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A Summary Of Wei Zhonghai 's Academic Thought And Clinical Experience And Clinical Study On The Treatment Of Rheumatoid Arthritis By Removing Blood Stasis And Phlegm

Posted on:2013-03-29Degree:DoctorType:Dissertation
Country:ChinaCandidate:B Q WangFull Text:PDF
GTID:1104330371974362Subject:Traditional Chinese Internal Medicine
Abstract/Summary:PDF Full Text Request
Wei Zhonghai, the national fourth batch of famous old Chinese medicine experts academic experience inheriting work tutor, chief physician, professor, doctoral supervisor, the national famous old doctor of traditional Chinese medicine, who graduated from Beijing university of Chinese medicine and has dedicated to the teaching, research and clinical for more than40years. On the basic theory of TCM Prof.Wei skilled in clinical research and was conscientious in clinical practice and good at learning widely from others1strong points, assembled ancient and modern ones and has cured long delayed illness. For more than40years, deeply Influenced by the theories of Fuqi and collaterals, he devoted himself to clinical practice repeatedly, Absorbing the hundreds of proverbs, melt the two theories as a whole, became a highly original and founded the "virtual evil FuLuo" theory, formed the unique Chinese medicine diagnosis and treatment system. Currently, due to the attention of the Chinese government and the clinical workers efforts, traditional Chinese medicine treatment for rheumatoid arthritis has made encouraging achievement. At present, traditional Chinese medicine heritage work in China is orderly developing. Through mining and sorting the ancient books of traditional Chinese medicine, gradually summarize and sublimate the tutor’s experience, we heritage workers continuously improve the effect of the treatment of rheumatoid arthritis.The first part:The Academic Originals of Prof. WeiFirstly the paper expounds the forming process of academic thought and clinical experience of the tutor’s "virtual evil FuLuo" theory and traces the traditional Chinese medicine, Chinese medicine classic study and their school origins, then explains the concrete inheritance and innovation embodiment.The theory of "Virtual evil FuLuo" rooted in the Qin Dynasty period, developed in Liang Han Dynasty period, formed in Ming and Qing Dynasty. This part systematically analyzes the relationship between the academic origin and "virtual evil FuLuo" and some relevant documents, studies the historical evolution and the traditional academic achievements so as to guide a clinical differential treatment.The second part:A summary of Prof. Wei’s academic thought and clinical experienceAccording to the published articles and works in recent years by tutor himself and the clinical experience of the teacher, it sums up the tutor’s academic thought and clinical experience of "virtual evil FuLuo" to disease treatment. 1. Academic thoughtFrom the physical, aetiology and therapeutic principle, it describes the disease treatment by "virtual evil FuLuo" theory. In physiological aspects of the zang-fu organs, it made clear the Yin and Yang are the material basis of visceral functions. Under the Yin and Yang, viscera can play their respective special physiological functions. In aetiology, from the angle of viscera virtual failure and fu xie bi luo, puts forward to three characteristics of disease cause:internal evil causes disease; syndrome stasis, easy to accumulate; lingering illness, repeated attacks. In therapeutic aspect, indicated the"eliminating evil, Juanbitongluo" are the basic principle to disease treatment. It should give consideration to the differentiation of the deficiency and excess of the five internal organs, using the method of liver protection, kidney protection, tonifying Spleen, nourishing kidney, heart unobstructed, conditioning lung, and at the same time, pay attention to remove evil, dredging with qi and blood, eliminating phlegm. Through the above-mentioned aspects, this paper tries to reflect the tutor’s "virtual evil FuLuo" theory of disease treatment academic thought.2. Clinical experienceIt sums up from several aspects of rheumatoid arthritis, sjogren’s syndrome, gout, ankylosing spondylitis and from pathogeny, medicine characteristics, the method of treatment, discussion, which reflects the the application of "virtual evil FuLuo" theory in the clinical diagnosis and treatment, from the clinical disease treatment it manifests the basic principle of "eliminating evil, Juanbitongluo", and reappears the tutor’s "virtual evil FuLuo "theory of disease diagnosis and treatment medical process.The third part:Prof. Wei the research of "remove stasis resolving phlegm" differentiation method of rheumatoid arthritis1. ObjectiveThis paper adopts the mathematical statistics analysis method, combining clinical observation, summarizes the curative effect by the tutor of phlegm and blood stasis treatment of rheumatoid arthritis, discusses its rules, and to sum up the clinical experience and academic thought, and provides a scientific basis for the differential treatment to the rheumatoid arthritis.2. MethodChoose94rheumatism outpatient and hospitalized patients in No.2subsidiary hospital of Shanxi institute of traditional Chinese medicine from February,2010to August,2011. all data by December,2011. Patients conform to diagnosed criteria, inclusion criteria, exclusion criteria of rheumatoid arthritis patients. Make clinical observation table and group therapy, adopting the prospective research method, all data entry program, with statistical analysis to sum up the curative effect.3. Results3.1Comprehensive efficacy assessment. Efficiency32.56%, progress39.53%, the total effective90.70%, the control group showed the efficiency at9.76%, progress rate31.70%, the total effective rate63.41%. After the rank and inspection. The two groups comparisons significant difference (P<0.05).3.2Major clinical data. In the clinical symptoms and signs, comparing the treatment group to the control group shows a significantly improvement with a statistical significance (P<0.05or P<0.01). In immune function, compared difference before and after treatment, P<0.05, shows a significant difference. And in the series of rheumatism, the D-value before and after treatment and joint function classification, P>0.05, no significant differences.4. ConclusionPhlegm resistance and blood stasis rheumatoid arthritis is a kind of special type in the acute stage and remission stage, it is caused by the external evil into luo, bi resists qi blood. Using Flavored pink eliminate pain liniment, the effect is similar to Methotrexate in treat phlegm and blood stasis type winding resistance rheumatoid arthritis provide clinical evidence.This paper summarizes tutor’s clinical experience in the treatment of rheumatoid arthritis and academic thought, makes clear "virtual evil FuLuo" TCM theory connotation; To discuss the "virtual evil FuLuo" guidance differentiation of rheumatoid arthritis clinical basis; Deepening "virtual evil FuLuo" theory, in the clinical application expanding, from the point of view of the winding resistance of phlegm and blood stasis further study the effect of traditional Chinese medicine and advantage, so as to prove the theoretical value of clinical application. Objective:to rheumatoid arthritis (RA Rheumatoidarthritis, because of course over a long period of time, clinical treatment operation difficulty bigger, is the chronic disease prevention and control of one of the key disease. Summary of the clinical experience in the treatment of RA mentor and academic thinking, and prevent or reduce the RA occurrence, development, has the extremely important practical significanceMethods:RA in the process of development, can appear phlegm and blood stasis syndrome types winding resistance. This article in "virtual evil FuLao" guidance, use "flavored peach drink" treatment for three months, clinical observation through joint swelling number and the degree, joint tenderness number and the degree, morning stiffness time and RF, ESR, CRP, IgA, IgG, IgM such indicators, this paper discusses the method of eliminating phlegm to remove stasis RA influence.Results:remove stasis eliminating phlegm to treatments for phlegm and blood stasis type winding resistance with rheumatoid arthritis can significantly improve the clinical curative effect, significantly improve patients with TCM syndrome, no significant side effects and adverse reaction, safety index check no abnormalities.Conclusion:remove stasis eliminating phlegm to treatments for RA, can make its incidence is reduced, and the evidence of TCM in RA treatment of strength.
Keywords/Search Tags:strengthening body resistance and eliminating evil, Juan bitongluo, Flavored pink and eliminate pain liniment, Rheumatoid arthritis, Phlegm andstasis resistance, Virtual evil Fu Luorheumatoid arthritis, Phlegm and blood stasis type windingresistance
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