| Shu-chen wang,a professor at the China academy of traditional Chinese medicine xiyuan hospital chief physician,the fifth group of the old Chinese medicine expert academic experience inheritance work instruction in the country teacher,from more than 40 years,mainly engaged in the respiratory system disease clinical,teaching and scientific research work,the Chinese medicine dialectical treatment of acute or chronic cough,bronchial asthma,interstitial lung disease,lung cancer,chronic obstructive pulmonary disease,bronchiectasis and other respiratory diseases and medical intractable diseases has accumulated rich clinical experience,this thesis with shu-chen wang,a professor at the treatment of respiratory diseases of clinical features as the main line,the system of medical treatment of respiratory diseases were summarized the academic origin and clinical experience,and by randomized controlled study to evaluate kidney functions of clinical curative effect for the treatment of cough variant asthma.The first part Academic origin shu-chen wang,a professor at the treatment of respiratory diseasesObjective:Through the system arrangement,analysis,this paper summarizes the shu-chen wang,a professor at the treatment of respiratory diseases of academic origin,for respiratory disease diagnosis and treatment of traditional Chinese medicine inheritance research data.Methods:Trace and finishing shu-chen wang,a professor at the medical experience,clinical characteristics,combined with various theories,sort out the process of the formation of the academic origin,summarizes the characteristics of its academic ideas,strive for academic theory to guide clinical practice sublimation.Results:I after years of study,through a large number of cases analysis,the basis,and teacher exchanges,gradually realize the king of the teacher's academic thoughts and clinical experience is a combination of several academic schools,in the king's teacher of the French medicine,not only can be seen everywhere neijing,treatise on febrile disease,the synopsis of classic academic thinking,and li dongheng,Ye Tianshi that generations of physicians experience,also contains a lot of experience of the modern subject,teacher wang's own academic thought is closely related to the road of origin instead of seeking medical treatment,medical.1.Teacher wang delves into classic,learning from huangdi neijing,according to"five zang fu is a cough,lung" nonexclusive's academic thoughts,put forward the kidney,spleen,liver,runfei,such as the corresponding treatment,and by adopting the combination of syndrome differentiation and disease cough,puts forward the pulmonary interstitial diseases brought about by "lung bi" dialectical differentiation has guiding significance.2.Use opportunely,use the party,use this decoction soup in the treatment of chronic cough is part of the model.3.Adopt the home,according to li dongheng "the start of the spleen and stomach deficiency for all diseases"(the preface to spleen and stomach theory)point of view,and the king of the teacher special attention to the function of spleen and stomach is normal or not,often depending on the etiology and pathogenesis of regulating spleen and stomach.Attaches great importance to the method of removing in the clinical,teacher wang think of chronic lung disease mostly day long injury and kidney Yang,cause kidney Yang deficiency,"Ming fire failure,so the application,a fairy spleen two fairy curculigo Shang Wen kidney Yang,treatment of bronchial asthma,chronic obstructive pulmonary disease such as lung disease;Also advocated"phlegm for yinxu,when the temperature of medicine and",make good use of pinellia,dried ginger,ginger asarum phlegm drink medicine such as temperature,these all reflect the teacher wang inherited removing school of academic thought.4.The teacher wang medical experience for many years,by a number of senior's teachings and guidance of traditional Chinese medicine,especially the postgraduate tutor professor jian-zhong xu,the academic thought of teacher wang clinical thinking mode had a profound impact.Conclusion:Wang believes that the formation and development of TCM breathing epidemiology is different academic schools of thought contend,play and more perfect.Teacher wang treatment of respiratory diseases in neijing,the academic origin of forming of zhong-jing said,has experienced four j inyuan everybody all previous dynasties such as the development of the acknowledgement and complement,and through inheritance,innovation of modern subject.The second part Shu-chen wang,a professor at the academic thoughts and clinical experience and research Objective:Through the system arrangement,analysis,this paper summarizes the shu-chen wang,a professor at the treatment of respiratory diseases of academic thoughts and clinical experience,for respiratory disease diagnosis and treatment of traditional Chinese medicine inheritance research data.Methods:Through long-term with architect,prescription analysis,literature study,from the aspects of etiology and pathogenesis,such as making it summarizes shu-chen wang,a professor at the treatment of chronic obstructive pulmonary disease and bronchial asthma,influenza,leukemia pulmonary complications after bone marrow transplantation,lung cancer clinical experience.Results:Mr Wang is always rooted in clinical,a medical source,tireless hard,pay attention to the study of classic masters,learn from experience,and the traditional Chinese medical theory and clinical departments were quite deep attainments.He in the long-term learning and clinical practice,rigorous learning,frequently asks the old adage,have the courage to explore,skilled in ancient instead of clay,can not only inherited predecessors' experience,and be good at,under the guidance of the theory of the adopted from the machine,cutting the viewpoints,flexible application of constant exploration and innovation in their clinical practice,in the syndrome differentiation of traditional Chinese medicine treatment of chronic pulmonary disease and medical mysterious illness has accumulated rich experience,has gradually formed its own dialectical thinking and clinical characteristics,its value from the lung,spleen,kidney three dirty overall regulating chronic lung disease,both of embellish lung Yin,spleen and stomach,kidney and Yang,especially heavy kidney,use two fairy tonga desuperheating kidney Yang.Emphasize the centralizer and paying equal attention to eliminate pathogenic,in attack period to eliminate pathogenic factors does not forget,remission the centralizer and qing yu evil;And to make good use of insect drugs modulation lung disease.Teacher wang believes that insect drugs is as the flesh of sentient beings,most opened the medicine,its attack to banish channeling,prudent,pick out traps and abolish the ills of main and collateral channels,with functions of t2dm,eliminating phlegm to smooth wheezing,immune regulation,the effect such as anti-inflammation antipyretic analgesic,treatment of stubborn long illness has a good curative effect.Dilong,cicada,batryticated silkworm is teacher wang is the most commonly used worm drugs,lifting is teacher wang well-respected prescriptions,it is widely used in a cold,cough,asthma,pulmonary infection,chronic obstructive pulmonary disease,lung cancer and other lung diseases.These academic thought embodies the his inheritance and development of academic innovation.Teacher wang is good at traditional Chinese medicine treatment of chronic obstructive pulmonary disease and bronchial asthma,influenza,leukemia pulmonary complications after bone marrow transplantation,lung cancer and other respiratory diseases and medical intractable diseases,attaches great importance to the complicated severe respiratory disease treatment and research of traditional Chinese medicine.Teacher wang thinks,chronic obstructive pulmonary disease(COPD)remission is the virtual standard compaction of lung,spleen,kidney,relieving weak internal conditions of occurrence and development of COPD,lung phlegm and blood stasis resistance throughout the course of the COPD progression of kidney and spleen and dispelling dampness and phlegm is the basic rules for the treatment of the disease.The bronchial asthma attack for the virtual to real,waiting on the virtual to real,lung and kidney stagnation.Viscera is the internal cause disease,weak within the root rewelding v,encounter are cause and pathogenesis characteristics,lung and kidney stagnation,eliminate pathogenic for treatment of lung.Influenza and feelings of the attacks,the body resistance is low."Wind","poison","empty" is the basic cause of incidence in the"poison" is the pathogenic exogenous,throughout the course,the occurrence and development of the disease"Wind" is the carrier of "poison",good wind and variation,poison by the wind,causing the epidemic spread of the disease;"Virtual" is the internal cause,is the so-called "memory of vital qi and pathogenic is dry","evil of gather together,the gas will empty".Treatment in addition to the classification of syndrome differentiation and treatment,still need to value according to the different stage of development stage of disease differentiation,namely the early appropriate breeze detoxification,focusing on mid qingrejiedu,the late should be righting detoxification.Teacher wang under the guidance of the basic theory of TCM,in combination with modern clinical practice,TCM treatment for leukemia pulmonary complications after bone marrow transplantation has the understanding of the system.The disease syndrome differentiation standard total belong to this virtual to real,kidney,spleen,lung,three is deficient,evil poison,phlegm turbidity and blood stasis as the standard,is virtual and real causal,to foster the,should be complementing the vital qi,from this modulation,according to the different deficiency syndrome of physique and dirty gas,take benefit kidney,spleen,lung,regulate qi and Yin and Yang,notably the kidney to.According to poison,phlegm,blood stasis,feel different,respectively give cold blood detoxification,clear lung phlegm,promoting blood circulation to remove blood stasis,qingrejiedu,tapping and supplement.Lung cancer after chemotherapy of TCM syndrome differentiation treatment should pay attention to foster and enlarge,need to protect the spleen and stomach qi,tomifying qi and blood,with heat-clearing and detoxifying method such as anti-cancer synergies,the centralizer anti-cancer principle throughout the whole process of lung cancer treatment.Conclusion:Wang in the many years of experience,is affected by a number of senior Chinese medicine dialectical thought and inspiration,and in the clinical practice of continuous exploration and innovation,the Chinese medicine dialectical treatment of chronic obstructive pulmonary disease and bronchial asthma,lung cancer and other respiratory diseases and medical intractable diseases has accumulated rich experience,and gradually formed its own unique dialectical thinking and diagnostic and therapeutic features,its overall value from the lungs,spleen,and kidney treating chronic lung disease,both of embellish lung Yin,spleen and stomach,kidney and Yang,especially heavy kidney;Advocates the centralizer and eliminate pathogenic and episodes,to eliminate pathogenic factors does not forget remission the centralizer and qing yu evil;And to make good use of insect drugs treatment of chronic lung disease.The third part of the kidney functions of treatment of cough variant asthma clinical studiesPurpose:The system arrangement,inheritance research teacher wang,on the basis of academic thoughts and clinical experience,through randomized controlled study to evaluate the clinical curative effect of kidney functions of treatment of cough variant asthma.Methods:Using randomized,controlled method,will be included in the standard of 60 patients with CVA were randomly divided into two groups,treatment group 30 cases and control group 30 cases.Give kidney functions of cough oral treatment group,control group given salmeterol/fluticasone powder inhaler 50/250(ug)inhalation.After a course of 8 weeks,were followed up for 6 months.By comparing the two groups before and after the treatment of cough,TCM syndrome integral,forward recurrent cases,curative effect observation,and statistical analysis by SPSS 17.0 software.Results:Two groups of curative effect of TCM syndrome integral comparison before and after the treatment,treatment group total effective rate was 85.71%,control group total effective rate was 89.28%,the curative effect is no statistical difference between two groups(P>0.05).Cough integral comparison before and after treatment in both groups,the treatment group after treatment cough score before treatment significantly decreased(P<0.05),the control group after treatment cough score significantly reduced than before treatment(P<0.05),the two groups after treatment of cough integral is no statistical significance(P>0.05).Follow-up recurrence cases to compare the two groups,the treatment discontinuation after 8 weeks,6 months follow-up,cough again,as a recurrence of the treatment group recurrence in 5 cases,the control group,14 cases of recurrent relapse cases treatment group was obviously less than control group,two groups of cases of recurrence compared significant difference(P<0.01).Conclusion:Through the above clinical research,based on the method of kidney functions of the kidney functions of cough cough variant asthma attacks can effectively control,relieve a cough,curative effect and was equal to that of western medicine;And can significantly reduce the CVA patients relapse,suggest kidney functions method is an effective prevention and treatment of CVA therapy of traditional Chinese medicine,the therapy reflects the professor shu-chen wang baozhen attaches great importance to the kidney,foster the pay equal attention to,make use of the academic characteristics of insect drugs treating chronic lung disease,the development of the characteristic and advantage of traditional Chinese medicine treatment of CVA,worthy of further clinical and mechanism studies. |
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