and cold dampness, which is very effective, but not effective if damp heat is injected or kidney yin is insufficient. For the above-mentioned symptoms, the famous Chinese medicine doctor Qin Bo Wei’s commonly used: Cardamom Flower, Bacopa Monniera, Gorgonian, Scutellariae, Fried Phellodendron in salt water, Squid Bone, Yam, Golden Cherry, Atractylodes, Chai Hu, Zedoary, Fried Plantago in salt water, which is quite effective. The folk often use white cocklebur, white lentil flower, white toon bark, white fruit pulp 12-16 grams each, and pork stew, the effect is also excellent, but there are also those who take it is not effective. This illustrates the importance of evidence-based treatment.    In the Bamboo Forest Women’s Science, there is a formula called “An Fetus Drink”, which is very effective in ruling all the symptoms before fetus. In my clinical practice for many years, I have used this remedy repeatedly and effectively. The formula is as follows: Atractylodes Macrocephalae, Scutellariae, Scutellariae, Sandy, Angelicae, Licorice, Perilla, Pericarpium, Poria, Huo Xiang, Ginger.    Add or subtract with evidence: if pregnancy is malignantly obstructed, add Huo Xiang and Chen Pi, plus Han Xia; if the chest compartment is not wide, add Jack-in-the-pulpit, remove Atractylodes; if the child is swollen, add Shan Mast, Mu Tong, double the abdominal bark; if the child is gonorrhea, add Mu Tong, Zhu Ye, double Poria; if the fetus is restless, add Duzhong, Chuan Zhuan, Sang Sang, Gum, etc.    If the treatment of bleeding leakage does not heal for a long time, because of deficiency and loss, and the eight veins are empty, I often use the method of tonifying the odd meridians, such as “Anchong Tang” and “Gu Chong Tang”, which are often effective. The ancients had certain steps in treating the leakage of blood, as pointed out in the “Compendium of Medicine”: “The first step in treating the leakage of blood is to stop the flow of blood, the middle step is to clear the heat and cool the blood to clarify its source, and the last step is to tonify the blood to restore the old.” These principles have some clinical guidance. But such as clarifying the source of a method, not only to clear heat and cool the blood, but also I think the deficient to supplement it, according to the one who is transformed, can be said to clarify the source, learning from the ancient but not mud in the ancient. The initial stage of this evidence to stop the blood is the main, there is heat to clear its heat, there is phlegm to eliminate its fetish, to stop the blood heat, and then supplement its deficiency. To nourish the blood, the former people like to use angelica. In my opinion, although Angelica sinensis is a blood tonic and blood activator, it should not be used heavily for the more serious stage of collapse, especially during the period of blood collapse, according to my experience, Angelica sinensis must be removed, and the ancient people treated the blood collapse, using ginseng alone to tonic the qi instead of Angelica sinensis to tonic the blood, which is also a valuable experience gained through practice.    In 1962, I treated a woman who was already in her prime and had suffered from itchy pubic area for more than half a year. I gave more than 10 doses of Gui-Spleen Tang and the patient was cured. Some people may ask, “Gui-Spleen Tang is not a remedy for Yin itch, why did you use it effectively? The more the dampness is removed, the more the blood is deficient, and the more the blood is deficient, the more the wind is stronger, so the itch cannot be stopped. Good. My treatment is not strange, but to nourish the blood, which is the “Nei Jing” said that the treatment must seek the root of the disease. The disease has many causes, each has its own origin, a pluck its origin, all the evidence is removed, the essence of the treatment lies in this. Ming? Wang Yingzhen said. “See phlegm Hugh treat phlegm, see blood Hugh treat blood, no sweat not sweat, there is heat do not attack heat, panting do not consume gas, sperm loss do not astringent discharge, clear to get a total in the interest, is the doctor in the master.”    Because phlegm, blood, no sweat, fever, asthma, spermatorrhea and other diseases have different roots, we must first explore the root of the disease, and then use medicine to cure the root. If the treatment does not focus on the essence of the disease, but only on the superficial phenomena, the headache is treated, the foot is treated, even though there are good recipes and secrets, it is useless!