Liu Yongnian’s Academic Thoughts And Clinical Experience And Research On The Treatment Of Vertigo Caused By Vertebral Basilar Artery Insufficiency

[Objective] To systematically explore, collate and inherit the academic thoughts and clinical experience of Professor Liu Yongnian’s treatment of difficult diseases, especially professor Liu Yongnian’s experience in the treatment of vertigo by using pneumatic machine lifting theory to guide clinical practice and improve the clinical effect.[Methods] The origin of the academic thought of Professor Liu Yongnian is excavated by the way of ancient literature retrieval, literature research and personal interview. By way of copy prescriptions, arranging medical records, collected writings, summarize Professor Liu Yongnian’s academic thought and dialectical experience on the treatment of difficult and complicated diseases.60 patients with vertigo caused by vertebral basilar artery insufficiency were randomly selected to compare clinical effects.[results] The study is divided into three parts.The first part is the academic origin of Professor Liu Yongnian. It comes from three aspects. First, it comes from the "Yellow Emperor", "Shanghanzabinglun", "spleen and stomach" and other classics, Laid the theoretical foundation, it is the source of the academic thought; Second, it comes from the teacher’s instruction, which has opened the research direction of the difficult disease; Third, it comes from the Liu Yongnian thinking and summary,which becomes the cornerstone of his academic thought.The second part is the summary of Liu Yongnian’s academic thoughts and clinical experience. Professor Liu Yongnian’s academic thoughts include two aspects, namely, the "lifting balance" and "collateral disease and blood stasis"". Professor Liu Yongnian believes that the balance is the universal law of nature, the spleen and stomach is the hinge of the gas lift, the liver is the control of the gas lift. The pathogenesis of the disease is the imbalance of the gas lift, so the treatment principle is to adjust the gas machine and balance the lift. In particular, according to the development trend of the disease, so that the air lift orderly. For autoimmune connective tissue disease, Professor Liu Yongnian believes that the disease can be treated by the theory of collateral disease, "Yu" is the characteristics of collateral disease, and this kind of disease is "stasis" and "poison", so the disease is more complex, the treatment is more difficult. Toxin and blood stasis, collateral stasis is the main pathogenesis of autoimmune connective tissue disease. Detoxification and promoting blood circulation, removing blood stasis and dredging collaterals is the treatment method. Professor Liu Yongnian’s clinical experience includes:1. after many years of exploration and accumulation, Professor Liu Yongnian summed up the dialectical thinking of difficult disease the four diagnostic methods, with particular emphasis on interrogation;to carry on syndrome differentiation with constitution;the combination of Chinese and Western medicine, disease and syndrome;keep the main symptoms, prioritize;the stubborn disease syndrome, do not light to withdraw; It should be from unlicensed discernible, evidence reasoning.2.Professor Liu Yongnian’s drug use has its distinctive features, including prescription brisk, comply with the pathogenesis; protect the spleen and stomach; inherit tradition, promote the characteristics; obeying ancient Kam today.3.Professor Liu Yongnian believes that the main pathogenesis of vertigo is the dysfunction of the Zang Fu organs and the imbalance of the air compressor. Disease can be summarized as "rising" and "falling". Take the method of contrarian rule, let down the rise, let the rise fall, let stagnation unobstructed.4. Professor Liu Yongnian believes that the disease can be treated from the liver.He is good at using the four method of treating liver disease. For depression, he distinguished "disease" and "depression" relationship,and distinguished the clinical characteristics and pathogenesis of depression. He believes that the treatment of depression is Shuganjieyu, creating "Dayujian" to treat the disease. He believes that the relationship between intractable insomnia and liver, treatment from liver qi stagnation and blood stasis, the creation of "HUANTIAN Granule" in the treatment of this disease. For impotence, Professor Liu Yongnian believes that the disease is closely related to the kidney and liver function. The liver is the penis officer, liver qi and blood loss of smooth, longitudinal relaxation with penis. He put forward the pathogenesis of impotence with liver disorders, with "nine Hong Shugan decoction" to treat the disease. For cough, Professor Liu Yongnian proposed "liver wood lung", with Shugan Jieyu method, accompanied by xuanfeizhike. While Xiaochaihutang or four inverse scattered cut treatment. For chronic gastropathy, Professor Liu Yongnian thinks the disease of liver and spleen, emphasizing the stomach "to drop", pay attention to syndrome differentiation and disease differentiation combination, pay attention to the combination of macro and micro, pay attention to the cuticle.5. Diagnosis and treatment of dry syndrome. Professor Liu Yongnian believes that the impact of physical factors on the incidence of this disease is very important. Drying is an important pathological basis of the disease. The dry reason is "blood stasis" and "deficiency". He founded and developed the "dryness caused by blood stasis theory" and " dryness caused by Qi deficiency theory, breakthrough in the therapy of Nourishing Yin, the disease is divided into dry poison type, Yin injury type, gas (Yang) deficiency, Shibuya stagnation and deficiency type (Qi and yin deficiency) five syndromes, by supplementing qi and nourishing Yin, Quyu Jiedu, flow with moistening as the basic method, creating special" dry poison Qing ", by addition and subtraction can be used for various types of syndromes.6. Professor Liu Yongnian believes that the cause of the disease is hot and humid brewing poison, the key is collateral stasis. Wet, heat, poison, and stasis interact with each other, making it difficult to recover.He determines the treatment principle that is clearing heat and removing dampness, detoxification and promoting blood circulation. The acute phase, with the syndrome of damp heat and Blood Stasis Toxin, clip, treatment should be clearing heat and dampness, detoxification and dredging collaterals. Remission, with hot and humid detention, the consumption of Qi and Yin, treatment should be supplemented by supplementing qi and nourishing Yin, detoxification and removing blood stasis. Medication, he stressed Qingrejiedu medicine can eliminate pathogenic factors; blood activating drugs can smooth blood, dispel stasis; immune adjustment medicine can support healthy and reduce the recurrence.The third part is the clinical research on the treatment of the vertebral basilar artery blood supply insufficiency of the ascending and activating blood circulation decoction. The Liu Yongnian’s experience Shengqing Huoxue Decoction for the treatment group, the nylon membrane as the control group for comparison in the treatment of vertebral basilar artery insufficiency vertigo. There were significant differences in the two groups (P< 0.05)in the clinical total efficacy, the total score of TCM syndrome, vertebral artery, basilar artery mean flow velocity and blood rheology index. The treatment group were better than those in dizziness, tinnitus, insomnia, Yaoxisuanruan symptoms in the control group.[Conclusion] Professor Liu Yongnian put forward the academic thought of "balance lifting" and "blood stasis poison". He starts from the liver, and actively explore new ways to treat difficult diseases, creats a large number of prescriptions for the treatment of special disease, achieves good clinical efficacy. The treatment of vertigo caused by vertebral basilar artery insufficiency, can improve blood rheology index, increase the blood flow of vertebral basilar artery, so as to effectively relieve clinical symptoms, and safe and non-toxic side effects.