The Medical Record Research Of Professor Guo Li Zhong Treating Chronic Kidney Disease From Cold And Damp

[Objective] by a retrospective study on the clinical data of patients with chronic kidney disease (CKD) treated by Professor Guo Lizhong and discussing The teacher from the "cold" on treatment of CKD syndrome differentiation clinical practical value, we can summarize the tutor from Fu Yang Syndrome Differentiation and herbal prescription medication characteristics an in order to improve the understanding of Chinese medicine of CKD theoretical and provide new ideas of improving the clinical efficacy of CKD.[Methods] through the long-term division of outpatient service and access to relevant literature, the unified standard to tutor in December 2012 to December 2015 all CKD medical records were collected. The analysis of using frequency and Wilcoxon signed rank test were used for statistical analysis of the selected patients before and after the treatment of TCM Syndrome integral and laboratory examination indexes changes, according to unified standard of clinical efficacy of preliminary evaluation and analysis instructors from the "cold" on the treatment of CKD dialectical thinking,we can herbal prescription drug laws.[Result] after sorting and screening, a total of 866 cases of patients with relatively complete chronic kidney disease were obtained, and 117 cases were diagnosed. Among them,43 were male,37.06% were female,62.93% were female, and 74 were female. The age is mainly distributed in 10-79, among which 30-69 is the most, accounting for 82.05%. CKD stage 1 patients as the main treatment group. Unknown primary disease in 4 cases, including 6 cases of 12 patients, including 42 cases with primary disease of primary glomerular disease, accounting for 54.7%, including chronic glomerular nephritis, nephrotic syndrome in 9 cases, IgA nephropathy in 7 cases, membranous nephropathy in 5 cases, occult nephritis in 1 cases, followed by secondary nephropathy more, accounted for 27.4% of hypertensive nephropathy, diabetic nephropathy, lupus nephropathy (2 cases), Purpura Nephropathy in 7 cases, infection nephritis and obstructive nephropathy in 1 cases, the other primary disease accounted for 17.9% of renal cysts, renal atrophy in 3 cases, renal angiomyolipoma and renal cell carcinoma after operation, renal transplantation and viral myocarditis in 1 cases, of which 10 cases. Appear to have a higher frequency of clinical symptoms, followed by fatigue, chills afraid of the cold, backache, urine bubble, clear night urine, edema, less sweat, night sleep uneasy, neck shoulder discomfort, dry mouth, tongue like the pale red tongue, white greasy moss, side teeth marks, body fat occurs most frequently; pulse, taut pulse, weak pulse, thready pulse, symptoms and tongue and pulse characteristics and cold dampness Yang disease characteristics are the same. Pathological factors with SHIXIE, Hanxie and Yang, also including Zhuodu, phlegm, deficiency, blood stasis, wind etc.. The main pathogenesis is filled with cold damp stagnation and cold dampness, Qi deficiency. Treatment method for Guizhi method and inverse method Famen. Among them, the temperature through temperature and transported in indigenous belongs to the category of Guizhi, separate user accounts for than 54.17%, temperature Buzhong indigenous, Fu Yang relief by turbidimetry, Fu Yang to promote diuresis, Fu Yang added essence method and temperature potential method belongs to Sini category method, used alone accounted for than 42.50%, the second method combined with users accounted for 3.33%. Prescription medication use higher frequency of drugs are mainly focus on the scattered cold medicine, Qushi drugs, virtual medicine, Qi phlegm drugs, drugs for inducing resuscitation, the top five), the core of the use of drugs:ginger, Amomum villosum, prepared aconite root, Zhu tuckahoe, epimedium, cassia twig, white atractylodes rhizome, pinellia tuber, astragalus, Atractylodes rhizome, eucommia bark, dried tangerine peel, grass leaved sweetflag rhizome, dangshen, Radix Morindae Officinalis, cardamom, dodder seed, cinnamon, Huoxiang etc. (20). Curative effect evaluation, the total score of the patients before treatment was 20.42+9.146, after treatment was 8.59+ 6.209, after treatment, the points were reduced by statistical treatment with very significant difference (t=0<0.01). And ckdl renal function without have significant difference (P=0.028<0.05) before and after the treatment of abnormal urinary occult blood and urine protein before and after treatment no significant difference P=0.324>0.05. Patients with abnormal renal function CKD2-5 serum creatinine treatment level for 326.55+276.02umo/L, level after treatment 295.31+211.25uml/L, urea nitrogen treatment level of 19.00+ 10.70mmol/L, level after treatment for 19.35+10.83mmol/L, a slight decrease in serum creatinine, urea nitrogen, and no obvious change. In order to improve the clinical symptoms of traditional Chinese medicine symptoms to improve the efficiency of 70.8%, combined with laboratory tests to improve the comprehensive improvement of the index of 43.9%, the overall situation is stable and effective rate of 68.29%.[Conclusion] (1) Guo Li Zhong professor from the "cold" on the method of treating chronic kidney disease treatments for patients with clinical symptoms and laboratory indexes has a certain effect, to improve the quality of life of the patients with positive significance.(2) Professor Li Zhong Guo treatment method of chronic kidney disease, Chong Fuyang and pathological factors first cold and wet weight, taking into account wind phlegm and blood stasis and yang deficiency for the onset and cold damp invasion for the disease, wind phlegm and blood stasis is suffering a disease of the standard.(3) Professor Li Zhong Guo in the treatment of chronic kidney disease in ventilating and temperature compensation two dharma as a guide, stressed that "Jian Ji Xian Jianzhong, built in first dial" the sequence of ideas, the use of pungent drugs, to Wen Tongfang, Wen Yunzhong earthwork, temperature of Buzhong earthwork, Fu Yang relief turbidity, Fu Yang diuresis side, Wen Qianfang, Fu Yang Tim finish as the main sequence with party.