| Objective:very lucky become academic successor of professor Luo Ling, with the teacher learning 3 years, benefit bandit is shallow, in clinical learning with the teacher, I deeply feel that Professor Luo Ling noble medical ethics, rigorous scholarship, extensive academic thought, rich clinical experience, high clinical curative effect. In order to consolidate their learning, improve their level of clinical and as far as possible to benefit others, play traditional Chinese medicine teacher imparting education role, the academic thought and clinical experience of Professor Luo Ling to mining, collation and summary, Luo division certificate, four diagnostic methods, as the auxiliary examination for the extension of the inspection, diagnosis and treatment of pulmonary system the disease, clinical experience is good, from the basic physiological function and lung and his dirty relationship is dialectical premise, identified the dialectical combination of disease, clinical experience in the treatment of chronic obstructive pulmonary disease, chronic pharyngitis, experience of diagnosis and treatment of advanced lung disease and malignant tumor, summarized, summed up in order to improve the level of clinical diagnosis and treatment own, improve the clinical efficacy. Clinical study was designed to investigate the acute radioactive pneumonia diagnosis and treatment of traditional Chinese medicine trend, Professor Luo Ling of treatment of acute radiation induced pneumonia in the academic thought and clinical experience of, to better treatment of acute radiation pneumonia patients to provide some theoretical and practical basis.Methods:Learning from the teacher is different from the general clinical research and experimental research. This paper first reviews the apprentice instructor academic source yuan, Professor Luo Ling is not born in family, although there is no family medicine, but its relying on persistence of traditional Chinese medicine (TCM) love, hard study hard, diligent in thinking, long-term clinical fathom, learn widely from others’strong points, eclectic, and gradually formed a their own academic thought;In the academic thoughts of Professor Luo Ling forming process, is inseparable from the Chongqing Institute of traditional Chinese medicine of the older generation of Chinese medicine experts pointing and impact, the effect is larger the academic thought of the two old Chinese medicine experts in Tian Lingqun and Huang Xingyuan. The article was focused on the academic thought and clinical experience of Professor Luo Ling to collate and summarize, treating respiratory system diseases "adjusting gas, adjusting blood and adjusting blood" as the core, to cure lung disease, when the coordination role of the physiological function of lung and other organs that play in the normal lung function, the desire to cure, this, is the organs of the normal physiological function, cure for this is when the treatment to restore normal physiological function of the organs, and from the gas, body fluid, blood generation and lung operation, coordination with other organs, physiological pathology of mutual cooperation, mutual influence, from the "adjusting gas, adjusting blood and adjusting blood", summarizes the treatment of lung disease in Professor Luo academic thought;By yin deficiency and and blood stasis view of seasonal febrile disease, in patients with advanced malignant tumor, in-depth study found cachexia see Yin deficiency and blood stasis cause and effect, promote each other, creating a vicious cycle, make an illness aggravating, summarizes the replenishing essence, nourishing yin and removing blood stasis as late in the treatment of cancer cachexia often method of academic thought. Clinical experience, first clinical thinking training is the need to Read classic books, do more, think more, clinical summary, from theory to practice, and practice theory, development theory in practice, Professor Luo Ling stressed the establishment of TCM diagnosis and treatment of TCM diagnosis and treatment of disease dialectical thinking, synchronization, human disease-diagnosis and treatment disease syndrome combination; clinical, tradition, emphasizes the combination of all, pay attention to tongue diagnosis, auxiliary examination for inspection as the extension of the treatment technology; the spleen and stomach health, Gas and blood, Gas and blood flow like water, upright strong, easy to dispel evil, When all the tonic, tonic to supplement the spleen and stomach for the first, Professor Luo Ling on each patient’s medical history collection, dialectical, prescription and drug use, no matter what disease, in the treatment process are reflected in the emphasis on the spleen and stomach for the day after tomorrow, will attend the important thought of cure stomach; and summarize the experience of diagnosis and treatment of chronic obstructive pulmonary disease and meiheqi. Finally, the professor Luo Ling the Bufei Qinggan huayu method in the treatment of acute radiation pneumonia launched a clinical study, To reflect the academic thought and clinical experience of diagnosis and treatment of lung disease by Professor Luo Ling.Results:through the study on the academic thoughts of Professor Luo Ling, discusses the well-known expert talent, discusses the Luo Ling academic thought of Professor source yuan, inspire followers of traditional Chinese medicine, desire fame medicine, when familiar with the classics, with teacher, frequently clinical, good summary. According to Professor Luo Ling’s clinical experience summary, will increase the heir to the theoretical level and clinical skills, clinical experience, used in clinical, will benefit many patients, really play the role of teacher apprentice education.Bufei Qinggan Huayu method on acute radioactive pneumonia clinical study showed that, and with western medicine hormone therapy, breathing difficulties Wartters score rate was 55%,53.8%, between the groups no significant difference (P> 0.05); acute radiation lung injury score, two groups after treatment compared with grade were significantly reduced (P< 0.05), but between the groups no significant difference (P> 0.05); KPS efficiency of the two groups were 62.5%,69.2%, between the two groups no significant difference (P> 0.05);TCM symptom score compared to cough, expectoration, after treatment in the two groups were compared with those before treatment has improved significantly, but between the two groups no significant difference (P = 0.05), chest tightness, shortness of breath, dry mouth and throat,5 be perturbed are body heat, fatigue in the treatment group improved significantly, and in the control group, there was significant difference (P< 0.05); loss of appetite in the two groups were treated after treatment have improved significantly, but between the two groups no significant difference; Of blood in the sputum, chest pain and fever after treatment, two groups of treatment have improved to some extent, score decreased, but no statistical significance, the groups no significant difference (P = 0.05); objective clinical improvement rates were 32.5% and 38.5%, group no significant difference (P= 0.05). The total effective rate of TCM syndromes were 60.0% and 56.4%, the two groups no significant difference (P= 0.05); Safety, relatively safe in the treatment group, no adverse reaction, occurred in the control group and 5 patients with elevated blood glucose, epigastric discomfort in 3 cases and fecal occult blood in 3 cases, albeit a small amount, no statistical significance, but the side effect of the hormone occurred rate higher than the treatment group; In short, Bufei Qinggan Huayu method on Acute Radioactive Pneumonia is effective method of treatment, in general and the effect of glucocorticoid, but for some clinical symptoms improved, especially chest tightness, shortness of breath, dry mouth and throat, five upset hot, fatigue fatigue is obviously superior to the hormone group, in addition to the appetite change good effect slightly hormone group, but the adverse reactions below hormone therapy, worthy of further study.Conclusion:the professor Luo Ling’s academic thoughts and clinical experience summary, and applied to clinical, has significant clinical effect; to Professor Luo Ling treatment of acute radiation pneumonitis experience, for example, the lung Qinggan Huayu method on, through clinical research further confirmed the its clinical efficacy is not inferior to the hormone, and fewer side effects. These results suggest that academic thought and clinical experience of Professor Luo Ling worthy of further research on the inheritance.Significance:follow clinical professor Luo Ling, the noble medical ethics, all treatment based on syndrome differentiation and prescription drugs are to the patient as the center, subtly influence and education inheritance person "To become a famous doctor, first of all should have a noble medical ethics". Through clinical experience in academic thoughts of Professor Luo Lingand finishing, mining and research, on the one hand constantly improve the heir’s theory level and clinical skills, to inherit the growth lay a better foundation; on the other hand, summed up the experience to for more services for the majority of patients who benefit; secondly, the heir to the teacher’s academic thought and clinical experience summary, and synchronous growth, also can let more scholars see apprentice education has a great role in the education of TCM, attract more Chinese people to participate in the teaching learning, for the cause of national Chinese contribution to make.Personal experience:from the study for 3 years, has experienced a lot of emotion, excitement, confusion, insight, joy and sadness. Through the layers of selection and assessment, have the honor to become a disciple of Professor Luo Ling, to the doctor, diagnosis on the left and right near the bar, the heart excited and excited for a moment; then, the State Administration of traditional Chinese medicine a lot of assessment indicators, strict attendance system, learning experience, monthly medical records, the classic monthly must be completed, study and clinical work and more busy lives, often conflict, confusing, or even playing drums; however, each time with the teacher, the teacher coaching, from the clinical curative effect of many self insight, clinical level is improved, but the joy from, and insist on 3 years down, down a lot, the harvest is also more; teaching learning is coming to an end, there is a little reluctant, unwilling mentor friendship, don’t give up learning from this platform. The teaching learning is an important experience of my life, it will become a valuable asset for my future study and work. |
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