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Professor Yang Liu Academic Ideas And Clinical Research About Acne

Posted on:2011-04-24Degree:MasterType:Thesis
Country:ChinaCandidate:K L SunFull Text:PDF
GTID:2154360308469807Subject:Traditional Chinese Medicine
Abstract/Summary:PDF Full Text Request
Research background and purposeAcne is a kind of traditional Chinese medicine clinical surgery in the more popular skin diseases, Its impact aesthetics even in severe cases can cause disfigurement. To the patient's daily life and learning has brought a lot of inconvenience. And makes the patients have a heavy psychological and mental pressure. At present, Western medicine for this disease are treated with anti-inflammatory, anti-hyperkeratosis and anti-androgen and other treatment methods. Although achieved good clinical results, but there are many toxic side effects and adverse reactions. Chinese traditional medicine has long been recognized in this disease, from the cause, disease is due to lung or gastrointestinal hot humid wind, phlegm and blood stasis stagnate due to other reasons.To take oral treatment of Chinese traditional medicine, Chinese traditional medicines for external use, or with acupuncture treatment, In order to achieve internal and external, specimens taken into account, organs with the purpose of transfer. Achieved good clinical efficacy, but there are many shortcomings. For example:For the naming of this disease is more confusing to use. Some people call it acne, also to named the pulmonary wind; in syndrome type is also inconsistent, resulting in difficulties in clinical treatment; And China is a vast, climate differences area, but what about for the diagnosis and treatment of diseases in geographical carried out some research becomes extremely important.My teacher professor YANG LIU, southern medical university professor, engaged in medical teaching masters teached inquiry for 30 years, has accumulated rich experience. Current, southern medical university of Chinese traditional surgery, master and Ph.D. Students as the mentor, hospitals and doctors of hospital "11th five-year plan", the national science and technology plan "acne treatment optimization scheme and standardization of TCM research projects. The academic research on acne and clinical all matter accumulated a good foundation, has the very high attainments. The relevant papers published papers, dozens of patients cured acne, innovative and internal and external form, experience in hospital preparations, clinical use received satisfactory effect. Therefore, further study on acne professor willow academic thoughts and clinical experience, to promote the academic progress and improve the clinical medical treatment is of important significance.Methods and ContentsDocuments collected and arrangedWe use an adequate database of Southern Medical University, the library resources. Reference to "Chinese terminology Syndrome part of the clinical diagnosis and treatment" and "Diagnostics of Chinese Medicine" and other related evidence-based dialectic part of the name and card type. Search Method:Computer search①Database:China Journal Full-text database CJFD (1988-2008);②Search strategy:searched keywords for acne, subheadings for Chinese traditional medicine, combination of Chinese traditional medicine with Western therapy, Chinese traditional medicine therapy, acupuncture, Chinese traditional medicine outside the treatment. Journal of Traditional Chinese Medicine University of manual search, Journal of Traditional Chinese Medicine, Chinese medicine clinic, combining Chinese and Western medicine such as acupuncture and 31 kinds of magazines, and includes lessons learned from some expert articles and books. Design literature investigation table:Major projects include:Literature Publication Date, documentation source, the main sub-types and the selection of medication based on square and so on. And meet the inclusion criteria of articles and literature survey sheet items in accordance with chapter-by-registration. The information will be collected manually input Access2000, and to establish a database for analysis.Traditional Chinese medicine efficacy of treatment of the diseaseWe depend on Nan Fang Hospital and Combine traditional Chinese and western medicine hospital to facilitate the conditions and the "Eleventh Five-Year" National Science and Technology Support Program topic-"acne treatment optimization programs and standardization of traditional Chinese medicine research" part of the subject of acne patients, And to follow the teacher visits the collection of acne cases, 139 cases of acne will be treated in patients with completely randomized according to treatment group 71; the control group 68. Diagnostic criteria of "Clinical Practice Guidelines-Dermatology and STDs volumes" acne diagnostic criteria. The disease more common in young men and women; the main part of it is the incidence surface, forehead, followed by the chest, back and shoulder and other parts of seborrhea; The early lesions consistent with the hair follicles, said cone-shaped papules acne, is divided into open and closed the whitehead blackhead acne, accompanied by inflammation of the damage, such as inflammatory papules, pus pimples, pustules, nodules, cysts, etc.; Usually no symptoms, may have a slight itch, pain; course of chronic, when light weight, the majority from adolescence to ease gradually, a few middle-aged patients with a view to more parties may be left behind pigmentation scar. Damp-heat syndrome differentiation of acne under the reference to "Chinese traditional surgery," substandard. Clinical features:pain, rash, swelling, or pus, bad breath, constipation, NiaoHuang. Mamillata yellow greasy moss, pulse a few slippery. Grading standards a "acne severity grade and determine the efficacy of standards" will be in this group nine patients were divided into three degrees. Standards:The side of the face (left or right), acne, papules, pustules number of calculations. Mild:a less than 25,2 26~50,3 51~75; Moderate:4 76~100,5 more than 100,6 accompanied by an~2 knot Day or cysts; severe:7 accompanied by 3 to 5 nodules or cysts,8 accompanied by six or more nodules or cysts,9 nodules, cysts with hypertrophic scars or sinus. Professor Yang Liu TCM group were more self-developed acne pill Qing Fei main parties, Clinical proper plus or minus drugs and reversal of external compound powder; The control group was treated with Kailail8elin tablet; vitamin B6, One treatment for 30 days after treatment, and a judge curative effect. And then by statistical analysis, using SPSS13.0 statistical software for data analysis. T test was used to compare measurement data; X2test used to compare the count data to arrive at the corresponding statistics.Professor Yang Liu of the clinical and scientific research studies and investigatedCollate and learning Professor Yang Liu years of research and clinical experience, and collect the clinical treatment of cases of acne. Participation "Eleventh Five-Year" National Science and Technology Support Program topic-"acne medicine treatment program optimization and standardization of research" cases of collection, And from selected parts of the spleen in patients with acne vulgaris as a research object, Observation summary of Professor Yang Liu optimization solutions acne classification and literature review derived from the main similarities and differences between acne classification. Clinical Professor Yang Liu through the following learning and literature in order to further in-depth understanding of the teacher in the clinical and scientific research innovations. Results1. Professor Yang Liu, whether the acne academic and clinical research have accumulated a good working basis for the disease name of this disease, etiology, pathogenesis, treatment and research of Chinese medicine and so on all have comprehensive and in-depth study of high attainments.(1)Academic advocates of "acne" Illness replace the "acne" edited into the national planning materials, and put forward by the wind-heat type of lung, spleen and stomach damp heat, phlegm and blood coagulation-type, red does not transfer any type of four sub-type is acne common syndromes advocate. Clinical research on this type also advocated as a research standard.(2)Pointed out that the main cause of acne pathogenesis of the lung by wind and heat and Spleen. Guangdong is common in patients with heat, heat dampness in the attention to the treatment of acne.(3)Product for many years of clinical experience, research and innovation have more acne pill Qingfei reversed with the compound powder, certain clinical, safety, convenience, has become the clinical advantages of technology should be widely applied.(4) Attention to internal and external-acne treatment combines the-application of clinical, stress syndrome differentiation and treatment should be combined with the identified skin rash, raised rash simple method of differentiation. Syndromes of the rash and the relation between a more comprehensive explanation.(5) Made with strong scientific and operational "acne medicine treatment optimization and standardization of program" program, clinical research on Chinese medicine has a model.2.Through two decades of Chinese medicine practitioners to collect and collate documents and materials:We have found the lung by wind-heat type, the spleen type, phlegm and blood stasis condensation type, Chong and Ren did not tone-type four acne typing in the calendar year the proportion of 83%. These four sub-types can be good medicine for the general classification of this disease syndrome differentiation and optimization of the program with Professor Yang Liu made by the sub-type categories and selected side exactly the same medication. Clinical treatment observation process, we found that: Ling-Nan region has abundant rainfall, hot weather combined with diet both inside and outside the human body and therefore vulnerable to damp heat evil attacks. This study, we also found that the number of summer season, attendance was significantly higher than spring and winter, perhaps with the Ling-Nan area summer and autumn rainy weather. Chinese traditional medicine in order to humid type is more common, through the experimental group and control group of 30 days of treatment and follow-up observation, the experimental group of Chinese medicine in aspests is better than western medicine group. Comparative efficacy of which Z=-2.225.P=0.026.
Keywords/Search Tags:Acne, Academic ideology, Clinical Research, Differentiation of symptoms and signs for classification of syndrome
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