The Academic Thoughts And Clinical Experience In The Treatment Of Polycystic Ovary Syndrome Of Professor Li Yuling

Tutor Li Yuling, is the chief physician, doctoral tutor, and the director of TCM department of the Hainan Provincial People’s Hospital. Tutor Li born in 1957 in Qinghai Xining, who graduated from the TCM department of the QingHai Medical College in 1982. Then she graduated from Tongji Medical University of Integrative Medicine, finished his master degree in 1988. After that, in 2004, she was selected to join the first batch of outstanding national clinical training program to learn from Professor Luo Songping, who is the famous TCM gynecologis of Guangzhou TCM University. In 2007, she won the national title of excellent clinical professionals.In 2012, she was choosen to be tutor of the fifth national old TCM experts in inheritingthe academic experience.She is engaged in clinical work, teaching, and research. So she has accumulated lots of experience on the diagnosis and treatment of gynecological and internal medical diseases, especially on polycystic ovary syndrome as summarized belowLi’s academic thought and clinical experience1. Academic thought:① From the school, he is good at innovation:Li stressed on read Classic Books of clinic. She told us to be diligent in thinking, revolution, and bringing forth the new through the old;② Focus on the holism concept, emphasizing syndrome differentiation:The overall concept and syndrome differentiation and treatment, is the essence of traditional Chinese medicine. Women in the pathogenesis of the disease evolution, disease diagnosis, and prevention, treatment, support and other aspects of organic combination of the three, focusing on the holism concept, and emphasizes syndrome differentiation;③To attach importance to the survival of Yang:Teacher thinks highly of Zhongjing theory, attach importance to the survival of the Yang,. She believe that the modern people are always deficient of Yang, and Yang is easy to hurt and difficult to recovery. So the teacher Lin insist to improve Fu Yang in the clinical work;④ Emphasis on support healthy energy:In the treatment of the disease process, for some chronic diseases repeatedly sent to the author, the teacher attaches great importance to the constitution of the patients with nursing, the emphasis on helping the body healthy, pay attention to restore thebody’sself-repair, self-adaptation, self-coordination, selfdisease-resist ant ability;⑤Emphasis on integrative medicine, Western medicine can not TCM: The doctor of traditional Chinese medicine and western medicine is the study of human disease and medical health. In succession of traditional Chinese medicine, on the basis of traditional exploration must be good at absorbing excellent results.2. Clinical characteristics of drug use:① A variety of drug use:the efficacy of TCM is more targeted, choose to syndrome differentiation, reasonable compatibility;② Change the bad to good:Li stressed that the role of master of drugs, including side effects, to be good at the side effects become positive role, turning waste into treasure, broaden our thinking and be able to achieve good results;③ Cold medicine and hot medicine at the same time use:warm disease predominantly in a word, not more, the teacher combined with its years of clinical experience, fever and sent the clinical claims, in order to obtain good effect;④Tonic and purging drugs used at the same time: My tutor pointed out that rare of pure virtual reality of the body, so the clinical medicine for diarrhea and more. Virtual when the centralizer is given priority to, but should fill in. Disease subjects when the attack is given priority to, but should be kept in attack;⑤Use fewer but better:teacher pleased with this small Fang Chan medicine, medical claims fewer but better, including dose and ingredients, against desultorily;⑥Good at to use medicine: Medicine can synergy to enhance curative effect of Chinese medicine, clinical use and has a certain independence, in complex condition changes, but also many kinds of fungicides;⑦According to the time to use:Gynecological clinical, for the women’s disease during the different ages, combined with women’s physiological characteristics, based on the principle of since, respectively from the kidney, liver, spleen and differentiation;⑧Syndrome Differentiation and modern pharmacological research combined with traditional Chinese medicine:Li likes on the basis of disease syndrome differentiation, combined with the modern pharmacological research of Chinese medicine medicine, achieve the result of get twice the result with half the effort.3. Treatment of gynecological diseases Experience:① Smooth and nourish the liver:She treats the patients by nourishing the liver on the basis of the herbs of smooth Qi, regulating the liver not only rely on the drug, but also good at using psychotherapy;②Tonifying kidney:Tutor Li pay attention to the balance of yin and Yang and transformation of kidney, put forward the Chinese herbal medicine for nourishing kidney, avoid by all means of a single use of hypertrophic drugs hurt the spleen and stomach;③ Strengthening the spleen and stomach:Spleen and stomach is the source of qi and blood biochemical, "internal injuries spleen and stomach, born all ills by", Tutor Li thinks the happening of the disease of department of gynaecology have a very close relationship with the spleen and stomach;④ Regulating qi and blood:The purpose of regulating qi and blood, make sure the blood to reconcile, Chongren michimori;⑤ The attention of ventilating lung qi:The treatment of gynecological diseases often cannot take effect or poor effect will be matched with a taste of ventilating lung qi products;⑥ The Hainan heat and humid, to take care of and protect Yin and Yang:Hot and humid, wet injury Yang and heat damaging Yin. During the course of the disease and impairment of yin and Yang of the different outcome, so near syndrome treatment need to pay attention to the nursing care of the Yin and Yang.4. Experience in the treatment of polycystic ovary syndrome:①Tutor Li understanding of the etiology and pathogenesis of polycystic ovary syndrome:The clinical diagnosis and treatment of PCOS, should be identified by the combination of disease and syndrome differentiation, with the advanced technology and methods of modern medicine, to identify the cause, a clear diagnosis. Teacher combined with the clinical experience of many years, believed that the formation of PCOS main responsibility is to the kidney,liver, spleen dysfunction, phlegm qi, blood stasis, caused by kidney menstruation-Chong and Ren-mutual adjustment between the uterus caused by an imbalance, clinical depression is more common Clearing away phlegm and depression.② Understanding on the treatment of polycystic ovary syndrome:Tutor Li on the treatment of polycystic ovary syndrome, pay attention to regulate the menstrual function, with governance, cheer, attach importance to the overall adjustment, treatment from the "phlegm", "Qi", self-made clearing away phlegm and depression decoction Combined with traditional Chinese medicine artificial cycle therapy.③The combined treatment and aftercare:Tutor Li believes that the diet is not controlled, lack of exercise is a common cause of PCOS, it is stressed that the adjustment and change of the lifestyle of patients, that the combination of treatment, to achieve the effect of half work times.Clinical researchObjectiveOn the basis of the academic experience and technical expertise of Tutor Li, the clinical efficacy of the treatment of PCOS by using the method of Clearing away phlegm and depression is observed.MethodsClinical 56 patients were randomized to treatment group (29 cases), treated Clearing away phlegm and depression decoction for the treatment of; control group (27 cases), treated with Diane-35. Through the treatment of the symptoms of menstruation and TCM syndrome, the change of body mass index and endocrine six before and after treatment, the mechanism of the effect of Li Yuling chief physician on the treatment of Phlegm depression and mutual type polycystic ovary syndrome with clearing away phlegm and depression was discussed.ResultsThe treatment group markedly effective rate 37.9%, efficiency 96.6% in the control group markedly effective rate of 18.5%,70.4% efficiency, Treatment group markedly effective rate and efficient compared with control group P<0.05, there was a significant difference; BMI itself within the above comparison group before and after treatment, both groups P<0.05, significant difference, between the two groups after treatment, P> 0.05, the difference was not statistically significant; Two groups of patients before treatment compared with the menstrual cycle have been significantly improved (P<0.01), the difference was statistically significant, but the menstrual cycle after treatment were compared two groups of patients was found, the difference was not statistically significance; wo groups of patients before treatment syndromes scores compared with both P<0.05, the difference was statistically significant, between the two groups after treatment P<0.05, the difference was statistically significant; After treatment, LH, LH/FSH, T decreased significantly, within the difference between the two groups own significant between the two groups, there was no significant difference after treatment; two FSH, PRL and E2 were carried out before and after the self-comparison and between the two groups, no significant differenceConelusionMy mentor experience in the therapy of polycystic ovary syndrome:(1) the understanding of the etiology and pathogenesis, clinical diagnosis and treatment PCOS, should be the combination of disease and syndrome differentiation, the use of modern advanced detection technology, the method, find out the cause. Teacher combined with years of clinical experience of formation of the PCOS its main responsibility is to the kidney, liver, spleen dysfunction, phlegm turbid qi depression, blood stasis block, causes kidney menstruation-ran ren-to adjust the imbalance between cell palace, combined with the regional characteristics of hainan and climate characteristics, points out that the local patients with phlegm yu alternating knot is the most common witness. (2) treatment of understanding:the teacher in the cultivation of the treatment of polycystic ovary syndrome, regulate the menstrual function, chief use for delight, attaches great importance to the overall adjustment and treatment from morephlegm and depression。The results describ clealy the TCM treatment of dispelling phlegm and expelling stagnation on PCOS patients are effective in controlling the menstrual cycle and improving aspects of TCM clinical syndromes. This treatment can reduce the patient’s body mass index and blood LH, LH/FSH, T level, and designate scores in overall efficacy and TCM superior to the control group. Description li Yuling chief physician clearing away phlegm and depression from the overall improvement in clinical efficacy in patients with PCOS.