Wang Mianzhi (192—2009), master of traditional Chinese medicine, professor and chief physician of Beijing University of Chinese Medicine. Professor Wang Mianzhi is the founder of TCM Prescription. 1994 was recognized by the Ministry of Personnel and state administration of traditional chinese medicine as an old Chinese medicine expert's academic experience inheritor and a representative inheritor of the national intangible cultural heritage project (Cognition and Methods of Life and Disease in Chinese Medicine). In 2008, he was awarded the title of "Beijing Famous Old Chinese Medicine Doctor".
Memories of disciples
During more than 60 years of clinical, scientific research and teaching career, Wang Mianzhi has accumulated rich experience and formed distinctive academic ideas and prescription characteristics. Because the teacher was busy with medical treatment, teaching, scientific research and social activities before his death, he had no time to sum up clinical experience except writing Lectures on Prescription and Fu Zi (manuscript engraving and publication). Although there are some articles about teachers' experience in periodicals and magazines, the content is only fragments, which is difficult to fully reflect teachers' academic thoughts. Therefore, it is always a pity for those scholars who are eager to study and study Wang Mianzhi's academic thought and clinical experience.
I started as a teacher's doctoral student at 1993. I have been with my teacher for three years, and I have been constantly hot and cold. After graduation, I was assigned to work in Beijing Tiantan Hospital. With what I learned from my teacher and through my own innovation, I opened a new situation in the Department of Encephalopathy of Tiantan Hospital. After graduation, every time I went to see my teacher, the teacher always poured out his experience in treating encephalopathy with great interest.
In recent years, in order to save teachers' experience, the state and the Beijing Municipal Government set up Wang Mianzhi Studio, and asked its disciples to do their best to sort out and inherit teachers' academic thoughts, so as to prevent teachers' valuable experience from being lost in the dust of history. So my eldest son, Wang Xu, and I wrote this book based on the information collected in the process of following the teacher. Wang Xu, the 20th generation descendant of Wang Medicine, has been accompanying his teacher to study, live and work, and is deeply influenced by his experience. In addition, Jasmine Zhang has made efforts to help organize teachers' information.
Characteristics of medical records
0 1 Be concise, and cherish ink like gold.
Wang Mianzhi's medical records can be described as extremely concise, which is related to too many patients and the teacher's style. Sometimes only one sentence is used to name the pathogenesis and prescribe drugs according to the pathogenesis, such as: Gao, female, 28 years old, 65,438+0,995,65,438+0.26, weak and susceptible, backache and backache, which should be treated by strengthening the spleen and resolving phlegm.
Medical case suggestion: female patients are usually weak and prone to catch a cold, which is manifested as leucorrhea, backache and backache; The pathogenesis is spleen and kidney deficiency, spleen weakness, exterior and interior inconsistency, spleen pulse weakness, kidney deficiency and waist weakness.
The teacher's medical record contains not only a concise description of the illness, but also a concise prescription. Some prescriptions feel tasteless at first sight, and most of them are used to regulate the spleen and stomach or replenish qi and blood. There is nothing strange about them, but it is precisely these bland prescriptions that have outstanding curative effects and have the effect of moistening things with drizzle. They can be "effortless, virtuous and visible, and people can live a long life", which coincides with Laozi's meaning of "learning Tao, but extraordinary". This is really everyone's excellent kung fu.
Pay equal attention to disease differentiation and syndrome differentiation
The teacher is a descendant of Wang Traditional Chinese Medicine 19 generations. Although he has profound basic knowledge of TCM theory and clinical practice, he never rejects modern medicine and tries his best to make use of its advantages. The teacher's treatment not only emphasizes the combination of disease and syndrome, but also emphasizes the combination of common diseases and syndromes. In the teacher's medical records, the names of modern diseases such as cerebral infarction, cerebral hemorrhage, glioma and Parkinson's disease abound. The teacher pointed out that, for example, from hepatitis to cirrhosis to liver cancer, there are different syndromes at different stages, so we should have a comprehensive understanding of the disease. Only through the patient's symptoms can we check the cause and make a treatment plan.
Speaking of drug abuse, the teacher pointed out that the ancients used drugs like fighting, paying attention to the teacher of the king, paying attention to kingship and not emphasizing hegemony. This is the characteristic and advantage of Chinese medicine. It treats people, not people. Don't forget people when treating diseases, and don't just take temporary effects when using drugs. For the king, limit severe drug treatment. Too much or too little medication is not good, nor can it be biased. When it is not critical, it is also the teacher's kingly thought to use tonic to make up for deficiency and falsehood.
Teachers like to use ginger instead of roasted licorice as medicine for three reasons: first, adding ginger helps to decoct the effective components of other drugs; Secondly, adding ginger can warm the stomach and prevent gastrointestinal adverse reactions such as nausea and vomiting when taking medicine; Third, ginger can reconcile various drugs, prevent the stimulation of drugs from affecting the normal transport and transformation function of the spleen and stomach, help the absorption of drugs, ensure the expected effect of treatment, and be more beneficial to patients who take drugs for a long time. This is another concrete embodiment of the teacher's kingship thought.
Pay attention to the tongue pulse
In Wang Mianzhi's medical records, more than half of them describe the tongue pulse first, and some even propose to treat it only through the tongue pulse, which shows that teachers attach importance to the tongue pulse. According to the combination of tongue and pulse symptoms, the pathogenesis is discussed, that is, Meiji method. The teacher thinks that the tongue pulse can objectively reflect the patient's condition, so the consultation is relatively simple and only the main symptoms are collected. Just like its example: the tongue is fat and tender, the moss is thin and bottomed out, and the pulse is thin and string, but the intensity is slow. This is because the spleen and stomach are deficient in cold, and the heart and liver are out of nutrition.
Teachers have a unique understanding of tongue discrimination. Such as tongue coating shedding, stomach qi and stomach yin injury in traditional Chinese medicine, intestinal metaplasia, abnormal proliferation of adult gastric mucosa and so on. All of them are precancerous lesions, so we should use drugs according to syndrome differentiation. If you see your tongue vertically apart, you will lose your heart. Whether the patient has symptoms or not, prescription drugs should take into account the benefits to the heart.
Pulse condition is the secret of traditional Chinese medicine. "It's hard to know when you click, but in your heart." The teacher warned us that the pulse science of traditional Chinese medicine has profound connotation, and only by diligent study and hard practice can we master it. Clinically, we can learn from patients that when we press the handle of the sofa at home, we realize that it is "advancing with illness and retreating at will". It is revealed that the only way to master pulse science is to think while learning.
Calligraphy is handsome and unique.
The teacher left many original prescriptions. Judging from the prescription, the natural items are complete and the layout is reasonable. The medical records are well written, just like calligraphy works.
Although calligraphy is not an art that doctors must learn, it is a skill that Chinese medicine must recite. As a master of Chinese medicine, you must be proficient in literature, history, art, psychology and philosophy, know more about life and society than other professions, and know more about body and mind than ordinary people. So it is easier to learn Chinese medicine than to become a master.
Writing prescriptions as calligraphy works is a bit demanding, but writing prescriptions carefully is the most basic requirement. Regarding the requirements for prescription writing, the teacher said, "When we write a prescription, we must clearly write down the processing method, the name and dosage of the drug, and any special requirements, including decoction. Now some people can't write clearly the dosage, because all units use grams, so they only write numbers in front and don't write a simple word' grams' at the back. This shouldn't be. Be sure to write clearly on the prescription to prevent prescription errors. Writing a prescription, the word looks good or not is second, first of all, it must be clear. "
Keep the medical records true.
Feng Mou, female, 32 years old, September 6, 1994.
I've been coughing for six years, and it's getting worse recently. I can't lie flat, my tongue is black, white and slippery.