Professor Wang Yuyi Academic Thoughts And Clinical Experience And Treatment Of Vertigo Syndrome Research

Professor Wang Yuyi is the chief physician, the Postgraduate Supervisor, one of the most remarkable doctors of Shanxi Province hospital of Traditional Chinese Medicine, and is one of academic experienced guide teachers of Traditional Chinese Medicine. He engaged in clinical trivials, scientific research, and teaching more than50years. He has accumulated rich clinical experience, paid attention to the modern research of traditional Chinese medicine, done academic research scrupulous, exceled in treating the medicine difficulty disease, had great originality in master-apprentice of Traditional Chinese Medicine in the clinical, and eventually formed a unique style of traditional Chinese Medicine clinical diagnosis and treatment system. The aim of this dissertation is to arrange and concentrate its academic thought and to sum up the therapeutic experience and drug characteristics of treating a part of difficult disease in internal medicine on the basis of the analysis of the tutor academic origin. The dissertation hackles the therapy regularity by sorting vertigo medical record.Part one analysis the mentor’s academic origin. Professor Wang’s academic thoughts and clinical experience have roughly experienced four stages:to establish the clinical basic knowledge by learning knowledge system of traditional Chinese and western medicine; to learn from the masters and take in everything and derive their essence; to be ambitious unceasingly and go on to medical teaching research road, experience-study-re-experience-re-study. Continuous learning, frequent summary, and be bold in making innovations make him ultimately become a great master.Part two To summarize Professor Wang’s effective and distinctive treatment of the disease by consulting the classical materials and literature, referring to teacher Wang’s theses、 treatises、scientific achievements、teaching plans、medical cases, and according to three years’ experience with tutor and teacher’s pass on knowledge.To analyze and summarize methods of the differentiation of syndromes of different disease, treatment characteristics, drug prescription characteristics. To sum up the clinical experience and concentrate his academic ideas.The dissertation discussed teacher Wang’s academic ideas from six aspects.①To achieve comprehensive understanding through the confluence of Chinese and western medicine and to take in everything. It shows that:flexible use of combination the differentiation of syndromes and diagnosis of disease, combining complexion location and modern tests, judging curative effect in objective index; providing the scientific basis.②Paying attention to the relevant organs of doctrine.③The treatment based on syndrome differentiation, grasping the main disease, and scratch disease machine.④The use of classical prescriptions side and combining the practice of planning new system.⑤The complex diseases, treating phlegm and blood stasis.⑥The tonic and blood stasis is the fundamental law of anti aging.Experience of diagnosis and treatment of chronic heart failure from the summary of arrhythmia, hypertension,vertebral artery type of cervical spondylitis, Hanzheng. It can be started from the analysis of disease, etiology and pathogenesis, syndrome differentiation, treatment principles and methods of drug characteristics, with the teacher’s experience, we should pay attention to the overall concept, syndrome differentiation, grasping study of Chinese and western medicine, using the classical side, complex diseases, treating phlegm and blood stasis research idea which.Part three Researching rules of Wang Yuyi’s treatment of vertigoObjective:Using the mathematical statistics and factor to analyze in the main disease, to scratch disease machine, and to achieve mastery through a comprehensive method, to objectively summarize the treatment of vertigo by Professor Wang Yuyi, to explore the dialectical differentiation rule, to sum up the clinical experience and condense his academic thoughts, and to provide the vertigo objective scientific evidence for Chinese medicine diagnosis treatment.Methods:This study was started from December2010to May2012, with clinical epidemiological survey method, According to Clinical inspection table, Shanxi institute of Chinese medicine outpatient service321cases of vertigo were investigated, the use of EPldata3.0database establishment and management, and the second entry way audit. He adopted frequency analysis, cluster analysis, factors analysis and multiple factors analysis method. Through TCM symptom frequency and index clustering analysis, He sorted out the vertigo distribution regularity of TCM Syndromes. He also used orthogonal rotating the factor analysis clustery form the each type of symptoms, analyzed signs variable, conclude dialectical points, and summed up the teacher in treating the dialectical differentiation rule of vertigo through TCM symptom frequency and index clustering analysis.Results:1.This study’s321patients is composed of33.33%men and66.67%women; Age distribution in57.48±8.98years; Course in49.04±27.11months.2. Symptoms of55by clustering analysis, summing up the rule7card type, by factor analysis, Summed up7types of dialectical points, liver-kidney yin deficiency syndrome:long time vertigo, soreness and weakness of waist and knees,vexing heat in the chest, palms and soles; syndrome of internal harassment of phlegm-heat:Headache, rapid slippery pulse, reddened tongue, oppression and distension in the chest and hypochondriac region; Liver yang hyperactivity, choroid and blood stasis:vertigo and heavy head and light feet, rapid string pulse, Headache, Limbs numb and Vibration; syndrome of wind phlegm invading upward:slippery pulse, Circumrotating,nausea, vomiting, Deafness tinnitus, insomnia and dreamful sleep; syndrome of depressed gallbladder with harassing phlegm:oppression and distension in the chest and hypochondriac region, insomnia and dreamful sleep, emotional depression, Throat discomfort; The weakness of the spleen and stomach syndrome:sallow complexion, general lassitude, poor appetite and loose stools, the patient suffers from blurred vision,pale tongue; the disorder qi of taiyang meridian,:Cervical lateral bending extension, dizziness symptoms worsen, upper extremity numbness, occipital, neck and shoulder pain discomfort.3.Drug frequency analysis, the top10:rhizoma gastrodiae, flos chrysanthemi, rhizoma pinelliae, pericarpium citri reticulatae, rhizoma alismatis, rhizoma atractylodis macrocephalae, Earthworm, poria, gambir plant nod, fructus lycii.Treatment for the main The liver (29.65%), spleen (26.16%); The treatment to Wen sexual medicine34.78%, cold LiangYao accounted for39.13%, Ping sexual medicine26.09%. Summed up the basic prescription of treating vertigo:liver-kidney yin deficiency syndrome used in the treatment of Zishuiqinggan Decoction; syndrome of internal harassment of phlegm-heat used in the treatment of Banxiabaizhutianma Decoction Plus Huanglianwendan Decoction; Liver yang hyperactivity, choroid and blood stasis used in the treatment of Dijupinggan Decoction; syndrome of wind phlegm invading upward used in the treatment of Banxiabaizhutianma Decoction Plus Zexie Decoction; syndrome of depressed gallbladder with harassing phlegm used in the treatment of Chaihu Plus Longgumulidingzhi Decoction; The weakness of the spleen and stomach syndrome used in the treatment of Guipi Decoction, the disorder qi of taiyang meridian,used in the treatment of Guizhi Plus Gegen Decoction Plus Zexie Decoction。Conclusion:The epidemiological survey methods, adopting frequency analysis, cluster analysis, factor analysis and multiple factor analysis methods application index clustering mathematical statistics and many factor analysis methods. Summarizing syndromes distribution rule to treatment vertigo by Professor Wang Yuyi syndromes distribution rule. The wind, phlegm, blood stasis, deficiency, depression is vertigo pathology product, liver, spleen dysfunction of vertigo is the key to pathogenesis. Drawing7card type and key points of syndrome differentiation, treatment to the spleen and liver is given priority, and summing up the basic prescription in treating vertigo. For the vertigo clinical differentiation provides objective basis.