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The Study Of The Formation Of Spleen-stomach Theory In Traditional Chinese Medicine And Its Clinical Value In Orthopedics

Posted on:2012-01-06Degree:DoctorType:Dissertation
Country:ChinaCandidate:H W LuoFull Text:PDF
GTID:1114330371998614Subject:Orthopedics scientific
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ObjectiveSpleen-stomach is a pair of characteristic organs of the vital organs of the human body, in theory, they are the foundation of acquired constitution, and of great theoretical value; from the clinical, Treatment of disease through spleen-stomach is more in line with the regulation of Chinese medicine features, and is of positive of clinical value; spleen-stomach theory is also a self-contained system of only one of the five Zang-organs theory, has an important academic value. The objective of the study is superficial discussion on the formation of TCM theory of spleen-stomach and orthopedics Professor and tutor Chen Zhiwei using TCM spleen-stomach theory to clinical experience, looking for deeper theoretical sources for Spleen-stomach theory and broaden the traditional Chinese medicine theory of spleen-stomach in the treatment of Orthopedic diseases treatment, better clinical services.MethodsThrough reading and summarizing a large number of documents and medical records of our predecessors left to explore the origin of TCM spleen-stomach theory, seek foundation of TCM Spleen-stomach theory, history of development, improve and perfect. Through following up along with teacher, writing notes, collecting tyspleencal cases, analyzing of the tutor's clinic experience of treating disease, summarizing tutor Professor Chen Zhiwei's clinic experience of using TCM spleen-stomach theory in orthopedics. Through clinical research, with Spleen strong and representatives of the Powder of Ginseng, Poria and Atractylodis Macrocephalae in treating120cases of traumatic skin defect after patients, randomly divided into control group and TCM groups, TCM groups on the3rd,7,13days taking wound tissue to pathological examination. Observation of granulation tissue growth, number of capillary vessel in wound tissue and fibroblasts, discussion on if the application of spleen-stomach theory of TCM prescription drug can effectively promote the growth of granulation tissue, accelerating wound healing, so as to further verify that the value of TCM spleen-stomach theory in orthopedics.ResultsFormation of TCM spleen-stomach theory is divided into four stages:based on the Qin and Han dynasties, developed in the Wei, Jin, Sui and Tang dynasties, enriched in Song, Jin and.Yuan dynasties, perfect in Ming and Qing dynasties. That is to say, Traditional Chinese medicine theory of spleen-stomach, experienced from the 《Huangdi Nei jing》,《Treatise on Fevrile Diseases》 the treatise of Li dongyuan' s Spleen-wei on the formation of parties, until the Ming and Qing dynasties. Ye's wei-Yin theory of creation, spleen-stomach theory of yin and Yang, Qi and blood temperature, lifting, and dryness, rigid and perfect, thus later treating spleen-stomach disease has opened up a wider road. These functions play a vital role to the preservation of human life. Clinical application of invigorating spleen-stomach can treat various diseases and achieve significant efficacy. So study on the essence of spleen-stomach theory caused a country wide interest in the medical field. At present particularly on the nature of the spleen and the gradual in-depth study of invigorating spleen and replenishing qi recipe, under the direction of the theory of traditional Chinese medicine, the use of combination of traditional and modern research methods, through physiology, biochemistry, pathology etc. multi-disciplinary, multi-index, multi-channel, by extensive research on clinical laboratories and animal models, gratifying progress has been made. This plays a very important role on accelerating the modernization of traditional Chinese medicine.Professor Chen Zhiwei deeply affected by the method, the growth of spleen-stomach just like all the other things, spleen-stomach is the role of the five zang, which ensure the coordination and the normal operation of it; if it hurted inside, the disease will produce. Accordingly, Professor Chen Zhiwei put great emphasis on Spleen-stomach in Clinical works and proceed treatment from the side and have formed a dialectical approach and treatment principles. Professor Chen Zhiwei according to the characteristics of orthopedic, study from the physiological functions,pathological features and the relationship of them, citing from the post of past, combined with modern medical knowledge, by in-depth and detailed analysis, have gradually established the method of "Spleen-stomach is the primary of the wounded", that is the basic idea should be go throughout the treatment. It has been widely used in the fracture, soft tissue injury and miscellaneous diseases, the connotation of the orthopedics inner disease treatment have greatly connotations.According to this experience and theory, we use the Powder of Ginseng, Poria and Atractylodis Macrocephalae on the patient with skin defection on trauma,which is the invigorating spleen and replenishing qi Decoction of strengthening spleen, The result is the capillary vessel number and fibroblast cell number of the treat group more than the control group, and more earlier and faster than the control group in the proliferation of granulation tissue. Spleen governing limbs and muscles, so in the traditional Chinese medicine, Spleen can effectively promote the growth of granulation tissue and accelerate wound healing.ConclusionThe theory of Spleen-stomach is the traditional medicine theory system's important component, it's rich theory in today is still widely and effectively guide the clinical practice.《Huangdi Nei jing》,《Treatise on Fevrile Diseases》 laid the theoretical foundation of the theory and ancient physicians regarded the spleen and stomach as the soil, and soil is the fundamental of the growth of the universe. Spleen-stomach not only means the spleen and stomach anatomically, primarily symbolization its dominant position in activity of human body life. Because all the organs and tissues, limbs and bones are all needs the Nutrition of Qi and blood provided from Spleen-stomach, So when the Qi of Spleen-stomach hurted, the energy can't be charged and declined, and the imbalance of Yin and Yang lost and the disease occurred. Spleen-stomach has its characteristics in the viscera, They are" spleen being acquired foundation" from theoretic aspects, and has its important theoretical value. According to the theory we found in the treatment of traumatic skin defect of the patient, growth of granulation tissue, and the wound healing would be accelerated. Treatment from Spleen-stomach would be more in line with the characteristics of Chinese medicine and has positive clinical value From a clinical aspects. The theory is still only a system theory in five organs and has important academic value. This paper briefly discusses the formation of the Spleen-stomach theory and its value in orthopedic. We can search more profound theoretical origin, to widening the treatment ideas on orthopedic diseases and servicing the clinical works better.
Keywords/Search Tags:traditional Chinese medicine, Teachers, spleen-stomach theory, orthopedics, Clinical application
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