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Chinese medicine experience
An industry should also have different some experience, then as a Chinese medicine practitioner, you will have what experience in this profession? The following is the "experience of Chinese medicine", which is only for reference, welcome to read.
Chinese medicine experience (a)
As we all know, Chinese medicine is the only medicine in China for thousands of years, the Chinese people thousands of years of prevention and treatment of disease rely on Chinese medicine, Chinese medicine on the Chinese nation for thousands of years of prosperity, thousands of years of health care plays a very important role.
Chinese medicine and Western medicine in the professional and technical strengths, each has its own advantages and characteristics. The advantages of Western medicine lie in the detection of precision instruments, superb surgery, complex organ transplantation, advanced means of rescue. The advantages of Chinese medicine are precisely the weak aspects of Western medicine. The diagnosis and treatment of Chinese medicine is both accurate and flexible, with infinite wonders, and has its unique characteristics in diagnosing and treating many diseases. For example, the diagnosis and treatment of functional diseases, degenerative diseases, viral diseases, phlegm and blood stasis diseases, and the diagnosis and treatment of difficult illnesses are particularly advantageous. People's understanding of Chinese medicine is relatively deep, and a large number of people like Chinese medicine. With the rapid development and evolution of society, people's demand for health and longevity is constantly improving, Chinese medicine, Chinese medicine, the treatment of the root of the disease, conditioning, nourishing function appears to be more urgent need.
The traditional understanding of the Chinese people is that the older the Chinese medicine, the more popular. An older Chinese medicine, despite the mediocre skills, can be called the old Chinese medicine, and even exaggerated a little bit called "famous old Chinese medicine", which illustrates a very important issue. Chinese medicine is a lifelong profession. So, how should we learn Chinese medicine well? The Biography of Magpie Cangong (扁鹊倉公传) reads, "The reason why people are sick is that there are many illnesses, and the reason why doctors are sick is that there are fewer illnesses", which shows that Chinese medicine is difficult to learn. Wu Jutong, a renowned warm disease scientist, added: "Learning medicine is not fine, not as good as not learning medicine".
Learning Chinese medicine is admittedly difficult, learning is even more difficult. However, if you are learning medicine, you must learn to be precise, or at least establish a goal of "learning to be precise" so that you can learn to be a good Chinese medicine practitioner. How can we achieve this goal? According to my personal experience of learning medicine, mainly lies in two points: First, we must read carefully. Chinese medicine books, with "sweat cattle" to describe, is not enough. Read Chinese medicine books, not only to read, understand, and understand, but also to familiarize, memorize, and even memorize many important content. For example, Chinese medicine diagnostics, Chinese medicine prescription science, Chinese medicine internal medicine, Chinese medicine gynecology, Chinese medicine pediatrics, warm disease, typhoid fever, the essentials of the Golden Chamber and so on. If you want to have a deep theoretical foundation, you must also learn the "Neijing". Read the book of Chinese medicine, to be good at integrating, the theory of Chinese medicine are derived from the "Yellow Emperor's Classic of Internal Medicine", Chinese medicine of various clinical disciplines, are derived from the accumulation of experience and practice of successive generations of medical practitioners summarized.
For example, say it, such as learning "typhoid fever", not only with the "Golden Chamber" integration, but also on the "Neijing" linked to the "temperature and disease" linked to the next, in addition, but also with the internal medicine, pharmacy, pharmacology, diagnostics linked. For example, the Shaoyang Certificate of the Treatise on Typhoid Fever, this Shaoyang Certificate comes from the Suwen Heat Treatise of the Neijing. The Shaoyang syndrome of the Neijing is limited to the Shaoyang meridian symptom of "chest and hypochondriac pain and deafness", while the Shaoyang syndrome of the "Treatise on Typhoid Fever" is a half-expression, half-li syndrome of "bile fire", with symptoms such as "bitter taste in the mouth, dryness of the throat, dizziness, cold and heat in and out of the body, bitter fullness in the chest and hypochondriacs, a taciturn disinterest in food and drink, and an annoyance of vomiting", and is treated with Xiao Chaihu. "Xiao Chaihu Tang was used as the main treatment. Then linked to the study of warm diseases, there is also an evil depletion of the Shaoyang evidence, cold and heat abuse, heartburn, thirst, epigastric rumpus, yellowish-white tongue and greasy, with artemisinin baicalin gallbladder clearing soup main treatment, the Department of dampness and heat depletion of the Shaoyang. This is a natural way of comparing the two, and it is a natural way of integrating the two.
In the process of learning, it is found that the combination of the actual life of the profound medical theory in the simple life of common sense. The basic theories of Chinese medicine are more discursive, abstract and practical, but weaker than intuitive, concrete and poorly operable. Therefore, in the study, pay attention to the combination of their own previous cultural knowledge and general knowledge of life to understand, often by the effect of half the effort.
Such as, contact with the summer long soaked in river water in the stone or other objects on the surface of the moss shape, for example, to understand the slippery nature of the character, explaining the slippery tongue with the relationship between water and moisture, and thus understand the wet sticky pathogenic characteristics. Combined with past clinical practice, the abstract theory is integrated into common diseases. For example, after the skin of human body is cooled, it can be seen that the cold, no sweat, nasal congestion and runny nose, chest tightness and cough and other cold symptoms, Chinese medicine practitioners give the lungs to dispel the surface of the drug treatment, the cold will be cured. In this way, the lungs main Xuanfa, open orifices in the nose, in the body of the medical reasoning of the skin.
It is also found that this discipline is closely related to ancient Chinese philosophy and traditional Chinese culture. In the process of its development, it has also absorbed foreign culture, as evidenced by the fact that most of the Chinese herbal medicines recorded in Li Shizhen's "Compendium of Materia Medica" are not of Chinese origin. However, to improve the quality of Chinese medicine, Chinese medicine practitioners must have excellent basic skills. To build a good basic skills should have the following three steps:
The clinical work of Chinese medicine is divided into five major aspects: knowledge of the disease, identification of the disease, legislation, prescription, and medication, which ultimately must be implemented in the prescription. If there is no precise prescription, there will never be a good therapeutic effect. Therefore, traditional Chinese medicine practitioners have always regarded the soup, pulse, and medicinal properties as the "three treasures" of enlightenment. "Tangtou" that is, "square song". Traditional Chinese medicine to the Qing Dynasty Wang Ang's "Tangtou Gezhi" as a blueprint, and the "medical prescription collection" auxiliary line. Requirements "Tangtou" must be familiar with memorized to the point of readily available, clinical application can be freely. The "pulse secret" refers to the song of pulse science. Now to Li Shizhen "near the lake pulse science" is the most popular, but Li Zhongzi "diagnosis of the family eye" seems more practical, so the pulse must be "two Li". Of course, have the energy to read more better. Such as: "four diagnostic choices micro", "pulse skill repertoire", "pulse truth" and so on. The medicinal properties of the fugue is folk circulation for many years and the great influence of the introductory reading, easy to understand, catchy, indeed for the first time to learn to use medicine can have a preliminary outline. Although some of the content has been out of line with the requirements of the times, but still for the majority of Chinese medicine practitioners love. In addition to the above "three treasures", can not be ignored is "acupuncture song and dance". As we all know, acupuncture is a national treasure, is the Chinese medicine to the world "weapon". If you want to learn acupuncture well, familiarize yourself with the song and dance is the necessary basic skills. Such as: fourteen meridians circulation, the main disease, acupuncture points, the song, the labeling of the fugue, gold needle fugue, through the will be pointed out fugue, the flow of injection refers to the fugue, Sheng Yu song, Yulong song, as well as the twelve meridians of the son of the mother of tonic and diarrhea, the flow of injection of the eight methods of the song should be familiar with the back of the flow. As the saying goes: "the song does not leave the mouth, the fist does not leave the hand". The first step above is the "memorization" of Chinese medicine.
The second step after memorization is to strengthen the study of ancient texts and medical history. As the old saying goes, "If you want to do a good job, you have to make good use of your tools". The Chinese nation, after a long history, has left behind a brilliant Chinese medicine culture, which is a great treasure trove waiting to be explored by future generations. And these documents are all written in ancient languages. If you do not work on the ancient language, it is bound to be difficult to understand. Such as the composition of the text, vocabulary derivation, grammatical differences and general knowledge of ancient literature, ancient astronomical knowledge and so on need to have a certain understanding, otherwise it is very difficult to learn medical ancient language.
Learning the language well, as if with the ancients to sit with the answer, can be communicated across generations, but also a great pleasure in life, and learn the ancient language is to open the door to the treasure chest of Chinese medicine key. The first step is to learn the ancient language.
Anything, any learning has a development process. So no matter what you learn, you must understand the history of the development of the door. The first thing you need to do is to learn the history of politics, and the history of literature. Of course, Chinese medicine is no exception, should also learn the history of medicine. Only by learning the history of medicine, can we understand the famous doctors of different dynasties, famous works and their academic views, that is to say, we should understand these famous doctors and famous works are formed in what historical background and objective conditions. At the same time should also understand the anecdotes of famous doctors in previous generations. For example, Zhu Danxi studied medicine at the age of thirty, and at thirty-five, he was able to become a master of clinical evidence. Ye Tianshi studied medicine at the age of fourteen and studied under seventeen masters. This is a certain inspiration for the study and growth of a Chinese medicine practitioner. However, people today regard the study of history as superfluous, seems to have nothing to do with the clinical evidence, which is really a big mistake.
The study of ancient literature with the ability to read ancient books, learning the history of medicine to read ancient books clear trade-offs, in the process of selecting books and reading, naturally, will not fall into the wrong way. At the same time, we also need to explore the medical theories of the generations of medical doctors, medical writings, medical cases, the results of the generations of medical doctors have a framework to understand the academic theory of the framework laid a good foundation. The second step of the process is the "foundation work".
To learn Chinese medicine, it is necessary to read some of the classical medical books, such as the "Neijing", "Nanking", "Typhoid Fever", "The Essentials of the Golden Poverty", "Warm Diseases", "Warmth and Fever", "Shennong's Classic of the Materia Medica", "Medical Minds" and so on.
"Neijing", "difficult classic" is the foundation of the foundation of Chinese medicine. Yin and Yang, the five elements, organs and meridians, diagnosis and rule of law, the five transport six gas need to be explored from the "Neijing", "difficult to Jing" in the two scriptures. However, the "Neijing" in the "Ling Shu", "Suwen" each eighty-one, "Difficulties" eighty-one difficult, **** more than two hundred and forty, to quickly read through, how easy it is? Therefore, beginners can choose to use the Ming Dynasty Li Zhongzi's "Nei Jing Zhi Yao" or the recent Yin Qin Bo Wei's "Nei Jing Zhi Yao" as a reader, part of the chapters and sentences must be memorized.
The Treatise on Typhoid Fever is a model for the identification of the six meridians; the Golden Chamber is the basis for the identification of organs and meridians, and the treatment of miscellaneous diseases. ("Articles on Warm Diseases - General Examples"). The "Classic of Warm Fever" takes "Neijing" and "Zhongjing" as the classic, and Ye, Xue, Chen, and Yu as the weft. Among them, the "Ye Xiangyan's article on external temperature and fever" mainly discusses the Wei Qi and Ying Blood identification system, which should also be memorized. Shennong ben cao jing" is the ancestor of prescription pharmacology, naturally, is also a must-read book. Qing dynasty Chen Xiuyuan "Shennong Ben Cao Jing read" can be regarded as a better reading book for beginners. Medical Mind" is generally regarded as an introductory primer, which is a systematic discussion of the "eight syllabus and eight methods", and the book contains many effective and practical prescription, such as Qidi Diaphragm San, open Silence San, half-summer atractylodes tianma soup, and so on, all clinically practiced prescription. These books of medical books, can make the framework of the theory of Chinese medicine framework. Therefore, the third step of the work for the "frame work".
As mentioned above, memorization, foundation, and framing are the three steps that a "true Chinese medicine practitioner" must have. On the basis of this three-step work, and then read a lot of books, flooded through the long, and widely absorbed the experience of modern people, and actively introduce modern science and technology. As the old saying goes: "It is better to be familiar with Wang Shuhe than to have more clinical evidence".
The road of Qihuang is long, and I will go up and down to seek.
I lacked confidence in my own medical skills before, and the late Mr. Yue Meizhong, a great Chinese medicine practitioner, once said, "When can I forget about my own mind, and when can I make mistakes? I once asked myself, "Can I see patients like my teachers?" Perhaps it was fate that when I was wondering, I went to XX in 20xx to participate in a 5-week pure Chinese medicine volunteer service. Under the leadership of my brothers and sisters, together with the Chinese herbal medicinal tablets we brought from China, I witnessed time and time again the saving of people's lives with the methods of pure Chinese medicine, saw many patients gain health from this great treasure trove of Chinese medicine, and y realized the goals and responsibilities I should have as a young Chinese medicine practitioner. This experience encourages me to study and research, and to explore the charm of the classics more y.
I think, as a student, the real follow up is that you have a discursive thinking process.
First of all, after collecting the four diagnostic information of the patient, the first disease mechanism will appear in your mind, and then go to think about whether this disease mechanism and the four diagnostic information you collected match. If not, then it may be another disease mechanism, you should match the disease mechanism with the four diagnostic information again, and repeat this process a few times, then you can roughly find the patient's real disease mechanism.
Secondly, you think again, what formula can be used for this disease mechanism? There are corresponding formulas in "The Treatise on Typhoid Fever", "The Essentials of the Golden Mile", and the science of prescription? Instead of looking at what prescription the teacher used, the point is that you have to have this thinking process. When you get to this stage, don't look at the teacher's formula, because it might affect your thinking. The reason for this is that it is possible that the teacher is too fast, and his thinking process is too familiar, so you can't even catch up with him.
More training in this thinking process is better than copying or memorizing a common prescription from a Chinese medicine teacher who specializes in treating a particular disease. The reason for this is that since ancient times, Chinese medicine has not been divided into sections, at most, it is divided into a bone injury and trauma and miscellaneous diseases, the so-called trauma is the disease, the so-called miscellaneous diseases are internal, external, gynecological, pediatrics, etc., all of them are consistent, all of them rely on Chinese medicine, the identification of the treatment of thinking. If we do not even take this step of identification, how can we discuss treatment? The first thing you need to do is to learn and improve yourself in a targeted way.
First of all, to study the classics of Chinese medicine, it is best to read the original text first. As for the version of the issue, I think for a person who even does not quite understand the identification and treatment, just do not understand it first, and take less road that should not be taken.
Secondly, when reading the text, we have to imagine that we are the patient. The article shows a patient's condition. Imagine yourself as a doctor, looking at the article and learning how to analyze it. When reading, you may see one or two clinical symptoms at the beginning, and then you will think about whether it is a certain disease mechanism, is it superficial or internal? Is it cold or heat? If a few more clinical symptoms appear, I will think about whether it corresponds to the mechanism I have just thought of. Is there any contradiction? Repeating this kind of thinking for many times, we will finally come up with a disease mechanism, which is the central disease mechanism that this article wants to express. At this point in time, a diagnosis and treatment has already been made. Therefore, Zhang Zhongjing's book is considered by future generations as a model book of identification and treatment, because of its connotation, its focus is to learn to understand the Chinese medicine of the identification of thinking, identification of evidence to seek the opportunity to examine the cause of the treatment.
The education of Chinese medicine is to train Chinese medicine practitioners with discursive thinking. In my exchanges with many Chinese medicine students, I found that there is a kind of "ancestral" Chinese medicine thinking. The so-called "revert" phenomenon is to disregard evidence-based treatment and to emphasize a thinking method similar to that of Western medicine in treating syndromes. The first step is to make sure that you have a good understanding of what is going on in your life, and that you have a good understanding of what is going on in your life, and that you have a good understanding of what is going on in your life, and that you have a good understanding of what is going on in your life, and that you have a good understanding of what is going on in your life.
From the study of the classics of Chinese medicine, such as "The Treatise on Typhoid Fever" and "The Essentials of the Golden Poverty", we can easily find that the method of Chinese medicine, which can be said to be the "watchword" of Chinese medicine, is in the four diagnostics after the combination of the reference to a bunch of clinical symptoms to find out the essence of the problem, the contradictions of the disease, is the summary of the mechanism of the disease. In the four diagnosis, there may be several disease mechanisms in the mind, and repeatedly think about those symptomatic manifestations, whether it corresponds to this one disease mechanism, or maybe this one disease mechanism should have another symptomatic manifestation, and then go to ask the patient. So, this is actually consistent with reading and analyzing the texts of the Treatise on Typhoid Fever and the Essentials of the Golden Chamber. From this, we can see that we should not focus only on the memorization of the provisions and neglect the analysis of the provisions, because the lack of analysis is also as if detached from the clinic, detached from the Chinese medicine method of thinking of diagnosis and treatment.
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