20 18 The Administration of Traditional Chinese Medicine of Qiqihar City, Heilongjiang Province awarded Gao Lihua the honorary title of outstanding unit of Chinese medicine clinic.
Literary literacy is the foundation, and diligence in study and elaboration is the boat. Influenced by her family since childhood, Gao Lihua was gifted and studious, and laid a solid foundation for ancient Chinese prose very early. After a long time, she became a famous scholar by dabbling in classics, history, philosophers and books, which influenced her medical career. After studying medicine, I have read various books such as Neijing, Difficult Classics, Treatise on Febrile Diseases and Descendants, and my medical theory has become richer and my accomplishments more profound. In order to broaden his knowledge and ideas, he also extensively searched for various historical materials, notes, novels and so on. And pay special attention to the new trends of science and technology. He is also interested in emerging system theory, cybernetics, information theory and dissipative structure theory. Advocate multidisciplinary research on Chinese medicine to modernize it. Because of its wide knowledge, it is necessary to select materials correctly and pay attention to timeliness and value. Familiar, outdated, fast reading and learning, unfamiliar, useful, intensive reading. Up to now, Gao Lihua can recite important original texts of many books, and has also accumulated a large number of reading cards and notes, which has become the material for learning Chinese medicine.
Infertility is a worldwide problem, and the incidence rate in China is increasing year by year, including ovarian dysfunction, fallopian tube factors, uterine factors, autoimmune, sexual and reproductive dysfunction infertility and other issues. Traditional Chinese medicine and combination of traditional Chinese and western medicine have obvious characteristics and reliable curative effect. Having been a doctor for more than 20 years, Gao Lihua has been committed to the clinical research of infertility for a long time, and has unique features in the treatment of infertility. It has achieved good therapeutic effect and accumulated a lot of clinical data.
Adhering to more than 100 years of rich experience in treating infertility, Gao Lihua also adopts traditional Chinese medicine or combination of traditional Chinese and western medicine to treat both men and women, and has a high cure rate for female infertility caused by ovulation dysfunction, luteal insufficiency, tubal obstruction, immune factors, abnormal semen and male infertility caused by sexual dysfunction, and carries out gynecological endocrine determination, hysteroscopy, laparoscopy, imaging examination, genetic examination, routine semen examination and diagnosis and treatment of male infertility. Independent research and development of "fallopian tube function rehabilitation soup", "gynecological hot compress powder", "Shengjing soup" and "liquefied soup" and other prescriptions with remarkable curative effects. In the external treatment of gynecology, traditional Chinese medicine enema and acupuncture of Zhuang medicine thread are used to promote ovulation to treat ovulation infertility, and traditional Chinese medicine "Penyu Decoction" combined with modern advanced colon dialysis pelvic hydrotherapy instrument to treat infertility caused by pelvic blood stasis syndrome and chronic pelvic inflammatory disease has achieved fruitful results and formed its own characteristics. Prescriptions such as "Guben Bushen Decoction", "Qushi Rehe Decoction" and "Yangyang Gu Jing Lotion" can dredge meridians, regulate qi and blood, strengthen the body resistance and eliminate pathogenic factors, which not only improves the clinical curative effect, but also greatly shortens the treatment cycle, and has good clinical curative effect on various male infertility. It will open up more space for infertility in the combination of traditional Chinese and western medicine, and bring "new life" joy to infertile couples in Northeast China and even the whole country.
Medical ethics is the "most subtle thing", and those who study medicine must "learn from the source and be diligent in doing things". The second is honesty, that is, doctors are required to have noble moral cultivation, empathize with others' sufferings, inspire "great compassion", and then make a vow to "save the suffering", instead of "being brave, quick and inviting the name of the moment" or "relying on themselves"
Inherit the teacher's introduction and deliberately innovate the classroom. When I was a child, I studied medicine and got guidance from my grandparents and teachers. I first understood the basic concepts of Chinese medicine, then mastered the basic theory, then watched pulse diagnosis, soup songs and so on, then took clinical classes, began to study surgery, pediatrics, then internal medicine and gynecology, and finally got married in gynecology, especially gynecology. Gao Lihua completely inherited her ancestors' experience in surgery and pediatrics and turned to internal medicine and gynecology, which is inseparable from her deliberate innovation. Imitation is simple, but Chinese medicine will not develop; Only on the basis of predecessors' experience can TCM have vitality. Therefore, she not only inherited family studies, but also developed family studies, such as the diagnosis and treatment of difficult diseases such as gynecological infertility, especially the summary of ten treatments of gynecology, which is quite ingenious. Her research on various theories also reflects her innovative ideas. Infertility is a common and refractory disease in clinic. Gao Lihua is good at promoting blood circulation and removing blood stasis to treat infertility. Commonly used treatment methods include promoting blood circulation and removing blood stasis, tonifying kidney and strengthening yang; Warming channels and dispelling cold, nourishing blood and removing blood stasis; Shugan Jieyu, Yishen Huoxue method; Strengthening spleen and eliminating dampness, regulating qi and promoting blood circulation. She believes that the application of promoting blood circulation and removing blood stasis should first have various manifestations of blood stasis syndrome; Secondly, it is necessary to distinguish between primary and secondary, some of which are mainly based on removing blood stasis, and some are supplemented by removing blood stasis; Third, we should choose the appropriate prescription according to the syndrome; Fourth, we should pay attention to strengthening the body resistance, and also pay attention to soothing the liver, strengthening the spleen and tonifying the kidney, and regulating the eight strange meridians. Only in this way can we achieve good curative effect.
Seeking magic weapon by analyzing the source and seeking Excellence in clinic. Traditional Chinese medicine is profound, and beginners look at the ocean and sigh. Gao Lihua, on the other hand, thinks that learning Chinese medicine has rules to follow, and its basic theory and reliable treatment methods have been handed down for thousands of years. Since Neijing, the mode of basic theory has not changed, but the method of syndrome differentiation and treatment has developed. This requires beginners to master the basic theory first, follow the trail when getting started, grasp its development vein, understand the law of academic development of traditional Chinese medicine and open their minds. While clarifying the origin, we can also seize the opportunity to dig out the magic weapon of treating diseases according to our own needs and enrich our knowledge and experience. However, what you get from the paper is superficial, especially Chinese medicine. Reading classics may not cure diseases, so clinical practice is particularly important. Through clinical practice, we can deepen our understanding of traditional Chinese medicine; Second, you can verify whether what you have learned is correct; Third, we can find the one-sidedness and shortcomings of predecessors and ask questions; Fourth, we can find ways to solve the problem. In this way, the theory and experience of predecessors have been developed and the clinical efficacy has been continuously improved. For example, her homemade soup for metrorrhagia and metrorrhagia is the product of combining the strengths of various schools and practices, which has outstanding curative effect on metrorrhagia and metrorrhagia.
Stones from other mountains can attack jade, and modern medicine must be familiar with it. Gao Lihua emphasized that both Chinese medicine and western medicine have their own advantages and disadvantages. If you are good at being a doctor, you should learn from each other's strengths and don't set up a portal view. Up to now, there are still conservatives in Chinese medicine who reject western medicine, leading to jokes and even medical accidents. Since the 1980s, Gao Lihua has paid attention to learning Western medicine, not only mastering its basic knowledge, but also flexibly combining the objective laboratory results with the diagnosis and treatment of Chinese medicine, making up for the lack of abstract or undocumented Chinese medicine. If the diagnosis and treatment is correct, we should always refer to the examination results and modify the treatment plan in time to achieve satisfactory results; For heart disease, it is often more effective to give experienced prescriptions according to the tips of ECG and different conditions. Of course, Gao Lihua is not only an objective indicator, but also opposes the westernization of Chinese medicine, because they are two theoretical systems. For example, inflammation in western medicine cannot be equated with heat syndrome in traditional Chinese medicine. Western medicine pays attention to local and targeted treatment, while traditional Chinese medicine is the opposite. Among them, the key is to take modern medical examination as a reference, and syndrome differentiation and treatment cannot be separated from the theories, methods and prescriptions of traditional Chinese medicine. In the diagnosis and treatment of chronic infertility, irregular menstruation, amenorrhea, dysmenorrhea, uterine dysplasia, tubal obstruction, habitual abortion, male infertility, oligospermia, azoospermia and so on. Gao Lihua studied under famous doctors such as Zhang Honghe and Zhang Juzhi, and gained a lot of experience in diagnosis and treatment. Under the guidance of TCM theory, he developed He Zhihua ointment and other agreed prescriptions, which were directly used for surgical treatment of malignant ulcer, rheumatism, hyperosteogeny, fracture and contusion, and achieved remarkable curative effect compared with western medicine alone.
Studying the origin of various schools, although various theories focus on doctoral studies, they cannot be viewed in isolation; Of course, you can't specialize in the main school The correct method should be to research figures, analyze academic origins and refine academic thoughts simultaneously, so as to master them comprehensively. Every doctor should be divided into schools and belong to the system according to his teacher's inheritance, personal relationship, academic tendency and clinical characteristics. At the same time, it is not limited to schools, and it is necessary to highlight the characteristics of doctors, otherwise it will be biased. When discussing various theories, we should pay attention to making up for it, and evaluate doctors fairly and accessible. Every doctor has his own academic origin and background, so his views are different. The contribution to medicine is outstanding in a certain respect, and it is impossible to have a doctor who covers all aspects and comprehensively promotes Chinese medicine. This requires us to be good at grasping the strengths of various schools and achieve mastery through a comprehensive study in order to obtain a more systematic and perfect theory. It is precisely because of their respective research and achievements from different angles that Chinese medicine has been continuously improved and developed. Therefore, future generations can't take a former saint as a person inclined to a certain point of view to replace it. In fact, they emphasized the importance of one theory instead of belittling others. Doctors in ancient times all had their strengths and weaknesses. For example, Zhang Congzheng advocates attacking evil and getting sick, which is obviously a short board for treating the lack of healthy qi; Zhao Xianke is good at nourishing the fire of life, but he doesn't pay enough attention to other viscera, and so on. Therefore, it is necessary to comprehensively and objectively evaluate their academic thoughts, learn from each other's strong points, and thus obtain more complete and comprehensive theories and experiences. In addition, researchers should not be limited to the conclusions of predecessors or others, but should study carefully to avoid one-sided understanding. Because predecessors' theories and experiences all come from practice, only in practice can we understand and apply them and judge whether they are correct or not, can we further develop them.
Gao Lihua attaches importance to both theory and clinic, and can closely combine theory and practice academically because of early clinical practice and following famous teachers. She witnessed her ancestors using Zhang Zhongjing's "Zhishi Shaoyao Powder" to treat a parturient with severe pain after being injected with morphine for several hours, and achieved unexpected results. As far as she knows, "Zhishi Shaoyao Powder" is just an ordinary prescription, but after her mother's practice, the effect of "Jing Fang" is so extraordinary. In more than 20 years of medical teaching practice, she deeply realized that the theory of traditional Chinese medicine comes from practice and must be constantly verified and discussed in long-term clinical experience in order to explore the true meaning of the theory of traditional Chinese medicine, so as to grasp its essence and carry it forward. Differentiation and treatment of "cold" and "warm" For a long time, the treatment of exogenous fever has been divided into "typhoid fever" and "warm disease", which has been debated for hundreds of years in history. Influenced by grandparents since childhood, Gao Lihua has no paranoia about typhoid fever and fever. Later, in practice, I realized that as long as the treatment based on syndrome differentiation is true, the prescriptions can be used, and both the prescriptions for typhoid and febrile diseases can take effect on the living. She made a comprehensive analysis of the emergence and development of typhoid fever theory, and thought that the typhoid fever school took Zhang Zhongjing in the Eastern Han Dynasty as a master and Treatise on Febrile Diseases as a model. However, after the Song and Yuan Dynasties, due to the dense urban population, frequent land and water traffic, the increasingly developed offshore industry, the prevalence of infectious diseases became a condition, and the types of infectious diseases continued to increase, which made doctors sometimes feel overwhelmed when using typhoid prescriptions to treat diseases, so the school of febrile diseases sprouted. During the Ming and Qing Dynasties, the theory of epidemic febrile diseases became more and more mature and formed the school of epidemic febrile diseases through the exploration and research of doctors such as Wu Youke, Ye, Xue, Ye and Ye. From the development point of view, febrile diseases are developed on the basis of typhoid diseases, which can be regarded as the development of typhoid diseases. But it is wrong to think that since it has developed, it can replace the typhoid school and cancel its valuable experience and methods. Similarly, it is wrong to think that febrile diseases are insignificant, killing people more than saving people, and obliterating the academic experience of febrile diseases for hundreds of years. She argues that the theories and methods of typhoid and fever are also valuable medical heritages in China, and should be studied and experimented in a scientific way through clinical practice. Therefore, she put forward the academic viewpoint of "unity of syndrome differentiation of exogenous fever" She thinks that typhoid fever school and epidemic febrile disease school come down in one continuous line, and their research objects are exogenous fever, so it is possible and necessary to unify syndrome differentiation. How to make the differentiation of differences more close and thorough, learn from each other's strong points to make them unified, so as to master and guide the clinic and improve the previous theories.
The remarkable effect of the combination of traditional Chinese and western medicine in treating a large number of difficult and critical diseases depends on his clever combination and application of the advantages of traditional Chinese and western medicine. Under the strong environment of western medicine in China, a Chinese medicine practitioner is easily westernized, but Gao Lihua insists on Chinese medicine. She is brilliant, studious, knowledgeable, unforgettable and outstanding. She used traditional Chinese and western medicine to diagnose and treat various diseases, which not only achieved fruitful results in scientific research, clinical practice and teaching, but also constantly compared and summarized the diagnosis and treatment ideas of traditional Chinese and western medicine in medical practice, and gradually formed her diagnosis and treatment ideas that can profoundly interpret the original purpose of traditional Chinese medicine and have a deep practical foundation. Gao Lihua is good at clinical practice, but she is good at summing up experience in comprehensive and meticulous clinical observation, constantly reflecting in clinical practice, and constantly writing papers with high theoretical level and profound insights.
Every patient is different, and some cases are difficult to repeat. The key is the way of thinking in diagnosis and treatment. In her medical career of more than 20 years, she has seen countless cases, or one disease is not enough to reflect her overall diagnosis and treatment ideas, or she has quietly stuck in her heart to prove her point of view. Now, every time she goes out to the clinic, she mainly accepts long-term infertility, tubal obstruction, male infertility, oligospermia, azoospermia, rheumatism and rheumatoid diseases. Among the patients are old acquaintances nearby, foreigners who come by plane regularly, and overseas people who have crossed the ocean. ?
She always discusses the diagnosis and treatment of diseases from a strategic perspective, compares Chinese and western medical models and diagnosis and treatment ideas, and breaks through the routine of focusing only on one disease. She has a brilliant mind, is extremely knowledgeable about medical sources, absorbs Chinese and foreign materials, constantly understands the essence of traditional Chinese medicine, and has formed a logical and strategic academic thought in the comparison of Chinese and western medical models, the mission and development direction of contemporary Chinese medicine. In today's Chinese medicine field, because they dare to ask sharp questions, they are good at logical thinking and have unique opinions. The way of traditional Chinese medicine is based on the principle of preserving health and treating diseases, discovering the lifestyle of syndrome differentiation and treatment and the development of human life, a tool for transforming and utilizing toxic substances into medicine, and practical wisdom of healthy ecology to achieve the effect of harmony between man and nature.
She believes that the fundamental change of medical model lies in the change of diagnosis and treatment thought. Doctors should proceed from reality, study the distinction between man and nature, seek truth from facts, and understand the changes of health diseases in order to know the environmental benefits and drugs, be targeted, follow the way of life, discover and develop man's vitality, stress practical results, and use the tools of life to seek the harmonious effect between man and nature. This profound and incisive insight hits the nail on the head and puts health first. She emphasized the relationship between steady-state regulation and TCM health preservation, and pointed out that the human health model is a self-stable ecological harmony in which healthy qi exists and evil cannot be done, rather than the complete elimination of evil. He sternly pointed out that people's attitudes towards bacteria and viruses are futile, and they do not distinguish between good and bad, but make more and more diseases. Gao Lihua's thought of TCM diagnosis and treatment is lofty, profound and incisive. People's self-care ability and self-healing ability are the goal and development object of traditional Chinese medicine, and are the foundation of its existence and development. She always carries out this concept in the process of diagnosis and treatment. She often praises patients' tenacious vitality and encourages them to fight against diseases. Your illness has recovered, not because of me, but because of your strong vitality. Hang in there! Clinically, she makes a comprehensive analysis of patients' working and living environment from the social and humanistic perspectives, and encourages patients to exert their self-healing ability. This is her way of traditional Chinese medicine, which is a wonderful embodiment of learning from others and taking patients as teachers.