Traditional Chinese Medicine Gynecology (New Century National Higher TCM University Planning Textbook)

Author: Zhang Yuzhen
Publisher:
Publish Date: 2005-04-01
Features: The book is divided into General Theory, Specific Topics, and Supplementary Topics. The General Theory systematically introduces the basic knowledge and fundamental theories of Traditional Chinese Medicine (TCM) gynecology. The section on the history of academic development uses A Comprehensive History of TCM as a reference, dividing it into ten historical periods to illustrate the historical process of the emergence, foundation, formation, and development of TCM gynecology. The basic knowledge supplements new theories and achievements in female physiology, clearly defines the meanings of cegong (uterus) and zongzi (womb), and adds relevant theories of the kidney-tiangui-chongren-duting reproductive axis, the mechanism of menstrual cycle regulation, and new understandings of dai (leukorrhea) physiology and regulation. It further enriches and develops the etiology and pathogenesis theory of TCM gynecology, making it increasingly complete, and supplements the diagnostic key points for jing (menstruation), dai (leukorrhea), tai (pregnancy), and chan (childbirth), as well as the relationship between disease differentiation and syndrome differentiation. The treatment methods have also been significantly reformed, divided into three major categories based on clinical practice: internal treatment, external treatment, and emergency gynecological treatment. Internal treatment emphasizes the concept of "regulation," focusing on regulating the viscera, adjusting qi and blood, regulating the chongren-duting axis, nurturing the cegong (uterus), and controlling the kidney-tiangui-chongren-duting reproductive axis, making it the main line of internal treatment for gynecology. External treatment emphasizes local gynecological treatment, while emergency treatment highlights the TCM treatment for conditions such as xuebeng (hemorrhagic shock), jifu (acute abdominal pain), gaore (high fever), and juetu (syncope). This reflects the inheritance and development in physiology, pathogenesis, and treatment systems.
The Specific Topics are organized according to the traditional classification of jing (menstruation), dai (leukorrhea), tai (pregnancy), chan (childbirth), and miscellaneous diseases, primarily using standardized TCM gynecological disease names. It includes 64 sections covering 64 common and frequently occurring gynecological diseases. Based on clinical practice, certain conditions such as guitai (ectopic pregnancy), zixuan (uterine prolapse), ziyin (uterine atrophy), linchanbing (premature labor), funüfuquan (women's abdominal pain), yinqiu (vaginal discharge), and yinzhong (vaginal swelling) have been removed, while new conditions with distinctive TCM treatments and promising prospects have been added, such as osteoporosis in postmenopausal women, pruritus during pregnancy, anemia during pregnancy, dai (leukorrhea) deficiency, postpartum depression, postpartum blood exhaustion, pelvic inflammatory disease, and common side effects of contraception. Additionally, conditions with better outcomes from TCM and integrated Chinese and Western medicine treatments in the past decade, such as dysfunctional uterine bleeding, polycystic ovary syndrome, and endometriosis, are appended to similar TCM conditions for reference, facilitating mutual learning and complementary advantages to identify integration points. The definitions and classifications of each disease align with the national standards and regulations. A new format is introduced to highlight the book's strengths: historical notes are provided for each disease, briefly summarizing its origins, aiding in learning and inheritance; differential diagnosis, emergency treatment, and modern diagnostic technologies are enriched to improve clinical diagnostic skills; prescriptions and medications emphasize practicality, selecting effective formulas and experience-based prescriptions from renowned modern TCM practitioners, with each formula the original condition it treats to reflect its development and application. The book also adheres to the principle of prevention, adding sections on prognosis, prevention, and adjustment to leverage the advantages of TCM gynecology in prevention and adjustment.
Another distinctive feature is the inclusion of a Clinical Reference section, which addresses important clinical questions, unresolved issues, research findings, and developments, as well as reminders for clinical attention. This combines theory with practice to broaden students' perspectives and enhance their clinical skills. The Supplementary Topics systematically introduce the basic knowledge and common diagnostic technologies of Western gynecology and obstetrics for reference. At the end of the book, the national standard writing methods for TCM gynecological diseases and miscellaneous conditions are provided.