Outline
Wang Mianzhi (192-2009), Master of Traditional Chinese Medicine, professor and chief physician of Beijing University of Traditional Chinese Medicine. Professor Wang Mianzhi is the founder of the discipline of traditional Chinese medicine prescriptions. In 1994, he was identified by the Ministry of Personnel and the State Administration of Traditional Chinese Medicine as a mentor for the inheritance of academic experience of famous old TCM experts and a representative inheritor of the national intangible cultural heritage project (cognition and methods of life and disease in TCM). In 2008, he was awarded the title of "Beijing's Famous Veteran Traditional Chinese Medicine Doctor".
Memories of a Disciple
In more than 60 years of clinical, scientific research and teaching career, Wang Mianzhi has accumulated rich experience and formed distinctive academic thoughts and prescription characteristics. Since the teacher was busy with medical treatment, teaching, scientific research and social activities during his lifetime, he had no time to summarize his clinical experience except writing "Lectures on Prescription" and publishing it (manuscript engraving and publishing). Although there are some articles about teachers’ experiences in journals and magazines, the content is only fragments and it is difficult to fully reflect teachers’ academic thoughts. Therefore, it has always been a pity for those scholars who are eager to learn and study Wang Mianzhi's academic thoughts and clinical experience.
I have been a teacher’s doctoral student since 1993. My teacher and I have been together for three years, and we have been in constant hot and cold situations. After graduation, I was assigned to work at Beijing Tiantan Hospital. Using what I learned from the teacher and through my own innovation, I opened up a new situation in the field of traditional Chinese medicine for encephalopathy in Tiantan Hospital. After graduation, every time I visited the teacher, the teacher always talked about his experience in treating encephalopathy with great interest.
In recent years, in order to save teachers’ experience, the state and the Beijing municipal government have established Wang Mianzhi Studio and asked his disciples to do their best to organize and inherit the teacher’s academic thoughts to prevent the teacher’s valuable experience from being lost in the In the dust of history. So my eldest son Wang Xu and I wrote this book based on the information collected while following the teacher. Wang Xu, the 20th generation successor of Wang Medicine, has always been with his teacher in his study, life and work, and has been deeply influenced by his experience. In addition, Zhang Qing also worked hard to help organize teacher information.
Characteristics of medical records
01 The words are concise and concise, and the ink is treated like gold.
Teacher Wang Mianzhi’s medical records can be described as extremely concise. This is related to the large number of patients and the teacher’s style. Sometimes only one sentence is used to name the pathogenesis and the medicine is prescribed according to the pathogenesis. For example: Gao, female, 28 years old, January 26, 1995, was frail and susceptible, with backache. The treatment should be to strengthen the spleen and resolve phlegm.
Medical case suggestions: Female patients are usually weak and prone to colds, manifested by leucorrhea and backache; the pathogenesis is spleen and kidney deficiency, spleen and qi deficiency, external and internal weakness, spleen pulse weakness, kidney deficiency and waist weakness. Backache.
In addition to a concise description of the condition, the teacher's medical record also contains concise prescriptions. Some prescriptions may seem unremarkable at first glance, but most of them are used to regulate the spleen and stomach or replenish qi and blood. There is nothing special about them, but it is precisely these ordinary prescriptions that have outstanding curative effects and have the effect of moistening things with drizzle. They can "effortlessly make virtue visible and people can live a hundred years", which is the same as Lao Tzu's "Tao" "Learnable, but extraordinary" means the same thing. This is really everyone’s best effort.
02 Pay equal attention to disease differentiation and syndrome differentiation
The teacher is the 19th generation successor of Wang TCM. Although he has profound basic knowledge of traditional Chinese medicine theory and clinical practice, he never rejects modern medicine and tries his best to take advantage of it. The teacher's treatment emphasizes paying equal attention to diseases and syndromes, and combining common diseases with syndromes. In the teacher's medical records, names of modern diseases such as cerebral infarction, cerebral hemorrhage, glioma, and Parkinson's disease abound. The teacher pointed out that from hepatitis to cirrhosis to liver cancer, there are different syndromes at different stages, and it is necessary to have a comprehensive understanding of the disease. Only through the patient's symptoms can we examine the cause of the disease and formulate a treatment plan
When it comes to medication, the teacher pointed out that the ancients used medicine like fighting skills, paying attention to the teacher of the king, paying attention to kingship, and not emphasizing hegemony. This is the characteristic and advantage of traditional Chinese medicine. It heals the person rather than curing the person. Don’t forget about people when treating diseases, and don’t use medicine only for temporary effects. Be king and limit the handling of severe medications. It is not good to use too much or too little medicine, and it cannot be biased.
When it is not critical, it is also the teacher's rule to use tonics to replenish the deficiency or not the excess.
Teachers like to use ginger instead of licorice for medicine. There are three reasons: first, adding ginger helps to decoct the active ingredients of other medicines; second, adding ginger can warm the stomach and prevent nausea and vomiting when taking medicine. and other gastrointestinal adverse reactions; thirdly, ginger can reconcile various drugs, prevent the stimulation of drugs from affecting the normal transportation function of the spleen and stomach, help the absorption of drugs, ensure the expected effect of treatment, and is more beneficial to patients who take drugs for a long time. This is another concrete manifestation of the teacher’s idea of ??kingship.
04 Pay Attention to Tongue and Pulse
In more than half of Wang Mianzhi’s medical cases, the tongue and pulse are first described, and some even propose treatment methods only through the tongue and pulse. This shows that the teacher attaches great importance to the tongue and pulse. degree. To explore the pathogenesis based on the combination of tongue and pulse symptoms is to indicate the treatment. The teacher believes that the tongue and pulse can objectively reflect the patient's condition, so the consultation is relatively simple and only the main symptoms are collected. Just like this example: the tongue is fat and tender, the coating is thin and bottomless, and the pulse is thin and stringy, but the force is slow. This is because the spleen and stomach are deficient and cold, and the heart and liver are not nourished.
The teacher has a unique experience of tongue discrimination. For example, tongue coating falls off, stomach qi and stomach yin injury in traditional Chinese medicine, adult gastric mucosa intestinal metaplasia, abnormal hyperplasia, etc. are all precancerous lesions and require syndrome differentiation and medication. If the tongue is vertically split, the heart energy will be greatly lost. Regardless of whether the patient has symptoms or not, prescribed medications should also take into account the replenishing of the heart qi.
Pulse condition is the secret of traditional Chinese medicine. "It's hard to know by clicking on it, but in the heart." The teacher warned us that TCM pulse theory has profound connotations, and only by diligent study and hard practice can we master it. What we can learn from patients clinically and experience at home is to "advance with the disease and retreat as you wish." Revealed that the only way to master pulse science is to learn and think at the same time.
05 The calligraphy is handsome and unique.
The teacher left many original recipes. Judging from the prescription, the natural items are completely filled in and the layout is reasonable. The medical records are written in an orderly manner, like calligraphy works.
Although calligraphy is not an art that doctors must learn, it is a skill that Chinese medicine practitioners must memorize. As a master of traditional Chinese medicine, you must be proficient in literature, history, art, psychology and philosophy, understand life and society better than other professions, and understand the body and mind better than ordinary people. Therefore, it is easy to learn Chinese medicine but difficult to become a master.
Writing prescriptions into calligraphy works is a bit demanding, but writing prescriptions carefully is the most basic requirement. Regarding the requirements for writing prescriptions, the teacher said, “When we write a prescription, we must clearly write down the preparation method, drug name and dosage, as well as any special requirements, including decoction. Now some people can’t write the dosage clearly because all units are in grams. , so just write the number in front and not the simple word 'gram' at the end. This must be written clearly on the prescription to prevent prescription errors. The second thing is whether the wording is good or not. ."
Medical records remain true
Feng, female, 32 years old, September 6, 1994.
I have had a cough for 6 years and it has gotten worse recently. I can't lie down, my tongue coating is black, white and slippery