Study On The Academic Thoughts Of Professor Zhang Jidong In Treating Vertigo And Clinical Study On Qindan Decoction In The Treatment Of Hypertension With Liver Fire And Blood Stagnation

The experience of Chinese traditional Chinese medicine academic thought is a valuable asset of TCM,Actively organize and study the academic theory and clinical practice experience of the old Chinese medicine is one of the important means to explore and inherit the Chinese medicine.By observing the teacher to treat diseases,To collect the clinical diagnosis and treatment of the teacher,To sum up the things that are regular, and to rise to the theory and then Used the theory to guide clinical practice,On the development of traditional Chinese medicine, the Chinese medicine is better for human health services has important significance.Professor Zhang Jidong is a famous Chinese medicine expert, engaged in clinical, scientific research, and teaching for more than 40 years, has a wealth of clinical experience.Professor Zhang has formed his own unique teaching experience and methods in the process of clinical treatment,This study takes the fifth batch of the Chinese traditional Chinese Medicine Administration Bureau of national traditional Chinese medicine administration to carry on the work as an opportunity,In the course of learning from the teacher, through the teacher's published papers, topics, books, and other topics of learning,to discussion on the academic thoughts of Professor Zhang in treating vertigo,To refine and summarize the academic thoughts and clinical experience of Professor Zhang in treating hypertension vertigo.To summarize the academic thought of Professor Zhang.By summariz the teacher's academic thoughts and academic experience.The successor puts forward his own experience and views.The study on the clinical curative effect of Qindan decoction was discussed and the preliminary verification mechanism.Professor Zhang believes that the treatment of hypertension should be combined with the theory of TCM constitution.Age is different, the physical quality is not the same, the etiology and pathogenesis characteristics are not the same.The young people of hypertension is caused by stagnation of liver qi, liver fire.The elderly is a type of hypertension of liver kidney yin deficiency, hyperactivity of liver Yang.Hypertension in the elderly with the passing of time, can also damage and kidney yin and Yang, kidney yin and yang two is false.It is also a feature of the elderly patients with essential hypertension.In addition, elderly patients with hypertension have weak spleen and stomach.Easy to form phlegm dampness.In addition, Professor Zhang paid more attention to obstruction of collaterals by blood stasis.The blood stasis is one of the important pathological mechanisms of hypertension in the elderly. It can be found in the pathological process of hypertension in the elderly.Due to the current social environment changes, the improvement of living standards, the irrational structure of the diet, the greater the spirit pressure, and so on,The liver fire and blood stasis syndrome of hypertension is common.Professor Zhang taks the treatment method of clearing liver fire and calming liver, removing blood stasis and dredging collaterals,Professor Zhang made Qindan decoction, achieved good clinical effect.Purpose:1.Through the summary of ancient physicians treating vertigo,To discuss the academic source of Zhang's treatment of vertigo.Summary of academic thought and clinical experience of Professor Zhang in treating hypertension vertigo.Summarise the academic thought of Professor Zhang.2.By summarise the academic thought, clinical experience and academic thinking of Professor Zhang in the treatment of hypertension vertigo,The successor put forward his own experience and insights.3.To observe the clinical curative effect of Qindan Decoction in the treatment of hypertension of liver fire and blood stasis syndrome.To explor the effect of Qindan Decoction on patients with hypertension with liver fire and blood stasis of blood pressure, clinical symptoms and signs, blood rheology, TXB2 and 6-keto-pgfl alpha.The mechanism of Qindan Decoction in the treatment of hypertension with liver fire and blood stasis syndrome are discussed.Method:1.With medical electronic information platform to download the relevant literature,To analyze and sum up the literature data.The student summarize the ancient and present physicians "views on vertigo and carried on a preliminary study on the academic origin of Professor Zhang in treating vertigo.The students read and analyze the subject, the thesis and the work of the academic views of Professor Zhang.To study and summarize the clinical medical records.A summary of the analysis of the case in the process of diagnosis and treatment of the disease.To summarise the clinical experience and academic thoughts of Professor Zhang in the treatment of hypertension vertigo. The characteristics of academic thought of Professor Zhang were extracted.2.By studying and summarizing the academic thought of Professor Zhang's treatment of high blood pressure, and combining student's clinical experience, the student puts forward his own experiences and opinions.3.62 cases of hypertension patients with liver blood stasis syndrome were randomly divided into treatment group (n=32) and control group (n=30),The test group used Qindan decoction, combined with Bea Knapp Leigh therapy,control group was treated with Bea Knapp Leigh therapy, treatment for 4 weeks, The effects of clinical symptoms, blood pressure, blood rheology index, plasma TXB2, and 6- -PGF1 were observed before and after treatment.Achievements:1.The student summed up Professor Zhang's academic origin in treatmenting vertigo, Academic thought of treating hypertension vertigo,Characteristics of academic thought and clinical experience in treating hypertension,Professor Zhang believes that the treatment of hypertension vertigo should be combined with traditional Chinese medicine constitution theory, In the treatment of hypertension in the elderly Professor Zhang pays more attention to the characteristics of blood stasis.Professor Zhang believes that blood stasis is one of the important pathological mechanism of hypertension in the elderly.2.Summed up the academic characteristics of Professor Zhang has the following several aspects:Diligence, dedication to save humanity;Care for the spleen and stomach, and the function of the spleen and stomach;Be familiar with classical prescriptions, know good conventional biantong;Learn and absorb other opinions;Combined analysis of the symptoms of treatment with analysis of disease treatment;Keeping pace with the times, the courage to innovate; be good at using the philosophy method to study the traditional Chinese Medicine.3. Summarizes the clinical experience of Professor Zhang in the treatment of hypertension vertigo.Professor Zhang analyzed the shortage and advantage of Chinese medicine in treating hypertension,The successor has made a summary of it. The student summed up the idea of Professor Zhang in the treatment of intractable hypertension.Professor Zhang proposed preventive health care for patients with hypertension.4.Through the study of Professor Zhang's academic thought, student put forward his own experience and insights.There are three aspects:The first,Patients at menopause often have high blood pressure, and are not stable,Patients in this age group, often have kidney essence deficiency,Liver qi stagnation easily,Students suggested using tonifying the kidney essence, clear fire, Shugan Jieyu method treatment,The use of modified Erxiantang treatment effect is good.Second:hypertension patients taking antihypertensive drugs can be combined with time medicine, improve efficacy.Third:acupuncture combined with Chinese medicine to treat hypertension has a good effect.5.Comparison of clinical efficacy between the two groups,The symptom curative effect in test group was 50%, The total effective rate was 93.75%; the control group was 26.67%,The total effective rate was 66.67%; there was significant difference between the two groups (P< 0.05).(2)Observe the effect of lowering blood pressure in the test group, the total effective rate was 53.13%, the total effective rate was 26.66%, the control group was 93.75%, the total effective rate was 73.33%. There were significant differences between the two groups (P< 0.05).(3) After treatment, the blood rheology indexes of the two groups were improved, but the improvement of the test group was better than that of the control group (P< 0.05). The plasma TXB2 and -PGF1 ketone 6- were improved in the two groups, but the improvement in the test group was better than that in the control group (P<0.05).Conclusion:Professor Zhang 'academic thought in treating vertigo is influenced by doctors in past dynasties.Professor Zhang's treatment of vertigo has its own characteristics.First, Professor Zhang' treatment of hypertension vertigo combined with TCM constitution theory.Second, Professor Zhang thinks that blood stasis is one of the important pathological mechanisms of hypertension in the elderly and its existence in the pathological process of hypertension in the elderly.Professor Zhang's academic thought characteristic mainly has the following several aspects:Diligence, dedication to save humanity;Care for the spleen and stomach, and the function of the spleen and stomach;Be familiar with classical prescriptions, know good conventional biantong;Learn and absorb other opinions;Combined analysis of the symptoms of treatment with analysis of disease treatment;Keeping pace with the times, the courage to innovate;be good at using the philosophy method to study the traditional Chinese Medicine.3,Professor Zhang divided hypertensive vertigo to five types:liver blood stasis and liver fire hyperactivity, hyperactivity of Yang due to yin deficiency, phlegm dampness, deficiency of the kidney essence and treatment.Professor Zhang analyse the deficiency of traditional Chinese medicine in treating hypertension and its advantages,and think that Western medicine has a rapid effect in lowering blood pressure,but Western medicine has side effect on human body. The effect of chinese herbal medicine in lowering blood pressure is slow,but has smaller side effects on human body.For the elderly patients with intractable hypertension, especially the pulse pressure difference, Professor Zhang advocates the use of traditional Chinese medicine.Professor Zhang proposed preventive health care recommendations for patients with high blood pressure,To maintain emotional stability; to ensure adequate sleep, work and rest; exercise; diet; active treatment and the incidence of long-term medication;4, Through the study of academic ideas,Student put forward his own experience and insights according his own clinical experience,There are three aspects:The first,Patients at menopause often have high blood pressure, and are not stable,Patients in this age group, often have kidney essence deficiency,Liver qi stagnation easily,Students suggested using tonifying the kidney essence, clear fire, Shugan Jieyu method treatment,The use of modified Erxiantang treatment effect is good;Second:hypertensive patients taking antihypertensive drugs can be combined with time medicine;Take one time every day, and take the medicine at 7 in the morning;Take 2 times a day,7 in the morning and afternoon 4-5 PM to take, the effect is better. Third:acupuncture combined with medication in reducing blood pressure has a good curative effect.5.Qindan decoction can obviously ameliorate hypertension with liver blood stasis syndrome in patients with clinical symptoms and reduce their blood pressure, and can ameliorate the hemorrheology, decrease plasma TXB2 levels in patients with,6-keto-pgfl alpha content increased, decreased the T/P ratio.The antihypertensive effect is ralated to Qindan decoction can reduce hypertension with liver fire blood stasis syndrome patients blood viscosity, ameliorate the prethrombotic state in patients.