| Background and purpose:Mentoring is an important way to the Chinese medicine heritage, also is the only way to flourish. National Traditional Chinese Medicine Li Zongzhi career in medicine for nearly 60 years, specializes in Chinese ophthalmology、ENT、internal medicine、 gynecology treatment of various incurable diseases.Professor Li have his own unique clinical experience and academic claims after many years of tireless exploration and innovation, accumulated on the basis of inheritance. Systematic studying, researching Professor Li Zongzhi academic thinking, inheritance, and develop the teacher’s academic experience is an important objective of this project.Contents and methods:1. Professor Li Zongzhi " tune Yin " Ideological Origins (1)By researching professor Li’s growth environment, life background, learning experiences and clinical practice modeled, try to understand its academic thought origin.(2)Researching ancient classic books, exploring the origins of professor Li’s formation of academic argument.2. The summary of sorting and researching of Professor Li Zongzhi academic idea, characteristic and clinical experience.(1)Summary of professor Li’s five academic thought and characteristic:First point is the yin and yang balance, pay attention to " tune " the yin; second point is clever using of lead drug, directly to patients; third point is drug situation Tongzhi, recuperating integration; Fourth point is co-participation in the West, the West in sequential; last point is compatible and income.(2)Based on disease diagnosis and treatment characteristics, to discusses Lao Ophthalmology, ENT and internal medicine, gynecology unique understanding of various incurable diseases and treatment characteristics’.①Diagnosis and treatment of common cough characteristics’. Based on stressing the declared fat lung, professor Li believed the most important is a clear cause, to distinguish between cold and heat. Distinguish cure common cough, to make things simple, classify as cold cough, fever cough, cold fire is unclear cough, dry cough, wet cough. Drug selection Sunburn hemp to its notable features.②Diagnosis and treatment of the nose rotten.’the rule of rotten nose Rule is Nourishing kidney to General. Clinical syndrome can be describe as I Yin Dryness type-Expelling moistening Xuanfei, Yin scattered evil; lung and kidney type-Expelling clearing away heat, moistening Huazhuo; Yin Stagnation-Expelling Yin blood, blood stasis and grow again.③Diagnosis and treatment of dry astringent:Professor Li believes the pathogenesis of dry eye is emphasizing " dry ", five internal organs are closely associated with the eye, when the five internal organs by the " dry " evil dysfunction occurs when injured, and for the hair disease, therefore Clinical Treatment of dry eye when common treatment method spleen and stomach, kidney Liver law, Qi lungs law, uneasiness of mind method.④ Parkinsonism Diagnosis Features:Professor Li think that although the case of Parkinsonism wind, but the wind which was within, for marrow empty so see the wind and current, moving and endless, marrow lack the fundamental of the disease. Accordingly, the proposed the principle of treatment that "For the first addition to the wind fill the marrow, marrow charge is calm".⑤ Diagnosis and treatment of proliferation of mammary gland breast hyperplasia: Professor Li believes that " sputum " is the core proliferation of mammary gland breast hyperplasia, thus accordingly conquer:The phlegm Yu, phlegm stagnation; stasis and phlegm, blood stasis and phlegm; hot dry phlegm, moistening phlegm; Hanning phlegm, warm and phlegm; Yin deficiency and phlegm, phlegm and nourishing Yin.⑥ Diagnosis and treatment of Chest:Chest basic pathogenesis Heart Qi or Qi. Thus presenting clinical often the vacuity, virtual folders like stagnation. Temporary certificate should to Yiqiyangyin oriented, with the card and with blood、phlegm、 dampness、meridians、soothe the nerves, taking care of the air-accessibility.3. Clinical Study Academic Experience of Professor Li Zongzhi(1) Western treatment Summary of infection cough:briefly describes the ancient medical books and modern Western medicine for physicians " disease after infection cough" awareness, points out the advantages of the infection and the limitations of traditional Chinese medicine research methods cough western medicine, deficiencies of Chinese medicine treatment.(2) Explanation of professor Li after infection cough understanding.(3) After the transfer method to treat the infection cough cough Yin clinical research: object of research:January 2013—January 2014, the people that visiting the pulmonary clinic in Guiyang Guo Yi Tang hospital outpatient and the Second Affiliated Hospital of Traditional Chinese Medicine First Affiliated by diagnosed as " post-infection cough ", according to inclusion and exclusion criteria of patients in the study, a total of 60 patient. Accepting the ope、randomized、controlled trial, usingrandom numerical table method, according to treatment sequence will be incorporated into patients were randomly divided into treatment group, Loratadine group. Treatment: The treatment group:to bring the female side Xuanfei main square:Radix Ginseng20 g、Ophiopogon japonicas 30g、bellflower 12g、Fruit of Common Perilla 12g、Bulb of Thunberg Fritillaryl2g、Bitter Apricot Seedl2g、mulberry leaves 12g、 Root of Divaricate Saposhnikovia 12g、Common Lophatherum 9g, each 100ml,3 times a day. Loratadine group:1 day, each one, orally at bedtime. The treatment lasted 10 days. Observations:general、symptom score、cough visual analogue scale、quality of life assessment、efficacy evaluation、alleviate the symptoms relief time and disappearance time、individual symptoms evaluation、adverse reaction recording. Results、In control clinical symptoms:daytime cough medicine treatment group total effective rate 93.1%, the total efficiency of nighttime cough 89.6%; Loratadine group daytime cough total efficiency of 75.1%, the total efficiency of nighttime cough 82.2%. Visual analogue scale before and after treatment in the group and inter-group comparison showed that Chinese medicine treatment group and Loratadine group can improve the symptoms of cough conscious, but traditional Chinese medicine treatment group than the Loratadine group. The results showed that treatment group after treatment, cough infection control both in daytime or nighttime cough symptoms were superior Loratadine group. Treatment group relieve itchy throat symptoms, the total efficiency of 100%, while the total Loratadine group was 71.4 percent, the results showed:Chinese medicine treatment group and Loratadine group can improve patients’ itchy throat symptoms, but treatment group more effective than Loratadine group, P <0.05, the difference was statistically significant. In the comparative efficacy of expectoration, the Medicines and Loratadine group before and after treatment are effective, but between the two groups P> 0.05, the difference was not statistically significant, consider the possible treatment to patients with sputum not originally master related disease. This shows that the effect on the control of symptoms in Chinese medicine group was significantly better than Loratadine group. Time and time to alleviate the symptoms disappear:the Medicines time to alleviate the symptoms of 3.62±1.51 days, the symptoms disappeared time was 7.84±1.35 days, the Loratadine group time to alleviate the symptoms of 6.13±1.62 days, the symptoms disappeared time was 9.62±1.68days. The results showed that treatment group than Loratadine group on the shorter course of treatment, and can quickly relieve the patient’s symptoms to a certain extent, reduce mental and financial burden of patients. In terms of the total effect:Traditional Chinese medicine treatment group total effective rate was 100%, loratadine group the total efficiency was 78.6%. The results showed that Chinese medicine treatment group in remission after infection cough total symptoms curative effect is obviously superior to that of loratadine group. The evaluation of cough effect on quality of life aspects:after the treatment of Chinese medicine treatment group 80.01±5.83 points, loratadine group after treatment for 70.21±4.36 points. The results showed that traditional Chinese medicine in the treatment of patients quality of life improvement than the use of Western medicine in the treatment of patients. In summary, in terms of post-treatment infection cough, cough medicine overcast tune has a significant effect, can effectively alleviate the clinical symptoms, shorten the course and make the quality of life of patients improved. Conclusion:In terms of the treatment of infections after cough, cough medicine overcast tune has a significant effect, can effectively alleviate the clinical symptoms, shorten the course and make the quality of life of patients improved.The innovation of this study:In this study, the analysis of treatment Clinical diagnosis and treatment of various diseases Li Lao ideas, innovative thinking will Yangyin Li Lao-depth understanding utilize interpreted as " tone yin ", so that the connotation Yangyin law has been more for further elaboration, so that it can more fitting Li Lao ideas.The professor Li advocated the idea of the West with the Senate, further extended to West or West sequential therapy, intended to Western medicine to give full play to their strengths, at different stages of the disease, the selection of the most suitable for its Chinese medicine or western medicine, each used to achieve mutually sequential therapy.The Li Lao for cough after infection in the pathogenesis of understanding summarize and stagnation of pathogenic injury Jin, Tianjin Gas comorbidity, and puts forward treatment from dryness、air、wind、phlegm theory.Professor Li previous clinical experience Experience in clinical reports are no clinical study observations, this study is the first experience of the professor Li and western medicine prescription compare clinical efficacy after one year of observation, the results showed that after adjusting Yin professor Li infection cough Therapy The clinical efficacy of cough medicine group did significantly better than that, so as to better summarize and inheritance professor Li’s academic thought and clinical experience provide a theoretical support summary.Currently due to environmental pollution, domestic pollution and other factors lead to respiratory cancer patients showed an increasing trend, the clinical observation that such patients mostly dry cough, sputum less, sputum bloodshot eyes, thin, red tongue, no coating, weak pulse number of its main symptoms Most doctors who saw the tumor will stand to eliminate disease Sanjie brigade, virus circulation of goods, does not know not to be loose knot, Tianjin loss who also died, the author of the law to Yin Li Lao tune in or can be alleviated. And for chronic respiratory disease, usually caused by the course of the course of time, are waiting disability allowance, the basis of " tune Yin " as Clinical Syndrome differentiation may also be effective. |
