| Professor Jiali Chen, graduated from Nanjing college of TCM in1996, is chronically engaged in clinical work.He is not only director of Shanxi province Association of TCM, but also an advisor of academic experience inheriting working of famous Chinese medicine expert of the national third and fourth groups. Professor chen is famous of meticulous scholarship,improves constantly.He reads thoroughly classics and thinks highly of theory about spleen and stomach.He emphasizes the functions of spleen and stomach and their pathological production phlegmatic hygrosis on diagnosing and treating spleen-stomach diseases, other viscera diseases or infectious diseases. This article had expounded the academic source, academic thought, clinical experience and clinical application of academic experience of Professor Jiali Chen,who is famous traditional chinese medicine specialist.1.In academic source, through studying classical works of TCM, professor Chen’s academic thoughts source were explored according to Neijing theory,theory of Zhongjing and Dongyuan. Interface evidence between professor Chen’s theory of spleen and stomach and dampness-heat pathopoiesis was sceked according to seasonal prevalent diseases scholar Shengbai Xue dampness-heat theory. Professor Chen’s academic thoughts source were explored according to protecting the spleen and stomach on diagnosing and treating pulmonary system disease, medication compatibility characteristic and dietotherapy experience of Xichun Zhang.2.In academic thought and clinical experience,for three years,I studied professor Chen’s academic thought and experience by listening to his lecture, asking questions to him and following him in clinic service. His academic thought and experience in causation of disease, diagnosis, differentiating zheng thread, determining the treatment based on differentiation of symptoms and signs methods on various kinds of miscel internal dis and infectious diseases, applying prescriptions, differentiating medicine, compatible application of drugs of ginseng and radish seed, applying extra conductant ingredients and decocting and caplendusing method of decoction were summarized.On the understanding of etiology, the source and malgenie mechanism of phlegmatic hygrosis based on theory of spleen and stomach was discussed. In clinical practice, my tutor paid more attention to tongue inspection and symptoms of digestive system such as the status of diet, gastric cavity and defecation etc. He was agreed with views which any disease would occur once spleen and stomach were injured.He thought that spleen and stomach played in important role in prolonged illness. In treatment, professor Chen concentrated on nourishing and protecting spleen and stomach. He considered that spleen and stomach are source of healthy qi and dynamia of dispelling exogenous pathogcn,and it is not conducive to treating disease if spleen and stomach were injured.Only spleen-stomach transportation-metabolism is normal, drugs can produce potency. Professor Chen Pay attention to the relationship between the spleen and stomach and deficiency phlegm. He believed that can be generated when the spleen and stomach are asthenic, deficiency phlegm can in turn impede spleen-stomach transportation-metabolism. Professor Chens clinical experiences were discussed in treating dampness prevalent diseases,stomachache, chronic pharyngitis, diarrhea, tinnitus etc. In adopting prescriptions, he was expert in combining prescriptions to treat a disease. He was able to flexibly apply small prescription. The therapeutic principles and commonly used methods were analyzed. In medication,he paid attention to distinguish the effect and property of different medicine. He had original experience personally to the application of ginseng and semen raphani. Professor Chen’s methods of decoction and drug administration were diverse. He emphasized to use extra conductant ingredients in practice. His decocting and caplendusing method of decoction were diversifying.These have shown that professor Chen improved constantly and were of conscientious scholar-ship in treating disease.3. In clinical application of academic experience, professor Chen’s academic thought of emphasizing on eliminate sputum and strengthening spleen were shown by clinical observing the effect of Xingsu San plus-minus on chronic bronchitis.Objective:Bronchitis refers to a non-specific inflammation of the trachea,the bronchial mucous membrane and surrounding tissues, cough caused by chronic bronchitis is common clinical symptom.According to the expert Jiali Chen,"Spleen is a living source of phlegm and lung is a reservoir of it."There is a mother-child relationship between them.So the best way is to strengthen earth to generate metal treating both lung and spleen to expel phlegm.In treatment for cough led by this kind of disease, the method is to facilitate lung, dissipate phlegm and strengthening spleen. During the treatment of applying to Xingsu San plus-minus, perillae is often changed to caulis perillae and fructus perillae to enhance spleen and remove phlegm, which are connected with the Ⅱ Chen soup.Methods:236cases chronic bronchitis outpatients were collected.Among116cases of treat group,which were all Chen Jiali’s patients,were treated by Xingsu San plus-minus,120cases of control group,which were all pneumology department outpatients, were treated by roxithromycin(150mg, everyday2times,per os),licorice root tablet (2slice, everyday3times,per os) and chinese patent medicine Jizhi syrup(20ml,everyday3times,per os). The time of therapy of both treat group and control group were10days. The change of symptom and signs,symptom integration of prior treatment and post-treatment were observed.Results:There were comparability in common data of treat group and control group.Among116cases of treat group,total effective rate were89.6%.Among120cases of control group, total effective rate were77.5%.There were statistical significance in total effective rate difference between treat group and control group (P<0.05).Symptom integral of treat group in post-treatment were not so many as control group (P<0.01),which indicated that the therapeutic effect of treat group was better than control group.Conclusion:Xingsu San plus-minus was effectively in treating chronic bronchitis by eliminating sputum, regulating qi, regulating the middle wanner and facilitating lung.Medication of this prescription are mildly. |
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