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Academic Thought Of Professor ZHANG Liang-ying Summary And Clinical Study On Treatment Of Uterine Myoma

Posted on:2012-10-07Degree:MasterType:Thesis
Country:ChinaCandidate:W F ZhaoFull Text:PDF
GTID:2234330395966402Subject:Gynecology of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
This paper is divided into three sections:overview, arrangement of academic thought and clinical experiences of Professor, clinical studies. First part overview of, overview of1" Uterine myoma of TCM research overview" from disease name, and causes disease machine, and treatment method prescription, all aspects, comparison system to recalled has near more than10years TCM in uterine muscle tumor aspects of research situation, and on uterine muscle tumor of disease mechanism research overview for has more detailed of summary, and on currently research in the by exists of problem and insufficient and the future of development direction and prospects do has briefly of review. Overview of2"recent development of TCM treatment of infertility" systematically summed ovulation in traditional Chinese medicine in treatment of sterility from tonifying the kidney and reinforcing the kidney and invigorating spleen and regulate bodily functions, nourishing blood for nourishing yin, promoting blood circulation path, smooth fallopian tubes, heat-clearing and dampness, eliminate inflammation treatment methods. Overview of the3"TCM research situation of metrorrhagia and metrostaxis" provides an overview of Chinese medicine in treating metrorrhagia and metrostaxis in hemostasis, adjust the menstrual cycle, ovulation function aspects, such as promoting the body’s own recovery reflected strong advantage. Overview of the4"habitual abortion treated by traditional Chinese medicine overview" on TCM treatment of threatened abortion prevention (before pregnancy by tonifying the kidney and invigorating the spleen, benefiting it and nourishing blood coordinating Chong and Conception Vessels damaged), pregnancy, should be actively engaged in strengthening mucle treatment combined with summary of the principles of prevention and treatment. The secondpart of mentor arrangement and analysis of academic thought and clinical experiences. Objective teacher learning, summed up TCM old expert and clinical experience of Professor Zhang Liangying’s academic thought, to improve their level and basic theories of traditional Chinese medicine diagnosis and treatment, exercise clinical thinking of agile, achieve the goal of improving clinical treatment effect, and better inherit and carry forward the traditional Chinese medicine. Methods repeated study and finishing with teacher notes, clinical medical treatment cases and the typical case analysis, Clinical Professor with teacher guide and mentor in the process, extract tutors unique feature of the theory, practice, summed up his academic thought and clinical experiences, and perfect, innovation, formation system of theoretical systems.Results from mentor Zhang Liangying Professor is good at TCM gynecological, and is good at syndrome differentiation card effects treatment, and proficient acting method prescription, and compromise in the parameter West, and good treatment difficult disease and acute of clinical treatment process in the, more full of summary out mentor of academic thought has five large aspects.(1) Division ancient does not imitation in, clinical seeking truth;(2) Zang-Fu organs function arrhythmia led gynecological disease, which to renal, and spleen, and liver of disease machine is particularly important;(3) treatment gynecological disease, using multiple treatment method, to treatment based on syndrome differentiation for led thought. According to the disease, severity of the special nature of the disease differentiation combined with syndrome differentiation on treatment. Treatment of the importance of blood and qu, Jing Gu nursing. Full participation in the West, great minds converge, timely application, highlighting the effect, and (4) deep research of Materia Medica, removal of elegant, precise and appropriate drugs, and (5) treatment of disease, promoting culture, paying equal attention to prevention. For clinical experience of finishing and research, inductive out menstrual disease, and with disease, and pregnancy disease and miscellaneous diseases, four disease species of treatment features. Conclusions:(1) can will mentor treatment gynecological disease of thought and the method using Yu usually of work, and guidance clinical practice, improve treatment gynecological disease of effect;(2) on mentor treatment uterine muscle tumor of experience experience deep, after recalled, and summary, and finishing Zhang Liangying Professor on uterine muscle tumor of TCM causes disease machine, and syndrome differentiation card treatment of awareness, and to and thus developed of treatment is, and treatment method, and application prescription and the drug plus reduction of law, analysis its effective of treatment experience, experience to mentor from main disease machine stagnation blood stasis starting with, to of stasis Xiao Zhen expelling evil mainly, compatibility her health spleen supplement, attack supplement carrot of treatment essence;(3) combination clinical practice, learning classics and the gynecological monograph, Under the guidance of mentors, have a deeper understanding for Chinese medicine classics, perfecting his knowledge of TCM theories.(4) the clinical research experience, on the ability of scientific research enhance greatly, design, feasibility and practicality of the advance on research projects has a more comprehensive view, mastered the method of clinical research, clinical research projects in clinical work in the future.The third part of clinical research. Objective use of experience of Professor Zhang Liangying self Xiao-Liu No. I on the treatment of uterine myoma, observation of the treatment effect. Looking for a safe and effective treatments, for clinical choice more appropriate ways to reduce uterine fibroids treated with surgery, or to provide a basis for healing purposes. Methods select Gynecologic clinics of the hospital doctors’Museum of traditional Chinese medicine in Yunnan province, met the inclusion criteria of80patients with, the youngest aged25, Max50years with an average age of38.51. Given the "Xiao-Liu No. I " treatment method:the two-day1, water2times daily,1times a sooner or later,ch time150ml, stop of menstruation,1month1courses were served3courses. Before treatment and after treatment of self-control method used, respectively, recorded before treatment and after treatment of symptom score, size value of b-ultrasonic measurement of uterine myoma, conduct a comparative study. SPSS13.0software for statistical analysis of the results of treatment of statistics, data mean±standard deviation (x±s), using the paired t test. P<0.05for differences are statistically significant. Results in80patients with myoma of uterus in the statistics, after3months of treatment, healed in5cases, cure rate6.25%, having an effect in21cases, explicit efficiency26.25%,33cases effectively, efficient41.25%, invalid in21cases, total effective rate73.75%. The tumor is less than1.0cm of4cases of hysteromyoma,3cases of myoma disappear, the tumor between1.0-1.9cm in17cases,2cases of myoma disappear between the tumor in2.0-5.9cm cases, muscle tumors shrink, but not disappeared. After treatment than before treatment of uterine Leiomyoma reduced, through statistics, before treatment and after treatment of myoma of uterus size difference statistically significant (P<0.001). With menorrhagia, menstruation extend, abdominal pain and vaginal discharge increased four major symptoms, symptom score way to observe the treatment effect, treatment of symptoms after total points are more before treatment and individual score decreased significantly, differences are statistically significant (P<0.001). After treatment of liver and kidney function tests are within the normal range. Conclusions (1) Xiao-Liu No. I prescription treat uterine myoma after3months, with a total effective rate of73.75%. Learn from the statistical results, uterine fibroid tumor is relatively small, high cure rates, tumor larger the tumor shrinking, but there is no cure, and may be associated with shorter treatment time (time observing1courses) are related.(2) age at onset of the great majority of uterine Leiomyoma as30-49years,87.5%, and statistical line number references.(3) course in January, up to120months, an average of19.25months, presenting are found in patients with myoma of1.5years or so, this may be related to early onset muscle tumor symptoms related to atypical.(4) with symptoms of uterine myoma with abdominal pain as the most common, followed by excessive menstrual, vaginal discharge more rare.(5) from a number terms in this study shows that, for the treatment of uterine myoma, such as early diagnosis, early treatment, treatment effect is clear, and short treatment time, the effect can be achieved better, costs less and can get rid of patients’mental burden results.
Keywords/Search Tags:Professor Zhang-Liangying, Academic thought, Clinical experience, Clinical study, Xiao-Liu No.1Treatment, Uterine myoma
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