Professor Yue Yuwen 's Academic Thought And Clinical Experience Summarization And Functional Dyspepsia In Traditional Chinese Medicine

PurPose:Yue Zaiwen is the guiding teacher of the third groups, the fifth batch of the national traditional Chinese medicine academic experience in succession.He is a Inner Mongolia famous Chinese medicine, He have rich clinical experience, especially is good at treating the spleen and stomach disease for more than 40 years.The academic thought and clinical experience of Yue Zaiwen is a very valuable asset,So this paper is to explore the origin of the academic thought of Yue teacher, summarize and inherit the academic thought and clinical experience.And the study is focused on clinical experience in the treatment of functional dyspepsia (cold heatjumble) about application of Xiaopi Hewei decoction.Methods:By following Yue division in the wards and the outpatient visits,the basis of Yue division, in-depth analysis of the teacher’s effective patient, choose, medication, the law of syndrome differentiation. To collect the teacher’s papers, scientific research, and related data, writing basis and experience, to summarize the academic thought and clinical experience of the teacher. Active reading teacher’s specified classic and famous basis, explore the origin of academic thought of teacher knowledge and increase the reserves. Independent clinical application knowledge to cure patients, consolidate what i have learned, and validate my learning results.The spective randomized control trial was used to observe 102 patients that were in accordance with the inclusive criteria. The treatment group of 52 cases were given "Xiaopi Hewei decoction" treatment and the control group of 50 cases received domperidone treatment.then complete clinical research.Content:1.The academic sources of Prof. YueThe academic sources of Prof. Yue are mainly from the Chinese classic works, such as "Huangdi’s Interned Classic"、"Treatise on Cold Damage Diseases"、"Golden Sinopsis", "Warm Disease Based on Syndrome Differentiation". The books "a Guide to Clinical Practice with Medical Record" and "Treatise on the Spleen and Stomach" also affect greatly on the academic thoughts of Prof. Yue. There were also many recent masters whose thoughts had great effect on Prof. Yue., such as Profs. Jinmo Shi, Tietao Deng, Jianhua Dong, Qiangou Li, Xichun Zhang, Meizhong Yue, Delu Tian, Xuewen Zhang, et al. And Prof. Yue studied their thoughts and applied their experiences in clinic.2.Summarization of Prof. Yue’s academic thoughts and clinical experiences and treatment of diseasesThe academic thoughts of Prof. Yue can be divided into four aspects:based on thoughts of ZhongJing, he considered different masters’thoughts and applied them in clinics. Treatment of spleen and stomach is most important in clinic and rising and downing are important in the treatment of spleen and stomach. Watching the tongue and moss is especially important. Emphasis on the dialectical and main symptom treatment is also important. And other symptoms are also important.Taking this as a way of thinking,we summarize his clinical experience of treatment of Weip、stomachache、diarrhea、astriction、insomnia、irregular menstruation.3.Prof. Yue’s clinical experiences in the treatment of functional dyspepsia about application of Xiaopi Hewei decoctionObjective:Observing the clinical effects of "Xiaopi Hewei decoction" in the treatment of functional dyspepsia (cold heatjumble).Methods:The spective randomized control trial was used to observe 102 patients that were in accordance with the inclusive criteria. The treatment group of 52 cases were given "Xiaopi Hewei decoction" treatment and the control group of 50 cases received domperidone treatment. Their treatment courses were both 4 weeks. The investigators scored every clinical symptom including prior treatment and treatment of 4 weeks, and recorded aggregate score. Then SPSS 17.0 was used for statistic analysis.Results:The baseline of treatment group and control group in sex, age, illness course, temperature, pulse, breath, blood pressure and Chinese medicine symptom was basically consistent before treatment or therapy. It meant that the two groups’distribution was uniform, with good comparability. The clinical syndrome integral before and after treatment was compared as self-control, there had significant differences (P<0.01). The clinical syndrome integral was compared in the two groups and there were significant differences (P<0.01). It indicated that the treatment group was superior to the control group in improving syndrome of TCM.The total effective rate was insignificantly higher in the treatment group (P>0.05). It turned out that the total effective rate was equal between the two groups. The two groups’ difference in six symptoms including stomach fullness, reducing diet, nausea and vomiting, belching, chest tightness and heartburn was statistically significant (P<0.05), that showed the treatment group was superior to control group in improving the six diseases. But there was no significant difference between those two groups in curative effects for bitter taste, dry mouth, abdominal distension and stool irregularities.Conclusions:The total effect of "Xiaopi Hewei decoction"in the treatment of functional dyspepsia (cold heatjumble) is preferably. The comparative efficacy evaluation of main symptoms indicated that it is superior to domperidone in stomach fullness, reducing diet, nausea and vomiting, belching, chest tightness and heartburn. "Xiaopi Hewei decoction" has definite clinical effect, no evident showed the toxic effects.