(二) How to deal with the hypofunction of the middle-aged and the elderly, such as a slight decrease in the estimated glomerular filtration rate (eGFR) of renal function?

(二) How to deal with the hypofunction of the middle-aged and the elderly, such as a slight decrease in the estimated glomerular filtration rate (eGFR) of renal function? 

The estimated glomerular filtration rate (eGFR) is a test that measures your level of kidney function and determines your stage of kidney disease. It is a normal and natural phenomenon that the function of middle-aged and elderly people gradually declines. The renal function of many middle-aged and elderly people, such as eGFR, is slightly decreased, and other renal function indicators are normal without clinical symptoms. Even the family doctor will not notice and talk to the patient. How does traditional Chinese medicine deal with and solve this problem? Mr. Zhao Shaoqin (1918-2001) (born in the family of three generations of imperial physicians in Beijing, tenured professor of Beijing University of Chinese Medicine, famous contemporary Chinese medicine doctor, Chinese medicine educator). Zhao Shaoqin Professor has three monographs on academic achievements, "Theory of Nephritis is Not Simple Kidney Deficiency", "New Theory of Chronic Kidney Disease", and "Experience of Treating Uremia with Traditional Chinese Medicine". Zhao Shaoqin Professor believes that "the problem of diet for patients with nephritis: should not take all spicy and fragrant and rich in fat and protein products, and at the same time emphasise the control of diet to reduce the burden on the kidneys. Generally, the daily main food should not exceed 250g, supplemented by fresh vegetables. Sweet and greasy food, it helps to increase dampness and produce phlegm, while spicy and pungent, fragrant and dry frying food, it turns into fire and damages yin, aggravates the generation of qi stagnation and accumulated heat, and hinders the smooth flow of qi. From the perspective of modern medicine, protein is a nitrogen-containing compound, and most of these substances are excreted through glomerular filtration. If the patient eats too much fat and protein, it will cause increasing the production of nitrogen and waste and will increase the burden on the sick kidneys, not only can't they get enough proper nutritional supplements, but it is not good for the recovery of the disease. In addition, strengthening exercise, such as walking for two hours a day, promotes nitrogen excretion from the kidneys. Facts have proved that limited dietary and balanced exercise play an important role in adjuvant drug treatment." "Chinese medicine cools blood and removes blood stasis, the diet without fat and protein, and insisting on exercise are three key methods for treatment of chronic kidney disease.Those three methods must be used together and can not lack one of them. With the close cooperation of the patient, the treatment will be able to achieve good results. Chronic kidney disease can be radically cured and chronic kidney function damage can be reversed. This conclusion has been confirmed in clinical practice.” There are more middle-aged and elderly people around us with hypofunction. What should we do to treat them? According to Mr. Zhao's article, I propose that if there is a slight decrease in the renal function like eGFR in the middle-aged and elderly people, the total intake of fat and protein should be reduced, the burden on the kidneys should be reduced then, and exercise should be strengthened, such as walking for two hours a day, which helps the kidneys excrete nitrogen. Walk for half an hour after breakfast, half an hour after lunch, and an hour after dinner. I think this plan is more moderate and workable. It is good for the recovery of body function and also easy to come true.

 (二)如何对待中老年人机能减退如肾功能肌酐清除率轻微下降？

评估肾小球滤过率(eGFR)是一项测量肾脏功能水平和确定肾脏疾病阶段的测试。

中老年人机能逐渐减退，这是很正常的一个自然现象。很多中老年人的肾功能，如肌酐清除率有轻微的下降，其他肾功能指标正常的，而无临床症状，西医认为是轻度的肾功能的减退，也只能作为观察处理。甚至家庭医生都不会注意到，更不会告诉检查者。中医如何看待和解决这问题？

赵绍琴先生(1918-2001)（出生于北京三代御医之家，北京中医药大学终身教授，当代著名中医学家，中医教育家）。赵绍琴先生有三篇有关学术成就专论，《肾炎非单纯肾虚论》，《慢性肾病新论》，《中医药治疗尿毒症的体会》。先生认为 “肾炎患者的饮食调养问题：应禁食一切辛辣香燥和富含脂肪，蛋白质之品，同时强调控制饮食量，以减轻肾脏负担。一般每日不超过250g主食，辅以新鲜蔬菜。甘甜肥厚，有助于增湿生痰，辛辣香燥每多化火伤阴，加重郁热生成，阻碍气机通畅。从现代医学讲，蛋白质是含氮化合物，这些物质排泄大多要从肾小球滤过排出，食用多了，氮及废物产生增加，就要加重已病肾脏的负担，机能不仅得不到应有的营养补充，反不利于病情恢复。另外，加强锻炼，每日散步两小时，有助于肾脏排氮功能的恢复。事实证明，饮食禁忌和功能锻炼在辅助药物治疗中起着重要的作用。” “中药凉血化瘀，饮食忌食蛋白，坚持运动锻炼是治疗慢性肾病的三大法宝。治宜三者并行，缺一不可。在患者的密切配合下如法治疗，必能收到良好的效果。慢性肾病可以根治，慢性肾功能损害可以逆转，这一结论必能在临床实践中获得证实。”

我们周边更多的是中老年人机能减退的，对待他们，我们应该如何怎么办？

据赵先生文章所示，我提出对待中老年人如有肾功能肌酐清除率有轻微的下降，应该减少脂肪和蛋白质的摄入总量，减轻肾脏负担，加强锻炼，比如说每天散步两个小时，有助于肾脏排氮功能。早饭后散步半小时，中饭后散步半小时，晚饭后散步是一小时。我觉得这个方案是比较适中可行的。对身体有好处。也容易实施。

(一) How to deal with gastrointestinal polyps and other tumours and the corresponding diet therapy

  (一) How to deal with gastrointestinal polyps and other tumors and the corresponding diet therapy

At the beginning of the year, I learned that my youngest uncle had died of stomach cancer. In addition to sadness, I felt more pain from my heart. It was already in the later stage when his stomach cancer was discovered. So he passed away after more than half a year . People can't  revive when they have gone. Only by drawing lessons from it, does one make  progress and be worthy and respectful to the dead. I talked to my father about the cause of his stomach cancer, which may be related to long-term smoking and drinking. And also I remembered that about 35 years ago, my uncle had a hoarse voice because of multiple polyps in his throat and vocal cords. He had surgery at the hospital where I worked. He felt fine after surgery. His bigger polyps had been removed, and there were still many small polyps that cannot be removed at all. At that time, he was advised to quit smoking and drinking, and no one thought of a better way to reduce the occurrence of this polyp. That is to say, the surgery removes the polyps, but does not remove the source of the polyps. According to the theory of traditional Chinese medicine, this polyp is related to phlegm coagulation and blood stasis. After most of the polyps were removed, if he paid attention to it, quit smoking and drinking alcohol, kept a good mood, balanced food and exercise, got rid of phlegm and blood stasis by Chinese herb medicine, to make body more healthy. Is it possible to not get stomach cancer when he gets older?

I also think of polyps in the digestive tract, such as common colon polyps. Besides to regular colonoscopy by the doctor of Western medicine, early checked and early removal, for patients with a history of colon polyps, in addition to control emotion, regulate diet and strengthening exercise, it can take traditional herb medicines to resolve phlegm and turbidity and remove blood stasis according to their physical condition, so as to change the condition of their body  it make polyps graduate away or stop to going to developing towards cancer?

For general thought, fibroids, lipomas, and cysts are benign, it is fine when the kind lumps have been removed. Now I changed my opinion and thought it's a sign of some kind of change in body condition. It should be paid attention to. If you pay attention to adjust your emotion at this time, eat a balanced diet, strengthen exercise and rest, and use some traditional Chinese medicines as a supplement according to your physical condition. Is it possible to interrupt the future development of this process?

How can traditional Chinese medicine or diet therapy help to get rid of digestive tract polyp?  How do traditional Chinese medicine help to recover after the treatments of gastrointestinal tumours? I was pleasantly surprised by searching online.

He Ren (1921-2012) ( the one of national greatest master of Traditional Chinese Medicine(TCM) in China at first batch, President of Zhejiang College of Traditional Chinese Medicine), the first session of the famous traditional Chinese medicine lecture, He Ren: <Clinical research of gastrointestinal tumours and others tumours >(1) His experience share: Yiyiren (Coix Seed,Semen Coicis), 30-60g , make congee, as food for a daily breakfast, take all the coix seed and soup, once every the morning, insist on long-term use, the effect is very good. It is ineffective to use the soup and discard the Yiyiren. Chinese medicine believes that Yiyiren is both for food and medicine, and has the effect of eliminating polyps. Patients with gastrointestinal tumours after surgery, radiotherapy and chemotherapy, can be used as the food therapy and drug adjuvant therapy. Modern clinical pharmacological studies have also proved that Yiyiren has an anti-tumor effect.

The website address is attached for those who are interested and can watch it.

<clinical study of gastrointestinal tumours and others tumours(一)>

1，https://www.youtube.com/watch?v=6eRtntU1cOc

2 https://v.youku.com/v_show/id_XMTQ3MzQ1NzMy.html?spm=a2h1n.8251843.playList.5!29~1!2~3~A&f=22979418&o=1

（一）如何对待消化道息肉等肿瘤与相应的食疗

年初得知小舅舅胃癌去世。我除了悲伤之外，更多的是心痛。他的胃癌发现时候已经是晚期了，所以过了大半年后，人就走掉了。人去不能复生，但要从中总结出教训，才能有进步，才能对得起逝去的亲人。我和父亲谈论他发生胃癌的诱因，可能与长期抽烟饮酒有关之外，另外，我记得在大约35年前，我小舅舅因为咽喉部和声带有多个息肉声音嘶哑。在我工作过的医院做手术后大大改善。大的息肉都摘掉了，还有很多小的息肉没有办法全部都去掉。当时建议他戒烟酒，也没有想过有更好的办法能够减少这个息肉的发生。 也就是说手术祛除了息肉，但是没有祛除长息肉的源头。按中医理论来讲，这个息肉就是和痰凝血瘀有关。如果当时在息肉切除以后，充分重视这个问题，除了戒烟酒外，调情志饮食运动外，如用一些中药祛痰浊化血瘀的治疗改善身体状况，而中断它的转变进程，会不会在年纪大了以后，就不会发生胃癌了呢？

我现在还想到了消化道的息肉中，如常见的结肠息肉，除了西医定期做结肠镜，早发现，早祛除之外，对有结肠息肉病史的病人，除了调情志饮食，加强锻炼外，能否根据他身体的情况给予也给一些化痰浊祛血瘀的药，改变身体的状况以中断它往癌症发展呢？

以前认为纤维瘤，脂肪瘤，囊肿都是良性的，只要切除就可以了。现在我认为要重视这个问题，这是身体出现了某种改变的标志。如果这个时候注意调整情绪，均衡饮食，加强锻炼和休息，另外再根据身体的状况，辅助用一些中药。是不是就能中断这个过程的未来的发展呢？

中药或食疗如何帮助祛除消化道息肉？胃肠道肿瘤西医治疗后如何用中药调理？我经过网上查询有了惊喜发现。

何任（1921-2012年）（首届国医大师，浙江中医学院院长）名老中医讲座第一期，何任：脾胃与肿瘤病的临床研究（一）他的经验分享：薏苡仁30-60g，煮粥，做为每日的早餐，薏苡仁和汤汁全部服用，每早一次，坚持长期服用，收效很好。单用薏苡仁汤汁而弃薏苡仁不吃则无效。中医认为薏苡仁有祛除瘜肉的作用。胃肠道肿瘤手术放疗化疗后都可以服用，可以做为首先的食物药物辅助治疗。现代临床药理研究也证明了薏苡仁有抗肿瘤的作用。

附上网址，有兴趣的朋友可以收看。 

何任 脾胃与肿瘤病的临床研究（一）

1，https://www.youtube.com/watch?v=6eRtntU1cOc

2 https://v.youku.com/v_show/id_XMTQ3MzQ1NzMy.html?spm=a2h1n.8251843.playList.5!29~1!2~3~A&f=22979418&o=1

Thinking about how to treat the health problem that does not take seriously normally

 Thinking about how to treat the health problem that does not take seriously normally

introduction

I had some issues during menopause, and Western medicine did not help. So I thought of Traditional Chinese medicine. It did help me and my family to deal with a lot of problems. So, I started to love Chinese medicine, and learned Chinese medicine in college, and then tried to take part in the provincial licence examination, passed the exam and got the licence. After I got the licence, I thought about it for a long time. Although I am not young, I still want to do something to help people to make them and me happy. I decided to share my knowledge and experience, and provide more health advice to the people they need.

如何对待平常不重视的健康问题

引言

我更年期出现了一些问题，在寻求西医解决的过程中无果而终。所以想到了中医，中医的确帮助我和家人解决了不少问题，所以，开始喜欢上了中医，开始在中医学院学习，后来又试着参加全省执业考试，居然通过，拿到了执照。拿到执照了以后想了很久，虽然过了奋斗拼搏的花样年华，我决定分享我学到的知识经验，给周边的人提供更多的健康养生的建议，以此回馈社会学校老师对我的培养。

圈点文化: 三月夜雪晨起戏作题照二首

圈点文化: 三月夜雪晨起戏作题照二首:  三月夜雪晨起戏作题照二首 （其一） 痴雪恋池台， 仲春未卸妆。 纷扬消踪迹， 飘洒入甜乡。 月暗梁山远， 夜奔好汉忙。 晨曦染桦树， 赫然见刘唐。 （其二） 乱琼爱春花， 夜半久徘徊， 纷扬虚足迹， 飘洒绕丛围。 层林未尽霜， 桦树染晨晖， 挑帘疑梁山， 处处赤发鬼。

我的网页 My Website

Sheng Qi Traditional Chinese Medicine And Acupuncture Clinic

                                             欢迎来到盛琪中医针灸诊所

                                      

                                      https://www.qitcmacupuncture.com/

Differences between Western Medicine (WM) and Traditional Chinese Medicine (TCM)

 Differences between Western Medicine (WM) and Traditional Chinese Medicine (TCM)

----- In memory of Professor Deng Zhongjia

Qi Sheng

“The concept of a disease is the same in both Chinese and Western medicine, with its etiology, location, nature, and state of the disease, and each has its own characteristics. Because the etiology is complex and changeable, the pathogenesis system, syndrome differentiation system, and treatment system of TCM are multi-system and multi-mode.”

“For the etiology, TCM is mainly based on indirect comprehensive derivation, supplemented by direct observation and analysis. Western medicine is just the opposite. Direct observation analysis is the main method, and indirect comprehensive deduction is supplemented. In terms of disease location, traditional Chinese medicine focuses on functional positioning and supplements structural positioning; In modern medicine, functional orientation is complementary and structural orientation is dominant, if the cause of the disease cannot be found by modern medical investigation, it must be named as a disease. It can only be neurosis, some kind of syndrome, and this is also a functional orientation.”

“But nature of disease is a set of modern medicine contradiction runs through all disease process, such as lobar pneumonia, bacteria cause inflammation, inflammation throughout the course of the disease which divided into four phases, the four period around the evolution of the inflammation, which is only a set of contradictions. Traditional Chinese medicine is not, it looks at the disease from two angles, just like the movies is stereo, a point of intersection. The strength comparison of the struggle between anti-evil qi and evil qi, the estimation of the degree of imbalance between Yin and Yang from the human body, deficiency and excess, cold and heat, the combination and intersection of the two groups of contradiction, which determine the nature of a disease, which determine the nature of a disease are very important.”

Professor Deng Zhongjia is a famous doctor of TCM in China and also written and teaching a course of <TCM Prescriptions>.  He died in Feb. 26, 2022. This is one paragraph of Professor Deng Zhongjia's introduction to the general theory of <TCM Prescriptions>. This is online electronic teaching courseware, I have been studied several times until now, and every time there is a new harvest for me. This paragraph for the differences between Western medicine and Chinese medicine is quite touching for me because I used to be a Western doctor, now become a R. TCMP. I took these words out today as a memory for Mr. Deng. and I would like to express my gratitude to learning the <TCM Prescriptions> speeches by Mr. Deng.

Differences between TCM and WM	Traditional Chinese Medicine (TCM)	Western Medicine
	Due to the etiology is complex and changeable, for TCM, the pathogenesis system, syndrome differentiation system, and treatment system are multi-system and multi-mode.
etiology	mainly based on indirect comprehensive derivation, supplemented by direct observation and analysis	Western medicine is just the opposite. Direct observation analysis is the main method, and indirect comprehensive deduction is supplemented
In terms of disease location	TCM focuses on functional positioning and supplements structural positioning	In modern medicine, functional orientation is complementary and structural orientation is dominant, if the cause of the disease cannot be found by modern medical investigation, if it must be named as a disease. It can only be neurosis, some kind of syndrome, and this is also a functional orientation.
nature of disease	TCM looks at the disease from two angles, just like the movies is stereo, a point of intersection. The strength comparison of the struggle between anti-evil qi and evil qi, the estimation of the degree of imbalance between Yin and Yang from the human body, deficiency and excess, cold and heat, the combination and intersection of the two groups of contradiction, which determine the nature of a disease.	nature of disease is a set of modern medicine contradiction runs through all disease process, such as lobar pneumonia, bacteria cause inflammation, inflammation throughout the course of the disease which divided into four phases, the four period around the evolution of the inflammation, which is only a set of contradictions.

 

西医和中医的几点不同

-----缅怀邓中甲教授

盛琪

“对一个疾病的概念，中西医都一样的，都有病因、病位、病性、病势，各自有自己的特色就是了。病因是复杂多变的，中医的病机体系，辨证体系，治法体系是多体系，多模式。”

“对于病因，中医是间接综合推导为主，直接观察分析为辅。西医学恰恰倒过来。直接观察分析为主，间接综合推导为辅。病位的话，中医学是功能定位为主，结构定位为辅；现代医学是功能定位为辅，结构定位为主。如现代医学查来查去查不到的病因，一定要说个病名，只能是神经官能症，某某综合证，这也是功能定位。”

“但疾病的性质上，现代医学是以一组矛盾贯穿于全病的过程，如大叶性肺炎，细菌侵袭，引起炎症，炎症贯穿于始终。病程划分四个阶段，这四个期围绕着炎症的演变，只有一组矛盾。中医学不是，它是二元病性，从两个角度，就像看电影，立体的，一个交叉点。邪正斗争的力量对比，阴阳失调的程度估计，虚实、寒热两组病性，复合交叉，来描述一个疾病，病性。这两个是决定疾病性质，是非常重要的。”

邓中甲教授是当代著名中医临床家，并且编写和教授《方剂学》。他于2022年2月26日仙逝。这是邓中甲教授在讲解《方剂学》总论中的一段话，这份网络电子教学课件反复学习了几遍，每一次都有新的收获，这段讲解对于我这个西学中的，颇有感触，今天把这几话摘出，做为对先生的缅怀和纪念，对能听到先生讲解的《方剂学》，表示感谢！

圈点文化: 戏园戏缘

圈点文化: 戏园戏缘:           来海外十几年，共进剧场五次：四季歌剧院看过两次歌剧，一场是威尔地的《茶花女》，一场是比才的《卡门》。一场舞剧，新市高中礼堂应景圣诞的《胡桃夹子》，汤普生音乐厅一场音乐会，主要曲目是格什温的《蓝色狂想曲》，一场昆剧， 大多文化中心剧院 北昆魏春荣主演的《牡丹亭》...