Professor Wang Academic Thoughts And Clinical Experience And From "stasis Cloud" Stage Treatment Of Chronic Prostatitis Clinical Studies

Purpose:It’s my honor to be an academic successor of professor Wang Qi. During the period of following teacher’s clinic, I benefit a great deal from his extensive academic thoughts and rich clinical experience, feel his dexterous herbal prescription and accurate curative effect on treating difficult and complicated diseases, and understand his noble medical ethics and rigorous academic attitude. It’s necessary to summarize and inherit professor’s academic thoughts and treatment experience in order to improve learners’ clinical level and play a role of master-disciple education of Chinese medicine, especially thinks from constitution differentiation, his academic thoughts and clinical experience in TCM andriatry and internal medicine. It’s an important way of nurturing talents and carrying forward academic thoughts and clinical experience of prestigious experts of Chinese medicine.The study is discussing professor Wang Qi’s academic thoughts and clinical experience in treating chronic prostatitis. Chronic prostatitis is a commonly encountered disease in clinic and is a difficult disease to cure, whose pathological characteristics are complicated, symptoms are diversified and signs aren’t typical. The clinical incidence of chronic prostatitis rises in recent years. It has seriously affected patients’spirit, health and quality of life because it’s recurrent episodes and extremely difficult to be treating. This paper understands chronic prostatitis from the theory of traditional Chinese medicine and summarizes professor Wang Qi’s academic thoughts and clinical experience in treating chronic prostatitis and comprehensively in order to provide certain theoretical basis with better clinical cure effect.Method:Master-disciple education of Chinese medicine is different from the common basic and clinical research. Firstly review professor’s academic origin. He wasn’t born in TCM family of generations. His most important academic contribution is constructing and perfecting constitution and andriatry of Traditional Chinese Medicine (TCM) mainly relying on his own long-term clinical practice, working hard, learning widely from others. Secondly collect and research professor Wang Qi’s academic thoughts and clinical experience. Summarize the most important academic perspectives in TCM constitution and andriatry, such as the theory of "physique relating to disease", "physique being recuperable" in TCM constitution, "treating sexual impotence from liver" in TCM andriatry, "tonifying kidney and benefiting essence, activating blood and resolving stasis with removing dampness and heat" in male infertility. The important job is collating and researching professor Wang Qi’s clinic prescription methods and experience. Professor Wang Qi’s clinic prescription methods are summarized that stressing constitution differentiation, prescription widely and compatibilitily, compact decoction and combined prescription. Manage and research clinical experience through a large number of cases, discuss and analyze typical cases and put forward the insights of own. Finally carrying out clinical research of chronic prostatitis according to the professor’s academic thoughts and clinical experience. The experiment is consist of control and treated phase and includes 60 patients in each group with random control method. In treated group, at the early and middle stages, using modified angelica fritillaria sophora pill and Wu Cao Decoction. At the late stages, using modified decoction for restoration and (or) Guizhi Fuling pill. In control group, at the early and middle stages, using modified Bazhengsan. At the late stages, using modified decoction of shaofuzhuyu.60 days as a treatment course. Comprehensively evaluating clinical effect on treating chronic prostatitis according to the chronic prostatitis symptom index (NIH-CPSI), expressed prostatic secretion, and prostate digital examination between pre and post treatment.Result:Exploring the road to success of Professor Wang Qi based on studying His academic thoughts. Improving the heir’s clinical skills and theoretical level, important guiding significance to treatment of chronic prostatitis through collating and researching professor Wang Qi’s clinic experience. The general efficacy:the curative rate, obvious effective rate, effective rate and ineffective rate at the 60th day respectively are:30%、40%、23.3%、6.7%, they in control group respectively are:16.7%、25%、30%、28.3%,(P<0.05).Conclusion:Based on the assessment of chronic prostatitis symptom index (NIH-CPSI), expressed prostatic secretion, and prostate digital examination, proving effective treatment of chronic prostatitis from blood stasis and blood turbid aspect and clinical feasibility of syndrome differentiation in stage. It is worth to study on popularization of professor Wang Qi’s academic thoughts and clinical experience.Significance:Witnessing magical clinical curative effect of TCM to difficult and complicated cases, and importance of accurate method to clinical curative effect, professor Wang Qi is good at using classical prescription, famous prescription and self-made formula. Every herbal prescriptions he uses must include the fundamental law and more flexible. Summing up and refining clinical experience and prescription methods can prove student’s clinical level and make TCM inheritance seriation and standardization. Professor Wang Qi is good at treatment not only in medicine disease but also in andrology, Especially in treating chronic prostatitis. So summarizing professor’s thoughts and clinical experience in treating chronic prostatitis can enrich the connotation of TCM theory, improve clinical curative effect, benefit patients and lay foundation for TCM inheritance.Personal views:During three years, I experience a lot including excitement, confusion, epiphany, joy and others. I feel excited when I can be a student of a famous doctor and close contact and learning from teacher. Conflictis between strict attendance system, the heavy burden of homework and busy job and life make me really very confused and doubt. I am at loose ends under the professor’s strict requirements. However, I feel glad and realize the necessity and effectiveness of master-disciple education when I enhance understanding of TCM and clinical efficacy. Master-disciple education is indispensable supplement of TCM and it can further strengthen the deficiency of previous learning, especially for TCM classics and summary and sentiment of professor’s clinical experience. All of these will be precious wealth in our future study and work. Purpose:Summarize professor Wang Qi’s academic thoughts and clinical experience in treating chronic prostatitis, which can be promoted to science from clinic research. Evaluate clinical effect of professor Wang Qi’s treating chronic prostatitis from blood stasis and blood turbid aspect and different treatment stages by randomized control method. Summarize etiology and pathogenesis of chronic prostatitis, therapeutic features, prescription thought, characteristics and regularity. It can give full play in veteran physician’s experience in TCM, guide better clinical therapy, enrich ideas and methods in treating chronic prostatitis, and provide comprehensive theoretical basis and guiding ideology for TCM therapeutics.Methods:Based on Professor Wang Qi’s clinical experiences, the experiment is consist of control and treated phase and includes 60 patients in each group with chronic prostatitis. In treated group, at the early and middle stages, using modified angelica fritillaria sophora pill and Wu Cao Decoction. At the late stages, using modified decoction for restoration and (or) Guizhi Fuling pill. In control group, at the early and middle stages, using modified Bazhengsan. At the late stages, using modified decoction of shaofuzhuyu. One dose daily,600 ml were decocted, twice a day,300ml each time. Comprehensively evaluating clinical effect on treating chronic prostatitis according to the NIH-CPSI, prostatic fluid test, and prostate digital examination before treatment and 60 days after treatment.Results:Significant differences were detected in the total effective rates between group and control group (93.3% vs 71.7%, P＜0.05). Remarkable decreases of NIH-CPSI were noted in treatment group and control group (P<0.05). Statistical difference was detected in treatment group compared with control group (P<0.05). Remarkable improvements were observed in the pain relief, urination, life quality, amount of white blood cells and density of lecithin body in prostatic fluid of the treatment group compared with control group (P<0.05).Conclusion:According to professor Wang Qi’s clinical experience, treatment from ’blood stasis and blood turbid aspect’,’different treatment stages’and’model of differentiation of physique, disease and syndrome’, can obviously improve the pain scores, the micturition symptom scores, white blood cells, lecithin body in expressed prostatic secretions and prostate digital examination. And also improve significantly patients’quality of life. The understanding of professor Wang Qi for treating chronic prostatitis from’damp-heat, stagnation of blood stasis in essence room’has scientificalness. The characteristics of therapy are summarized as follows combining syndrome differentiation and treatment in different stages, and model of differentiation of physique, disease and syndrome. Treatment combines with etiology and pathology in modern medicine and clinical practicality and efficiency. Professor Wang is good at using classical prescription, famous prescription and self-made formula in treating chronic prostatitis. Professor Wang’s administration features is worth studying, including adhering to interpretation of the cause; medicine chosen carefully according to basic pathogenesis of chronic prostatitis; choosing heat-clearing and detoxifying, blood-activating and stasis-dissolving, and dredging collaterals and dispersing stagnation herbs; using bitter and cold medicines totally is contraindication, otherwise bitter and cold impairing yang; advocating to use drug pair, such as ’phellodendron and combined spicebush’; using specific medicines such as ’hedyotis diffusa willd, clematis root’ to improve the clinical efficacy.