| Objective:to summarize ZhangYuFen professor’s academic origin, academic thoughts and clinical experience, aims to complete a unique academic inherit old ideas and diagnosis and treatment technology, in order to inherit and develop into a old unique academic thoughts and clinical experience and technology, and to promote the use of, the system arrangement, published books.Methods:through the retrospectively review of the growth of the old zhang, study medicine process, work experience, for glory, and cleaned up the three years old with a clinical practice of the study with teacher notes, comments and zhang in the typical YiAn old certificate, study and understand zhang old papers and works spirit, and then the teacher exchange, a comprehensive collection of teacher diagnosis and treatment material, the study of the theory, treatise on febrile disease,"jin yuequanshu","FuQingzhu nvke " and so on the Chinese classic books, extensive literature review and material, and in a old guidance, comprehensive summarize the zhang old academic origin, academic ideas and diagnosis and treatment to infertility, pelvic inflammatory disease, polycystic ovary syndrome, regulate the menstrual function seven method, abortion, and of men, less refined disease prevention and cure of diseases such as clinical experience.Results:1the sorting summary zhang old academic origin has the following three aspects:1.1comes from the chance of medical way. Zhang old successively in Shanxi Province of traditional Chinese medicine, Chinese medicine research institute apprentice class of shanxi medical school. Zhang old qifenhaohua, adhere to the classic let root in the clinical practice, having profound theoretical basis, skilled in the operation skills and both attendance in the clinical practice, and steal from many long.1.2comes from the theory of traditional Chinese medicine and gynecological ancient books. For50years, zhang old always adhere to the "read classic, do clinical", the origin of the "classic", as in "the typhoid miscellaneous diseases theory","JingYue quanshu","FuQing zhunvke","YiZong JinJian", and at the same time, derive the TCM theory of his other gynaecological essence.1.3from anyone. Zhang old follow Jiadedao,GuoYan way, countries in Shanxi Province in the famous doctors two iron card practice study for many years, inherits two teachers precious academic ideas and clinical experience.2the sorting summary on zhang old academic thinking, and concluded to the following three points:2.1every easy part in west, combined with syndrome differentiation and disease differentiation. Zhang in the old card diagnosis and therapy combined with traditional Chinese and western medicine attention to each other, comprehensively. From the whole concept of disease diagnosis and treatment, think only, syndrome differentiation and disease differentiation, combining ability through the multifarious the clinical symptoms, signs seize the essence of the disease, achieved treatment accurate, the purpose of the remarkable curative effect.2.2. Filling kidney method in the application of gynecology"Kidney" motherland medicine is an important part of the zang-fu organs, in traditional Chinese medicine in the role of human kidney great importance, the ancient naive plain question of "yue:" the main water, kidney, by the fine and five zang-and the hidden." That the "spirit of the kidney, give, the root of life," and "of innateness" say, because women in people life activities kidney plays and its important position, the method in the kidney, belt, tyres, widely used in treatment of the disease. Zhang old treatment of gynecological diseases always take "filling kidney" basic.2.3. The rule for activating blood circulation and eliminating stasis gynecological intractable diseasesIn the women’s body, occupies an important position of the blood, because the women, pregnancy, maternity and milk and physiological characteristics, all the ups and downs of the chang sluggish blood and has close relation. By obstetrical and gynecological diseases with women’s reproductive system is mainly about disease, reproductive system normal or not, with the human body’s blood circulation system have close relations, so blood stasis can delay from the effect to the pathological changes of the reproductive system. Zhang old good application for activating blood circulation and eliminating stasis treatment of gynecological difficult-and-rare-case, each obtain fine effect.3the sorting summary of diagnosis and treatment of disease of department of gynaecology old clinical experience:3.1for infertility experienceZhang old think with this is the infertility mechanism of kidney, because the kidneys reproductive, for of congenital this, women’s reproductive function is through the kidney-TianGui-for-the house at the axis of the article, this and the modern medical science thinks women’s physiological function is through the hypothalamus, the pituitary gland-ovarian-the adjustment of the uterus shaft similar, so the method for infertility kidney is the basic laws, summarizes the clinical treatment of old three common infertility experience.3.2pelvic inflammatory disease treatment experiencePelvic inflammation is gynecological clinic common diseases, acute pelvic inflammation with toxic heat, incorporated with ShiXie and blood stasis, and treatment to qingrejiedu primarily, supplemented by removing stasis and wet. The chronic pelvic inflammation stasis sluggish and hot and humid coexist, the treatment to concretion run smoothly as dampness, stasis lag time, try to soft firm [drugs. The chronic pelvic inflammation the course of a long, BingShi lingering, zhang old clinical cure the disease much way when drug, choose Chinese medicine decoction enema, Chinese traditional medicine packet external next abdomen receive the good effect. Acute pelvic inflammation with adequate antibiotics to control infection, with traditional Chinese medicine qingrejiedu lishi, complete with for activating blood circulation and eliminating stasis. Pelvic inflammation often leads to tubal obstruction, ectopic pregnancy, or infertility, to early treatment.3.3Kidney treatment experience for activating blood circulation and eliminating stasisUterine fibroids, ovarian cyst, polycystic ovary syndrome gynecology difficulty diseases, zhang old clinical treatment, fully embodies the her academic thinking, and filling kidney is the root of the treatment, for activating blood circulation and eliminating stasis is the basic treatments, always with the centralizer principle for the treatment of the evil, and disease differentiation and dialectical, and the combination of Chinese and western and participation.3.4DiaoChong seven methodMenstruation to be not moved for common disease, frequently-occurring disease, clinically sooner or later, and how much to shut down a pain, such as, uterine bleeding, to be but period, color, texture, amount of change and cause complex, the demand for treatment, for this to regulate the menstrual function, also the syndrome differentiation and treatment, this paper summarizes the old DiaoChong zhang seven method.3.5of the experience in the prevention and control of abortionThreatening miscarriage, habitual abortion is women’s diseases, its incidence of10%, Chinese traditional medicine Ann child has a long history, the traditional defend the different treatment, agent very much. Zhang old think threatening miscarriage and habitual abortion (tire leakage, quickened uneasiness, sliding tire) the reason for the following three aspects:1) kidney empty:endowment element weak, congenital deficiency, kidney weak, or pregnancy after sexual carelessly, kidney damage, kidney empty blunt as not solid, tire of displaced, so that the child yuan not solid.(2) blood weak:flat ferrite weak blood deficiency, or pregnancy after the taste is damaged, the source of insufficient; For damage or blood, qi not taken, blood deficiency lost to raise, TaiQi not solid (3) blood hot:ferrite YangCheng or seven emotions stagnation of heat, or be confused and the heat, or Yin deficiency get hot, hot cross rushed, as the TaiQi damage. Put to appropriate USES benefiting kidney is tyres, fill gas raise blood, a tire in tire, heat to Ann child.3.6. Man kidney empty infertility diagnosis and treatment experienceZhang old man kidney empty infertility treatment with filling kidney for foundation, at the same time clear heat, wet benefit, promoting blood circulation, use zhibai to hope, from the Pope pill flavored abital.Conclusion:ZhangYuFen professor is China’s famous gynecologic experts, shanxi outstanding experts. Medical ethics noble, often for ancient precept, steal all the party, according to the ancient not completely sticks, western medicine gynecology profound theory, pay attention to the theory with the practice, continuously explore innovation. Exquisite technology and clinical experience, good at treating menstrual disease, infertility, uterine fibroids, pelvic inflammatory disease, diseases such as abortion, zhang old unique academic ideas and clinical experience is very precious wealth, for guidance of later generations clinical practice has the very vital significance, is worth us further study and promote the use of, so the clinical experience have been sorting, better for the people’s services. Objective:to observe HuoXueXiaoZheng side treatment of uterine flesh tumour clinical curative effect, thus discusses yiqiHuaYu stasis and treatment method of uterine flesh tumour mechanism.Methods:Select50cases ZhangYuFen clinic patients dialectical to qi deficiency and blood stasis of uterine flesh tumour with oral blood disease particles away three treatment, the selection of guizhi poria cocos capsule20cases of control method, observe patients before and after taking medicine of traditional Chinese medicine clinical symptoms and signs of changes of before and after treatment with B in both the size and the monitoring fibroids nodules size, compared before and after treatment of uterine fibroids and size changes, and according to the relevant standards of traditional Chinese medicine judge signs curative effect, fibroids curative effect and the comprehensive curative effect, and its relevance to drug efficacy analysis determination, compare with the control group.Results:Two groups of treatment with before treatment after comparison, TCM symptoms and signs integral significant difference (P<0.05), explain both treatments can obviously TCM symptoms, signs, and the improvement of the treatment group was better than control (guizhi poria cocos pill group (P<0.05). After treatment, the curative effect of two more difference (P<0.05), indicating that the curative effect of treatment group was better than control. The total effective rate of the treatment group were90%and60%, and the total effective rate of the treatment group than in the control group.Conclusion:Oral blood disease particles away treatment qi deficiency and blood stasis uterine fibroids, can significantly improve patients with TCM symptoms and signs; Improve patients hemoglobin level, which can improve patients’blood of the weak condition, to the uterus volume, uterine fibroids have certain narrow nodules function, so blood disease away for conservative treatment particles qi deficiency and blood stasis of uterine flesh tumour effective method. |
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