| Research background and purposeThe academic heritage of the famous old Chinese traditional Chinese medicine is an important part and necessary way to promote the development of traditional Chinese medicine, Professor Zhi FA Zhang Linyi City People’s Hospital, director of Chinese medicine practitioners, doctoral tutor, the fourth, five group of old doctor of traditional Chinese medicine academic experience inheritance to guide the work of the teacher, Shandong Province Traditional Chinese medicine experts. TCM clinical treatment number in more than 40 years, rigorous scholarship, melting of ancient penetration today, advocating classic, scholarship and experience is very rich, follow the example of the ancients and liberal in the ancient books, good and difficult disease heavy disease. Medicine in traditional Chinese medicine, especially good at nephropathy, digestion, rheumatism, tumor diseases and incurable diseases of integrated traditional Chinese and Western medicine binding studies in the diagnosis and treatment of purpura nephritis, recurrence of oral ulcer, nephrotic syndrome, urinary stone disease and other diseases have unique insights. This thesis has systematically sorted out the academic thoughts of Professor Zhang Zhifa, the characteristics of diagnosis and treatment, and the clinical experience, so as to make the theoretical foundation of Chinese medicine more solid, the Chinese traditional culture knowledge to further strengthen; TCM diagnosis and treatment, clinical efficacy on the basis of the original has greatly improved; while clearly mysterious matched pair of medicine, master of medicine in the prescription application rules, in-depth study of the theory of compatibility, and constantly improve the clinical efficacy, in traditional Chinese medicine Pro Card treatment is very important, can not be ignored, and helps to summarize and inheritance of academic experience of famous veteran doctors of TCM.Research methods and contentsThis thesis mainly has the following several parts:1 professor Zhang Zhifa’s academic thoughts(1) Through the Zhang family influence, growth experience, learning experience and clinical practice experience of finishing, analyse its academic thought origin.(2) From the classical traditional Chinese medicine books and modern physicians of Zhang’s influence, discusses Zhang academic argument formation source in adhering to the Chinese classics and traditional theories, and not forget for a moment to draw the individual, especially of modern physicians academic experience, used for himself and continuous innovation.2 Academic thoughts and clinical experience and summary(1)The academic thought is in clinical practice focus on traditional Chinese medicine and Western medicine combination, points out that the modernization of means of clinical examination as an extension of the four diagnostic methods of TCM.Especially for some undocumented variable disease. In clinical treatment can provide new ideas and emphasis on TCM clinical practice and scientific research should be closely integrated, emphasizing the combination of syndrome differentiation and disease differentiation, syndrome differentiation and disease combined, and in the clinical continue to be practical, synthesis of the four diagnostic methods, emphasis on the spleen and stomach, especially for patients with chronic diseases and difficult critically ill patients, advocated in treatment, analysis of patients with longer course of disease, the function of the spleen and stomach most of the damage, so put forward to treat this kind of disease, first of all, we should always pay attention to guarding the spleen and stomach of Gu, cure Treatment of stomach and gallbladder disease, emphasizing the six Fu organs to pass for, pointed out that there is no clear virtual image, disable replenishing, nourishing and greasy. The clinical prescription medication, emphasizing dialectical and disease differentiation combined with particular emphasis on ingredients precision, refining, skilled in compatibility, adept at the use of drugs, combined with the clinical experiences, put forward the concept of Fang Yuan, create Yuan Fang, advocate combining prevention with control, has formed its unique characteristics of diagnosis and treatment, clinical curative effect is distinct.(2) To summarize the clinical experience to characteristics of diagnosis and treatment of related diseases as a starting point, the summary of Mr Zhang allergic purpura nephritis and recurrent oral ulcer treatment experience and unique insights and characteristics of diagnosis and treatment; finishing clinical use of drugs and the creation of Yuan Fang treatment experience.3 Academic experience clinical researchClinical study of purple cicada anti allergy Decoction in the treatment of allergic purpura nephritis.The allergic purpura nephritis is the secondary renal damage, and the main manifestations of hematuria and proteinuria. In the course of purpura, hematuria, proteinuria often appear repeatedly, lingering, for children and parents have caused great pain. Its easy to recurrent, at present, there is no specific treatment for this disease, which is a difficult disease in clinic.According to Professor Zhi FA Zhang for many years clinical research found that blood stasis is the key to the pathogenesis of allergic purpura nephritis, the key to the early treatment of the disease. "Five viscera injury, poor kidney will be", finally sealed kidney failure, kidney storing essence, blood stasis is the essential pathogenesis of renal collaterals. According to its pathogenesis, syndrome differentiation should be divided into hemopyretic bleeding and blood stasis, yin deficiency and blood stasis, spleen and kidney deficiency and blood stasis. TCM treatment should pay attention to cooling blood and removing blood stasis, dredge the kidney collateral certificate, according to the different syndromes, with disease treatment. The creation of purple cicada anti allergic decoction as the basic Decoction Treatment of allergic purpura nephritis, clinical curative effect is very good. Of Zhi FA Zhang Professor experience treating patients with Henoch Schonlein purpura nephritis clinical efficacy were observed. Clinical observation points for Chinese medicine treatment group and Western medicine in the treatment group, the treatment group taking Zhi FA Zhang Professor purple cicada anti allergic decoction combined withroutine western medicine therapy, western medicine treatment group or control group treated by routine Western medicine. The results showed that:The total effective rate was 93.94% in treatment group and 87.50% in control group, the treatment group was significantly higher than that in control group, BLD, P<0.05, PRO, P<0.05, BLD and PRO, P<0.05, and the treatment group were significantly different.Results:The total effective rate of treatment group was 47.62%, control group was 66.67%, treatment group was higher than that of control group, the serum albumin increased,24 urine protein, blood urea nitrogen, blood urea nitrogen, serum creatinine, cholesterol were decreased (P<0.01～0.05), the treatment group was significantly improved compared with the control group. Shows that the side effects of tonifying kidney, removing dampness decoction combined with western medicine therapy has a good curative effect on refractory nephrotic syndrome, in a certain extent can reduce the hormone. Results:This paper from the academic thought formation origin, purpura nephritis, recurrence of oral ulcer, nephrotic syndrome, urinary stone disease such as disease has a unique opinion, the special treatment of by summarizing and analyzing of Xiao division card ideas, theories and characteristics of drug use,differentiation characteristics, make the characteristic of his meticulous scholarship and academic thoughts raised to the height of theory; The will with the teacher during the accumulation of Zhang Lin card experience by collecting and sorting out, put forward the concept of Fang Yuan, the first characteristics of Lithospermum erythrorhizon and cicada, Astragalus and pangolins of drug, but also highlights the succession of academic papers; clinical study confirmed the experience of Zhang purple cicada anti allergic Decoction has exact clinical curative effect.Conclusion:Professor Zhi FA Zhang was born in a family of Chinese medicine, and strictly, system of the regular education of the college, its rigorous scholarship, melting of ancient penetration today, advocating classic, learning inspection Ju Feng, honed over the years, clinical expertise nephropathy, digestion,rheumatism, tumor diseases and incurable diseases of integrated traditional Chinese and Western medicine combined with research, in the diagnosis and treatment of purpura nephritis, recurrence of oral ulcer, nephrotic syndrome, urinary stone disease and other diseases has unique insight and understanding, and the clinical efficacy is significant, In addition, the teacher pay attention to traditional Chinese medicine and Western medicine combined the importance of clinical research,emphasize the combination of syndrome differentiation and disease differentiation,synthesis of the four diagnostic methods,emphasis on the spleen and stomach,use of drugs, creating Yuan Fang, advocate combining prevention with control, forming a unique features of the diagnosis and treatment. To summarize his academic thoughts and academic characteristics, to the academic development of traditional Chinese medicine has important significance and make young practitioners of Chinese medicine theory of knowledge, the level of diagnosis and treatment, practical skills and clinical efficacy, improved a lot in the original basis; understand some parts of the essence of ancient books of traditional Chinese medicine, TCM theoretical foundation is solid, to further strengthen the knowledge of traditional Chinese culture, thus and helpful to summarize and inheritance of academic experience of famous veteran doctors of TCM. |
