Professor Dong Shaolong Treatment Of Stroke With Academic Experience And Clinical Research

Dong Shaolong Professor, chief physician, master’s, and doctoral tutor, Zijin Mountain in Guangxi county. The first hospital of Guangxi Traditional Chinese Medical University Chinese encephalopathy discipline leaders, guan-gxi in2003by a Chinese title, was named in2008fourth batch of the old Chinese medicine experts in the academic inheriting experience of teacher, Chinese Medicine Institute enceph-lopathy branch members of Standing Committee; Chinese Medicine Institute of Guangxi branch of cardiovascular and cerebr-ovascular disease committee. For many years has been engaged in internal medicine of traditional Chinese medicine clinical, teaching, scientific research, diagnosis and treatment of diseases of internal medicine of tradit-ional Chinese medicine of accumulated very rich experience, especially for encephalopathy treatment of a unique experience, summarized as follows:Professor Dong said:"although the stroke in the early" discuss, Tang and Song Dynasties ago, outside wind argument, Tang and Song Dynasties, within the wind arguments, and later by many doctors analysis, until the Qing Dynasty, the inner, external wind combined two outlines the argument marked only the perfect theory to form. The present stroke treatment with syndrome differen-tiation special treatment, the effective components in Chinese traditional medicine or monomer preparation application, combining traditional Chinese and Western medicine treatment methods.Academic thoughts of Professor Dong:treatment of root of disease, the Yin and Yang in the Dong Shi thought:Chinese traditional culture are the two pillars, namely the theory of yin and Yang and five elements theory, yin and yang can analyze the evil and upright attributes of yin and Yang; analysis of patholo-ical changes of the basic law for guidance; disease diagnosis; used to guide the prevention and control of diseases of cardiovascular and total; the main deity Lord was the physiological role of heart:heart storing spirit, for human life and activities of the center." Lingshu":" the God, so any matter that is the heart." Yin and.Yang Yin, as something" that" people have five internal organs of five to students, and sad Youkong". The ancients was attributable to the five internal organs, but the heart is most closely related, so the heart and spirit; but the brain, also have-the root active."Sea of" Lingshu, said " the brain is sea of marrow, which lost in its cover, in the wind, the" house" of Wang Qingren Lin medical error":" Turing machine memory in the brain, not the heart", Dong Shi many years clinical observation after think:cardiovascu-lar and the gods; the stroke disease of deficiency of the kidney essence deficient, disease is located in the brain, high deficiency of vital qi is quite insufficient important etiology, main path-ogenesis is fine, gas, blood loss is insufficient, make the sea of marrow failure filling, brain raises and wind, phlegm, blood stasis, fire in the body resistance, interference of clear orifices, obsessed by the Mongolian, finally the gods of apraxia, intellectual decline; the older and more stasis stasis by qi deficiency and Qi deficiency, but lack of vitality, promote the weakness, is blood stasis; the treatment principles:in the west, the first in the west, the combination of Chinese and Western medicine; the importance of the use of Chinese medicine use, with enhanced efficacy, synergy, pinning effect, reduce side effects, improve the curative effects; attention to the inspection of the tongue. Professor Dong Shaolong thinks, the tongue can objectively reflect the rise and fall of human blood, and cold and heat, disease, pathogen, disease outcome of depth changes, can reflect the body’s physiological and pathological changes.Treatment of stroke experience:stroke etiology:the frail elderly, internal product loss, phlegm and endogenous wind, heat, extreme of emotion, fire wind, climate change, blood block; pathogenesis:summed up Virtual, fire, wind, phlegm, Qi, blood six end. Especially in the liver and kidney deficiency caused by hyperactivity of Yang pneumatic, air lift reverse and formation of blood on the empty reality of this disease is the underlying cause of.Professor Dong thinks:the stroke in the clinical diagnosis should not only emphasizedifferentiation, but also emphasizes the traditional Chinese medicine, it is directly related to the clinical outcome, regardless of hemorrhagic stroke and ischemic stroke, divided into two major categories of meridian and organs, according to the course of the disease on staging, with disturbance of consciousness: a month for the acute phase, without conscious-ness disorder half a month for the acute phase, half a month to half recovery period, half a year later as a sequela period. Dialectical first argue in meridian and organs to distinguish disease in, clockwise, dialectical and argue disease combined treatment nursing, pay equal attention to, stroke, deficiency and stasis, with the attack of drug. In the treatment, of acute exacerbation of syndrome differentiation and treatment: acute exacerbation in meridian, in organs, brain Shui Yu syndrome therapy: Meridian: Qi deficiency and blood stasis syndrome of Yiqi Huoxue Tongluo—the effect of five soup; Liver Yang Syndrome of liver Yang, purging fire extinguishing wind-Tianma Gouteng Decoction; type of damp-heat in liver and gallbladder clearing heat and removing dampness—Longdan Xiegan Decoction; phlegm and blood stasis blocking collaterals, eliminating phlegm and calming wind Tongluo-Huatan Tongluo Decoction; heat phlegm-by purging thermalization phlegm-Xinglou Chengqi Decoction; Yin deficiency of liver and kidney syndrome of yin and Yang, liver-wind-tranquiliz-ing-town liver soup extinguish wind. In the viscera; phlegm heat-clearing heat and removing phlegm orifices permit, a refreshing drink-Tianma hook, of Angong Niuhuang Bolus nasogastric; phlegm with orifices permit-phlegm dampness, refreshing-Ditan Decoction, storax pill nasal feeding; strength failure syndrome—Hui Yang save inverse, Yiqi fixation of Shenfu decoction. Head Shui Yu card: according to the gas line blood line, gas water physiology, brain Shui Yu syndrome treatment should be: Suppleme-nting Qi and activating blood circulation, removing stasis and draining water. Recipe: Astragalus, Atractylodes, Radix Pseudostellariae-Qi; Salvia miltiorrhiza, Rhizoma Chuanxiong, peach seed, safflower, leech, Achyranthes-blood stasis; cogong-rass rhizome, Plantago-water; Borneol (water)-Xingnao Kaiqiao (through the blood brain barrier). Pay attention to replenishing Qi Promoting blood circulation by removing blood stasis to promote blood circulation and removing blood stasis therapy use, cerebral hemorrhage, eliminating phlegm heat trea-tment used, purging liver-fire, Tongfu writing method of heat treatment of stroke, pain is for stroke comp-lications: cough (lung infection), hiccup, hematemesis, shoulder paralysis, epilepsy (symptomatic epilepsy) are unique insights and therapeutic method. Clinical research Objective:Summarized professor Dong Shaolong academic thought and treat-ment of Apoplexy Syndrome experience. Validation of Profeasor Dong experience clinical effects, and explore the possible mechanism of action, the inheritance and development of the old Chinese medicine clinical experience.Methods:Academic experience: a systematic review of historical literature and summary of Professor Dong Shaolong’s academic thoughts and Apoplexy Syndrome experience; clinical research: the selection of the acute stage of ischemic stroke,7cases were randomly divided into modified, gengsetong Decoction group, treated group five soup. Through the treatment on serum homocysteine, blood lipid, C reactive protein, fibrinogen, Chinese stroke symptom integral, clinical neurologic impairment score, patients total life state observation observation, study on gengsetong Decoction on ischemic stroke and to investigate its possible mechanism.Results:Summarized professor Dong Shaolong academic thought and treatment of Apoplexy Syndrome experience; clinical study, two groups of serum homoc-ysteine, blood lipid, C reactive protein, fibrinogen, Chinese stroke symptom integral, clinical neurologic impairment score, patients total life state observation than before treatment was significantly improved, with statistical significance (P<0.05), the treatment group were better than or equal to the control group.Conclusion:1.system was summed up professor Dong Shaolong heart brain of the corresponding guide clinical and academic thought, pay attention to the use of drug treatment, with qi activating blood circulation to dissipate blood stasis, clearing heat and resolving phlegm Tong-Fu-Xie-Re, various methods of treatment of Apoplexy Syndrome experience.2. of the acute stage of ischemic stroke, serum homocysteine, blood lipid, C reactive protein, fibrinogen, Chinese stroke symptom integral, the degree of neural function defect score, patients total life state in the observation of the abnormal degree of brain neurons damaged degree.3. flavored gengsetong soup has a neuroprotective effect. Mechanism of action may be modified for gengsetong Decoction reduced ischemic cerebral apoplexy patients serum homocysteine, hypolipidemic, reduc-ing the C reactive protein, reduction of fibrinogen, improve microcirculation, attenuate neuronal injury related. It can improve the lower symptom scores and the degree of neural function defect score.4.flavored gengsetong Decoction on acute ischemic stroke treatment effect is exact, worthy of further clinical promotion.