| This article is a summary about my adviser——maste Sufan’s academic thought and clinical experience. My adviser had studied in illustrious traditional Chinese medical doctor, allroundly learned their forte, learned the ancients but didn’t adhere to them. He has affluent experience and affluent attitude about learning. His hard-working diligent makes him to form a distinct academic thought and medical style through long-term clinical medical practice. My adviser pays attention to studying classics, emphasizes the binding of ocular region and all over the body in differentiation of symptoms and signs, lays stress on combination of traditional Chinese medical with Western medicine in curing oculopathy. He emphasis the relation between Qi-blockage-stagnant blood and oculopathy during differentiation of symptoms and signs. pay attention to adjust and smooth activities of qi. preserves function of spleen and stomach. Especially subhyaloid hemorrhage, my adviser has his own’s distinct opinion. In1988, he leads our to set up province of Yunnan’s health department traditional Chinese medical ophthalmological intensive special course of study——department of subhyaloid hemorrhage, to unify traditional Chinese medical diacrisis and therapeutic principle about miscellaneous subhyaloid hemorrhage. Modern Chinese medical ophthalmology consider that cause of subhyaloid hemorrhage is Qi-blockage stagnant blood and embolus blocks vessel system. Qi-blockage is activities of qi isn’t smoothly, stagnant blood is caused that blood afflux lentor-in detention or lead out vessel. The cause of Qi-blockage stagnant blood is that entrails’function disturbant. example, hyperactivity of cardiac fire, deficiency of heart-energy-depression of liver-Q1、deficiency-weakness of spleen-Q1、insufficiency of lung-Q1、obstruction of Q1、deficiency of kidney-Q1、damage of kidney-essence. My adviser thinks that blood walks in vessel, Qi walks out vessel. Qi-action causes blood’s action. Qi-detention causes blood-detention, too. Another, blood-detention causes activities of qi upsetly and spread to five viscera, six hollow organs-interior and exterior-extremities-nine orifices. That’s cause to a lot of pathological changes. Qi-detention causes blood-detention, and blood-detention causes Qi-detention, too. The one is another cause and effect. Blood-detention causes blood to cohere. Thromb that cohere in vessel system chokes vessel and causes bleed. My adviser thinks that ocular superficial venules and lymph vessels are choked easily by affection and patho-production because its are compact and minute. My adviser draws that subhyaloid hemorrhage is different to the other bleeding, it shouldn’t be nhaemostasised simply and should be promoted blood flow, regulated vital energy during healing. We should combinate between ocular and pantosomatous pathological changes. differentiate symptoms、 signs and heal., choice drugs on the basis of pattern of syndrome. Thus we can gain fine curative effect and achieve the aim that treating disease should pursuit origin. Through many years practice, my adviser adds and consummates the theory about department of subhyaloid hemorrhage, brings new ideas and builts asdthenic splenonephro-yang and mutual kinking stagnant bloods moist. He thinks that spleen is the congenital foundation and kidney is the foundation of acquired constitution. Both provide financial assistance each other, the spleen is responsible for keeping blood within the vessels. Splenic asthenia causes blood leaving the vessels and subhyaloid hemorrhage. Blood that leaves the vessels is blood-detention. Blood-detention blocks ocular arteries and veins and Shenguang point cann’t emit. Clinically curative principle is warming kidney-YANG、 invigorating the spleen and using diuretic of hydragogue to alleviate water retention%smoothing meridian and promoting blood flow. Drug is Decoction of hoelen、 ramulus cinnamomi、 rhizoma and Glycyrrhiza. Nosocomial praeparatum that my adviser advanced are Fufanguangming caps and Zhengzhuguangming pellet. They are used in clinic extensively.1build up the clinical curative experience about subhyaloid hemorrhage, shizhanghunmiao, opacities of vitreous、xerophalmus, keratitis and paralytic strabismus during learning. These experiences recapitulate origin, pathogertesis, differentiation of symptoms and signs for classification of syndrome、 curative principle and drug of ophthalmological common diseases. I carry out clinical topicao research about xerophalmus. The abstract as fellow:Purpose:Xerophthalmia is an ophthalmological common disease. Etiology unknown. Its attack rate is ascensusing year by year following society to advance and thert is tendency younger. It influences seriously our living and learning. Modern medicine’s healing is artificial tears that can’t solve origin, symptomatic treatment only. Traditional Chinese medicine is heal to guide and foundation and gain better curative effect. To investigate the effects for maste sufan of curing xerophthalmia through differentiation of symptoms and signs for classification of syndrome Methods:Methods:Divide60xerophthalmia patients into2groups at random (treatment group and control group),. Treatment group is dividatured three syndromes clinically, the liver meridian wind-heat, hepatosplenic disorder, hepatic and renal yin deficiency, and is rational cured according to the type of syngroup. Control group is eyedroped with ocular humor of sodium hyaluronate.30days is a course of treatment. Compare the effectiveness of group by the way of analyzing the result of the data statistically and observing the general symptom, Schirmer I test, corneal staining and tear film break-up time.Results:There are14males and46females among60cases. Age is between24years to76years. Mean age is44.13±12.18years old. Two groups are valid. The treatment group’s effective rate is93.33%. Treatment group and control group are identical for age、 sex、 clinical symptomatic score、 Schirmer I test、 tear film break-up time,(P>0.05), there is comparability. The control group’s effective rate is66.67%. Treatment group was more effective than the control group. The former was more effective than the latter for improving clinical symptomatic score. Schirmer I test, tear Him break-up time. P<0. On, there were evident differences. For improving corneal staining, P>0.05, both were valid, but the former wasn’t more effective than the latter,(P>0.05).Conclusion:My adviser thinks that the origin of xerophthalmia is relate to live、 kindey、spleen, lungs. The capital reason are the liver meridian wind-heat、 hepatic and renal yin deficiency、deficiecny of liver-YIN、 stagnation of Q1due to depression of the liver, dys-splenism. The important motivation are impairment of dispersing and descending function of the lung and lung being damaging by dryness.lung is the source head of water. Dryness damages the lungand dispersing and descending function of the lung is impairment. Liver’s function is holding blood. Kidney’s function is holding spirit. They are the raelate to mother and son and name the liver and kidney having a common source or Yi and Kui are derived from the same origin. In curing keeping YIN-blood and support kidney-essence get at the root, expelling wind and removing.heat and moisturizing dryness-syndrome ger at the sign., and enhancing middle energizer gasifing, lung dispersing and descending function. Thus, blood and essence moisten eyes and overall symptoms are solved. Curing method using differentiation of symptoms and signs for classification of syndrome is in obiously effective on treatment of xerophthalmia in prolonging tear film break-up time, Schirmer I test showed increasing tear production and obviously improved dry eye symptoms(eye-driness, red eye, foreign body sensation, sathenopia). This technique can utilize in clinic. Through accumulating case tile, enlarging sample size and standardly formulating denom about curative effect’assessment, repeatability will be elevated gradually. |
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