Yang Hua Academic Thought And Treatment Of Gastrointestinal Motility Disorder Experience And Clinical Observation

Professor Yang Hua, spleen and stomach disease treatment expert,is the fifth batch of national famous veteran doctor of traditional Chinese medicine (TCM). The research summarizes Professor Yang’s academic thought in treating spleen and stomach disease, and analyzes regular pattern in herbal prescription about the treatment of gastrointestinal disorder, and observes the clinical efficacy of treating stagnated heat in liver and stomach of bile reflux gastritis(BRG) by professor Yang’s empirical formula, sanqin decoction.The first chapter Discusses Professor Yang’s academic origin and different academic view point of spleen and stomach disease. The first section. Professor Yang’s academic theory origin.My tutor, professor Yang, doctoral supervisor, the fifth batch of national famous veteran doctor of TCM, has appointed as integrated Chinese and western medicine chief physician in traditional Chinese medicine hospital of Hainan Province. He has engaged in TCM clinical work for nearly forty years. Professor Yang hua were born in TCM family, His grandfather Yang Meiqing and father Yang Maochun are very famous TCM doctor in Hainan Province. Professor Yang had accepted family culture edification of TCM since childhood, to inherit TCM and develop Chinese medicine cause in Hainan. Professor Yang has both accepted train TCM apprentice’s type of Chinese education, and studied the theory in normal colleges of TCM. He reads many books about TCM classics, and has a deep understanding in TCM classics. He’s good at treating spleen and stomach disease, also specializes in liver disease and miscellaneous diseases in TCM. Professor Yang summarizes the clinical experience for many years, has formed its own unique academic that modern medicine gastrointestinal motility disorders of TCM syndrome differentiation system.The second section.The theory and research status of the spleen and stomach disease.Discusses from the concept of the spleen and stomach disease, the relationship between the spleen and the stomach disease and the modern medicine, the knowledge of Chinese medicine to the spleen and stomach physiological and pathological, the research of modern Chinese medicine to the spleen and stomach disease.The second chapter:Professor Yang hua academic thoughts and clinical experience and research.The first section, professor Yang hua treatment of spleen and stomach disease academic characteristics.Professor Yang Hua’s academic thought of treating the spleen and stomach disease can be summarized as six points:1. First concern is the down capability of stomach drop, The function of the stomach can be summarized as pass and fall; 2. Spleen and stomach were treated separately, The relationship between the spleen and stomach is the exterior and interior. They work together to complete digestion and absorption of water and food.The physiological function and the pathological changes of spleen and stomach are very different, emphasize spleen disease much deficiency, spleen disease more wet and the gas of the spleen is easy down, Treatment method to spleen diease are warming up, ascending and drying, The characteristics of the stomach diease are dry, failling and upward. The treatment method to stomach is run-Yin, venting heat, conditioning qi and Jiangni,3. Pay attention to qi activity, and professor Yang hua emphasizes treatment must pay attention to spleen and stomach disease qi activity, and think that any of the spleen and stomach disease involves a certain link, qi activity and sent the clinical reasonable allocation must regulate qi activity class of drugs, such ability to pathogenesis. 4. Emphasize regulate qi and blood is very important treatment.5. Notice of diagnosis and treatment of spleen and stomach disease differentiation and combination of disease.6. Pay attention to spleen and stomach disease constitution classification:pay attention to the form of spleen and stomach disease, state, and color of observation, pay attention to the health state of patients, such as pale face, body fat is swollen how to ZhongYang; Sallow complexion, thin to qi deficiency in the region, rosy and liquid Huang Qingzhe for Yin liquid coating on the tongue, was not hurt tongue dark green for the hot and humid fu Yang, stripped or light red tongue in tongue to fracture of qi and Yin deficiency, moss greasy thick full for specimens with disease; 7. Of simple rule, disorder of spleen and stomach disease can be divided into gasification, impaired, organ lesions, a total of 3. According to the different types of treatment.In the second quarter, dicusses the academic viewpoint of Professor Yang hua in the treatment of spleen and stomach disease and other conditions with classical prescription.The third chapter Professor Yang hua in the treatment of gastrointestinal disorder in clinical research.In the first quarter, professor Yang hua of traditional Chinese medicine (TCM) in the treatment of gastrointestinal disorder drug analysis.Through retrospective, study, the clinical prescription of Professor Yang Hua in treatment of gastrointestinal motility disorder was collected, and Professor Yang Hua’s treatment of gastrointestinal motility disorder was analyzed. Discusses the treatment experience of liver stomach wind-cold type bile reflux gastritis with sanqin decoction in the second quarter.ObjectiveTo observe the clinical effect of experienced prescription of Professor Yang Hua "sanqing decoction* in the treatment of stagnated heat in liver and stomach of bile reflux gastritis(BRG).MethodsSixty outpatients in Hainan Provincial Hospital of traditional Chinese medicine from July 2014 to 2015 February, which diagnosed as stagnated heat in liver and stomach of BRG were randomly divided into control group and observation group,30 cases in each group. The observation group was treated with sanqing decoction, one dose daily,6 weeks as a course of treatment. Hydrotalcite Tablets was given to the control group, each1.0g,3 times daily, chewing one hour after the meal; Mosapride Tablets,5mg each time,3 times daily,30 min before meal,6 weeks as a course of treatment. Observing and comparing with clinical efficacy and efficacy of endoscopy between two groups of patients after treatment.ResultsThe clinical effective rate of the observation group after one courses of treatment was 93.3%, significantly higher than the control group 73.3%. The difference was statistically significance (P< 0.05). The total effective rate of efficacy of endoscopy in observation group was 93.3%, significantly higher than the 70.0% in the control group. The difference was statistically significant (P< 0.05).ConclusionSanqing decoction in the treatment of stagnated heat in liver and stomach of BRG has obvious clinical efficacy and efficacy of endoscopy.