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Clinical Study Of Zhao Yongxiang 's Academic Thought, Clinical Experience And TCM Syndrome Differentiation And Acupuncture Injection In The Treatment Of Common Lumbar And Leg Pain In Middle Aged

Posted on:2016-02-20Degree:MasterType:Thesis
Country:ChinaCandidate:J LiFull Text:PDF
GTID:2174330485992726Subject:Traditional Chinese Medicine
Abstract/Summary:PDF Full Text Request
Director Yong-xiang zhao engaged in clinical work more than fifty years. Good at applying the method of combining traditional Chinese and western medicine in cervical spondylosis, lumbocrural pain, osteoarthrosis and other orthopedic related disease diagnosis and treatment. Internal and external development, mainly focus on therapy. Study mechanism of traditional Chinese medicine(TCM) acupoint injiection therapy to alleviate pain, made the traditional Chinese medicine(TCM) injections of t2 dm therapy safety operation specification standards. Has developed a "purple silver antiphlogistic cream", "salvia miltiorrhiza compound panax notoginseng capsule","herbal tincture" liniment curative effect significantly the internal and external use of hospital preparations. Successive in yunnan province, combine traditional Chinese and western medicine institute, third, four, five, six, vice President, fractures, deputy director of professional committee members. Yunnan traditional Chinese medicine journal editors. Yunnan province personnel department, health department of yunnan province in August 2000 identified as "yunnan province TCM doctor Dai Tu guidance teachers, in March 2006, the yunnan provincial health department awarded the title of honor of the traditional Chinese medicine in yunnan province. In August 2012 to become the fifth batch of old Chinese medicine expert academic experience inheritance work throughout the country and a master’s degree in guidance teacher.Teacher life frequently ask old adage, well-read, promoting neijing established academic core theory of TCM meridian theory, and paying attention to the study of the collaterals and net epidemiology. Think that joint pain related to the occurrence of diseases and "meridian bizu, general clauses pain", and is given priority to with t2 dm therapeutic principles are determined. Combining meridian theory and modern medicine, used for cervical spondylosis, waist and leg pain, osteoarthrosis and other orthopedic related disease diagnosis and treatment. In fractures, acupuncture in the field of traditional Chinese medicine(TCM) syndrome differentiation and combination of disease, systemic treatment combined with local treatment, match well of Chinese and western, both inside and outside and academic characteristics.Adhere to the path of combining traditional Chinese and western medicine, think that the doctor of traditional Chinese medicine and western medicine is the phenomenon of human health and disease and the science of law. Pure Chinese medicine or western medicine cannot be this complicated medical disciplines comprehensive understanding of the human body. Should be the two organic combine,cooperate with each other, complement each other, trying to make diagnosis and more systematic and comprehensive, choose the more reasonable and scientific clinical.Combine traditional Chinese and western medicine is the inevitable trend of medical development in the future, is an effective way to further improve the clinical curative effect.Pay attention to combining disease and syndrome differentiation. Treatment based on syndrome differentiation is one of the most important characteristics oftraditional Chinese medicine diagnosis and treatment of disease and syndrome of traditional Chinese medicine(TCM) is the height of a certain stage of disease development pathological changes, but the syndrome differentiation of traditional Chinese medicine is based on four, namely inspection, auscultation and olfaction,inquiry, and pulse-taking and palpation, on the basis of the information collected by individual subjectivity is stronger, so the evidence is hard to avoid is the comprehensive reaction, although saw the same disease with different evidence, but insufficient understanding different type to justify the same disease. So teachers emphasized in clinical diagnosis and treatment to attaches great importance to the combination of syndrome differentiation and disease. Through this way of thinking,refining the diagnosis and treatment of the main points, to disease, syndrome, period,the principle, method, square, drug combination, a comprehensive understanding of disease occurrence, development, change and prognosis of outcome, so as to achieve the aim of improving clinical curative effect.Priority to the emergency, treats the slow cure, internal and external development,pay attention to the external treatment. " Priority to the emergency, treats the slow cure" is an important therapeutic principles of doctor of traditional Chinese medicine,asked the doctor to emergency condition should be to solve the problem of "standard" as the first, and when in a stable condition, but there are some fundamental problems,are in order to solve the fundamental problem for therapeutic principles. Most orthopedics disease situation of coexistence of systemic and local symptoms, so the teacher think should take on the treatment of internal and external development train of thought, emphasizes the treatment at the same time. Within the treatment mainly by listening, asking and four patients to collect related information, according to the TCM syndrome differentiation to prescription drugs, after overall nursing for patients,by adjusting the blood of whole body function of zang-fu organs and meridians,restore to the normal physiological condition., in turn, affect the physiological functions of local and state, to reach the purpose of treating diseases. External treatment law according to the etiology and pathogenesis of the different local, local to medication, physical therapy, acupuncture, traditional Chinese medicine(TCM)water treatments, such as injection, gimmick aimed directly at local lesion treatment,removal of local invaded, improve the pathogenesis of qi and blood meridian block impassability, so as to relieve symptoms.Promoting《neijing》established academic core theory of TCM meridian theory,and paying attention to the study of the collaterals and net epidemiology. Think a lot of orthopedics disease, especially with the elderly in degenerative joint disease, there is a repeated strain or repeated external pathogens invaded pathogenesis. Tend to have longer course of the disease, repeated attacks, meet, of "prolonged illness enters into venation" "long pain into complex" theory of pathogenesis. Syndrome differentiation and treatment should be performed according to the mechanism of complex psychiatric disease, so the tutor thinks most important rule is to t2 dm orthopedics disease treatment. Chinese traditional medicine water mechanism lies in: "loose, live,tong" release of adhesion and the conformity of the lesion site, activate blood and dredge meridian, restore collaterals running, the physiological functions of qi-bloodlost cloth and bleeding, to achieve the effect of general principles of pain. Long illness into collaterals to treatment of blood stasis caused by chronic painful disease curative effect is better.The experience of Yong-xiang zhao for the treatment of osteoporosis: teacher think that blood stasis in "" the etiology and pathogenesis of primary osteoporosis is characteristic, relationship with liver, spleen, kidney three dirty loss is most closely,but to kidney empty is crucial. Blood stasis is the pathological products of osteoporosis and contributing factors. Occurrence osteoporosis is the root cause of the body’s aging, aging is the natural law, cannot be reversed, but by traditional Chinese medicine can recuperate in a certain extent delayed slow the aging process, preventing osteoporosis has certain effect. Traditional Chinese medicine in the treatment of primary osteoporosis has obvious advantages, can not only improve the systemic symptom, eliminate pain patients, and can improve the bone mineral density, at the same time pay attention to the overall concept, syndrome differentiation and treatment,pathogenesis. Teacher use of traditional Chinese medicine in the treatment of osteoporosis to take both inside and outside policy, emphasis on internal and external development, enlarge. For the disease prevention and control should pay attention to the several key points: 1. The emphasis on prevention, is worth a pound of cure.Tertiary prevention osteoporosis knowledge popularization and propaganda, early prevention can avoid the premature occurrence and severity of osteoporosis. If the disease should be early discovery, early diagnosis, early treatment, avoid or to reduce the occurrence of brittle fracture. 2. Combine traditional Chinese and western medicine treatment. In the western medicine treatment, on the basis of local disease link with the whole of traditional Chinese medicine syndrome differentiation treatment, use of both supplement each other, is the way of the treatment of osteoporosis is safe and effective. 3. The syndrome differentiation of TCM pathogenesis. on the treatment to cure to give priority to the liver, spleen and kidney,in view of the acute symptoms such as pain, match with t2 dm pain symptoms. 4. The treatment and external treatment to cooperate with each other. In for medicine cure at the same time, in view of the different clinical manifestations of acute period, Chinese medicine external washing method, traditional Chinese medicine injections were used respectively to t2 dm therapy, minimally invasive surgery therapy such as different external treatment methods to divide and conquer. Here also reflected the urgent treats the symptoms and slow the fundamental ideas. 5. Advocate moderate exercise, pay attention to the rehabilitation training. Progressive movement for a long time, not only can reduce the loss of bone mass, also can promote bone cell activity, improve bone salt content. For osteoporosis, low back pain patient, rehabilitation training can enhance spinal ligaments and intervertebral disc fiber ring around pull back and waist muscle strength to stabilize the spine, prevent muscle tissue adhesion and tissue fibrosis, maintain the normal range, spinal joint to promote sustained recovery fracture vertebral body, prevent osteoporosis, reduce the job stress, correct protrusion deformity after vertebral body, promote the deformed vertebral body rehabilitation.Patients with persistent rehabilitation training requirements. In daily life, pay attention to proper sun exposure, avoid lifting heavy weights and down the happening of therobot.TCM syndrome differentiation of acupoint injiection in the treatment of senile common lumbocrural pain disease study: objective to observe Chinese medicine water combined with syndrome differentiation of traditional Chinese medicine to treat the clinical curative effect of senile lumbocrural pain. Lumbocrural pain in waist and leg pain as the main performance, a group of syndrome is a clinical common disease. The study choose common clinical senile patients suitable for the treatment of the disease and as the research object:(1). The strain of lumbar muscles,(2). The third lumbar transverse process syndrome,(3). Buttock epithelial nerve damage,(4). Piriformis syndrome. Methods 70 cases of this topic diagnosis and included in the standard are studied, according to the TCM syndrome differentiation can be divided into wind cold dampness type and qi and blood stasis type. The wind cold dampness type bi compatibility, shu injection pain, qi and blood stasis type of compatibility of compound angelica injection. Select injection pain points, three times a week, 2weeks, for a period of treatment. The results before and after treatment by VAS respectively to get two sets of numerical digital scale, period =(before scoring- score after treatment)/score before treatment by 100%, have curative effect. Results show that this group of 70 cases, cure 29 cases, accounted for 41.4%; 30 cases were markedly improved(42.8%), Effective: 9 cases, 12.9%; Invalid in 2 cases, accounting for 2.8%. The total effective rate 97.1%, was 84.3%. Conclusion two kinds of syndrome types of numerical similar degree of VAS pain score before treatment, after treatment VAS pain score no difference between the numerical comparison. Two syndrome types in the excellent and efficient with the excellent and efficient overall sample, there is no difference in statistics. After dialectical adopts conforms to the type of drug treatment effect of acupoint injiection is reliable and effective. The wind cold dampness type bi lumbocrural pain patients made the line pain shu injection and compatibility of traditional Chinese medicine acupoint injiection in treatment of affirmation. Through experimental research, identify common lumbocrural pain syndrome differentiation of traditional Chinese medicine acupoint injiection treatment of middle-aged and old disease of TCM syndrome types, namely the wind cold dampness and qi and blood stasis. Water treatment combined with syndrome differentiation of TCM, the essence of TCM syndrome differentiation innovative use of in the treatment and improve the traditional Chinese medicine(TCM) water treatment the curative effect of senile lumbocrural pain, the method is relatively simple and feasible, the curative effect, worth extending application.
Keywords/Search Tags:Master and apprentice of Chinese medicine, Academic experience, The injection mixture, Lumbocrural pain
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