He is one of the masters of traditional Chinese medicine in Guangdong Province. One is Mr Deng Tietao, and the other is Mr Guo Guowei.

Last weekend, I was lucky enough to attend the opening ceremony of Gusheng Chinese Medicine Museum of Guangzhou University of Chinese Medicine. The old man gave us the first lesson of Chinese medicine. A master of Chinese medicine like him, who should think in Chinese medicine, used the word "shallow knowledge" to show the modesty and studious character of Chinese medicine in China.

For example, he is over eighty years old, but his mental state is not bad, and he also guides us who are about to embark on the road of Chinese medicine! "Master of Chinese medicine, first of all, you have to live a long life to be convincing!" Indeed, self-love can produce great love, and longevity can give patients confidence and explain the effect of TCM health preservation.

Shallow knowledge of clinical thinking of traditional Chinese medicine

Macro-holistic thinking determines the unique thinking of TCM in diagnosing and treating diseases; Traditional Chinese medicine attaches great importance to the abnormal signs of the macro-organism, and uses the four methods of seeing, hearing and asking, combined with the idea of reference, to synthesize scattered signs and sick units to form a comprehensive syndrome with overall connection, so as to grasp the condition as a whole from the macro-understanding, and then systematically guide the treatment.

With regard to health care, ancient physicians followed nature and gave consideration to the unity of form, spirit and five internal organs, forming a unique overall health care concept, just as Su Wen's four-qi-tune spirit said: "The man of yin and yang in four seasons is the foundation of all things. Therefore, saints nourish yang in spring and summer and yin in autumn and winter to follow their roots, so they rise and fall at the door of growth with everything. " "Lingshu Ben Shen Pian" "Therefore, the health care of the wise must also be suitable for the four seasons, the emotional harmony, and the combination of rigidity and softness. If so, the deviant evil will not come and you will live for a long time. "

In ancient times when science and technology were underdeveloped, human beings knew little about their own organizational structure. In practice, Chinese medicine uses contradiction analysis method to grasp the law of life movement at different levels, aspects and stages in the unity of opposites. Zhang Zhongjing's differentiation of six meridians, Zhang Jingyue, Cheng Zhongling and other physicians' differentiation of eight cardinal principles, and the differentiation of triple energizer, qi-protecting and blood-nourishing of the school of febrile diseases are all wisdom manifestations of concrete analysis of specific problems in TCM.

Dialectical thinking of traditional Chinese medicine takes "Yin and Yang" as the general outline and logical starting point, and takes the opposition restriction, interdependence, growth and decline transformation and dynamic balance view of Yin and Yang theory as the thinking law of unity of opposites. The Book of Changes says: "One yin and one yang is the Tao", and holds that the whole world is composed of two major forces, yin and yang, which are the unity of opposites and are the two basic factors that constitute the opposition and mutual growth and decline of all things in the world. It first put forward the dialectical thinking of China's philosophy, and then it was accepted and absorbed by TCM.

Yin-yang is the general principle of TCM syndrome differentiation, which determines TCM's understanding of the physiological state of "Yin Pingyang Secret" and the pathological state of yin-yang imbalance.

For example, "Su Wen Qi Tian Tong Lun" said, "Yin Pingyang is the secret, and Qi is the rule; Yin and yang are separated and refined. ""Here, Yin and Yang are heavy and Yang is dense, and the two are not in harmony. Spring without autumn, winter without summer, is called "holy".

Harmony between Yin and Yang means that "healthy qi exists inside, and evil cannot be done", and people are disease-free; The disharmony between yin and yang will lead to the disorder of qi and blood, the dysfunction of viscera and meridians, and many diseases.

Therefore, it is the basic principle of TCM treatment to reconcile yin and yang and make the body balanced and harmonious.

Tao Te Ching has long put forward that "all things are negative and embrace yang, while rushing to think that they are harmonious", pointing out that yin and yang derive everything in dynamic balance. Both the balance of Yin and Yang in TCM and the modern "internal environment homeostasis" are dynamic balance. Dynamic balance is the basic feature of all systems.

For example, according to the constitution theory of traditional Chinese medicine, people are divided into many constitution types according to age, gender and other factors: children are mostly pure yang, and women are mostly blood deficiency; Most people in Lingnan are hyperactive due to yin deficiency. Most people in northwest China are dry and healthy; Wealth makes people easy to phlegm, and the poor are mostly weak. This is the case.

In addition, the theory of four gases and five flavors, ups and downs, etc. The bias of traditional Chinese medicine is an important aspect of the curative effect of traditional Chinese medicine, which can promote the self-harmony mechanism of yin and yang in the body, thus producing therapeutic effect; Therefore, in prescription medication, we should not only pay attention to the coordination of the auxiliary relationship between monarch and minister, but also pay attention to the proportion of drug taste and dosage, so as to avoid overkill.

Long-term clinical practice has found that many diseases often have similar etiology and pathogenesis, so on the basis of syndrome differentiation, they can be divided into the same syndrome types and the treatment methods are similar, that is, different diseases adopt the same treatment methods.

The method of treating different diseases with the same method is as follows: the symptoms of skin are different, but the causes are the same, so different diseases are treated with the same method:

1. Many skin diseases, such as eczema, urticaria, psoriasis, etc. Most of them are caused by wind-heat toxin and skin stasis, and the clinical syndrome is wind-heat syndrome. The method is to detoxify and remove blood stasis, diuresis and dredge collaterals.

2. Acne and seborrheic dermatitis. Most of them are caused by deficiency of kidney yin and excessive fire, and most of them are kidney yin deficiency syndrome. The treatment is nourishing kidney and purging fire, cooling blood and detoxifying.

3. alopecia areata, seborrheic alopecia, postpartum alopecia, etc. Most of them are accompanied by symptoms such as soreness of the waist and knees, tinnitus, dizziness, nocturnal emission, insomnia and dreaminess, and most of them belong to kidney-qi deficiency syndrome, which is treated by invigorating qi, consolidating kidney and nourishing blood.

4. Refractory immune skin diseases, such as lupus erythematosus, scleroderma and dermatomyositis. Long course of disease, recurrent attacks and renin depletion often lead to kidney-yang deficiency syndrome and kidney-yang deficiency syndrome, and the method of warming yang and tonifying kidney is often used for treatment.

The emergence of TCM mode thinking is a process from low level to high level. Chinese medicine is very good at explaining Chinese medicine theory with model framework.

At first, the model structure of traditional Chinese medicine was a simple framework of contradiction between yin and yang, and later it developed into the theory of wood, fire, earth, gold, water and five elements. Due to the limited guidance on individuals and micro-aspects, later generations continued to "add bricks and tiles", forming a model of meridians and acupoints of zang-fu organs, qi, blood, body fluid, and refining the complicated and messy clinical diagnosis and treatment into a clear outline guide.

Syndrome differentiation of traditional Chinese medicine is the key link of syndrome differentiation and treatment of traditional Chinese medicine, and it is the outstanding embodiment of thinking mode. It is completely rooted in many dialectical theories of traditional Chinese medicine, integrates four clinical experiences of Huitong, and forms a complete diagnosis and treatment model system, which makes the thinking logic of traditional Chinese medicine clearer and greatly promotes the development of traditional Chinese medicine.

On the one hand, learners can use the established template to help understand the theory of traditional Chinese medicine, and use it as a substrate to innovate and process new clinical knowledge, so that the learned knowledge can be connected with clinical thinking in an orderly manner.

I think Mr. Guo Guowei's thoughts on traditional Chinese medicine are also very suitable for our life and work, and it is really a combination of all laws. The profound heritage of China's traditional culture left a deep impression on our younger generation.