The Study Of Inherite Methods Based On Summarized Academic Thought And Clinical Experience Of Professor Wei Zixiao Treatment On Diabetes

The developmental process of TCM is an accumulated, systematical, summarized, and promoted process. The most important of it is to inherite the experience and academic thought of distinguished senior traditional Chinese physicians. The academic thought and clinical experience of distinguished senior traditional Chinese physicians are actively and practicality intelligence wealth. It embody the academic features and trait theory of TCM. If we could exactly and systematicly to summeried the academic thought of every prestigious traditional Chinese physicians, the work of inheritance will be more vitality. It not only benefit to the majority of patients, but also benefit to the youth TCM doctor.Professor Wei Zixiao has been studied the theory of TCM and engaged in clinical working for more than fourty years in diabetes, and became his own critically logical thinking pattern and diagnosis-treatment style. The train thought of Prof.Wei to treatment diabetes mode is combination of TCM and western medicine, and received good curative effect. So it worth to study the academic thought and clinical experience of Prof.Wei. And in this base approached to a best way to inherit these valuable knowledge.1. Major researchesTo study the literatures and medical records of Prof.Wei, exploring his unique theory and clinical experience.Through study the literature to summerize the new view of theory and classical about Prof. Wei treatment on diabetes. Such as the aspect of diabetes syndrome differentiation, to combine macroscopic with microscopic syndrome differentiation. Stand on physical and chemical specifications, made syndrome differentiation in those no any symdrome patients. It riched the sphere of syndrome differentiation. Aspect of prescription, combination medicine use experience with result of data mining, we find that the uinque style of Prof.Wei has to use medicine. He use herbal medecine always based on classical theory, pharmacology and his own experience, and obtained good clinical results.Study on clinical case, build electronic medical records database, digitized the cases, and then analysis them by data mining methods. From the results abstract thinking mode, diagnosis and treatment regulations, core prescriptions, use herbal medicine habits etc.. At last, under the direction of tutor write summing-up report. According to the report, refining summary the train thought of syndrome differentiations, treatment and using heebal medecine regulations.2. Academic Thought StudyProf. Wei don't consider that diabetes completely equate with TCM's Xiaoke. There are some differernts between diabetes with Xiaoke. Most of diabetes patients can't be diagnosed TCM's Xiaoke. So if use TCM methods to treat diabetes it doesn't must to use Sanxiao differentiations. About concrete TCM methods to treatment diabetes, Prof.Wei come up with an immportant Combination of TCM and Western medicine treatment thought---- start form seizing the main syndromes. He deemed that the idea of TCM's seizing the main syndromes is same as the value of glucose interference factor of Modern medicine. To eliminate interference factors(seizing the main syndromes) is not all method to solve hyperglycemia, but it can stable glucose. So the thought of seizing the main syndromes play an important role in treatmenting diabetes. Concrete step:first seizing the main syndromes, then treating both principal and secondary aspects of a disease promptly or slowly, made syndrome differentiation, confirm the prescription, plus-minus herbal based on disease. Assessment of efficacy must be based on physical and chemical specifications, based on main syndromes, based on syndrome differentiation.The thought of Combinatino of Syndrome and Disease Differentiation can solve many diabetics differentiation of syndrome unavailable situation. Prof. Wei emphasis on examining tongue, pulse, body carefully, must not option Symptom-Pulse arbitrarily. On the ground of Basic theory of TCM backstepping the pathogenesis of hyperglycemia is dysfunction metabolism of food essence, and lead blood stasis, water-wet, phlegm-turbid came into being. Consider in Prevention of Disease principle, though the patient have none typical symptom of diabetes now, it also need to treatment. Concrete thought:one hand is to strengthen the spleen and kidney function, on the other hand to preserve qi-blood transportation and prevent food-essen to form pathogenic factor. Base on the law of diabetes development, backstepping the pathogenesis. Before complicating disease occurrence, we should treat diabetes early and to prevent it deteriorate. Treat early to prevent deterioration meaning treatment sanxiao together and preventing shangxiao and zhongxiao transform xiaxiao, another meaning is to prevent complicating disease occurrence.Make a point of specific prescriptions and medications. Prof. Wei think if make syndrome differentiation and treatment early, choose the specific prescriptions and medications, the efficacy would be improving obviously. The specific prescriptions and medications is a supplement of syndrome differentiation and treatment. For example, Jiang Tang Xiao Zhi Capsule is a research finding which based on dysmetabolism mechanism of glycolipid and derive the pharmacology research achievements of TCM, combine with theory of TCM and personal experience of tutor.The diagnosis and treatment thought of Prof. Wei is offering an efficacy new treatment style. Through this part of study, we got an answer to how inherite the thought of Prof. Wei to treatment on diabetes. This paper argues that besides master the basic theory of Xiaoke and other disease, also master the modern diabetes knowledge. A nd even more important thing should be done from next point. (1) Learning From an ExpertBy means of following teacher practise, to be keenly aware of the thought of Prof. Wei:differentiate disease with morden medicine, so as to know fairly well about the order of importance and urgency, the easy or diffculty of treatment, and the endpoint of disease. Differentiate syndrome with TCM, master combination disease differentiation with syndrome differentiation flexibility. Not out of the purpose of hypoglycemic, but from adjusting whole body. Emphasis on seizing the main syndromes, and bombine it with tough, fur and puls, so as to determine basic prescription. Object to decide everything by puls only. For prescription, Prof. Wei like to use traditional prescriptions. He believe the traditional prescriptions have distinctly and exact theory, often get good clinic effect. When use traditional prescriptions accommodating with theory, not scrupulous about specific herbal medicine. Such as Dang Gui Liu Huang Tang have reinforcing and reducing kidney, liver and spleen's function, Xiao Yao San have function of nourishing blood, soothing liver and strengthening spleen. Yu Nv Jian have function of clearing away heat and nourishing Yin. For some special patients, base the law of traditional prescriptions, choose targeted herbal, made therapy totally tailored. The whole prescription use herb no more than dozen, plus-minus herbal based on syndrome, pharmacology and prevent disease etc.facters. Such as Plantago and pyrrosia can relieving cough, magnet and fluoritum can nourishing kidney, lanceolata and atractylodes can increasing hemoglobin, Cherokee rose, cogongrass rhizome, smilax glabra and maydis stigma can reduce urinary protein.Learning from an expert must be good at summing-up the regulation and thought of diagnosis, treatment and using herba medicine; must take notes, thinking and ask when hearing some quesetion. Analysis the medication skill of tutor, summing-up the regular pattern, so we can get twice the result with half the effort.(2) Note TakingThe effective ways of inheriting prestigious Chinese physician is take note. There are two thing should be take attention, and should be take seriously. One is notes for books which teacher ask to read. The other one is note the teacher's explanation about clinical cases. Star at taking note, read intensive and remember the medicine classic, academic and experience. There are more benefit to finishing a complete case than have several classes. The case embody the academic thought and clinical experience of tutor. Through collation teacher's clinic case, appreciate from syndrome differentiation, treatment and plus-minus herbal experiences, better understanding of disease. Of ocourse, the most immprotant thing is to note the teacher's explanation about clinical cases, including how to seize main syndrome, how to make syndrome differentiation, how to diagnosis and treatment, and how to use herbal medicine etc..(3) Conscientiously UnderstandingConscientiously to understand is inseparable with learning from teacher and take note. The problem of inherite experience of the prestigious Chinese physician are not the questions about how many disease and therapy methods can be done. "Medicine is beyond technique". Study TCM need try to fathom for a long time, try to understand the thinking methods while clinical practice. Follow teacher practice, imperceptibly influenced by what one constantly sees and hears. Through communicate with tutor got careful guidance; through take note got good understanding of teacher's experience. Only in this way, we can change these knowledge into ourselves'.In a word, learning from teacher, taking note, conscientiously to understand are the best modes to inherite academic thought of Prof. Wei to treat diabetes. Among them familiar with the classic and master modern medicine knowledge are the foundations, learning from teacher, and communication with teacher are the key points. But this study way shows the limitations when dealling with mass data. For example the power of human to deal with mass data, the subjective experience summary etc.. In order to solve this problem the article take advantage of modern information processing technology——data mining system to analysis regular and visualizations knowledge of clinical cases.3. Data Minging Clinical Experience of Prof. Wei Treat on DiabetesBy buildding electronic medical records database, digitized the 188cases 368times, clinic record. Depending on data mining skill obtain potential law of these cases. Some mining results as follows:the typical symptoms of diabetes "three many a little"(so-called "three many" means "much food, much drink, much urine", "a little" points "weight decrease") are rare to see, but hypodynamia, numbness and cold of hands and feet, blurred vision, lower limb swelling, pruritus, arthralgia etc. are common symptoms. Blood stasis, Qi deficiency, kidney deficiency, spleen deficiency, blood deficiency, Yin deficiency, turbid phlegm are the most common syndrome. Network analysis show Blood stasis and Qi deficiency have much closed relation than others, and then is turbid phlegm, kidney deficiency and spleen deficiency symptoms. It disclose the deficiency incidental excess feature of diabetic pathogenesis. For the diagnosis of TCM most were diagnosised Xiaxiao, the rest based on main symptom were diagnosised other disease. In this database the TCM diagnosises have several types, such as edema, depression, sweating disease, pruritus, chest stuffiness etc. The treatment methods of TCM mainly are promoting blood circulation for removing blood stasis, supplementing qi, invigorating kidney, clearing away heat, invigorating spleen, dredging collaterals, nourishing blood, nourishing Yin, resolving phlegm lowering chaotic etc.. Among them the promoting blood circulation for removing blood stasis, invigorating spleen, supplementing qi, nourishing Yin, clearing away heat have closed relation than others. The use of herbal medicine mainly as follow:tangerine peel, red peony root, poria, atractylodes, white peony root, medicinal cyathula root, angelica, astragalus, sweetflag, rhizoma chuanxiong, safflower, salvia, curcuma, spatholobus stem, bupleurum, moutan, glycyrrhiza, coptis, kudzu, earthworm, lanceolata, pinellia, smilax glabra, polygala, plantago, anemarrhena etc..The method of data mining is the effective and objective method to study clinic experience of Prof. Wei to treat diabetes. But it lack communication with teacher and have little stiff in studing academic thought of prestigious Chinese physician. So if comprehensive summary clinic experience of Prof. Wei to treat diabetes, we must combination human with computer, and give first place to human. Analysis and evaluate mining results. Through this part study, we can draw a conclusion that data mining is important means and convenient tool and absolutely necessary supplementary form to inherit clinic experience of Prof. Wei treat diabetes.4. ConclusionIf completely inherit academic thought and clinical experience of Prof. Wei treat diabetes, depending on single learning from teacher and data mining method couldn't make a completive summary. So combination of the two is the best way to inherit. At last we can say that intensive reading classic, learning from teacher, take notes, communication with teacher, take advantage of modern information technology are the best way to analysis and inherit academic thought and clinical experience of Prof. Wei and other famous specialists of TCM.