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Professor WEI Zhan - Zhen 's Academic Thought And Clinical Experience And Clinical Study On Treatment Of Sinus Bradycardia With

Posted on:2017-03-21Degree:DoctorType:Dissertation
Country:ChinaCandidate:Y H LiFull Text:PDF
GTID:1104330482484930Subject:Traditional Chinese Internal Medicine
Abstract/Summary:PDF Full Text Request
Objective:I am very honored to become Professor Wei Zhizhen’s academic heirs, three years of clinical study, benefit bandit is shallow and deeply felt to Professor Wei extensive knowledge, rich experience, the noble medical ethics and rigorous academic attitude. In order to fully inherit and development of the academic thoughts of Professor Wei, master the clinical experience and learning the noble medical ethics and famous talent, the academic thought of Prof. Wei Zhizhen’s clinical experiences and be systematically summarizes and inheritance. Especially in the treatment of arrhythmia of academic thoughts and clinical experience, and other cardio cerebral vascular disease and miscellaneous diseases in choosing drugs thought and clinical experience and rising expectations of their academic level and clinical skills, and to the benefit of others, good play a role in the TCM apprentice education. Clinical study in the regulating Qi and expel Dampness and adjusting pulse decoction in the treatment of sinus tachycardia slow, for example, verification of the regulating Qi and expel Dampness and adjusting pulse decoction in the treatment of sinus bradycardia efficacy and safety of corrosion, for clinical treatment of sinus bradycardia provide certain theoretical basis and optimization scheme.Professor Wei specializes in TCM diagnosis and treatment of cardiovascular and cerebrovascular diseases, especially good at traditional Chinese medicine treatment of arrhythmia and create a unique theory, has accumulated rich clinical experience. With slow arrhythmia as an example, the current western medicine is not suitable for long-term use of oral drugs without obvious side effects or adverse reactions, pacemaker is the basic treatment measures. But it is not suitable for all patients with pacemakers. Professor Wei in a timely grasp of the subject, through decades of observation and research, summed up a set of treatment of slow arrhythmia academic thinking and clinical experience. The sinus bradycardia slow, for example, under the guidance of Professor Wei’s academic thought, the regulating Qi and expel Dampness and adjusting pulse decoction clinical study, further evidence of the effectiveness of the academic thinking and clinical experience of Professor Wei in the treatment of arrhythmia, and the rise of Huawei science, to provide a kind of effective method for clinical better treatment of slow arrhythmia.Methods:Master-apprentice of traditional Chinese medicine:Mainly investigate the teacher’s academic origin, summarizes the teacher’s academic thought and clinical experience, verify the teacher’s academic thought and experience and knowledge.Begins with a review of the academic origin of the teacher:Professor Wei Zhizhen’s study experience, modeled after the experience, the respected classical medical books, published academic papers and paternity diagnosis process of teachers and students academic discussion content as the clue, probe the Professor Wei’s academic origin, also seek the methodes of master’s success.The second is the summary of the teacher’s academic thought and clinical experience: Perception and experience is put forward through clinical outpatient service with the teacher, combined with Professor Wei editor published works, papers, medical record, medical words, in cardiovascular and cerebrovascular disease focus, a comprehensive study and summary of Professor Wei’s academic thoughts and clinical experience.The final is about Professor Wei in treating sinus bradycardia theory and clinical experience of clinical research:The average incidence of clinical symptoms observed by Professor Wei in treating sinus bradycardia theory and clinical experience of clinical research: select treated in Peking University Third Hospital of traditional Chinese Medicine Department of damp pathogen to stop and blocking the heart type sinus bradycardia patients, the patients were randomly divided into the regulating Qi and expel Dampness and adjusting pulse decoction group (30 cases and simple atropine in the treatment of the control group of 30 cases, continuous treatment for 4 weeks, the comprehensive curative effect, single (palpitations, chest tightness, chest pain, dizziness, fatigue, shortness of breath, abdominal distension, diarrhea), adverse reactions and resting heart rate (HR),24 hour dynamic electrocardiogram rhythm, the slow rhythm of the heart, heart rate and other objective evaluation, to verify the regulating Qi and expel Dampness and adjusting pulse decoction is effective and safe.Conclusion:The academic origin: ①To lapping classics and abide by tancient precepts: The academic thought of Professor Wei mainly originates from the ancient medical books, such as the vein, the combination of all "thinking" is inspired by the lake "pulse; ②The teacher’s teaching:Professor Wei learned from Mr.Qin Bowei, and deeply influenced by thoughts of Mr. Qin Bowei;②Being familiar with the situation:Professor Wei Zhizhen not only understand the research progress of modern medicine, but also attach importance to the modern research achievements of TCM; ④Many clinical practice and repeated summary: Professor Wei are good at summarizing, the root bark of the peony tree and radix paeoniae rubrathe root of common peony to treat rapid arrhythmia, and the notopterygium root to treat slow arrhythmia are under the guidance of Chinese medicine theory, through clinical practice and repeatedly screened.Academic thoughts and clinical experience:Professor Wei specializes in diagnosis and treatment of cardiovascular disease and cerebral blood supply insufficiency, cardiovascular and cerebrovascular diseases, has a unique academic ideas and rich clinical experience, for medical diseases, such as cough, diarrhea, insomnia also has a wealth of experience. She believes that the pathogenesis of cardiovascular and cerebrovascular disease is the virtual real, to the virtual Yinxue deficiency is more common, pure Yang deficiency, virtual rare real divided into qi stagnation, phlegm dampness, cold coagulation, blood stasis and other standard, which with qi stagnation is the most common, eventually lead to blood barrier and the incidence of. In the treatment, according to the theory of "Qi as the commander of blood"and "Blood is the mother of Qi" theory, pay attention to the use of drugs for regulating qi flow, sometimes only using drugs for regulating qi flow can be to achieve the goal of promoting blood circulation to remove blood stasis. When choosing a prescription, follow the principle of "strengthening the body resistance do not cause congestion, eliminating evil not impairing the vital, drug selection based on lasting effect and mild, such as qi invigorating drugs with clear fill of Pseudostellaria heterophylla, Yin with Adenophora, ophiopogon root, Schisandra, complement and not greasy products; in Qi and blood circulation to drug of choice, with paeonol, radix paeoniae rubra, radix salviae miltiorrhizae, Rhizoma Chuanxiong, etc. and plasma without gadfly, Hirudo, Rhizoma sparganii and other blood and blood products, and Cyperus rotundus, citron, fingered citron and Qi regulating drugs without peel, Fructus aurantii Immaturus and broken gas medicine. Clinical evidence, stressed the urgency is to treat its standard, the treatment of the treatment of its own, the principle of treatment. In the diagnosis and treatment of cardiovascular and cerebrovascular diseases, it is inevitable that some acute diseases will occur, it should be the first to treat acute syndrome, to be urgent to alleviate the acute disease before the treatment of the original disease.Clinical research:The regulating Qi and expel Dampness and adjusting pulse decoction goup,and atropine observation control group in the comprehensive curative effect, single symptom improvement and adverse reactions exist significant difference (P< 0.05, P< 0.01).and observation group curative effect is obviously superior to the control group. There was no statistical significance in resting heart rate,24 hours dynamic electrocardiogram curative effect,24 hours dynamic electrocardiogram average heart rate, the most slow rhythm, and total heart rate.Conclusion:the regulating Qi and expel dampness and adjusting pulse aecoction can improve sinus bradycardia in patients with slow clinical symptoms, increasing the heart rate and improve the quality of life, safe and effective.
Keywords/Search Tags:sinus bradycardia, clinical experience, the regulating Qi and expel dampness and adjusting pulse decoction, Wei Zhizhen, Chinese academic thought
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