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The Lv Jingshan Teacher Stokes’s Academic Thought, Clinical Experiences And Application Research On The Drug Treatment Of Chronic Atrophic Gastritis

Posted on:2013-05-07Degree:MasterType:Thesis
Country:ChinaCandidate:Y WenFull Text:PDF
GTID:2234330371981424Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
Title:the Lv Jingshan teacher Stokes’s academic thought, clinical experiences and application research on the drug treatment of chronic atrophic gastritis Specialty:internal TCM Name:Wen Ya Mentor:Professor Lv Jingshan Key words:old experience of TCM, chronic atrophic gastritis, xiaopi decoction, clinical researchPurpose:understanding Lv Jingshan teacher of academic origin, and genre features and the success of road, summary teacher on drug, and on points and the diagnosis and treatment of gastrointestinal disease, coronary heart disease, and diabetes, the exogenous disease of academic thought and clinical experience, focus on the clinic atrophy gastritis of experience, and on the removal party medication law and the clinical effect of research, understand its academic thought, and full system to inherit his clinical experienceMethod:1. using long Division, paternity clinic, copy method, such as to collect first-hand information, at any time recor the follow up to get three years to learn first-hand information in real time. On this basis, through the teacher for advice at any time, with his disciples mentorship discussion with each other, study his disciples and other medical books and have a deeper understanding of academic origin and clinical characteristics. Intensively reading the classics of traditional Chinese medicine, to improve their theoretical knowledge of traditional Chinese medicine, and through active clinical practice for the clinic. Through these channels, comprehensively and systematically sum up the teacher’s academic thought and clinical experiences.2. On teacher diagnosis and treatment chronic atrophy gastritis of clinical research,72cases of chronic atrophy gastritis patients is randomly divided into two groups, treatment group (36cases), control group (36cases), we observed the treatment before and after two group total effect, recorded main clinical symptoms, index changes situation, made effect evaluation.The result:1. Lv Jingshan old expert’s academic overview of the origins of Chinese medicine:Lv Jingshan teacher is trained in childhood, and is planted the seed of traditional Chinese medicine in his heart. In Beijing traditional Chinese medicine College, he followed Zhu Kanyu and Shi Jinmo, learning to study their clinical experiences. Their academic origins from menghe. Teather Lv is currently the third, fourth national academic inheritance work experience teacher of traditional Chinese medicine experts. May2011, there were11students overseas in Hong Kong.2. Summary on Lv Jingshan thought of academic and clinical experience: Inheriting the master, lapping on drugs:Shi Jinmo often used two-drug, implying the combination of the two drugs. In1978, teather Lv began writing "Shi two-drug".Academic experience in treatment of diabetes:The pathogenesis of the disease is considered both Qi and Yin deficiency, losses and clips of spleen and kidney, blood stasis, deficiency of both Qi and yin, and diabetes is divided into yin and Yang, Yin Huo-Wang, dry into blood, furniture-deficiency and blood stasis blocking; The prescription often used two-drug as basic addition and subtraction of the Conference. Astragalus and rehmannia were used to reduce urine, hypoglycemic and Yuan Shen were used lancea tonifying qi to invigorate the spleen, Rehmannia, Yuan Shen always focuses on the spleen and kidney, strengthening the culture. Patients with diabetes always shows blood is thick, sticky, and accumulation, due to poor flow. Distribution of Salvia miltiorrhiza and radix puerariae is used to activate blood circulation to remove blood stasis. It can increase the hypoglycemic effect, removing blood stasis for a new flow of qi and blood. Lv effectively reduce blood glucose and urine sugar according to the different medical conditions, flexible plus-minus.Experience in treating spleen and stomach disease:Lv stressed the accuracy of differentiation, and emphasized that the flexibility of the drugs according to new condition and new law.A prescription often consists of three or four small parties of the Conference according Wen and Qing, Xiao and bu for the total lifting of spleen and stomach. Advocate a gradual, slow to work against the June supplement and onslaught. His prescription is always many herbals, but dosage is small. Most prescription drug is more than15herbs. Use of charcoal medicine is good. Lv commonly used charcoal medicine in the treatment of diarrhea, thought that it can promote moisture absorption, and protect the intestinal mucosa. He also believed that charcoal medicine can charcoal and gastric ulcer healing in medicine.Experience in treatment of coronary heart disease:Think deficiency syndrome of coronary heart disease is resulted from Qi-Yin deficiency and blood stasis blocking. Lv often treated coronary heart disease with Shengmai San, and in the discretion adding these such as Acorus calamus, Radix curcumae, rhizome et al, in order to improve Qi-fluid, blood fumai. Stagnation of blood stasi is one of the important principle on frequent pain of coronary heart disease, because Qi deficiency and blood stasis coronary heart disease is the main cause of heart attacks. Gas and Phlegm resistance of heart and stomach are often manifested in main cause of coronary heart disease.Experience on treatment of exogenous disease: Advocate the treatment details is used according to density and evil of the actual situation. Lv thought that the way of disease invasion is the way out, not closed doors. Abuse of Sweating and diarrhea is Errors.Acupuncture research of Shi and Lv:Inspired by application of two-drugs, Lv used the two-point for two point-compatible application. Match is based on the open-close on the two-point performance. The points are both opposite and complementary, mutually reinforcing and organic links. n1986, publication of the clinical experience of acupuncture and moxibustion on acupoint set. Points included223group, divided into23categories, each set of points indicating the source of information and points of functions, methods of operation, application experience.3. Lv Jingshan teacher’s research on the drug treatment of chronic atrophic gastritis using two-drugs of Shi’s(1) The total effective rate of the treatment group is86.7%, and the rate of the control group is total effective rate of73.3%. The effect and total integration of TCM syndrome in two group comparisons were significant differences (P<0.05). The treatment group is better than the control group.(2) The treatment groups is significantly better than the control group in improving clinical symptoms and lowering score. There are significant differences (P<0.05).(3) The treatment group and the control group had no significantly effect on blood, urine, and liver and kidney functions.Conclusions:Lv Jingshan is Shi Jinmo and Zhu Kanyu’s student, its academic is from menghe medicine. Lv Jingshan understood Shi Jinmo’s thought, finished the two-drug and and invented two-point in acupuncture. In addition, Lv has distinct characteristics in the treatment of spleen-stomach disease, coronary heart disease, diabetes, exogenous disease.Lv had significantly effect on the treatment of chronic atrophic gastritis, by applying Shi’s two-drug. Through long-term practice, prescription was relatively fixed. Xiaopihewei decoction is one of their representatives. This study shows that xiaopihewei decoction can significantly improve the clinical symptoms of patients with chronic atrophic gastritis, There was no obvious effect on heart, liver and kidney function, and blood, urine, feces and General. The curative effect is good, is a safe and effective clinical use of drugs.
Keywords/Search Tags:old experience of TCM, chronic atrophic gastritis, xiaopi decoction, clinical research
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