Study On Professor Fu Rumei’s Academic Thoughts And The Treatment Of Chronic Obstructive Pulmonary Disease Clinical Research

Professor Fu Rumei is hainan province name old doctor of traditional Chinese medicine, director of the TCM doctor, engaged in clinical work more than fifty years, the fifth group of the old Chinese medicine expert academic experience inheritance work instruction in the country teacher. Good at the treatment of chronic obstructive pulmonary disease, chronic cough, chronic gastritis, peptic ulcers, infertility infertility, internal medicine, gynecology diseases such as uterine fibroids. I sorting, mining tutor’s academic thoughts and clinical experience, tries to use in the clinical diagnosis and treatment work, to carry forward.Research purposes:1 By collating Fu Rumei professor clinical basis study notes, and other kinds of data, dig into Fu Rumei academic thoughts and clinical characteristics of diagnosis and treatment experience of professor, professor inherit Fu Rumei academic thoughts.2 Summarized professor Fu Rumei treatment of chronic obstructive pulmonary disease clinical experience, evaluating the effect of combined treatment of traditional Chinese medicine professor fu plateau clinical COPD, observe the integrated therapy of traditional Chinese medicine quality of life in patients with COPD stabilization, pulmonary function, clinical symptoms.Method:1 Professor Fu Rumei academic thoughts and clinical experience and research1.1 Collect clinical experience with professor Fu Rumei related all kinds of data:1.1.1 Collect Fu Rumei professor since comments written materials such as learning the subject that experience.1.1.2 Collect Fu Rumei professor of clinical medical record, and data mining and analysis. Of outpatient medical record collection system, the selection on June 6,2014-July,2015, professor Fu Rumei gold plate institute in haikou city Chinese medicine hospital outpatient treatment of all kinds of medical record, according to the inclusion criteria, exclusion criteria for selection, will conform to the conditions of the medical record data export, establish a database, using the statistical software, carries on the type of syndrome type of frequency analysis, drug use frequency (single herbs) analysis, clustering analysis and correlation analysis on, many kinds of medicine (medicine) and drug use and the type of correlation analysis, multiple levels and multiple perspectives excavation Fu Rumei professor treatment of lung distension disease, stomach disease, and features and clinical experience of gynecology infertility.1.1.3 Collect clinical experience in the related topics and papers with professor Fu Rumei data.1.1.4 Collect Fu Rumei professor special interview records, etc. On the basis of three aspects in front of summary data, to interview professor Fu Rumei multiple projects. According to the interview, organizing form Fu Rumei professor’s academic thoughts and clinical experience.1.2 Statistical analysis:After the outpatient records data acquisition system is derived form Microsoft office excel format database, import the IBM SPSS Statistics statistical software and IBM SPSS Modeler 14.119.0 statistical software for statistical analysis of data, the clinical data of disease of disease, syndrome, drug composition of frequency analysis, cluster analysis and correlation analysis, etc.2 Professor Fu Rumei clinical research for the treatment of chronic obstructive pulmonary disease2.1 Study design:a randomized, controlled clinical trial design, the object of study to meet the criteria for the professor Fu Rumei outpatient, medical clinics and respiratory medicine ward COPD stabilization cases, st George’s quality of life questionnaire (SGRQ) as the main effect indexes superior effect test sample size estimation.Interventions:moderate control lung function to thiamethoxam bromide inhalant (1 times a day, treatment for 3 months)/severe lung function to salmeterol assigned powder inhalant (each 150 mu mu 500 g/g, in the morning and 1 time, treatment for 3 months). Treatment group on the basis of the control treatment, meanwhile to oral and subtract three refs atractylodes taking traditional Chinese medicine medicinal broth (day 1,2 times a day, for 3 months) and acupoint sticking (acupoints were applied for the first time, every 10 days for 1 times treatment,3 times for a period of treatment, a total of 1 course of treatment) treatment.Curative effect’s curative effect evaluation:the main st. George’s quality of life questionnaire (SGRQ), curative effect’s secondary pulmonary function (FVC and FEV1 FEV1,/FVC%), the clinical symptom scores.2.2 Statistical analysis:Using SPSS19.0 software for statistical analysis of randomized controlled clinical research data expressed in percentage and frequency count data, comparison between count data set with chi-square test, measurement data with mean±standard deviation (x±s), said the group before and after comparing with paired t test or matching symbols of rank and inspection, two groups of variables compare with independent t test or rank and inspection, with P< 0.05 for the difference was statistically significant.Result:1 Professor Fu Rumei academic thoughts and clinical experience and research1.1 Theory of five viscera qi activity is put forward, with adjustable factors to cureFu Rumei professor think life activities such as seeing and hearing words and deeds of the body, the performance of the activities and functions are five zang-organs, five viscera qi activity lifting movement is the key to maintain normal life activities, put forward the theory of five viscera qi activity, the kidney is the foundation of the qi activity rise and fall, heart kidney cross each other, spleen and stomach is angry machine lifting hub, lung, liver and down lift. The human body the occurrence of many diseases are due to the five zang-organs caused by disorder of qi activity, with adjustable factors to cure. Can performance in various complex clinical syndromes, seize the main pathogenesis of make a diagnosis and give treatment, achieve of simple rule, the purpose of the cure of this disease.1.2 Attaches great importance to the Chinese medicine external treatmentFu Rumei professor of traditional Chinese medicine external treatment is simple and easy to use and local drug efficacy, the patient’s work fast, clinical medicines are often cooperate with external treatment of traditional Chinese medicine treatment, further improve the clinical effect. Professor fu commonly used treatment:day moxibustion, traditional Chinese medicine to soak the foot, since the blood therapy, Chinese medicine iontophoresis, acupuncture and moxibustion, etc.1.3 Lung distension disease clinical experience from the lung spleen treatmentProfessor Fu Rumei results from lung distension disease data analysis for the differentiation of lung distension disease and drug laws, after many times interview with professor fu. Professor fu thought the wind, cold, heat and so on six vessel poison is the leading cause of lung distension disease attack or aggravating, phlegm, blood stasis is lung distension disease complicated factors, this virtual by lungs and spleen deficiency, often treated from lung and spleen on the treatment, proper cooperate to nourish, phlegm and remove blood stasis drugs. Combining with the characteristics of typical cases and induce lung drug treatment commonly used and lung disease.1.4 Treated from liver and spleen stomach disease clinical experienceResults from stomach disease data analysis Fu Rumei professor for differentiation of stomach disease and drug laws, after many times interview with professor fu. Fu, a professor of clinical according to the theory of five viscera qi activity, from liver and spleen treating stomach disease, pay attention to regulating spleen and stomach, lift the right, at the same time, emphasis on the pathogenesis of liver is the important condition of spleen and stomach qi activity lifting, appropriate liver qi, adjustable factors. Combining with the characteristics of typical cases analysis inductive spleen medicine external treatment commonly used and stomach disease.1.5 From the liver and spleen kidney treatment gynecology infertility clinical experienceResults from infertility data analysis professor Fu Rumei zang-fu syndrome differentiation and the regularity of drugs for infertility, after many times interview with professor fu. Professor fu diseases with ease, not shipped pixu (spleen deficient), kidney essence deficiency is the basis of disease, phlegm dampness and blood stasis is a complex pathological factors, according to the menstrual cycle stages of traditional Chinese medicine treatment, from mount violet is supposed to help pregnant side kidney Yin, benefit qi and blood. Combining with the characteristics of typical case analysis of inductive kidney medicine and external treatment of department of gynaecology commonly used.2 Clinical research of Professor Fu Rumei academic experience3 months after treatment, the treatment group SGRQ scores (respiratory symptom scores, disease influence score, score) are lower than the control group, the differences were statistically significant (P< 0.01). Treatment group SGRQ scores difference (respiratory symptom scores, restricted movement score, diseases affect the score and total score) are lower than the control group, the differences were statistically significant (P< 0.05). Treatment group clinical symptom scores were 8 indicators (cough, cough up phlegm, shortness of breath, spontaneous sweating, easy to catch a cold, god exhausted body tired, food, an abnormal defecate) are lower than the control group, the difference was statistically significant (P< 0.05). Lung function in treatment group and control group (FEV1, FVC and FEV1/FVC) there was no statistically significant difference and difference (P> 0.05).Conclusion:1 Fu Rumei academic thought of professor can profile is:put forward the theory of five viscera qi activity, treating with adjustable factors to, attaches great importance to the Chinese medicine external treatment. Clinical professor Fu Rumei in using the theory of five viscera qi activity, treated from lung and spleen lung distension, treated from liver and spleen stomach disease, from the liver and spleen kidney treatment gynecology infertility, from mount violet is supposed to help pregnant, combined with the typical cases of induced lung, spleen, kidney external treatment characteristics and commonly used drugs.2 Fu Rumei professor of traditional Chinese medicine comprehensive treatment of patients with COPD stabilization effect, can improve the patient’s quality of life, improve the clinical symptoms, provides a new way of thinking for COPD prevention.