A Study On The Evaluation Of Academic Thought And Clinical Experience Of Professor Wei Zhongmin And The Evaluation Of Curative Effect Of Pediatrics In Treating Children 's Chronic Cough

1 Professor Zhongmin Wei’s academic thought originThis study explored the origin of the academic thoughts of Professor Wei and the characteristics of her clinical reasoning, analyzed her remarkable life as a heritage, development and innovation of classic medicine.This study summarized the academic growing process, work and educational background, as well as the clinical experience of Professor Wei; explored the origin of the academic thoughts and the characteristics of clinical differentiating of Professor Wei; analyzed her remarkable life as a great medical specialist in heritage, development and innovation of classic medicine.During the university, Professor Wei fortunately had listened the lectures by many national TCM masters, such as the treatment based on syndrome differentiation and the experience in treating febrile diseases by Professor Bowei Qin, the Yellow Emperor’Classic of Internal Medicine (Huang Di Nei jing) by Professor Yingqiu Ren, the study experience of Treatise on Cold Damage (Shang Han Lun) by Professor Shenwu Chen, the methods of diagnosis and treatment of febrile diseases by Professor Jianhua Dong. In addition to this, there are the syndrome-differentiation of the six meridians by Professor Xishu Hu, and basic theory of TCM by Professor Huihe Yin, which have laid a solid foundation for her future clinical and teaching work. During her graduate studies and work period, Professor Wei often followed several prominent TCM doctors visit including Dr. Duzhou Liu, Dr. Guangyi Kong, Dr. Shaoqin Zhao, etc. She has learned from each essence, integrated various classic academic experiences, and has been nurtured and influenced by these knowledgeable and experienced masters. Since then, she has determined to inherit and innovate the classic. Professor Wei went to study and research on the classic academic works of Zhongjing Zhang, as well as widely read books, literature, and medical experience of other famous doctors, which allows her to continuously accumulate and precipitation for the classic understanding and experience. She shows special preference to the Synopsis of Prescriptions of the Golden Chamber(Jin kui Yao Lue), which is known as "ancestor of prescription, progenitor of the treatment of miscellaneous diseases". Therefore, she has carried on the systematic and comprehensive research on it, known it by heart, and is constantly refining and sublimating her understanding, forming unique insights as well as innovating academic point of view.Professor Wei is now the chief known professor of the Synopsis of Prescriptions of the Golden Chamber, a national and municipal TCM doctor, and the instructor for inheritance of academic experience of the national and Beijing senior old TCM experts. Professor Zhongmin Wei specializes in medical knowledge and has rich clinical experience. She is a researcher with a rigorous scientific attitude and pursuits of excellence. She also insisted on writing at the same time of her teaching. In order to inherit and carry forward the classic medicine, she hasbeen dedicating dedicated her life.2 Professor Zhongmin Wei’s academic thoughts and clinical experienceAs the national and municipal famous senior old Chinese Medicine, Professor Zhongmin Wei is the chief professor of Beijing University of Chinese Medicine "four classic" national team of teaching the the Synopsis of Prescriptions of the Golden Chamber course. Professor Wei is a well-known scholar of Zhongjing theory. She has very deep attainments in the research and application of classical prescriptions, especially developing unique perspectives on "changing the prescription based on syndrome". She has conducted a thorough research on the internal medicine diseases and difficult miscellaneous disease, and also has accumulated a wealth of clinical experience. The core academic thought of Professor Wei’s clinical treatment is "five organ’s Qi is being unobstructed status" based on protecting Qi as the basis, protecting spleen as the first place, adjusting Yin and Yang, regulating the movement of Qi and blood" In particular, she advocates the guiding principle of "five organ’s Qi is being unobstructed status" in disease prevention and its important clinical significance.Professor Wei has rich clinical experience and outstanding curative effect in the treatment of miscellaneous diseases. Her clinical reasoning is worthy of further research and excavation. In the clinical treatment, she has unique insights and characteristics, and good use of classical prescriptions. Moreover, the treatment program she provided is often comprehensive, accurate, and combined with western medicine. Professor Wei attaches particularly importance to the pulse in clinical syndrome differentiation, which is one of the characteristics of TCM classics. Professor Wei has concentrated on the Synopsis of Prescriptions of the Golden Chamber all her life, and has accumulated rich experience in theory and practice on miscellaneous diseases pulse. Furthermore, she is good at judging the location, path ogenesis, deficiency and excess deficiency of disease from the major plus and visible pluse. The principles of her clinical treatment are searching for the primary cause of disease in treatment, protecting spleen and stomach, reinforcing Qi and blood, and adjusting Yin and Yang.Professor Zhongmin Wei has formed her own unique academic thought on the Synopsis of Prescriptions of the Golden Chamber, and accumulated rich clinical experience. She respects classical prescriptions and values scientific research, and specializes in the treatment of internal miscellaneous diseases, especially cardiovascular disease, digestive system disease, gynecological disease, and various incurable diseases.3 Professor Zhongmin Wei’s study on the law of the clinical treatment of the cou gh with prescriptionThe treatment of acute and chronic cough by Professor Zhongmin Wei of Beijing University of Chinese Medicine from October 2013 to October 2014 has been collect ed. After a preliminary screening,52 prescriptions for acute cough and 106 prescripti ons for chronic cough were collected respectively. We adopt Traditional Chinese Medic ine Inheritance Support System (TCMISS) software to analyze the law of the prescript ions, and dig the prescription data on three levels including single medicine, pair medi cine and core combination of commonly used medicines. The results suggest that the most commonly used single medicines for treating acute cough by Professor Wei are Fructus Arctic, Folium Eriobotryae, Schizonepetae Herba, Folium Mori, Apricot Kernel, Honeysuckle, Rhizoma Phragmitis, Licorice Roots Northwest Origin, Chrysanthemum. Radix Platycodi, etc.The most commonly used pair medicines are Great Burdock Ache ne-Folium Eriobotryae, Schizonepetae Herba-Fructus Arctii, Schizonepetae Herba-Aprico t Kernel, Fructus Arctii-Folium Mori, Folium Mori-Chrysanthemum, Rhizoma Phragmitis-HerbaHouttuyniae, Folium Mori-Folium Eriobotryae, Schizonepetae Herba-Folium Eriobo tryae, Honeysuckle-Schizonepetae Herba, Honeysuckle-Chrysanthemum,etc. The most co mmonly used core combinations of four medicines are Thunberg Fritillary Bulb, Radix Ophiopogonis,LilyBulb, and Bulbus Fritillariae Cirrhosae-Folium Mori, Chrysanthemum Peppermint,and Pericarpium Citri Reticulatae-Poria Cocos, Rhizoma Pinelliae Preparata, Peppermint, and Pericarpium Citri Reticulatae. The most commonly used single medici nes for treating chronic cough are Raw Rhizoma Atractylodis Macrocephalae, Folium Eriobotryae, Poria Cocos, Raw Radix Astragalis, Apricot Kernel, Radix Asteris, Flos F arfarae, Radix Ophiopogonis,etc. The most commonly used pair medicines are Poria Co cos, Raw Rhizoma Atractylodis Macrocephalae-Radix Asteris, Flos Farfarae-Radix Aste ris, Folium Eriobotryae-Folium Eriobotryae, Raw Rhizoma Atractylodis Macrocephalae-Poria Cocos, Folium Eriobotryae-Raw Rhizoma Atractylodis Macrocephalae, Raw Radix Astragalis-Apricot Kernel, Folium Eriobotryae-Flos Farfarae, Folium Eriobotryae-Radix Asteris, Flos Farfarae, Folium Eriobotryae-Apricot Kernel, and Raw Rhizoma Atractyl odis Macrocephalae. The most commonly used core combinations of four medicines ar e Radix Ophiopogonis, Radix Glehniae, Radix Pseudostellariae, and Polished Round-gr ained Rice-Raw Radix Astragalis, Morus Alba, Honeyed Folium Eriobotryae, and Fried Bitter Apricot Kernel-Radix Asteris, Folium Eriobotryae, Flos Farfarae, and Fried Bitte r Apricot Kernel.4 Professor Zhongmin Wei’s clinical study on the method of banking up earth to generate metal in diagnosis and treatment of post-infection cough (PIC) in childrenThis project is based on the core academic thought of Professor Wei’s theory of "five organ’s Qi is being unobstructed status". Combining her clinical experience on diagnosis and treatment of chronic cough, the present study analyzed the progress of clinical Chinese and Western medicine treatment of PIC in children. According to the physiological and pathological features of children, we developed a treatment principle for the method of banking up earth to generate metal in treatment of children with PIC, and worked out a PIC prescription for children. Children’s PIC cases were collected in the hospital clinic. In order to provide a more effective and safe treatment for children with PIC, we compared the clinical efficacy of the PIC prescription with Ambroxol Hydrochloride and Clenbuterol Hydrochloride Oral Solution (Yi Tanjing). Methods:The children meeting PIC diagnostic criteria were assigned to the treatment group (60 cases) and the control group (40 cases). The treatment lasted two weeks. The main symptoms and secondary symptoms were observed before and after treatment, and the efficiency, improvement of individual symptom and recurrence was also compared between these two groups. Results:Comprehensive efficacy analysis showed that the effective rate was 91.53%(n=59) in the treatment group and 78.95%(n=38) in the control group. The clinical effect of the treatment group was significantly better than that of the control group (P<0.05). In the improvement of symptoms, the main symptom scores of the treatment group were significantly lower than the control group, especially in cough, expectoration, sweating and burnout (P<0.01). But the difference of the treatment effect in the symptom of breathing was not significant between the two groups (P>0.05). The chronic cough prescription can obviously relieve cough, expectoration, sweating and burnout symptoms, and the curative effect of the treatment group was significantly better than that of the control group. The two groups were followed up after two weeks treatment. The results showed that burnout and sweating symptoms of the treatment group were significantly improved. There was no recurrence of symptoms of cough, expectoration and breathing in the treatment group, but a small number of cases have recurrent cough in the control group. However, the difference between the two groups did not reach significant (P>0.05). The findings suggest that the treatment with the PIC prescription can significantly reduce the recurrence of chronic cough. Conclusion:The curative effect of PIC prescription for children with PIC is better than Yi Tanjing. The PIC prescription can significantly improve the symptoms of cough, expectoration, sweating and burnout.