Winter poultices to combat chronic obstructive pulmonary disease

       The word “paste” is interpreted as “fat” in “Shuowen”, and “paste” is interpreted as “moisten” in “Zhengyun” and “Boya”. It is also known as “paste” and “decoction”. Qin Bowei, a famous doctor in modern times, pointed out in “The Complete Book of Ointment” that: “Ointment” is a decoction of medicinal juice into fatty liquid, which nourishes the dryness and weakness of the five organs and six bowels, and is therefore commonly known as ointment medicine. Paste prescription belongs to one of the eight dosage forms in Chinese medicine: pill, powder, paste, dan, wine, dew, soup and ingot. It is generally composed of about 20-40 herbs and has a good tonic effect. In modern times, poultices are widely used in Shanghai, Jiangsu, Zhejiang and Guangdong, especially in Shanghai. As the saying goes, “Winter tonic will help you fight the tiger in spring”. According to the theory of Chinese medicine, “the unity of heaven and man”, taking tonic-based “cream formula” in winter is the best time to maintain and accumulate in all seasons of the year. According to the theory of traditional Chinese medicine, “the unity of heaven and man”, taking tonic prescriptions in winter can help the body to retain the tonic substances in the body, which can be more easily absorbed and stored by the body, and slowly used and absorbed.  In the past 3 years, in addition to coughing, sputum is more frequent than before, accompanied by shortness of breath, especially after activities, and easily attacked during the change of seasons, and on average, he is hospitalized 3-4 times a year due to acute attacks, and chest CT indicates “chronic branch, emphysema “He was hospitalized for acute attacks on average 3-4 times a year. His chest CT indicated “chronic bronchial disease, emphysema” and his lung function indicated “severe obstructive ventilatory dysfunction, FEV1 percentage of expected value: 45%”. He went to several tertiary care hospitals and was diagnosed with COPD, and was given standardized treatment, including inhaled long-acting bronchodilators and glucocorticoids, and his condition was relieved to some extent.  However, when the seasons change or the weather turns cool, Sun is particularly prone to “colds”, and once he gets a “cold”, coughing, sputum production and shortness of breath follow. Once the “cold” is over, followed by coughing, phlegm, shortness of breath, his “old slow-onset” is going to attack again, a week if short, and may have to be hospitalized if the attack is strong. Sun also went to the community health center to receive the “flu vaccine” and “pneumococcal vaccine”, but the results were not very satisfactory. His family persuaded him to undergo Chinese medicine treatment several times, but he thought that there was no good way to treat slow-onset lung in Western medicine, so how could Chinese medicine be effective and refused his family’s suggestion.  In the winter of 2011, Mr. Sun, who did not believe in TCM, came across the health festival and the opening ceremony of the cream recipe held by Yueyang Hospital in the “Peace Park”, so he came to Yueyang Hospital to see the cream recipe clinic with the intention of giving it a try. “Chronic Obstructive Pulmonary Disease (COPD), also known as Chronic Obstructive Pulmonary Disease (COPD), or what the people call “Old Slow Branch”, is a condition of “lung distension” in Chinese medicine. “It is initially caused by external evil offending the lung, repeatedly delayed and gradually aggravated, resulting in deficiency of all organs of the lung, spleen, kidney and heart over time, with phlegm, water-drinking, qi stagnation and blood stasis intertwined, leading to cough, phlegm and wheezing symptoms. In addition to cough, sputum and asthma, he also had poor appetite and loose stools, frequent nocturnal urination, cold fear and cold limbs, fatigue and weakness, a dark red tongue with thin and greasy coating, and a slippery pulse, which indicate that Sun’s chronic obstructive pulmonary disease is based on the deficiency of lung and spleen, with Yang deficiency, and the lung, spleen and kidney are gradually affected. Therefore, the important treatment rule is to nourish the lung, strengthen the spleen and kidney, dissolve phlegm, invigorate blood circulation, and promote blood circulation.  After thousands of years of development and clinical practice, Chinese medicine has formed a complete theoretical system. The treatment of Chinese medicine is to discriminate the evidence, while the regulation of Chinese medicine poultices is to discriminate the evidence and apply tonic, starting from the whole body, adjusting the pathological state of the organism and enhancing its ability to resist diseases.