Clinical And Theoretical Research On Professor Xie Qiang's Phlebotomy Treatment In Pharynx Emergency

Objective:The objective of this research is to analyze the curative effect of professor Xie Qiang's clinical experience for the treatment of pharynx emergencies in combination with pathogenesis of pharynx emergencies situations(acute pharyngitis and acute tonsillitis). In the light of his analysis methods in using specific techniques to observe and assess the clinical effects of treatment under the guidance of his academic experience for phlebotomy(blood letting) treatment in pharynx emergencies. Attempting to explorate and deliberate profoundly on his clinical and academic experience. Also to enrich this experience, and to provide treatment method practical for clinical use.Methods:1. Theoretical research:the basic guide lines in this research is to collect, review and record all the information and experience of professor Xie Qiang's phlebotomy(blood letting) treatment for pharynx emergency cases. Analyzing and exploring his clinical experience for phlebotomy treatment in pharynx emergencies summarize the order of regulations in diagnosis and treatment, preserving and re-sighting his analysis process using specific methods to observe and assess the clinical effects of the treatment. By combining the historical evolution of pharynx emergencies, pathogenesis research and treatment research with the theory of pharynx emergencies from ancient and modern literature and using it to sort out and probe into professor Xieqiang's thought on phlebotomy treatment in pharynx emergencies. The research will include some retrospective and proactive study for his clinical experience and academic ideology.2.Clinical research:the basic approach is to observe and evaluate clinical effect of phlebotomy treatment in pharynx emergencies.(Note:this research places extra emphasis on phlebotomy treatment in acute tonsillitis and acute pharyngitis). The research will include some verification on his clinical experience.â‘ Acute tonsillitis research:we empolyed the randomly contrast study at parallel level. The control group was given procaine benzylpenicillin intramuscular injection treatment. Observed the differences of clinical effects, decrease of symptom scores, changes of leukocytes and lymphocytes.â‘¡Acute pharyngitis research: contrasted before and after treatment to observe the differences of clinical effects, decrease of symptom scores, changes of leukocytes. The measurement data was analyzed by SAS9.3. We analyzed all the randomized acute tonsillitis patients by intention-to-treat(ITT).Result:1. Professor Xie Qiang studied and organized academic thoughts from ancient and modern doctors, based on the meridian theory and clinical experience, he then introduced his own explanation to pharynx emergencies (acute pharyngitis and acute tonsillitis) pathogenesis which truly has its uniqueness.â‘ The research on pathogenesis and treatment of pharynx emergencies (acute tonsillitis and acute pharyngitis) should be with reference to the theory from "neijing" and other ancient medical records and books.â‘¡The key for the pathogenesis of pharynx emergencies is blood and heat stasis, phlegm and toxins obstructing.â‘¢Obstruction of the meridian which leads to the blockage of pharynx's collaterals.â‘£Professor Xieqiang is skillful in the pharynx emergencies (acute tonsillitis and acute pharyngitis) treatment using the phlebotomy method. He prefers to choose pharyngeal points, sanshang points and erlun three points. Therapeutic technique and operational approach for phlebotomy treatment method are also very special and yielding good results. Acupotome treatment is used to cut tonsil as phlebotomy treatment which is based on traditional three edged needle and acupuncture needle's phlebotomy treatment.2. Verification research of phlebotomy treatment in pharynx emergency:â‘ Here are clinical comprehensive effect between two groups after treatment. Treatment group:29have been cured,obvious effect in6cases,effect in3cases,no effect in2. Total effective rate was95%. Control group:the numbers of clinically cured,obvious effect,effect and no effect were6,20,5,7. Total effective was81.58%.Clinical comprehensive effect between two groups shows significant difference (P<0.0001). The change of mean value of symptom integral between two groups before and after treatment shows:there was no significant difference of the second day and the fourth day of treatment. But there was significant difference at the seventh day of treatment (P<0.0001).It means phlebotomy treatment is significantly effective for acute tonsillitis to improve symptom integral than procaine penicillin treatment on the later periodâ‘¡Acute pharyngitis research:symptom integral of this group before and after treatment shows significant difference (P<0.0001). WBC count difference between two groups before and after treatment shows significant difference (P<0.0001). It points out that phlebotomy treatment for acute pharyngitis has exact clinical effects.Conclusion:Professor Xie Qiang's analyze process, specific methods for phlebotomy treatment in pharynx emergency is practical and effective at dispelling wind and releasing exterior, removing heat and eliminating stasis. It is easy to carry out and has noticeable clinical curative effects. His clinical experience and academic theories on phlebotomy treatment in pharynx emergencies has its own research based significant. For example:inherit and explore unique superiority of phlebotomy treatment in pharynx emergencies, generalize and spread the method of phlebotomy treatment, expand and deepen the different diseases research subjects of phlebotomy treatment, avoid or reduce antibiotic using, enhance treatment effect of pharynx emergencies. Phlebotomy(blood letting) treatment in pharynx emergencies has completed theory and clinical practice. It is an important approach to treat pharynx emergencies. It is worthiness popularizes application because this method can improve clinical effects. But i think that from recent literatures reports there are still many problems about phlebotomy treatment in pharynx emergencies needed to be solved.â‘ The lack of systematic and normative criterion for therapeutic location. Till now there are three following methods:acupoint phlebotomy treatment, ear point (blood network) phlebotomy treatment, and pharynx and tonsil phlebotomy treatment. These three treatments can be used alone or together. But there are no comparative studies for curative effect among these different kinds of treatment.â‘¡The amount of bloodletting is controversial and there are no reports about the research for the relationship between amount of bloodletting and curative effect. This part needs more quantitative research.â‘¢In recent years, acupotome treatment was brought into pharynx emergencies treatment by professor Xieqiang. It is used to cut tonsils as phlebotomy treatment which is based on traditional three edged needle and acupuncture needle's phlebotomy treatment. Due to the technical difficulty of this operation,it is necessary to formulate systematic and normative criterion to popularize and apply acupotome treatment.â‘£There is no research for modern mechanism of phlebotomy treatment in pharynx emergencies till now. Further study need to be done because most of researches explain mechanism in terms of ancient literatures.