Professor Wen Lis Academic Thinking Of Clinical Experience Summary And The Study Of Lung Cancer The Governance Rules

Objective:the implement state administration of traditional Chinese medicine, yunnan administration of traditional Chinese medicine, yunnan institute of traditional Chinese medicine, Chinese medicine hospital in yunnan province and related departments of the relevant system, teaching plan, the annual examination, the study of the theory on such as work link contacts. In addition to finish before the "third batch of task with teacher but also other complete "five department game" requirements of the task of scientific research, that is, to the tutor treatment for lung cancer evidence rules to clinical research. Three years ago, I with the tutor, professor li siwen, the inpatient department waitresses outpatient visits, careful study classic, alone off-job half year learning graduate course, concentrated on the study of Chinese medicine theory, dedicated to tutor academic ideas and thoughts clinical experience. Carefully sorting the tutor academic ideas and clinical experience. Through sorting lisiwen professor differentiation of malignant tumor experience, for the treatment of malignant tumor of Chinese medicine for clinical references, and combined with the research experience on old doctor of traditional Chinese medicine experience inheritance methods are discussed.Methods:1, through the system the literature research:refer to the recent five years since the related literature of Chinese and western medicine, including national and provincial and the professional papers about, book, earnest study four classic works of traditional Chinese medicine of traditional Chinese medicine and the professional work, the thorough study, digestion and explore classical literature essence, understanding and this topic research progress. Summarized the clinical professor lisiwen of malignant tumor method. Review, the summary, the arrangement of malignant tumor, Lisiwen, professor of TCM etiology and pathogenesis, syndrome differentiation points of knowledge, and the type of treatment for this principle, application and drug therapies and prescriptions of addition and subtraction rule, finally come to tutor the treatment of malignant tumor academic thoughts and clinical experience. Analysis of the effective in the treatment of malignant tumor of the method of various factors:the etiology and pathogenesis, syndrome differentiation method, and application of prescriptions, drug compatibility the analysis of the law. And retrospective study, summarize the treatment of malignant tumor tutor case:from three years of the18with teacher notes the nearly100000words8000cases of clinic YiAn and more than3000cases of hospital admissions, sums up the review, finishing in September2008to September2011, professor li for cancer medical record and material, carries on the analysis, the preliminary sorting out differentiation of tutor malignant tumor academic thoughts and clinical experience.2, using literature research, clinical and division, YiAn YiHua and listen to the lecture, special counselling method finishing Lisiwen, professor of differentiation lung cancer experience. Based on the literature research, combining the expert opinion, prepares the professor Lisiwen differentiation non-small cell lung cancer Chinese medicine information acquisition table ", with the teacher by professor Lisiwen and establish a database collect outpatient cases, data analysis on SPSS13.0statistical analysis software package, primarily in the general descriptive statistical analysis method, the collection of data by clinical frequency distribution, then analyzed the results sorting, through the statistical analysis of the preliminary form Lisiwen, professor of differentiation lung cancer experience. On the basis of the teacher on the document YiHua YiAn Lisiwen and listen to the lecture, special counselling, further sort out what lisiwen professor differentiation non-small cell lung cancer card to rule.A, academic thoughts and clinical experience research results:(a) academic ideas:1, let patients with tumor "survival with tumor":teacher Reese, think, diabetes, high blood pressure, often require long-term medicine, this is alive, the whole concept of TCM therapy for cancer is the patient can "survival with tumor". The pathogenesis of malignant tumors in the process, and always throughout "the vital-qi and pathogens is" of the process, when treatment must weigh the body and tumor "the whole and the parts" between relations, and finally achieve "cure hold" purposes. Early cancer patient, although have bump but does not pass, at this time "is filled of evil," appropriate "poison attack remove evil" give priority to; Cancer patients in the middle, tumor increase gradually, evil is in stalemate stage, the appropriate on treatment "for what the attack", or "attack less compensation"; Late-stage cancer patients, tumor appeared more distant metastases, evil poison in rowdy, upright virtual failure hypodynamic, at this moment if blindly attack coming, it will speed up the death of the patient, if the centralizer the Canberra, spleen and kidney consideration,"containing the attack in compensation", often can reduce the symptoms, maintain life, make the patient long-term "survival with tumor".2, centralizer tumor-suppressor is fundamental:lisiwen professor [34] the centralizer tumor-suppressor theory discussion said, pay attention to:(1) the dialectical disease differentiation; combine the (2) the attention and the combination of modern research;(3) strengthen the immune therapy standard operation;(4) with timely point injection and the organic selenium compensatory; Notes:the centralizer tumor-suppressor theory has general guide meaning, it is undoubtedly the best achieve this guiding ideology, it already inheritance of the essence of traditional Chinese medicine therapeutic, and timely joined the modem medical achievement of the new elements, it is not a constant, along with the cancer treatment of the experimental and learn, all kinds of new treatment method appears, will further enrich the centralizer tumor-suppressor this theory, will also be more established as a treatment for the cancer leading thought status. According to different to different disease or illness manage to treat cancer and its radiation and chemotherapy law complications, on the one hand, can improve symptoms, inhibiting tumor, stable illness; On the one hand we can achieve put, reduce the role of chemotherapy drug efficiency. Clinical can see, there are many patients with adanced cancer, as in hopeless, the traditional Chinese medicine, regulate spleen and kidney, having blood, cooperate with diet, qigong treatment such as, improve the quality of life and improved its long-term survival. Mentor in traditional Chinese medicine for cancer experience is:Chinese medicine for cancer less side effects, more suitable for patients with adanced cancer (especially after the surgery, chemotherapy and put after) treatment; Traditional Chinese medicine cancer, remove evil do not hurt the is, centralizer and don’t help, for physical poor patients, the curative effect of traditional Chinese medicine has an ideal, centralizer tumor-suppressor can make patients with tumor long-term survival.3, qi stagnancy and blood stasis are tumor formation and transfer of the root causes of:professor, tutor lisiwen that because of the close relationship between blood stasis and tumor, TCM long as a treatment for activating blood circulation and eliminating stasis of tumor a treatment, and created many effective prescription, even in other treatment in the prescription is joined invigorate the Chinese traditional medicine. So the teacher certificate pay special attention to watch "sublingual contexts" to.help, diagnosis and treatment for guidance. Teacher think, traditional Chinese medicine in the treatment of tumor has rich experience and remove blood stasis is an important treatment method; one of the commonly used for activating blood circulation and eliminating stasis medicine has:sanqi chuanxiong, danggui, danpi, chishao, danshen, honghua, taoren, yuan hu, huzhang, wangbuliuxin, wulinzhi, chuansanjia, quanxie, centipede, soil terrapin bug, ruxiang, muyao, sanleng and ezhu, etc.4,"the toxin factor theory" and malignant tumor:teacher think, all that has remedial effect of toxic in sexual flavour is on traditional Chinese medicine has some kind of partial sex, in this sense, the use of traditional Chinese medicine the partial sex to correct the disease slant, reaches as partial correction, the purpose of to rectify abuses, traditional Chinese medicine is the principle of treating the tumor in the treatment of the same also, use of traditional Chinese medicine or Chinese medicine of the highly toxic partial sex, according to the "fever", the cold heat, deficiency of the real, the patch of purging the principle of "dialectical drug adjust the viscera function, make the body the imbalance of Yin and Yang ive balance, is the basic principle of poison cancer effectively, thus, in treatment, the application of the traditional Chinese medicine should be toxic or virulent Chinese traditional medicine, like this can improve the treatment effect of the cancer.5, cure is not ill thought:teacher think:the tumor "cure is not ill" connotation mainly in the following aspects:the first is not ill prevention:remind people to protect the healthy atmosphere of the human body, improve immune function, in the tumor has not happened before, may cause tumors to the onset of various factors, and take measures to block and delay the happening of the disease, for not suffering from cancer. Not only lead to disease:advocate early examination, early detection, and early treatment. Found that had a tumor, first can’t stress, strain and give up the treatment of opinion is is wrong. To take a positive attitude of the treatment, and try to prevent its preach change. Especially patients take surgery, radiotherapy or chemotherapy, in time to prevent the occurrence of complications, prevent become born he disease."WuZai, not be the first evil". The more defensive recurrences:in relatively stable condition, relative to reduce or improve the clinical symptoms, such as the concept of traditional Chinese medicine, take the pattern identification and treatment principle, adjust and mobilize human internal function, balancing Yin and Yang, correct too and the less of the zang-fu organs, consolidate curative effect, prevent recurrence and metastasis, improving quality of life.6,"three for the specific" point of view:mentor in spring make free with fenge to divert the outer wind succoth, avoid Yiyiren with kindhearted; Midsummer season to make free with shichangpu acori tatarinowii XingPi begin to understand; Autumn make free with yuxingcao,baihe, lily to cough runfei; Winter in maidong,xuanshen,tianhuanfen,medlar to nourish "Yin" fill kidney and liver. For the weather is dry, the tutor drug use, radix ophiopogonis straight ladybell reuse, scrophula-riacede TianHuaFen, etc. Teacher think YinRenZhiYi, emphasize aren’t isolated at a disease and syndrome, and must see different types, different environment of "people’s" different pathological physiology characteristic; Because, the evaluation, emphasize the natural environment on the influence of the body. Because, because, the evaluation of the treatment principles, fully embodies the Chinese medicine and the overall concept of the syndrome differentiation and treatment in the practical application of the principle and flexibility. Only do comprehensive view about issues, particular case is particular analysis, is good at because, because, the evaluation, can get good results.7,"v evil theory" and malignant tumor:teacher think, hold the v and characteristics of disease and development, the.change, the outcome regularity that can see disease known source, and holds in the first maladies such machine, par see treat disease. To renew v evil theory, clinical thinking for some phenomenon and the diagnosis and treatment of difficult disease to have very much. Some grave illness, touching refractory, recurrent disease Si,uu considered in May and v evil relevant. The traditional four diagnostic methods and couldn’t find the disease with a tumor markers, flow cytometry increased the change, not atypical changes, etc can through the modern medical examination means, found that the evil influence of v. These so-called unlicensed discernable disease, how to see disease known source, the machine differentiation, with v evil theory can give us more clinical references and thinking.8, medicine to play:medicine as a clinical medication for the compatibility of the form, historically has been the traditional highly, become many traditional characteristic of the drug. Teacher according to her years of clinical practice, and closely combining the traditional Chinese medicine theory and sums up the commonly used treatment of cancer for medicine, flexible will every medicine to used in the treatment of cancer, get the multiplier effect. Cancer is a long-term repeated attacks of chronic disease pathogenesis is virtual reality for evil, cold du, imbalance of Yin and Yang. Therefore, in the clinical teachers are often used in medicine syndrome differentiation, reflect the series of medicine and the characteristics of the syndrome differentiation and treatment of modern medicine individual therapy.9, patients with tumor drugs and psychological intervention, which can not be suppressed:teacher li wen professor considered:patients with tumor there exists different degree of mental health problems, if there are too many hide, and more used not mature defense mode; Existence, and emotional depression related cognitive misunderstood and impaired cognitive distoxtian. not related. Clinical observation, through the individual psychological counseling, know correction and family support to help reduce the cognitive distorted, and reduce self psychological distortion degree; Can significantly improve psychological self-control, and improve patients with subjective attitude, improve treatment of diseases confidence; Help to improve the patients with lung cancer surial’s quality of life, etc. Watch also found that tumor stage, physical symptom, intervention measures, economic levels and awareness deviation four factors such as to the quality of life of the patients have important influence, indicating that the quality of life of patients with tumor with patients awareness deviation, psychological intervention measures is justified or not relevant. Therefore, mature good treatment and good treatment, whether patients benefit the humane care and shall cover psychosomatic adjustment, to make "medication-heart therapy-dietotherapy"3d a body, we should by. (b) clinical experience:1, the tutor, professor li using Chinese medical treatment for lung pay attention to integral, combined with the zang-fu organs, eight principles, qi, blood, body fluid and dialectical method, weigh the illness weight, making sure the first strike up, first for attack or what the attack after fill, centralizer and to remove, and remove to AnZheng, flexibility. In the early main to remove evil is given priority to, to do with qi qi, remove blood stasis, eliminating phlegm to qushi, soft firm estate, qingrejiedu, like cures like. With the centralizer middle-late give priority to, treat to the spleen yiqi, nourish "Yin" nourish, kidney and fine, nourishing Yin blood etc.2, the tutor general will be divided into stagnation of diseases with breast cancer, strong type of disorders type, poison hot accumulate knot type, type that the deficiency of Yin qi fire type5card type. With the Shanghai type should be based on the different performance, in breast cancer based on basic party choose to add and subtract portion of the drug. Breast cancer basic party: chaihu,baishao,danggui,muxiang,xiangfu,chaozhike,chaobiandou,shanyao,shant ugua,kunbu,haizao,shengmuli,xiakucao,chaoduzhong,baji,yupiaojiao,chaojineijin, gancao In short breast tumor of the onset of the disease, and external cause there is a certain relationship, but internal cause is the root, the external cause decided in internal cause, our surgery, radiotherapy, and chemotherapy are local therapy or even includes endocrine drugs, not fundamentally resolve internal cause, this is also the relapse or metastasis is an important factor, the treatment should be throughout the internal cause for always. And at present treatment method of internal cause, mature basically only monolith of Chinese medicine.3, the bowel cancer, the tutor dialectical classification type4:the spleen deficiency, hot and humid stasis poison different type, spleen and kidney cold-warm type, blood deficiency type; And with basic party to add and subtract: taizishen,chaobaizhu,fuling,cangzhu,houpu,chenpi,chaobiandou,shanyao,jineijin, gancao,tianlong,dilong,longkui,etc. Teacher think of this total bowel cancer of empty mark Hudson, the course of each see the actual inclusion in the card, such as the spleen deficiency and the damp and hot, qi deficiency and blood stasis and who also have the and so on. Treatment based on syndrome when give priority to, weigh weight, do not limited corner. Early colon cancer, with damp and hot, stasis poison partial cheng, treat to remove evil is given priority to, the spleen and kidney Yin and Yang late every qi deficiency, treat when to consolidate the centralizer give priority to. Colon cancer treatment must combine traditional Chinese and western medicine, syndrome differentiation and treatment, and the overall treatment, healing worker, Chinese medicine should be comprehensive, early intervention treatment process, especially colon cancer surgery and chemotherapy. Don’t to relapse and metastasis western medicine can’t, just looking for traditional Chinese medicine, then lost the best treatment opportunity. Reese wen in clinical professor using "medication, heart therapy, diet" trinity treatment, and with point injection, acupuncture, apply is Chinese traditional medicine, rectum to drugs therapy, the pattern identification and treatment, symptomatic treatment, curative effect is very significant.4, treatment of nasopharyngeal carcinoma (NPC) experience. Most with NPC for the patients, and chemotherapy, symptoms most performance:dry mouth think drink, taste, as limited open mouth, hearing loss, the crisp headache, bleeding from the nose, the resistance pus, nose, tongue qualitative reddish, moss thin white, pulse fine. After radiotherapy of nasopharyngeal carcinoma patients, in order to "qi Yin deficiency of both, hot poison accumulate knot" for the disease, so treatment inappropriate,"qi, qingrejiedu" for the law. Formula with basic party: shashen,tiaoshen,taizishen,huangqi,yinhua,lianqiao,chuanxiong,chishao,cebaiye, xinyihua,cangerzi,chaohuangbo,xingrenjiegeng,chaohuangqin,baizhi,jineijin,ganc ao. At the same time teacher proposal:the radiation and chemotherapy stop in the majority in blood after,appropriate compatibility wugong, quanxie, dibiechong, dilong etc, in order to strengthen the display the power of the wind, dredging, to prevent the radiation fields fibrosis have a positive effect; The rest and card of card with cutting. For the nasal dry with local daub rapeseed oil; The face, neck, and radiation fields with cactus skin of external anti fibrosis have very good protection effect. The clinical teachers use "qi, qingrejiedu" method, a nasopharyngeal cancer patients, patients benefit from more, extended the patients live, improve the quality of life of the patients.5, cancer cure outside have apply with Chinese traditional medicine, acupuncture points apply stick, etc. Traditional Chinese medicine can. whole modulation, revealing the culture. Improve the patient’s cure rate, extended the patient surial and improve the quality of patients survival. In the cancer has not been removed, traditional Chinese medicine treatment shouldbe to attack the cancer for the Lord; If the cancer has been removed, so with surgical resection of the treatment without are different. To strengthen the body’s immune ability should be the centralizer as drugs. The Chinese traditional medicine to still have certain promote hemopoietic system and protect the function of the bone marrow. So cancer after surgical resection for traditional Chinese medicine, and patients can not only promote the body to recover, improved tumor the quality of life of patients, still can continue to play a cancer-fighting properties.B.card to rule the results(a) the results:to observe a complete analysis of the data of100cases (outpatient service and be in hospital patients with lung cancer, including68patients.with lung cancer surgery, not surgery32cases. Male59patients, with an average age of47.25years,41cases were women, with an average age of48.21years. According to the deficiency syndrome types points phlegmy wet card26cases, Yin deficiency syndrome toxic heat11cases, two gas Yin deficiency syndrome in15cases, sluggish blood stasis syndrome20cases, toxic heat ChiCheng card in12cases, phlegm and blood stasis syndrome mutual "in16cases. Outpatient service and be in hospital patients, medical patients a year to take Chinese traditional medicine. A daily agent. Three months one period of treatment for the evaluation. Choose their own controls. The results are as follows:1and after statistics analysis, the before and after the treatment of traditional Chinese medicine treatment symptom score more statistically significant (P<0.05).2, the statistical analysis of the quality of life of the patients (KPS rating), after treatment can improve the stability and KPS score level between group is statistically significant (P<0.05), the before and after treatment for KPS score more statistically significant (P<0.05). Three, to the tumor markers on the change before and after more statistically significant (P<0.05).4, after the treatment of chest CT for there were no statistically significant before and after (P>0.05).5, adverse reaction:patients before and after the treatment of routine blood, kidney and liver function, electrocardiogram, etc no change.(b) conclusion:1, Lisiwen, clinical professor of differentiation of non-small cell lung cancer basic principle for the:distinguishes the combination of disease and syndrome differentiation and treat, summarizes mentor dialectical therapy non small cell lung cancer evidence to rule:deficiency syndrome types points phlegmy wet certificate, Yin deficiency syndrome, gas toxic heat Yin deficiency of both qi and blood stasis syndrome, sluggish certificate, toxic heat ChiCheng certificate, phlegm and blood stasis syndrome mutual "6type. The treatment to eoriching qi,[detoxification, removing stasis and phlegm polyester among the give priority to, find out each card used in high risk of drugs such as:taizishen, shashen, danshen, chonglou, banzhilian, sheshecao, yuxingcao,zhebeimu,chuanbeimu, etc. Find out the basic formulas tutor treatment of lung cancer, such as "Feining drink" TCM compound:renshen15g, shashen20g, baizhu20g, fuling15g, yiyiren30g, huzhang15g, ShiJianchuan15g10finish. This attack will fill together, which make the filling and not help evil, attack and not hurt is. After treatment can improve the quality of life of patients with lung cancer, improve symptoms, the change of tumor markers have help, for a few have narrow and stability of the tumors function, to routine blood, kidney and liver function, electrocardiogram, etc without adverse effects.2, through the YiAn YiHua and listen to the lecture, the project instruction:Lisiwen professor considered this empty mark for lung cancer of the disease, the basic principles of treatment for:distinguishes the combination of disease and syndrome differentiation and treat, using the treatment is " Feining drink" as the basic party, differentiation each non-small cell lung cancer. Mentor differentiation lung cancer has its characteristics, such as the use of toxic Chinese medicine clinical often fight;Often use since to "resist the poison Ⅰ number","fight poison Ⅱ number","life blood Ⅰ number","life blood Ⅱ date" the side effects of radiation and chemotherapy treatment. Teacher think Chinese medical treatment for lung good advantages and features, and can improve the quality of life of the patients, prolonging the survival time.3, the literature research is to clean up old doctor of traditional Chinese medicine experience premise, clinical follow-up study, with objective and accurate information is collected cases based, later use reasonable statistical analysis method is the key, and the serious practice empathy old doctor of traditional Chinese medicine academic ideas is to clean up the core of the experience.