| ObjectiveAfter more than 40 years of learning, clinical syndrome and groping, Prof. Dexi Liu gradually formed with its own characteristics of the clinical experience and academic thought, clinical diagnosis "obeys the ancient and not rigidly", medication attention nursing care of the spleen and stomach, clinical actively advocated the "spleen and stomach pivot theory", of expelling spleen and stomach drop theory has certain inheritance and play. In order to better tap near clinical experience and academic thought, to summarize the rule of medication and academic inheritance method as the research object, from the point of view of inheritance to mining, finishing related literature and the medical and manuscripts and other material, the drug characteristics and clinical experience are systemic summarized, through targeted clinical curative effect observation, to explore the basic rules and features of the clinical use of drugs, and in finishing Liu Laolin card experience based on innovation and development, in an attempt to inheritance of traditional Chinese medicine essence.Method1, from the perspective of inheritance to explore the academic thought of Professor Liu Dexi. To the construction and development of "the old doctor of traditional Chinese medicine experts Dexi Liu Professor heritage studio" as an opportunity, in the long-term clinical and diagnosis of learning based on, exploring and sorting out the old Liu of source materials, such as manuscripts, notes, handwritten prescription. At the same time, the collection old Liu and his disciples:papers, books, records, media reports, is system of finishing the old Liu of the spleen and stomach disease academic thoughts and clinical experience.2, sorting and summary of the old spleen and stomach medicine law and clinical experience. From the hospital information system to call out the relevant outpatient prescription and diagnosis and treatment data, focusing on the treatment of reflux esophagitis, functional dyspepsia, chronic superficial gastritis, gastric ulcer, chronic colitis and other diseases of the prescription drug law and clinical experience.3. Clinical research on the experience of the diagnosis and treatment of functional dyspepsia by using the theory of the spleen and stomach of the spleen and stomach. To "superiority of clinical trials for sample size calculation, take randomized double blind control principle of packet, observation Dexi experiences of Professor Liu" invigorating the spleen and regulating the fire party PI Decoction in treating spleen deficiency and qi stagnation of FD patients, and citrate mosapride as control, objective evaluation of the clinical curative effect of two groups of patients, symptoms of traditional Chinese medicine points to improve the and recurrence rate.Ach i evements1, Prof. Dexi Liu Pro Card experience and academic thoughts:1) advocate of the spleen and stomach "pivoting" theory; 2) presents the adjusting pin is five leagues; 3) pay attention to resolving phlegm and dissipating blood stasis, phlegm and Blood Stasis Theory proposed; 4) from the theory of liver treatment of spleen and stomach, pay attention to Yanggan Shugan, emotional conditioning; 5) has been advocated to win, "Shun, that" invigorating the spleen to spleen, spleen will be adjusted gas, many gas adjustment method to cure the disease of the spleen and stomach, pay attention to the function of the spleen and stomach, always take care of protecting stomach qi; 6) likes to use drugs on flexible medication.2, Professor Liu Dexi in treating the spleen and stomach disease prescription rules:1) the treatment of functional dyspepsia based on the commonly used prescriptions for SHENLINGBAISHU vs. woody pill most commonly used drugs for Betel nut, Fructus aurantii, followed by millet sprout, malt, bupleurum, Radix Codonopsis, Atractylodes rhizome, costusroot; 2) the treatment of superficial gastritis foundation for four inverse scattered and Four Gentlemen Decoction, the most commonly used drugs for Bupleurum and Radix Scutellariae; 3) treatment of reflux esophagitis is the most commonly used drugs of Radix Bupleuri and dandelion, sea Piao sheath and Zhejiang fritillary and concha Arcae, three to 4 of Coptis chinensis); most commonly used drugs for the treatment of gastric ulcer and cuttlefish bone fritillary; 5) for the treatment of chronic colitis the most commonly used drugs for Poria, Atractylodes, Codonopsis, yam, lotus seed, followed by cypress, etc..3, Dexi Liu Professor in treating spleen and stomach disease clinical experience summary:1) multi pivot adjustable gas machine to cure the disease of the spleen and stomach; 2) in diagnosing and treating spleen and stomach disease from liver of, attach importance to the stagnation of the liver qi, longer than emotional conditioning; 3) according to the geographical and climatic characteristics of Hainan hot and humid, on the pivot adjustable gas machine based, often with Qingre wet goods, conducive to hot and humid through solution condition to heal.4, invigorating the spleen and regulating the clinical efficacy of elimination PI Decoction on functional dyspepsia study results:two groups after treatment symptom scores were significantly lower than those before treatment (P<0.05); the treatment group symptoms such as abdominal distension, epigastric pain, anorexia, abdominal distention after eating less food, stool pond, improve the degree of belching acid pan the significantly compared with the control group (P<0.05); to compare the clinical efficacy of the two groups, the treatment group total effective rate was 92.4%, control group total effective rate was 65.3%; the total effective rate of treatment group was significantly higher than the control group, the difference was statistically significant (P<0.05); after two courses of treatment. All patients were followed up for six months, the treatment group recurrence in 3 cases, the recurrence rate was 11.5%; the control group 8 cases of recurrence, the recurrence rate was 57.1%, the recurrence rate of treatment group was significantly lower than the control group (P<0.05)).5, transfer and bearing "experience:1) in succession to carry forward in promoting innovation; 2) Dexi Liu, Professor of the spleen and stomach disease academic thinking abstraction and inheritance:advocacy of spleen and stomach pivot "theory, put forward" adjustable pivot the five dharmas, pay attention to resolving phlegm and dissipating blood stasis, from liver treatment on spleen and stomach and other internal miscellaneous diseases, advocated "luck," Shun; 3) personal experience:the spleen and the pivotal theory is contemporary physicians of ancient "spleen and stomach descending" academic thought of inherit and development, the spleen and clinical diagnosis and treatment of diseases of the spleen and stomach, spleen and stomach pivoting treatment from the spleen and stomach disease of male division disease, women leucorrhea disease, infertility, emotional disease and other diseases.ConclusionFD is a common functional gastrointestinal disease, and its incidence is increasing rapidly, to a certain extent, affect the quality of life of patients. In order to highlight the characteristics of Chinese medicine and advantages, this study to FD clinical syndromes of traditional Chinese Medicine-due to spleen deficiency and qi stagnation type as a breakthrough and conventional western medicine control group, compared two groups of important observations. Dexi Liu Professor advocate and admire the spleen and stomach pivot theory is of Dong Yuan spleen and stomach drop theory some inheritance and play, is the contemporary a practitioner of "spleen and stomach". In old Liu of the spleen and stomach pivot theory, clinical treatment of spleen deficiency and qi stagnation type FD attention sparse regulating spleen and stomach qi, to replenish qi to invigorate the spleen, gasification delay line is the basic treatment, to improve the clinical curative effect, symptoms, reduce relapse than in the group of Western medicine has obvious advantages was further confirmed his stomach pivot theory is feasible and effective. |
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