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Professor Liu Da - Xin 's Academic Thought And Clinical Experience And Clinical Study On The Treatment Of Spleen - Dampness - Dampness - Type Chronic

Posted on:2017-05-05Degree:MasterType:Thesis
Country:ChinaCandidate:H LiFull Text:PDF
GTID:2174330482484422Subject:Traditional Chinese Medicine ENT
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Liu Daxin, male, Communist Party members, chief physician, tutor of doctoral students of Beijing University of Chinese Medicine. Born in Beijing in March 1953. He was born in a literary family, since accepting the traditional culture since childhood, recite poetry, calligraphy, learning. In 1974 to enter the Beijing College of traditional Chinese medicine, Liu Da Xin teachers at the school during the study, have been by Liu Duzhou, Ren Yingqiu, Cheng Shide, Huang Tingzuo, Yang Jiasan, Wang Mianzhi and other traditional Chinese medicine all teachings, especially by Liu Duzhou Pro Card thought influence is quite deep, is respected by and typhoid school and paraneoplastic each, eclectic, clinical knowledge of disease and prescription in close connection with the actual situation of patients, absorbing the essence of various, abandon sectarianism, use the flexible, circle method machine live. He in the medical profession for forty years, has written:the professional writings 36, both of which specialized subject content is also involved the content of TCM, such as "Chinese otolaryngology", the traditional Chinese and Western medicine combined with ear, nose and throat ", the ear of doctor of traditional Chinese medicine, nose, and throat scientific and clinical research", the today Otorhinolaryngology of Chinese medicine "and so on specialized works, the science of TCM syndrome differentiation diagnosis and treatment, the surgery of doctor of traditional Chinese medicine", "Chinese Dictionary", "Chinese encyclopedia" and the. In the study, he stressed that learning should pay attention to "learning" and "ask", in the face of the evidence to pay attention to observation and thinking. In particular, he praised Sun Simiao’s "big medical sincere" in the discussion, and as a practice of medicine, his experience and point of view in the clinical work is permeated with the impact of previous. He patients were treated for teachers, diagnose filling respect considerate feeling; he is always from the perspective of patient of, with the purpose of "less money to cure the disease" principle, less than a last resort, not precious medicinal herbs and flesh tangible goods; he Jinzun for medicine, never "show fame, slander the various doctors." In the academic point of view, he stressed that "disease overall view", emphasize clinical must have strategic thinking, emphasis on traditional Chinese medicine is "patient" rather than "a doctor". He took sick compared to the "tree", is a disease of leaves and branches, trunks and roots is the cause. His treatment process fully embodies the "clinical thought of TCM such as chicken, drugs such as military forces". Can say, formation of teacher academic point of view, and by contemporary Chinese people enlightenment and is deeply influenced by the thoughts of ancient physicians are closely related.1 Academic schoolsLiu Da Xin teacher early learning period, have been by Liu Duzhou Pro Card thought influence is quite deep, is respected by and typhoid school and paraneoplastic each, eclectic, clinical knowledge of disease and prescription in close connection with the actual situation of patients, absorbing the essence of various, abandon sectarianism, use the flexible, circle method machine live.2 To guide the teacher’s academic thinking of the collation, miningMentor engaged in traditional Chinese medicine for forty years, and its main innovative academic ideas focused on the following aspects:(1) not a kidney modern tinnitus and deafness main causes:the ancients believed that tinnitus and deafness with deficiency of the kidney related, such as "the," said:"don’t of the five zang organs nine orifices unreasonable. The tinnitus deafness ear itch, is kidney deficiency, water flow, air does not rise due to it". The study of tinnitus and deafness has focused on kidney deficiency on deafness. But Liu believes that the ancients is the reason why the emphasis on kidney deficiency, because the ancients lived in for lack of substance, so many suffering from Yin deficiency disease; and modern due to changes in the environment, society, and diet, and eating too much too little exercise. Today many people suffering from Qi deficiency disease, so disease also changed. Spleen transport of foodstuff and transport of water wet, spleen function is normal, ear Ruyang and strong. "Q-jade is really on Tibet" said: "the spleen is not the solitary dirty, makes nine orifices." If the spleen deficiency, the ear loss Ruyang to disease, if injured spleen, dampness in the spleen, blinded orifices, can induce Qingqiao deafness. When you eat wine Atsumi, spleen and stomach injuries, poly sputum, phlegm stagnation fire, phlegm fire, is caused by tinnitus and deafness. From the clinical point of view, the spleen qi deficiency syndrome of tinnitus and hearing loss, it is thought that modern people suffering from this disease in the spleen deficiency.(2) pharyngeal abnormal sense of disease is not equal to meiheqi:Liu thought that not all pharyngeal paraesthesia belong to meiheqi, that is to say the disease should be with local disease and systemic diseases and psychological factors caused by pharyngeal foreign body feeling carefully identified, especially minority acute severe epiglottitis, pharyngeal abscess, myocardial infarction, tumors of the larynx and can appear pharyngeal foreign body sensation, on terms of meiheqi wouldn’t bungle illness. And Mei Qi is mainly caused by the mental factors, should be the local or systemic disease caused by the throat of a foreign body in a careful identification.(3) from the spleen deficiency syndrome treatment pharyngitis:inflammation of the throat is ENT clinical common disease, the disease symptoms mainly by the throat pain, dry, itching, burning and foreign body feeling, repeated illness defer does not heal. From the Chinese medicine theory, the pharynx is the stomach. The spleen and stomach ". In the treatment of pharyngitis, pay attention to the relationship between syndrome differentiation and local organs, to the solid symptoms, both specimens. Improper diet, thinking of overwork, and hurt the stomach, or cold attack too, and affect the spleen and stomach, so the weakness of the spleen and stomach, Qing Yang does not rise, pharyngeal temperature raise, not due to Qi deficiency, poor context, stagnation, spleen deficiency and dampness turbid, phlegm within students, turbid pathogens stasis of Qing Dynasty. From the perspective of modern anatomy, there is a close connection between the pharynx and the digestive system. Liu comprehensive textual information of the throat historical evolution process, this made a detailed demonstration, the view obtained national TCM expert of Otolaryngology of recognition. In view of his unique views in this regard, there is a deep study of the value, so it is my main research content. This off the foot of the actual, will be used to choose the appropriate cases were summarized and analyzed, rules of information extraction, and the above academic thought combining the study. This is where the main body of the thesis, in order in the course of the study, raise awareness, summed up the valuable treatment system, thus to guide the clinical work produced positive effect.(4) re regulate urgent chronic pharyngitis Chinese medicine name:in the traditional Chinese Otorhinolaryngology unified teaching materials, the acute pharyngitis of Western medicine and traditional Chinese medicine "wind heat type pharyngitis, chronic pharyngitis and" hypopyretic laryngalgia "corresponds to the. According to the theory and principle of TCM syndrome diagnosis, Liu’s teacher has raised the objection to the development of TCM syndrome, which is in accordance with the law of its development, and can not be one one corresponding to the name of Western medicine. So in the formulation of clinical pathway in the textbook and the State Administration of traditional Chinese medicine organization codec, take the idea of Liu develop disease classification, the acute pharyngitis belongs to TCM acute pharyngitis, chronic pharyngitis belonging to the category of "slow houbi", more in line with the actual situation of pharyngitis from ancient times to the present.(5) the emphasis on the diagnosis and treatment of Chinese and Western Medicine Liu thought to clear anatomical structure of Western Medicine Department of Otolaryngology Head and neck surgery in the diagnosis and treatment of the disease process, clear pathogenesis and diagnosis of Western medicine, but also a traditional Chinese medicine an ear, nose and throat (ENT) clinical thinking and solid differentiation on the treatment of legislative prescription basic skill. Always told us to study well, I do know yourself as well as the enemy of Western medicine.3 The main clinical experience of Teacher Liu include the following aspects:(1) for the treatment of allergic rhinitis nasal dome cut.(2) clinical experience in treating allergic rhinitis.(3) clinical experience in the treatment of sinusitis.(4) clinical experience in treating patients with hypertrophic rhinitis by supplementing qi and activating blood circulation method.(5) clinical experience of treating infantile adenoid hypertrophy with the method of Supplementing Qi and nourishing qi and resolving phlegm.(6) the treatment experience of hoarseness.(7) experience in the treatment of sudden deafness.(8) on the treatment of aural vertigo from the experience of wind phlegm.(9) the use of Wenyang Huayin method in treatment of allergic asthma experience.(10) on the treatment of thyroid nodules from the experience of liver qi stagnation and phlegm stagnation.4 The modern Chinese medicine treatment of chronic pharyngitisThis review for in recent years, Chinese medicine treatment of chronic pharyngitis were summarized and analyzed, including chronic pharyngitis causes disease machine and Chinese medicine in the prevention and treatment of progress, and discussed the existing problems and prospects.5 Additive Shenlingbaizhu Decoction Treatment of chronic pharyngitis "spleen deficiency and dampness syndrome randomized, parallel controlled clinical study.Objective:To investigate the clinical effect of Shenlingbaizhu powder in treatment of pharyngitis "spleen stomach deficiency". Methods:to analyze the clinical data of Beijing University of traditional Chinese Medicine Dongfang Hospital otolaryngology clinic, Beijing Gulou Hospital of traditional Chinese medicine in 2013 September 2015 October and 240 cases of pharyngitis patients, according to the random, parallel control mode is divided into treatment group (120 cases) and control group (120 cases), don’t give oral Shenlingbaizhu powder and local Jin Hou Jian spray treatment, Jin Hou Jian spray single local drug treatment. Observe the two groups of Chinese medicine syndrome score and clinical effect as well as the incidence of adverse reactions, and compared. Results:before treatment, the two groups of patients with TCM syndrome score after the comparison, the difference was not statistically significant, P> 0.05; 14 days, the score and comparison, the treatment group was significantly lower than the control group, P< 0.01. The total effective rate of the treatment group was significantly higher than that of the control group, P< 0.01. There were no adverse reactions in the two groups during the treatment. Conclusion:compared with conventional golden throat rehabilitation, if at the same time give Shenlingbaizhu powder treatment chronic pharyngitis "spleen deficiency and dampness stagnation syndrome can obtain good clinical effect. In short, the weakness of the spleen and stomach, dampness resistance leads to chronic pharyngitis is the key to this disease, the clinical treatment by the spleen and stomach, the gas filling, transport and normal, subtle biochemical active, offering to raise the throat, sore throat, dry throat various symptoms gradually disappeared. Clinical application of the method of replenishing qi to invigorate spleen to treat Xuzheng pharyngitis to grasp the dialectical points of the spleen and stomach disorders, pay attention to the dialectical, with the change of disease, can receive satisfactory.
Keywords/Search Tags:liu daxin, academic thought, clinical experience, chronic pharyngitis
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