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Chang Zhensen Chief Physician Academic Thought Summary And The Clinical Application Of Related Theory Of Qi And Blood And Kidney

Posted on:2017-04-15Degree:DoctorType:Dissertation
Country:ChinaCandidate:M S WangFull Text:PDF
GTID:1314330491462217Subject:Internal medicine of traditional Chinese medicine
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Chang zhensen chief physician of TCM in shandong province, is the national five batch of old Chinese medicine expert academic experience inheritance work guidance teachers, more than 40 years, medical ethics is mellow, learn to check. Teachers often make free with the party, especially the treatise on febrile disease and "jin GUI slightly" formula,speculative value in the process of birth, according to the decree "yangqi is the spirit such as the sun and day, it is the tube without akira", attaches great importance to the gasification of true in kidney Yang, attach importance to the role of the kidney, kidney Yang, emphasize the warm glow of renal insides to human body, promote and nurture the role. In clinical practice to summarize and explore unceasingly, and find development on the basis of inheritance and innovation, through many years of clinical practice, combined with their own comprehension, thus formed the unique academic experience and academic thought system, puts forward some ideas of their own special treatment---- the kidney associated with qi and blood theory.1. The origins of academic ideologyNeijing is the foundation of TCM clinical theoretical construction, it shows a person from the perspective of overall understanding people with heaven and earth, and the moon and four corresponding principle, with the philosophy of Yin and Yang five lines of the concept and thought of dialectics on TCM viscera-state, pathogenesis, it, therapeutic principle and so on. Constructing the system of the traditional Chinese medicine thought and laid the theoretical basis of guide clinical practice, to guide the further development of traditional Chinese medicine.Treatise on febrile disease, the synopsis "typhoid miscellaneous disease theory", after neijing is a great work of traditional Chinese medicine, "as the father of prescriptions, and rule the cases of the miscellaneous diseases". Typhoid fever to philosophical theory, system of six-channel differentiation, and created a combined disease, pulse, syndrome, improving the system of syndrome differentiation, set up the rules to study medicine, clear the way.Combined with years of clinical and summary of physiology and pathology of the human thinking, the teacher often advocate zhang jingyue "heavy sun be the spirit", "Yang not more than, Yin deficiency" thoughts, identity zang-fu activities centered on Ming and cure "Yang for this" train of thought. To often teacher attaches great importance to the birth,kidney, kidney for this idea and the formation of kidney qi and blood related theory has a great influence.Zheng Qinan, known as zheng monkshood, make free with hot, dry ginger and other medicines to treat a variety of lateral root of aconite intensive, Xian Zheng, by later generations finishing Zheng Qin security book fully reflects its chongyang, chung Yang's point of view, it is based on the "Lord of the Yang, Yin also, sun be the spirit circulation,Yin qi without delay" and the theory of chongyang discussed a lot, combined with the life of kidney, kidney, qi, blood and deep understanding of their own physiological function eventually formed the teacher's academic ideas, often the kidney associated with qi and blood theory.Im fine kidney by naturalization, Yin and Yang two gas, namely yuan Yin yuan Yang,therefore, zhang jingyue cloud "the rise and fall of all this in the kidney.Kidney sun be the spirit through the sanjiao(triple energizer) cloth to apply, the master insides, channels and collaterals, both inside and outside the gas of the up and down or so, kidney is adequate,sun be the spirit, is active, Yin pingyang secret, spirit is the cure. Qi from kidney, the elaboration from the kidney shi drain can overload of the whole body is dispersed,maintain the normal life activities of people.2. Academic thoughts and clinical experience2.1 Academic thoughtTeacher chang pay attention to read the classics, with classic, emphasized by the party to heavy, firmly establish a dialectical, providing only good to the classic study, deep enlightenment the essence, and in the clinic, with many clinical, heavy practice, to talk about innovation, innovation is better, or innovation will become a madrassa reflected, no root of wood.In clinical thinking process the teacher pays attention to harmony, advocating the concept that "heaven and earth qi yue people" of life, human nature, the son of the people in the long evolution, the growth process, not only adapt to the natural, and formed many of the influence of natural state. We should be familiar with the ancient simplicity of thinking concept, in the process of clinical thought, from the generalized humanitarian heaven, heaven and earth of gasification of Yin and Yang theory to explore the zang-fu organs and qi-blood physiological and pathological change rule, from feeling sick. We should link The body's vital organs, qi and blood, Yin and Yang and bowels skeleton organic to see problems, and form the full of appeal, cure diseases, and the theoretical system of preserve one's health?Clinical treatment emphasis on evidence-based medicine heavy gasification, cure the disease, to harmony; Attaches great importance to the qi and blood, Yin and Yang with flat for a period. Specimens of phase shift, not of board in the end, flexible, from specimens of good and evil, for specimens, successively specimens,priorities, specimens, exterior-interior specimen, and specimens in six aspects, to grasp the main contradiction of disease, and the body, disease, syndrome differentiation of organic integration, improve the accuracy of the dialectical treats.The teacher always around all the attention of the whole process of speculative innate ideas, emphasize not cure disease, and renal health five zang-organs, paid attention to when not ill and kidneys, solid strong kidney, kidney, have disease emphasizes kidney, kidney, the kidney. Heavy, sum, it is clear the fundamental ideas of traditional Chinese medicine for illness.2.2 Clinical experience and proven caseTeacher chang emphasizes studing and using classic, especially paying attation to Tonic kidney, regulate renal, maintenance.using frequencyprescriptions is kidney gas by the party mainly for kidney shot, and is widely used in both inside and outside,. In the long-term clinical practice, formed its own characteristics- filling kidney to medicine.Picking out syndrome, chronic diarrhea, remove lump of typical cases, from the understanding of the etiology and pathogenesis, describes this feature of treatment, to summarize and clarify the teacher's theory of "kidney qi and blood related theory" the academic point of view. Further entrench renal centered view of five zang-organs, teachers often think kidney Tibetan essence, send, yuan yuan Yang within Yin; Kidney, kidney Yang is renal gasification features of external performance. Of qi and blood to the human body normal operation and function of intestines and play to play the role of a push, wander,nutrition, low first if the function of kidney, kidney Yang, they push, warm and nutritional function in normal, promote weakness, functioning of qi and blood, and blood stasis;Secondly wander lost, cold, endogenous meridians detained urgent, blood supply hysteresis and blood stasis; The fourth,kidney weakness, low ability of qi and blood,deficiency of qi and blood, not filling insides, resist invaded by ability to drop, "set to empty, is evil", pathogens invasion, easily and with internal cementation of deficiency of qi and blood disease. Can lead to blood stasis, kidney deficiency, phlegm obstruction, these pathological product block qi activity run the stalemate, can worsen kidney empty again, as for each other, the formation of kidney and blood stasis, kidney empty phlegm, kidney empty phlegm and blood stasis and the pathogenesis of each. In treatment, treating disease on this, the teacher often starting from the function of renal gasification, emphasize the warm glow of kidney, kidney Yang for the whole body, promote and inspire, and thus puts forward the treatment of warming the kidney to fill its sides, give priority to with kidney shot Fang Sheng little fire, warm kidney, and with the add and subtract to treats the disease,test in the clinic.3 The kidney and unclogged arteries soup treatment of kidney and blood stasis type of stable angina pectoris clinical observationObjective: through to the Teacher chang side kidney and hypothesis of doctor of the soup in the treatment of kidney and blood stasis type of arteries and veins of stable angina pectoris clinical observation, reflect the kidney and treatment experience of the clinical features of the disease of arteries and veins, so as to further deepen the teacher often academic point of view, the kidney associated with qi and blood theory.Methods: 60 cases of kidney and blood stasis type of coronary heart disease stable angina patients, randomly divided into experimental group and control group 30 cases each.The control group take into consideration the use of aspirin enteric-coated metformin hydrochloride, statins, nitrate, ssblockers as the foundation treatment; Treatment group: on the basis of foundation treatment to add with the kidney vein soup, course of 4 weeks.Results: the treatment group patients with clinical symptoms, especially the heart palpitations, languid, the symptoms of lumbar debility, qi Yang deficiency, got obvious improvement, electrocardiogram(ecg) and nitroglycerin stopped reduction rate statistically significant difference.Conclusion: foundation treatment with kidney and unclogged arteries soup of kidney and blood stasis type of coronary heart disease(stable angina) in improving clinical symptoms and curative effect of nitroglycerin stopped reducing rate, improve the survival quality of patients; Deserves further research and extension.
Keywords/Search Tags:Chang zhensen, academic thought, Clinical experience, Kidney and blood related theory, The kidney and unclogged arteries soup, Stable angina pectoris
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