On the afternoon of July 29, 2022, the fourth classic Chinese Medicine Training meeting of the Oncology Group 1 of the Qilu Superior Specialty Cluster of Traditional Chinese Medicine was held as scheduled in the form of a combination of online and offline.The theme of this meeting is: “Classic Classics on Abdominal Pain”. The meeting was led by Professor Hou Aixiao, Vice President of Yantai Hospital of Traditional Chinese Medicine, and attended the meeting. Professor Jiang Chunxiang, a famous traditional Chinese medicine doctor, cluster supervisor, and Director of the Department of Oncology and Hematology of Weihai Hospital of Traditional Chinese Medicine, was invited to give an academic report on the theme.Nearly 100 department directors and department backbone from more than 20 hospitals in the Tumor Group 1 of the Qilu Superior Specialty Cluster of Traditional Chinese Medicine participated in the meeting.

With the title of “A Brief Analysis of Zhongjing's Theory on Abdominal Pain”, Professor Jiang Chunxiang took the dialectical typing of “Abdominal pain” in classic Chinese medicine works such as "Theory of Typhoid Fever" and "The Essentials of Jingui" as the main line, combined with specific prescriptions, and explained in detail the application of classic classics in the diagnosis and treatment of patients with abdominal pain.First of all, Professor Jiang explained to everyone the pain-relieving recipe “peony licorice soup", citing Article 29 of the “Theory of Typhoid Fever", "Typhoid fever, floating veins, self-sweating, urination, upset, slight coldness, and foot contracture."On the contrary, Guizhi wanted to attack his watch, which was also a mistake.If you get it, your throat is dry, and you are irritable and vomiting, you can make dried licorice ginger soup with it to restore your yang; if you get warmer, you can make peony licorice soup with it, and your feet will stretch out" and “Medical Enlightenment” "Peony licorice soup relieves abdominal pain like a god" and other classic content, the main treatment of peony licorice soup, the pathogenesis of abdominal pain, the composition of drugs, and the characteristics of the prescription are discussed.

In view of weak spleen and stomach abdominal pain, Professor Jiang explained the eight scriptures of Xiaojianzhong Soup, Dajianzhong Soup, Lizhong Pill (soup), Taohua Soup, Tongmai Sihui Tong Peony, Guizhi plus peony soup, Guizhi plus yellow soup, Zhenwu Soup, etc. From the source of the original text, the pathogenesis of abdominal pain, the composition of the medicine, and the characteristics of the prescription.Professor Jiang pointed out that the pathogenesis of Xiaojianzhong Soup for the treatment of abdominal pain is Zhongjiao deficiency and cold‚, insufficient qi and blood‚, and the recurrence is caused by the multiplication of the evils of Shaoyang. The treatment of abdominal pain should be based on warmness and deficiency, Tongluo and pain relief; the pathogenesis of Dajianzhong Soup for the treatment of abdominal pain is weak in the sun, and the yin and cold are abundant, which causes abdominal pain. The treatment should be based on warmness and deficiency, lowering and relieving pain; The pathogenesis of Lizhong Pill (soup) for the treatment of abdominal pain is cold in the spleen and stomach, which causes abdominal pain, and the treatment should be based on warmness to dispel cold and replenish pain. Qi, spleen and pain relief are the method; the pathogenesis of Taohua soup for the treatment of abdominal pain is less yin and less benefit, insufficient Liyang, and cold and evil are abundant and cause abdominal pain. The treatment should be based on warm astringent solidification, relieving cold and relieving pain; the pathogenesis of Tongmai Sihui and peony for the treatment of abdominal pain is kidney yang deficiency, which involves the spleen yang, yin and cold coagulation, and pain if the spleen network is blocked. The treatment should be based on breaking the yin and returning to the sun, reaching inside and outside, reaching the spleen network, and relieving cold and relieving pain; Guizhi plus peony soup and Guizhi plus yellow soup for the treatment of abdominal pain. The pathogenesis is that the superficial evil is trapped in the Taiyin, the cold evil stagnates the spleen network, and the spleen network is blocked, so the abdomen is full of pain. Treatment should be based on reconciling the camp guard, regulating the spleen and the middle, relieving acute pain or relieving diarrhea and relieving pain; the pathogenesis of Zhenwu Soup for the treatment of abdominal pain is Yangxu Shui Jiao, ‚Yin cold coagulates and blocks the spleen network, which causes abdominal pain. Treatment should be based on Wenyang and water, qi and circulation are smooth‚, and abdominal pain is self-relieving. In view of the abdominal pain caused by hydrothermia and phlegm fever, Professor Jiang explained the two sutras of big trap chest soup and small trap chest soup: “Sun disease, if you sweat again and get down again, it will not be convenient for five or six days, your tongue is dry and thirsty, and you will have hot flashes every day. From the bottom of the heart, the abdomen is hard and full and the pain is not close. The master of the big trap chest soup”, “Small knot chest disease, under the heart, if you press it, it hurts, and the veins are slippery, the master of the small trap chest soup."”The pathogenesis of the treatment of abdominal pain by the big trap chest soup is that the water and heat are severely intertwined, the qi mechanism is blocked, and the Yangming heart is affected. The treatment should be based on laxative heat and water breaking the knot; the pathogenesis of the small trap chest soup for the treatment of abdominal pain is that the phlegm and heat are intertwined, blocking the heart, and if it is not blocked, it will be painful. The treatment should be based on clearing heat and phlegm, broadening the chest and dispersing the knot. In view of the abdominal pain caused by intestinal carbuncles, Professor Jiang quoted the original text, “Intestinal carbuncles are diseases. The body armor is wrong, the abdominal skin is urgent, and the body is swollen, there is no accumulation in the abdomen, no heat in the body, and the number of veins. This is because there is carbuncle pus in the intestine, and coix aconite is the main cause of the sauce.", “Those with intestinal carbuncles, less abdominal swelling, pain like rain when pressed, self-regulating urination, fever from time to time, self-sweating, and severe chills."Those whose veins are late and tight, the pus is immature, but they can be removed when there is blood; those whose veins are flooded, the pus is already formed, and they cannot be removed. The main content of rhubarb peony soup” And other explanations, pointed out that the pathogenesis of coix aconite septic sauce powder for the treatment of abdominal pain is heat and poison stagnation, blocking the camp guard, heating into pus and causing abdominal pain, the treatment is to discharge pus and relieve swelling and pain; the pathogenesis of rhubarb peony soup for the treatment of abdominal pain is dampness and heat stagnation, qi and blood coagulation, heat knots do not disperse and abdominal pain, treatment when diarrhea and heat break the knot, disperse the knot to reduce swelling and relieve pain. . In view of the mixed cold and heat abdominal pain, Professor Jiang pointed out that “Typhoid fever has heat in the chest, evil qi in the stomach, abdominal pain, and those who want to vomit, Huanglian soup is the main one.", “The veins of typhoid fever are slight and Jue, and the skin is cold on the seventh or eighth day, and the person has no temporary rest. This is Tibetan jue, not Wukong Jue.For those who are irritable, they should vomit, and those who are annoying when the patient recovers quietly, this is a hidden cold, and the pimple enters their diaphragm, so it is annoying, and it takes a while to stop, and they vomit when they get food, and those who are annoying, they smell the food and smell it, and they often vomit on their own.The one who is Wukong Jue, the lord of Umeimaru.Lord Jiuli again.”The pathogenesis of Huanglian soup for the treatment of abdominal pain is cold blocking the spleen meridian, discord in the spleen network, and pain if it is not clear. The treatment should be based on clearing the upper temperature and lowering, and promoting Yangqi; the pathogenesis of Wumei pill for the treatment of abdominal pain is internal disturbance of roundworms, suppressing QI‚, and abdominal pain, the treatment should be based on clearing the upper temperature and lowering, and relieving the pain of roundworms. In view of the discordant abdominal pain of the liver and spleen, Professor Jiang explained four sutras: small bupleurum soup, big bupleurum soup, Sihuisan, and Angelica peony powder.The original text said, “Five or six days of typhoid fever, stroke, cold and heat in the body, chest pain, silently do not want to eat, upset and happy to vomit, or upset in the chest without vomiting, or thirsty, or abdominal pain, or stiff under the threat, or throbbing under the heart, unfavorable urination, or not thirsty, slight heat in the body, or coughing, Xiaobaihu soup is the master.", “Those who are full of pain in their hearts, this is true, and it is now."", “Shaoyin disease, four reversals, if the person has a cough, throbbing, or unfavorable urination, abdominal pain, or severe venting, the four reversals are scattered.","The woman is pregnant and has a pimple in her abdomen. Angelica peony is the main one."” "The woman has all the diseases and pains in her abdomen, and Angelica peony is the master."”.The pathogenesis of Xiaochaihu decoction for the treatment of abdominal pain is gallbladder stagnation, qi stagnation, and spleen‚, which damages the spleen complex and causes abdominal pain. The treatment should be based on the method of regulating the spleen complex and relieving acute pain; the pathogenesis of Daochaihu decoction for the treatment of abdominal pain is Shaoyang Huoyu stagnation, which is unfavorable for the cardinal, and there is evil entering the Yangming, turning dryness into reality, and stagnation of the middle qi. The treatment should be based on the method of lowering the Yangming Zhongqi, Heying Tongluo, and relieving acute pain; the pathogenesis of Sihuasan for the treatment of abdominal pain is Yangyu Jue Inverse, qi blockage, and spleen complex. Abdominal pain caused by obstruction, treatment should be based on relieving the liver and stomach, relieving qi, relieving depression and relieving pain; the pathogenesis of angelica peony powder for the treatment of abdominal pain is liver and spleen loss, dampness and blood stagnation caused by abdominal pain, treatment should be based on nourishing blood and regulating the liver, strengthening the spleen, relieving dampness and relieving pain.   

In view of the real abdominal pain, Professor Jiang explained three sutras in turn: “After the big Qi soup, it will not be convenient for six or seven days, and those who are annoyed and full of abdominal pain will have dry stools.Therefore, if there is accommodation and food, it is advisable to take the Qi soup.”The pathogenesis of abdominal pain is the internal knot of Yangming dryness, and the Zhongshi has become‚, the conduction of the large intestine is abnormal, and the ‚Zhongqi is blocked‚, and if it is blocked, it will be painful. The treatment is based on the method of ‚middle diarrhea and fever‚ and cleansing stagnation; the “Three things soup of Magnolia" is painful and closed, and the three things soup of Magnolia is the main one.”The pathogenesis of abdominal pain is the internal knot of real heat, stagnation of qi, and abdominal pain. Treatment is based on qi removal, accumulation, laxative and pain relief; rhubarb aconite soup “It is painful under the threat, fever, and its veins are tight. This cold is also caused by warm medicine. It is advisable to use rhubarb aconite soup.”Abdominal pain is caused by cold stagnation in the pathogenesis of abdominal pain. The treatment is based on Wenyang to relieve cold, laxative and pain relief. In view of the internal stagnation of blood stasis and abdominal pain, Professor Jiang pointed out that for evidence of blood storage, peach core Chengqi soup should be used. “The sun disease is puzzled and the bladder is hot, and the person is like a madman. The blood comes from the bottom, and the next one heals.Those who are puzzled outside are not yet able to attack, so they should be solved outside first; those who have solved outside, but have less abdominal cramps, are able to attack, and it is advisable to peach core Qi soup."Heyu Tang (Pill)" The sun has been sick for six or seven days, and the evidence is still there. The pulse is slightly sinking, but the chest is not bound. Those who are crazy will be scorched with heat, and the abdomen will be full when they are young. Those who urinate for their own benefit, the bleeding will heal.Therefore, those who follow the scriptures with the sun, and the heat is in the body, are worthy of being the soup master."; Postpartum stasis and obstruction cause abdominal pain for a long time, and blood stasis soup should be used“ "For abdominal pain in pregnant women, the method should be to disperse with citrus aurantium and peony. If the fake order does not heal, this is because there is dry blood in the abdomen and under the umbilical cord. It is advisable to use blood stasis soup for the main one, but also for the main meridian water.”; For women who have symptoms of menstruation, or blood stasis, menstrual closure, abdominal pain, and endless postpartum evil dew, Guizhi poria pills should be used “To treat women who have symptoms of menstruation, and the menstrual break is not in time for March, and they have to leak more than once."Those whose fetal movement is on the umbilical cord are the cause of the disease.Those who move in the sixth month of pregnancy, when menstruation occurs in the first three months, the fetus is also; those who shed blood, after the third month of pregnancy, the uterus is also.Therefore, if there is more than blood, the disease will not go away, so at the moment, Guizhi poria pill is the main one.”; For abdominal pain caused by weak qi and blood, restless fetal movement, Qionggui gelatine soup should be used. “Women who have leaking, those who have continuous bleeding after half of the postpartum period, and those who have bleeding during pregnancy, falsely cause abdominal pain during pregnancy, which is the main cause of cell blockage, gelatine soup.“; For those with cold hernia, abdominal pain and menace, postpartum abdominal pimple pain, cold hernia in the abdomen, and insufficient fatigue, angelica ginger mutton soup should be used. "For those with cold hernia, abdominal pain, and menace, angelica ginger mutton soup is the main one.”

President Hou, Chairman of the conference, finally made a concluding speech. President Hou pointed out that so far, the specialist cluster has organized four seminars on classics of traditional Chinese medicine. The first “Seminar on Dialectics of Organs and Evidence”, the second “Distinguishing Typhoid Fever, Feiyang Classics” Seminar on Classics and Clinical Applications of Traditional Chinese Medicine, the third “Xiaoqinglong Soup Clinical Application Experience” Seminar, and this issue of the "Classic Classics on Abdominal Pain" Seminar, the experts we invite are both experts and professors from institutions of higher learning, as well as department directors and clinical backbone who have been fighting on the front line of clinical practice for a long time, through systematic theoretical training and the transfer of valuable clinical experience, so that the specialist The ability and level of young doctors in the cluster to apply the classics of traditional Chinese medicine to diagnose and treat diseases has been rapidly improved.In the next step, we will continue to promote the work of “Three Classics inheritance”, give full play to the potential of the cluster's internal famous doctor resources and mentor team, continue to deepen the inheritance and innovation of traditional Chinese medicine, and strive to train a large number of young masters, so that more patients can benefit from Chinese medicine treatment.
After the meeting, the experts at the meeting received a warm response and expressed their excitement about Professor Jiang Chunxiang's teaching. Professor Jiang's explanation of the classic Jingfang for the treatment of abdominal pain was both systematic, comprehensive and in-depth.While interpreting the classics, it can also be closely integrated with the application of clinical evidence, which is of great help to improve the clinical efficacy of young Chinese medicine practitioners in the cluster and improve the level of diagnosis and treatment.