◆ He proposed TCM syndrome differentiation and effective drugs for leukemia, which improved the ability of TCM to diagnose and treat acute fever.
◆ He developed the theory of qi and blood and founded the "balance method", which enriched the treatment theory of traditional Chinese medicine, revealed the mystery of human aging, and opened up a new way to treat intractable diseases and maintain health and longevity.
In the building complex of Shanghai Tenth People's Hospital (formerly Shanghai Railway Bureau Central Hospital), there stands a traditional Chinese medicine building with a history of nearly 30 years. Shanghai Traditional Chinese Medicine Cardiovascular and Cerebrovascular Disease Clinical Medical Center is located here. It is very rare to set up a Chinese medicine building in a general hospital, all because there is a famous Chinese medicine master Yan Dexin here.
In the field of traditional Chinese medicine, Yan Dexin is most praised for establishing the "balance method" of regulating qi and promoting blood circulation, developing the traditional theory of qi and blood to a new height, and opening up a new way for the treatment of intractable diseases and senile diseases in various subjects. For researchers who are interested in promoting blood circulation and removing blood stasis, Yan Dexin is an unavoidable peak in this field. Both a family heirloom and a college degree.
Yan Dexin is a descendant of a famous doctor and a well-trained person. His profound knowledge of Chinese medicine comes from his family background and school education. He is always eager to learn from others and has laid a solid clinical foundation.
Eighty-nine years ago, Yan, a famous doctor in Danyang County, Jiangsu Province, named his son Dexin, hoping that he would inherit the tradition of poetic rites.
Yan Dexin, a native of Shandong, is a descendant of Yan Hui, a disciple of Confucius. His father Yan studied medicine with He Jiheng, a famous doctor in southern Jiangxi, and later opened a food clinic at his home in Beicao Lane, Danyang County. He is good at treating gastrointestinal diseases, gynecological diseases and various intractable diseases.
Yan Dexin began to learn calligraphy at the age of seven, and later studied traditional culture with the famous local Confucianism as a teacher. He entered the new primary school at the age of nine, and began to study Chinese medicine works at the age of 12. Later, he often attended outpatient clinics with his father, and he had long yearned for inheriting his father's kind medical skills.
As for the way of reading, Yan Dexin often said later: "Cook with strong fire and stew with slow fire", which is exactly what Mr. Lu Yi said in court. The so-called fierce cooking means reading widely, studying extensively and memorizing; The so-called slow stew means that you need to review and study repeatedly. You can't neglect both. If you study and think together, you will succeed naturally.
When reading Huangdi Neijing for the first time, the teacher asked him to recite a chapter every day. If he can't recite, he will beat his palm with a wooden ruler as punishment. When Yan Dexin didn't understand the meaning, his father encouraged him to say, "Read a book a hundred times and you will understand its meaning." After a long time, you will naturally feel something. "To this end, he often stays up reading.
When I was a little older, I often went out with my father. After I was diagnosed, I had to accompany my father to sort out medical records, diagnose and treat prescriptions and medicines. I had some experience and understanding of Mr. Louis's spleen and stomach theory and clinical experience, and gradually established the academic thought of protecting the spleen and stomach.
Yan Dexin was admitted to Shanghai Chinese Medical College at the age of 16, and he was able to learn from famous old Chinese medicine practitioners of different schools and disciplines in Shanghai, which made his studies leap to a new level. The school curriculum is very comprehensive. In addition to learning Chinese and foreign languages, the basic courses of traditional Chinese medicine also include Huangdi Neijing, Treatise on Febrile Diseases and Treatise on Febrile Diseases. Clinically involved in miscellaneous diseases, surgery, obstetrics and gynecology. In addition, courses in physiology, anatomy, western medicine surgery, infectious diseases and other aspects of western medicine have been specially offered.
Yan Dexin has a strong interest in learning and is very active after class. Participate in the "after-school medical research conference", establish a Chinese medicine nursery with classmates, develop a batch of Chinese medicine preparations, edit and publish Corning Medical Journal, discuss and exchange learning experiences, and promote studies.
In recent two years' clinical practice, I have followed Xu Xiaopu, Qin Bowei, Sheng Xinru, Danyang He, Fei Tongfu, Zhu Weiju and other Chinese medicine experts to copy, collect and sort out medical records, and received guidance and comments from teachers, which benefited a lot.
Even after graduation, he went to work in a hospital, or hanged himself with his father between Dan and Shanghai. Yan Dexin still maintains the enterprising spirit of researching and asking questions. At that time, Shanghai famous doctors Cheng Menxue, Sheng Xinru and Zhang Zanchen were highly praised by the medical community. Yan Dexin often comes to visit, asking for benefits, and getting something every time. Heather leaves can be used to treat headache, Tianzhu, Chimonanthus praecox and Fengyi can be used to treat pertussis in children, steamed tofu with imperata flowers can be used to treat massive hemoptysis, and aconite can be used to enlighten the mind. Many achievements have been made in 70 years of clinical practice.
He took the lead in opening a Chinese medicine ward in a general hospital. He put forward the TCM classification and treatment of leukemia for the first time, and found the Chinese medicine with remarkable curative effect; The achievements in the fight against SARS have improved the ability of TCM to diagnose and treat acute fever.
As a young doctor in China, Yan Dexin, who just graduated, soon made people sit up and take notice. There is a patient with lung abscess who has a cavity due to pulmonary fibrosis and has a high fever. He is in critical condition, and several western medicine treatment schemes have little effect. Yan Dexin offered to use Chinese medicine. He diagnosed pulse syndrome differentiation and treated Houttuynia cordata as the main prescription. He personally decocted the medicine, accompanied the patient for three days and nights, carefully observed the reaction of taking the medicine, and finally made the patient have a high fever and improved his symptoms.
Yan Dexin cured many patients with lung abscess and paragonimiasis with traditional Chinese medicine. With the accumulation of clinical symptoms, he always broadened his treatment ideas on the basis of in-depth understanding and comprehensive grasp of the patient's physique, etiology and disease syndrome, and won a good reputation with good curative effect.
1945 After the victory of the Anti-Japanese War, Yan Dexin saw that the people were poor and lacked medical care and medicine, so he set out to set up a "German Society" to vaccinate children and give medical care and medicine free of charge, and opened more than 60 issues of "Traditional Chinese Medicine" and "Ethnic Medicine" supplements for two newspapers in Danyang, which popularized medical knowledge and had a great influence in the local area, so he was elected as the chairman of Danyang County Chinese Medicine Association.
After the founding of the People's Republic of China, Yan Dexin closed his private clinic and transferred to Shanghai Railway Central Hospital as the director of Chinese medicine. In order to give full play to the therapeutic function of Chinese medicine, he took the lead in establishing a ward of Chinese medicine in a general hospital in Shanghai, and put forward the principle of "combining innovation with inheritance, combining theoretical research with clinical practice, and combining scientific research with Chinese medicine characteristics". Decades later, he became one of the few Chinese medicine practitioners in Shanghai and even the whole country.
In the late 1950s, the incidence of hematological diseases increased, and the treatment method of western medicine was single and the curative effect was not good. He faced up to difficulties and began to actively explore effective drugs for treating blood diseases in traditional Chinese medicine. To this end, on the one hand, he looked for opportunities, observed as many cases as possible, and participated in the treatment of patients with blood diseases in many hospitals; On the one hand, we have made a thorough study of medical works, especially "Yi Lin Incorrect" written by Wang Qingren, a famous doctor in Qing Dynasty, and the theory of Qi and blood in TCM. In cooperation with his colleagues, he observed the data of "nail fold circulation" and "hemorheology" of 565 patients with difficult diseases, which confirmed the universality of positive indications of blood stasis, and confirmed that after the treatment of promoting blood circulation and removing blood stasis, not only the symptoms of leukemia patients were improved, but also the corresponding laboratory indicators were obviously improved.
He believes that leukemia belongs to the category of warm toxicity, fatigue, disease and accumulation in traditional Chinese medicine. Through literature review, he found that rhinoceros horn can quickly reduce white blood cells, quickly reduce fever and stop bleeding. In clinical observation, he also found that arsenic can treat all kinds of acute leukemia, and took the lead in proposing that realgar is an effective drug to inhibit leukemia.
During the Cultural Revolution, Yan Dexin was once decentralized, but he still tried to find clinical opportunities, especially paying attention to the research and application of the theory of qi and blood in traditional Chinese medicine. In the second year after the Cultural Revolution, he published the book Clinical Practice of Promoting Blood Circulation and Removing Blood Stasis.
In 2003, SARS struck. Yan Dexin was appointed as the consultant of the expert group on prevention and treatment of traditional Chinese medicine in Shanghai, the leader of the guidance group on treatment of traditional Chinese medicine in Shanghai, and the chief scientist on prevention and treatment of SARS in East China. Regardless of age and risk, he went deep into the infectious disease hospital and summarized the main points of SARS: heat, dampness, blood stasis, phlegm and deficiency. Established the "Fuzheng Quxie Fang". He pointed out that it is necessary to "use drugs with evidence" and insist on syndrome differentiation and treatment in order to receive good therapeutic effects. Early attention should be paid to appearance, telling the truth, exorcising evil spirits, and being careful not to lose your watch; Pay attention to both treatment in the medium term, such as phlegm, blood stasis and dampness; In the later stage, we should strengthen our body according to the changes of the struggle between evil and righteousness. Practice shows that these experiences and methods highlight the advantages of traditional Chinese medicine in treating fever. The prevention and treatment of SARS in Guangdong and Hong Kong also benefited from his guidance.
Since then, in order to systematically study the syndrome differentiation and treatment of acute fever such as SARS, dengue fever and avian influenza, Yan Dexin, as the chief scientist, participated in the construction of the major project of Shanghai Science and Technology Commission, "Emergency Network for Prevention and Treatment of Acute Fever with Chinese Medicine". In recent years, the network is becoming more and more perfect, enriching the connotation of emergency diagnosis and treatment of traditional Chinese medicine and enhancing the emergency ability of traditional Chinese medicine. Developing Qi and Blood Theory and Advocating "Balance Method"
He believes that qi and blood are the basis of clinical syndrome differentiation, and puts forward the academic viewpoint that "there must be blood stasis in a long illness and blood stasis in a strange disease". He advocated the "balance method" besides the "eight methods" of TCM treatment, which revealed the mystery of human aging and opened up a new way for the diagnosis and treatment of intractable diseases and senile diseases.
"You must surpass me before you can truly become my heir", as his father taught him, and he did. In the in-depth study of the theory of qi and blood, Yan Dexin is a contemporary explorer who has reached the peak and gained a lot.
He put forward the academic viewpoints of "Qi is the long term of all diseases, and blood is the embryo of all diseases", "Stasis is inevitable for a long time, and stasis is inevitable for strange diseases" and the principle of "balance method", which opened up a new world in the study of TCM treatment principles. This principle was also applied to the study of "blood stasis and aging" in the 1980s, and a series of achievements were made.
Although he admired his father's achievements since he was a child, Yan Dexin gradually found that his father's theory of strengthening the spleen was not perfect. Yan Dexin found that many miscellaneous diseases originated from blood stasis rather than spleen and stomach.
Clinically, the method of promoting blood circulation and removing blood stasis is actively used to treat various internal and surgical diseases, and has been studied for many years. He concluded that although there is no word "qi and blood" in the "eight classes of syndrome differentiation" of traditional Chinese medicine, the content of qi and blood runs through the eight classes, so it can be considered that the disease of qi and blood is the basis of clinical syndrome differentiation and the basis of syndrome differentiation of difficult diseases. Qi is the length of all diseases, and blood is the fetus of all diseases. Blood stasis is an important factor of disharmony between qi and blood. Promoting blood circulation and removing blood stasis can dredge qi and blood, regulate yin and yang, and balance qi and blood, and its function goes beyond the meaning of "promoting blood circulation and removing blood stasis" by predecessors.
His research found that Chinese medicine pays attention to the secret of yin and yang, and uses drugs according to the growth and decline of yin and yang in patients. The eight methods of "sweating, vomiting, purgation, harmony, warming, clearing, tonifying and eliminating" do have limitations in clinic. Through clinical summary and practical verification, he put forward the balance theory that human health and longevity lie in "regulating qi and blood to achieve harmony". The so-called balance method has the significance of balance and weighing. The balance method is mainly composed of drugs for promoting blood circulation and removing blood stasis, combined with drugs for promoting qi and benefiting qi, which can regulate qi and blood, balance yin and yang, strengthen the body resistance and eliminate pathogens, and strengthen the constitution, and is suitable for many diseases such as cold and heat deficiency and excess.
Yan Dexin's balance method can be divided into more than ten therapeutic principles and methods, such as ascending and descending qi, calming adverse reactions, invigorating qi and ascending yang, clearing heat and promoting blood circulation. These methods are effective for coronary heart disease, leukemia and liver cirrhosis.
Based on this, Yan Dexin proposed in subsequent research that the main mechanism of human aging lies in the imbalance of qi and blood and the imbalance of internal environment, which is due to the existence of blood stasis. His theory of regulating qi and blood and delaying aging is completely different from the previous theory of tonifying kidney and strengthening spleen. Based on this, Shanghai Science and Education Film Studio filmed the science and education film "Anti-aging-Longevity of Qi and Blood" and participated in the international science and education film festival with the theme of "Science of Life", which aroused widespread concern and strong response from academic circles at home and abroad. The series of Chinese patent medicines "Hengfa Fangsheng" developed by him for the purpose of invigorating qi and promoting blood circulation is a great achievement in anti-aging research. After taking it, it can promote the body's gasification, reduce the blood viscosity, accelerate the blood flow, make the main internal organs of the body get normal blood supply, and play a normal physiological role.
Yan Dexin emphasized that the diagnosis of blood stasis syndrome should be based on four diagnoses, supplemented by laboratory examination, combined with medical history, and comprehensively analyzed and diagnosed from four aspects: symptoms, signs, medical history and laboratory, which is called "Yan's blood stasis syndrome diagnosis method". Balance method is integrated into the treatment, which is very effective in treating various senile diseases, especially cardiovascular diseases.
He presided over the topic "The Relationship between Blood Stasis and Aging-Clinical and Experimental Research on Hengfa No.2 Anti-aging", and put forward a new viewpoint that blood stasis and excess evil are the main causes of human aging, and won the second prize of state administration of traditional chinese medicine Science and Technology Progress Award, and related topics were included in the national "973" plan. I only hope that Chinese medicine will be passed down from generation to generation.
He wrote to express his feelings and called for the development of Chinese medicine; He teaches and teaches, and devotes himself to talent cultivation. He wrote books and made contributions to academic inheritance.
The old horse is full of courage. Yan Dexin is still full of passion and sticks to the position of Chinese medicine. Although he is 90 years old, he still goes out for half a day every month. Over the years, he wrote letters to express his feelings, lectured and taught his disciples, wrote books and made efforts for the inheritance and development of traditional Chinese medicine. He often laughs and says that he doesn't know how old he is.
He has repeatedly signed a letter with Deng Tietao and Ren Jixue to the central leadership to express his views on the establishment and education of Chinese medicine.
He traveled back and forth between Beijing and Shanghai for many times and won the support of the Ministry of Railways. 1980 Building of Chinese Medicine Laboratory in Shanghai Railway Bureau Central Hospital.
1992 initiated the establishment of a Chinese medicine research center registered in Hong Kong, and established the first academic alliance of Chinese medicine in Shanghai, Taiwan and Hong Kong. Qiu Weichang, a Chinese medicine practitioner from Taiwan Province Province, became the first pair of Chinese medicine apprentices on both sides of the Taiwan Strait.
He has also been invited to give lectures abroad for many times, and has been hired as a special researcher and academic consultant by the United States, Hong Kong, Macao and Taiwan institutions.
1999 On the occasion of the 60th anniversary of his medical practice in February, he donated more than 200,000 yuan to set up the "Yandexin Chinese Medicine Talent Award Fund", and then added more funds. In 2005, it was expanded to "Shanghai Yandexin Chinese Medicine Foundation" to encourage young Chinese medicine talents to stand out.
He advocated holding a "Master of Traditional Chinese Medicine Inheritance Class" to strengthen students' study of original classics of traditional Chinese medicine and China traditional culture. The pilot reform of Chinese medicine education in comprehensive universities was launched for the first time.
The cultivation of TCM talents is related to the foundation of career development. To this end, he devoted a lot of efforts to actively teach advanced students, doctoral students and academic heirs. He is tireless, giving lectures on stage, making rounds diligently, explaining at any time, integrating theory with practice, and taking good advice. He often encourages students with the philosopher Mozi's "mentally retarded and weak". He also educated students to read more classics and read early, especially Huangdi Neijing. Open your heart and read widely. In addition to being familiar with classic works, we should systematically study various theories and extensively dabble in note novels, medical records, medical talks, medical talks and so on. Respect teachers more and learn more from the experience of various schools.
He once said humorously: "According to legend, Ye, a famous doctor in Qing Dynasty, once worshipped seventeen teachers, but I am afraid there are far more than seventeen teachers." "I have inherited the legacy of the sages for decades, I am willing to be a disciple, and I am good at persuading to repay the teacher. I hope that my colleagues can pass on and carry forward the Chinese medicine academics from generation to generation. "
In order to inherit his personal clinical experience, he wrote books and talked for many years. The published Clinical Practice of Promoting Blood Circulation and Removing Blood Stasis won the third prize of outstanding scientific and technological books in Yunnan Province. Shanghai Science and Education Film Studio filmed an anti-aging science and education film based on his theory of qi and blood, and distributed it to the whole world. 1992, his monograph "Longevity of Qi and Blood" was published, which was widely praised by all walks of life. The following year, The Secret of Anti-aging of Traditional Chinese Medicine in China was published. During this period, Yan Dexin's Medical Skills Collection, Mr. Yan Dexin's Tips for Diagnosing Difficult Diseases, Yan Dexin's Volume, China Hundred Clinicians Series Yan Dexin's Volume and Yan Dexin's Clinical Experience Summary were published successively, which fully reflected his clinical experience for more than 60 years.
He once summed up the teaching methods in three wonderful sentences: the first sentence is to absolutely maintain the theme of traditional Chinese medicine in teaching; The second sentence is: Chinese medicine is practical medicine, "it is better to be familiar with Wang Shuhe than to make more clinical visits"; The third sentence, learning Chinese medicine must eliminate national nihilism ideologically, and firmly believe that Chinese medicine has a bright future and will create the greatest wealth for mankind. Chinese medicine workers must be rigorous, diligent and ambitious in their study and work.