Study On Diagnosis And Treatment Of Long Tsap:a Female Disease In Tibetan Medicine

Long Tsap is one of forty female diseases in Tibetan medicine. It is also an important study subject in female diseases. Under Tibetan medical theory guidance, the doctrine of female diseases has gradually been developed through studying anatomy and biology of female, as well as pathology, diagnosis, treatment of female diseases. About6th-7th centurv. Tibetan medical texts recorded brief descriptions regarding to diagnosis and treatment of female diseases. According to locations, Long Tsap can be divided into six subdivisions: namely, head, bone, heart, kidney, stomach and small intestine disease. According to the cause, condition and symptoms, it seems to me that Long Tsap is very similar to climacteric syndrome. In clinical practice, many physicians believe that Long Tsap is climacteric syndrome.Climacteric syndrome is one of diseases that cause a great suffering to women and their families. It is one of the diseases which still need to be overcomed by modern medicine globally. In most cases, the disease is treated by Hormone Therapy. Unfortunately, HRT cause many side effects to the patients of climacteric syndrome. Thus, as medical researchers, it is important to find a more effective and safer therapy to treat the disease. In this thesis, by combining theory with practice,’theory guides practice, and practice proves theory’as scientific principle, having based on the theory of Long Tsap in Tibetan medical texts and cases in clinical practice, I analyzed and interpreted how Tibetan medicine diagnose and examine the disease. In addition, I did profound and systematic research on the definition, causes, condition, classification, methods of treatment, therapies, and recovery of Long Tsap. The following is my research aim, methods, results and conclusions:Research Aim:1. Having based on the theory of Long Tsap in Tibetan medical texts and clinical practice, I try to prove that climacteric syndrome can be included into the category of Long Tsap in Tibetan medicine.2.1try to establish an effective quality control system for diagnosis and treatment, including diagnostic criteria and treatment, procedure of using medicine. I also try to figure out the effect and mechanisms of the function in order to find better treatment and effective drug for the disease.Research Method and Content:1. Studying on Theory:through reading various Tibetan medical texts and searching modern academic literature, I analyzed biology, causes of the disease, especially the diagnosis and treatment methods of Long Tsap in the Four Treatises. I did comprehensive study on causes, condition, classification, symptom, and methods of treatment in different Tibetan medical texts.2. Clinical Study:(1) from different theories and clinical practice aspects, I compare the cause, condition, diagnosis and treatment of Long Tsap in Tibetan medical with climacteric syndrome in western medicine. (2) Investigation on Cases:I investigated100patients (including47patients from Lhasa People’s Hospital and53patients from counties’hospital and communities’clinics from Lhasa City.) Through interviewing physicians and patients, and filling forms, I investigated that how age, occupation, biology, psychology, social factor influence the diseases.(3) Considering the treatment condition in the hospitals in Tibet, I chose100patients with Long Tsap in the department of gynecology in Tibetan Medical Hospital of TAR and Tibet Hospital of Orthopedics (According to examination,70%patients have climacteric syndrome). I examined treatment process, collected relevant data. At the same time, I also analyzed clinical diagnostic criteria, method of treatment, and effect to the patients.(4). I collected and analyzed the experience of treating climacteric syndrome from famous senior Tibetan physicians.Results:1. Comparison between Long Tsap in Tibetan medical texts and climacteric syndrome in Western medicine, I try to prove that climacteric syndrome can be included into the category of Long Tsap in Tibetan medicine.2. Long Tsap in Tibetan medicine is a disorder of blood and essence of body. The disorder causes chronic diseases to the inner organs, sense organs, and tissues in the body.3. The symptoms of disease include dizziness, buzzing in the ear, pain of bone, menstrual disorders, irritability, insomnia, anxiety, depression, mood changes. It brings a great risk to female health.4. For the treatment to the disease, the blood is a key to the woman. It is important to protect blood and essence of body.5. Recently, incidence of the disease has increased rapidly, it greatly impacts female quality life.6. After interviewed100patients in the two hospitals (70%patients are examined as climacteric syndrome), Tibetan physician uses pulse reading, urine analysis, and questioning to diagnose the disease. The disease is treated with diet, medicine, spiritual therapy, medicinal bath therapy, and massage therapy. The effective rate is90%and recovery rate is50%.Conclusions:Through this research, we make the following conclusions:the treatment of Long Tsap in Tibetan gynecology is effective to climacteric syndrome in Western medicine. There are rich resources of herbs in Tibet. Tibetan herbal productions are cheap and they can prevent diseases. They also can be used for long term. Thus, we can see that treatment of climacteric syndrome has bright future. Because of this reason, having borrowed knowledge of modern medicine and improved special approaches and methods of Tibetan medicine, by investigating formula of treatment of the disease and doing clinical research on this disease, by utilizing advanced Tibetan medical treatment to the special disease, we can improve female health. There are great values and significances to the female health.