The Summary Of Chief Physician Yi Chunjin’s Academic Thought And Academic Experience And The Clinical Research For The Baoganjiangzhi Prescription In The Treatment Of Nonalcoholic Fatty Liver Disease

Objectives1 Summarize the main academic ideas and clinical experience in the digestion by thecher Yi Chunjin, and inheritance and development her valuable experience.2 Observation on the treatment effect about the Baoganjiangzhi Prescription tononalcoholic fatty liver disease,meanwhile observatting the effect about the blood lipids,blood glucose, blood uric blood acid,blodd creatinine,etc.Method1 On theory:Through clinical basis with outpatient service, collect Clinical basisof teacher Yi,and reading the four great classic of TCM and tutor’s writings,paper,etc,Summarize the teacher’s academic thoughts for the treatment of digestive diseasesand arrange the eacher’s clinical experience.In combination with clinical practice put forward my views and opinions, In order to have further experience and theunderstanding to the teacher’s academic thoughts. 2 On clinical research:The 117 selected patients with NAFLD were randomlydivided into treatment group (58 cases) and control group (59 cases).The two groups are diet and movement controlled.The control group were treated with the Essentiale the basis of the basic treatment,three times a day,after a meal,eight weeks for acourse of treatment. The treatment group were treated with the Baoganjiangzhi Prescription on the basis of treated with the Essentiale(the directions and treatment course the same with the control group),add and subtract with the different syndrome.Observation of the following indicators changes about the two groups treated before and after,like ALT,AST,GGT,TG,CHOL,HDLC,LDLC, GLU,URIC,CREA,FAI.Results1 Academic origin and academic idea:(1) Teacher Yi meet the variety of cases when work in the clinical for decades. She always think any disease from factors suchas dampness,poison,blood stasis.And modern factors play a role that cannot ignorein indisease development process.Therefore,she always stick the four treatment that clearingdamp method,Heat-clearing and detoxifying method,promoting circulation and removing stasis method and regulating emotion method in the clinical. One clearing damp,be about to dispel the origin outside the body,according to its and clip different pathogenic factors and the disease at the different period, the division will be divided into dry wet, permeability wet, Warms cold wet,dispel the wind to clear wet.Heat-clearing and detoxifying method using drugs has clear antipyretic drug effect and ways to achieve clear antipyretic poison the evil,this method be used origin early,and late development is rapid,and have good theoretical basis. In the clinicall Teacher Yi are good at use this method to treatments containing heat toxic nature disease such as stomach ache, cough, pulmonary abscess, asthma, astranguria, eczema,arthralgia,and this method treatment effect is significant in stomach ache. On the basis of syndrome differentiation and clinical use of sheshecao in the treatment of chronic atrophic gastritis achieved good curative effect in the clinical, promoting circulation and removing stasis method is a treatment for characteristic of blood stasis syndrome. The method is widely applied in clinic,including internal and external,wife,son,facial features,skin,such as clinical discipline,can be used for the treatment of modern diseases including gastritis, diabetes, coronary heart disease,cancer,scleroderma,dozens of diseases such as cirrhosis of the liver,and has a good application prospect. Clinical promoting blood circulation to remove blood stasis formula is more,according to its function and role of different can be subdivided into 13 classes,identify should be paid attention to when using this method was not the actual situation of the relationship between different and blood stasis and hemorrhage in a reasonable,using the method of dialectics. In clinic,Teacher Yi create the Jianpihuoxue to treat the disease,have a good treatment effect. With the establishment of the biological-psychology-social medical model,the doctor found that the social environment for the influence of the human body health,this is consistent with the TCM concept of overall.Traditional Chinese medicine with the word "modern" can explain,refers to the body’s response to the outside world things,divided into seven kinds of modern activity, namely, happiness,anger,sorrow,to think,sadness,fear,surprised,referred to as the "seven emotions".Many doctors believe the physiology and pathology of modern factors and body each viscera have close relations,especially the spleen,stomach,heart,liver and other viscera.1 recognize the clinical in spleen and stomach disease will consider monder factors, think mind disorder may affect the function of spleen and stomach,andspleen dysfunction can also affect the mind. Root on the basis of syndrome differentiation and treatment of spleen and stomach patients can be supplemented by the method of mind treatment,often chosen drugs like Hehuanpi and Boziren etc. (2) ①Emphasis on the essence of the holistic concept and treatment based on syndrome differentiation.Holistic concept and treatment based on syndrome differentiation is the main characteristic of TCM theory system.Amang them,holistic concept mainly includes the body’s own integrity,the unity of human beings and natural environment, and people with social environment. And treatment based on syndrome differentiation is the use of traditional Chinese medicine theory and analyze the data to establish thedisease symptoms,demonstrate its therapeutic treatment and the formulas into the actualprocess of thinking and practice. Disease is the disease,syndrome differentiation of symptoms,both is the process of recognize the disease.Therefore,Teacher Yi attached great importance to the combination of disease and syndrome differentiation,Chinese traditional experience with diagnosis and treatment technology is the combination of modern technology,it is a supplement to the syndrome differentiation of traditional Chinese medicine.It often combined with performance under gastroscope to syndromedifferentiation treatment Such as the treatment of chronic atrophic gastritis,reflux esophagitis diseases,and always get good results.Teacher Yi said we should adhere to the the two characteristics in the clinical.It well reflect the two characteristics from teacher Yi treating chronic stomach pain and diarrhea and so on disease.②Attaches great importance to the combination of disease and syndrome differentiation.Teacher Yi said it not only can improve the clinical curative effect to adhere to the clinical thinking(the combination of disease and syndrome differentiation),but also can make our traditional medicine to keep pace with the times. It is the performance of inherit the old adage and development innovation.2 Clinical experience:The author summarized the clinical experience are follows.①Use purgation method opportunely;②Using the thinking of the combination of disease and syndrome differentiation to treat purgation;③The experience about syndrome differentiation treatment of stomachache from teacher Yi;④The teacher Yi experience for the treatment of chronic atrophic gastritis;⑤The thinking of syndrome differentiation and treatment of traditional Chinese medicine about nonalcoholic fatty liver disease treatment;⑥Prevention and treatment of gallstone disease;⑦The experience about reflux esophagitis treatment;⑧ Chronic hepatitis b viral hepatitis experience in chinese medicine; ⑨ The teacher Yi experience for the syndrome differentiation and treatment of functional dyspepsia.3 On clinical research:(1) The liver function (ALT、AST、GGT) after treatment of the two groups are lower than before treatment(P<0.05);Compared with the control group,the treatment group reduced significantly (P<0.05); (2) The TG,CHOL,LDLC after treatment of the two groups were reduced,and The TG,CHOL of the treatment group reduce obviously (P<0.05);Compared to before treatment of the both groups,it is slightly higher than after treatment inHDLC,but no statistical significance (P>0.05),And it is no obvious difference compared the two groups after treatment(P>0.05);(3)Compared to the before treatment,Two groups after treatmentof GLU, URIC were slightly lower,but no statistical significance (P>0.05).It is no difference the two groups before and after treatment compare with each other in CREA (P>0.05); (4) The two groups after treatment were less than before treatment in FAI (P<0.05),and compared to the control group,the treatment group reduce evidently (P<0.05); (5) Compared to the control group,the Curative effect of the treatment group increased significantly (P<0.05)Conclusion:1 Teacher Yi Chunjin perusal of TCM classics, adopt the strengths of the subject, and understand each other, In addition to the commonly used in the treatment of digestive diseases of the spleen and replenishing qi, spleen and stomach treatment,etc.And Also stressed the applicationclearing of damp method,Heat-clearing and detoxifying method, promoting circulation and removing stasis method and regulating emotion method.The teacher attaches great importance to the overall concept and the essence of syndrome differentiation and advocating the combination of disease and syndrome differentiation In the clinical. Thecher Yi also have her own original ideas in the diagnosis and treatment of stomach pains, chronic atrophic gastritis, nonalcoholic fatty liver disease, gallstones, reflux esophagitis, Chronic hepatitis b viral hepatitis, functional dyspepsia, and has obtained the good clinical curative effect.Through the system and summarizes the teacher’s main academicidea and clinical experience can better inheritance and development her valuable experience in digestive diseases.2 (1) The Baoganjiangzhi Prescription has obvious effect of protecting liver and declining liver enzyme,And can improve the degree of liver steatosis of nonalco-holic fatty liver disease.(2) The Baoganjiangzhi Prescription did not see clear liver and kidney toxicity, medication safety is reliable, which can be widely used in clinical.(3) (3) It can be widely applied in physical examination, review and dynamically observe the progress of fatty liver and drug curative effect, etc by FibroTouch.