Professor Wu Shentao’s Academic Thoughts And Clinical Experience In Treating Gout From The Theory Of Internal Toxins

Purpose This research is a summary of Professor Wu Shentao’s academic thoughts and clinical experience in treating gout from internal toxins.The specific content includes the collation of gout-related literature,an overview of the basic theories of internal toxins,a summary of academic thoughts and experience in treating gout from internal toxins,and action-based research Case study of law.Based on the analysis of the etiology and pathogenesis of gout,the tutor Professor Wu Shentao’s academic thoughts and experience in treating gout with the method of removing turbidity and detoxification were summarized,and the action research method and case study were combined to make the academic thoughts and experience summarized in the first two parts payable.Zhu Yu practice aims to conduct an in-depth analysis of the differentiation and treatment methods in the diagnosis and treatment process,explore the thinking mode of the instructor who knows the change and further improve the treatment strategy.Methods 1.Use "asymptomatic hyperuricemia" and "hyperuricemia","subclinical gout","gout","gouty arthritis" and other specific disease names and "toxin","detoxification" and "experience summary" Search the literature for keywords,filter and sort the literature,understand the etiology and pathogenesis of gout,diagnosis and treatment,and the basic content of endotoxin theory.2.Summarize the diagnosis and treatment experience through the tutor’s oral and personal teaching,sorting out the notes and medical records of the tutor,studying the tutor’s works and publicly published papers,and experimental research.Include representative cases in the process of follow-up consultations,and organize them in the form of pre-existing medical records and post-scripts to discuss the clinical differentiation and treatment ideas of Professor Wu Shentao from the theory of internal toxins in the treatment of gout,in order to be more intuitive and more targeted.The instructor’s experience in treating gout.3.Select a typical case and use the action research method.Under the guidance of the instructor,the researcher implements intervention and conducts in-depth research according to the procedures of planning,observation,reflection,correction and re-action.In this way,three rounds of the patient’s illness Has been improved.Results 1.The etiology of endotoxins is mainly caused by modern industrialization and changes in lifestyle.Non-infectious problems such as environmental,air,and food pollution are the mainstream.They are summarized as eating disorders,emotional disorders,and poisoning.Gout is an important branch in the system of differentiation and treatment of endotoxins.The etiology and pathogenesis of gout have the same characteristics as endotoxins,as well as the characteristics of gout.The most important cause of gout is due to congenital constitutional factors and dietary disorders.The pathological mechanism is summarized as: the spleen and stomach promote clearness and reduce turbidity and lose the function,the spleen does not disperse the essence,and the gluten does not change to produce turbidity and silt toxin.Endotoxicity is its core element.Based on this,the modern TCM disease name for gout should be "turbid toxin bi",and its transmission law is qi and blood,and then go deep into the veins and bones.2.The specific application of the theory of internal toxicity to the treatment of gout should follow the principle of "staging,syndrome differentiation,and synthesis".Gout can be divided into incubation period,attack period and remission period according to the stage of disease.The incubation period is mainly due to the rise and fall of the medium coke gas engine.Those with early accumulation of turbid silt will be treated with fragrant thin oozing turbid drink to aromatize turbidity,light osmosis and dampness;those with turbid stasis and heat will be treated with oozing turbid spleen soup to clear away heat and turbidity,and to invigorate temper.During the attack period,turbid toxin accumulates blood and veins.Those with damp-heat congestion should be treated with Shimiao Jiedu drink to clear heat and remove dampness,remove turbidity and detoxify;for those with phlegm and blood stasis,use the general gout decoction for removing phlegm and blood stasis,clearing heat and detoxification.In the remission period,the main cause is to overcome the evils,the liver and kidney are insufficient,and the spleen does not disperse the essence,the self-made Shiwei Baizhu Sanyun spleen to turbid,nourishing qi and yin;for the liver and kidney insufficiency,the treatment is Jianbuhuqianwan Cut tonic liver and kidney,clear heat and dredge collaterals.3.After 3 rounds of action studies in the observed cases,the symptoms disappeared,the blood uric acid level has dropped to the normal range,and the quality of life has been improved.Under the guidance of traditional Chinese medicine theory,for the stage with abnormal indicators in the external non-toxic disease,the clinic can refer to the detection indicators to differentiate the disease and medication,and finally form a comprehensive diagnosis and treatment that combines disease differentiation,syndrome differentiation,and body differentiation.The way of thinking is to enrich the connotation of the diagnosis and treatment of endotoxins in Chinese medicine.Conclusion The full text summarizes the academic thought and clinical experience of the tutor Professor Wu Shentao from the theory of internal toxins in the treatment of gout,and concludes that the etiology and pathogenesis of modern gout are ascending the spleen and stomach to clear up and reduce turbidity and loss of division,the spleen does not disperse the essence,the food does not change the turbidity and stasis to cause poison.Endotoxicity is its core element.The treatment follows the principle of "staging,syndrome differentiation,and synthesis",with emphasis on diet adjustment and lifestyle intervention.In addition,for non-toxic diseases other than gout,when there are abnormal indicators in the stage,the clinic can refer to the test indicators to distinguish the disease and the prescription and use the medicine,and pay attention to the dialectical thinking mode of the instructor in the clinical process of knowing and changing.