| Professor Xiaoxian An is pediatric chief physician of Xiyuan Hospital of China Academy of Chinese Medical Sciences, he is a doctoral supervisor, postdoctoral mentor, third, four, five group of the old Chinese medicine expert academic experience inheritance guidance teacher. In the process of professor An 47 years of doctor, accumulated the rich knowledge of pharmacology and clinical experience. In pediatrics exogenous fever, acute or chronic cough, pediatric pneumonia, bronchial asthma, viral myocarditis, and kawasaki disease symptoms are discussed in depth research, achieved good clinical effect, and created a series of formulae, such as Xiaoer Zhixiao Pingchuan Granule, Yangchun Baixue Powder, Fuerkang, and etc.Objective1. Research is in order to from a different perspective, summarize professor An’s academic origin, academic thoughts and clinical experience, in-depth excavation of the old law of original academic opinions and diagnosis and treatment of traditional Chinese medicine, for the further inheritance of pediatrics of traditional Chinese medicine diagnosis and treatment and medication characteristic information.2. According to professor An’s academic thought, the key to sum up the experiences of professor An in the treatment of infantile fever, and through the academic thought of professor, formulate their experience in fructus forsythiae antifebrile party treatment of exogenous fever (syndrome of wind-heat) children’s study, further verify the academic thoughts and clinical experience of professor An academic value.Methods1. The first part is back professor An for nearly 50 years of experience, is described the origin of its inherited the summary of academic origin and academic thought of professor An forming process. From diseases of the etiology and pathogenesis, syndrome differentiation and treatment, medication characteristic, as well as the ancient and modern medical theory summarizes professor An’s academic point of view, and collate and summarize professor An is good at the clinical diagnosis and treatment of diseases of the effective of the medical record.2. The second part is to use the professor’s academic thoughts to conducting clinical research. To his experience in yinqiao tuire soup the treatment of exogenous fever children (syndrome of wind-heat) prospectie randomized controlled observation, to explore the clinical curative effect of yinqiao tuire soup for this disease and influence of defervescence time, in order to further verify the academic experience of professor An in medical clinical effectiveness, innovation.Results:Results the main is divided into four parts:1. Professor An the chance of fame and the academic origin:Professor An was admitted to Beijing institute of traditional Chinese medicine of traditional Chinese medicine professional in 1962, after graduation was assigned to people’s hospital of youyu county, Shanxi Province, In the clinical medicine work for ten years, was admitted to graduate student class of China academy of traditional Chinese medicine in 1978, from famous TCM pediatrics expert Boyue Wang, participated in the proofreading of the 《 Key to Therapeutics of Children’s Diseases》, writing and proofreading the journal of 《ediatrics of traditional Chinese medicine》. In terms of scientific research work, professor An finished " Reping infusion of clinical and experimental research for the treatment of pediatric exogenous high fever " subject, and realize the transfer of the results. Successfully developed the treatment of infantile bronchial asthma " Xiaoer Zhixiao Pingchuan Granule ", and become the xiyuan hospital, hospital preparation, has been applied in clinic for more than 20 years, the curative effect of receive the full affirmation of asthma in children with parents.2. The academic thought of professor An sorting and summary: ①He put forward a pediatric for "Shao Yang Constitution" theory:he attaches great importance to the physiological and pathological characteristics of pediatric system of pediatric "Shao Yang constitution" theory is discussed, the theory combines the "Pure Yang" and "Tender Yin and tender Yang" two theories, enriched and developed the theory of TCM pediatrics. ②Attaches great importance to the human body of the spleen and stomach, stressed that " the foundation of acquired constitution":emphasis on adjustment of children taste the rise and fall of Yin and Yang qi movement; The spleen in transport and not be nourished it; Attention to diet; Use caution, care for the spleen and stomach, etc.③Attaches great importance to the thought of " Not disease prevention":pediatric viscera more delicate, condition change quickly, especially the exogenous febrile, infantile fever is given priority to with the wind-hot more, after the onset of soon changed to qifen, to yingfen, to xuefen, and cause who camp with syndrome differentiation of weifen, qifen, yingfenand xuefen. Professor An was impressed with Chunhua Jang " Truncated reverse " theory, embodies the sick control his condition deteriorated, ideas for the treatment of sub-health. ④Integration of traditional Chinese medicine and western medicine, which complement each other, and be good at innovation:professor An thought to inherit the essence of traditional Chinese medicine, don’t reserved seats with the concept of modern medicine. Treatment based on syndrome differentiation of traditional Chinese medicine, combined with modern medicine research results in order to improve the clinical curative effect. Emphasizing on theory to guide treatment, is good at using special formula and drug.3. Professor An’s clinical experience in the treatment of pediatric diseases:3.1 Respiratory system disease:① treatment principle:In a hurry take temporary, slow cure, at the same time pay attention to the protection of Yin fluid; ②Emphasizes the special disease with special prescription and drugs, attaches great importance to the two often paired drugs;③Dialectical treatment of exogenous fever children’s clinical experience, professor An using sexual medicine and cooler temperature by using his sexual medicine, cool and refreshing and connect fully, truncated reverse, flexible use of flooded with fine cure method, treatment effect is exact.④Apology to treat pediatric pneumonia:professor An by children with fever, coughing up phlegm, wheezing suppress, spirit system four aspects the four-dimensional evaluation of pediatric pneumonia illness severity. Clinically common used "Qing, Xuan, Jiang" and "Nourished, Convergence" and so on the method of treatment, at the same time the importance of emphasis on promoting blood circulation for removing blood stasis. ⑤Apology to treat infantile repeated respiratory infection of experience:professor An think clinical infantile repeated respiratory infection is divided into two periods and three type:stage two is infection and remission, three type:wind hot diseases, lung deficiency, Qi Yin deficiency of temper.Treatment respectively, clearing heat and removeing toxicity, expelling pathogens from both interior and superficies; invigorating spleen profit lung, strengthening earth to generate metal; benefiting qi for nourishing yin, nourishing yin and mostening dryness.3.2 Diseases of the digestive system:① Pediatric diseases of the digestive system features:high incidence.②Man is born, the spleen is the basis of the body is good or bad, spleen can’t operation, and the subtle not transport, many diseases.③Professor An treatment of pediatric splenic disease academic thought is:focus on " Conditioning maintenance" of the spleen and stomach disease. ④Syndrome differentiation treatment solution for infantile diarrhea invigorating spleen for eliminating dampness. Professor An division diarrhea disease mainly because of dampness stagnancy due to spleen deficiency, diffussive dampness-heat in zhongjiao, it is recommended to use the Zhongzi Li of the Ming Dynasty cure diarrhea nine method, clinical treatment can be flexible application, use Qiwei Baizhu Powder adjustment of treatment of infantile diarrhea. ⑤Use the method of " Increase humor to move the grounded ship " treatment of infantile constipation:Professor An thought to the pathogenesis of infantile constipation is mainly Heat evil accumulation and Yin fluid deficiency, fluid deficiency and intestinal dryness, so "No water to drive a boat to walk". Therefore put forward the treatment of infantile constipation should nourishing yin for benefiting water as the main solution, commonly used to Zengye Powder tonga decreases.⑥Treatment of pediatric vomiting is harmonizing stomach for descending adverse qi:Total pathogenesis of failure of stomach qi to descend, reversed flow of qi. Professor An to make good use of Xuanfu Daizhe Powder and Jupi Zhuru Powder subtraction treatment.⑦Warming spleen and stomach for dispelling cold to treat pediatric abdominal pain:The disease caused because of the cold evil is more, is good at using Warming spleen and stomach for dispelling cold, regulating qi-flowing for relieving pain treatment. Formula is xiaojianzhong decoction, Radix Linderae, Radix Aucklandiae, Rhizoma Cyperi, Rhizoma Corydalis, Radix Angelicae Dahuricae, etc.3.3 Other system diseases:①Tic disorders in children treatment experience:Professor An thought that disease in the liver, most can affect the lungs, heart, spleen, treatment of as suppressing hyperactive liver for calming endogenous wind, maintenance of the mind and eliminating phlegm evil, tranquilizing and allaying excitement, commonly used formula for Tianma Gouteng decoction.②Experience in the therapy of pediatric sleep disorders:Professor An from aspects of phlegm-heat, using clearing heat and dissipating phlegm, nousishing heart for tranquillization. Choose Wendan decoction soup and Suanzaoren decoction and Ganmai Dazao decoction reduction treatments.4. The Xiyuan Hospital of China Academy of Chinese Medical Sciences pediatric outpatient collected 60 cases in accordance with wind heat syndrome children with exogenous fever sick children, according to the principle of random grouping method, divided into the treatment group (Yinqiao Tuire Soup Group),30 cases in the control group (Kanggan Particle Group) 30 cases. Before the treatment, the two groups of sick children according to gender, age, illness weight and blood routine, comparing the related indexes observed two groups of sick children have comparability; Treatment again three days after observing two groups of clinical curative effect of sick children, antifebrile fading away, white blood cell count, neutrophil percentage, adverse reactions, such as changes of the indicators.Results show that: ①Two groups of clinical curative effect comparison:sick children in the control group total effectiveness 63.3%, treatment group efficiency reached 93.3%, on the overall efficacy of treatment group was obviously better than the control group. ②Two groups of sick children antifebrile time comparison:The treatment group the average defervescence time of 26.94 h, control group average defervescence time of 50.63 h, illustrate the antifebrile efficiency of treatment group is superior to the group, the treatment group therapy is superior to the control group. ③Two groups of sick children of white blood cells and neutrophils level comparison: the treatment group of white blood cells and neutrophils ratio (96.7%,90%) higher than the normal control group (83.3%,83.3%), shows that corresponding index of the treatment group of routine blood return to normal speed is better than that of control group, treatment group therapy is superior to the control group. ④Adverse reaction: The treatment group compared with control group without statistical significance, shows that the treatment group has no obvious side effects, safety is better.ConclusionThis paper comprehensively summarizes the academic experience of professor An to apply academic experience of professor An, with syndrome differentiation of weifen, qifen, yingfenand xuefen, the method of treatment of exogenous fever (syndrome of wind-heat) children, children more anti sense granules treatment group, can more effectively relieve syndromes, more effective acetanilide. constitution of Shao-yang theories are guiding the theory basis of pediatrics exogenous wind hot. |
PDF Full Text Request