| 1. Summary Zhao Chun professor’s academic thoughts origin Mentor Zhao Chun professor of clinical, graduated from kunming medical college in 1964, in 1980 graduated from the yunnan institute of traditional Chinese medicine western medicine leave learning institutes of traditional Chinese medicine(two-year).System to study the Chinese and western medical theory and clinical interdisciplinary knowledge, laid the solid Chinese and western medicine theory and professional knowledge base. For more than 50 years clinical tutors classic, with teacher, do, once in the yunnan province famous traditional Chinese medicine Xu Zijian, Li Xiaopu, Zhu Ge Lian Xiang, etc. Under the guidance of professor Dai Huifen, studied the huangdi neijing, "typhoid miscellaneous disease theory", "science of seasonal febrile diseases", "huang di" and so on many TCM classics, eclecticism, knowledge. Mentor in long-term clinical practice, persist in learning and mastering modern traditional Chinese medicine, combine traditional Chinese and western medicine medical exploration, new progress and new theory, new technology and new therapy, pay equal attention to Chinese and western medicine, the organic combination of the two, achieve mastery through a comprehensive study, development and innovation, and constantly improve the level of theory and professional ability, the tutor academic ideas influenced the formation, development and mature. 2. Professor Zhao Chun academic thoughts and clinical experience and research2.1 Have disease more not cure diseaseMentor in the process of prevention and treatment of diseases is the most advanced "cure not ill", the most advanced ideas, put forward the cardiovascular and cerebrovascular diseases, such as major diseases seriously affect human health when "not disease prevention first, both Hyman";Prevention is a development, emphasize keep fit, prevent the happening of the disease.2 it is both disease prevent its spread after the change, emphasis on early diagnosis and early treatment, the evolution of disease control in a timely manner.Emphasize restore vigour, regulate Yin and Yang and cultivate in disease prevention and treatment of life plays an important role;For critical patients, professor Zhao Chun "both Hyman, cure in prevention, prevention is better than cure" treatment strategy of "cut" method is used to prevent its spread and deteriorating, the prevention and treatment of forward-looking.2.2 "Holistic concept" is the basic idea of teacher academic thoughtZhao Chun professor pointed out that "the overall concept of" throughout the physiology and pathology of TCM, it, syndrome differentiation, treatment and other aspects, the human body is an organic whole, emphasis on human body internal environment of unity, and pay attention to the unity of man and the environment.Pathological conditions in the understanding and analysis, first of all, starting from the overall, focus on local pathological changes caused by the whole pathological changes, and the local pathological changes and the overall pathological response.Teacher stressed that the occurrence of diseases is due to a balance of Yin and Yang disorder, disorder of five zang-organs system regulation, meridian balancing function disorders, such as changes of its mainly on its own control system disorder, treatment is given priority to with adjusting therapy, by inside and outside the body upright against the pathogens and achieve the goal of restoring normal human body dynamic balance, namely the "is" Yin pingyang secret, spirit.2.3 "The combination of disease and syndrome differentiation" is the important ideas and methods in diagnosis and treatment of the instructorTeacher pointed out that the combination of disease and syndrome differentiation of traditional Chinese medicine(TCM) mainly disease dialectical disease with western medicine, disease and the method of combining.Mentor in focus on clinical use of Chinese and western medicine the reduced clinical data collection, "dual diagnosis", advocates combining disease and syndrome differentiation and diagnosis can often, after illness syndrome differentiation is not only beneficial to expand the train of thought, treatment options for patients with optimization solution, and to grasp the condition changes, and outcome, prognosis is good.In the combined disease diagnosis and treatment method, which is beneficial to mutual penetration, western medicine theory, methods learn from each other, between Chinese and western medicine will converge, organic combination, to improve the level of clinical diagnosis and treatment.2.4 The concept of "leveling" treatment"Leveling" concept of treatment of traditional Chinese medicine(TCM) is the mentor highly concise attaches great importance to the nature of value, the overall thought put forward the point of view, and mentor is pointed out that the connotation of traditional Chinese medicine of "leveling" embodied in "supporting", "support the vital qi" to restore the body repair itself disease-resistant ability, "dispel pathogenic factors" that is, to eliminate all kinds of pathological damage factors.Tutor is good at using "leveling" treatment promote human self-regulation mechanism make disease recovery, namely to follow "to examine and adjust the Yin and Yang is to flat for" principle.Teacher summed up the concept of "leveling" treatment "leveling, chang, reconcile the zang-fu organs of Yin and Yang", more conducive to guide clinical practice.2.5 Geriatrics attaches great importance to the transfers liver spleen and kidneyMentor from the five internal organs in the elderly and the vital qi, the body resistance decline, the vulnerable to disease pathogenesis characteristics, pay attention to tone up when cure aging of liver and spleen kidney, the study of aging and treat accumulated rich clinical experience. 3.Professor Zhao Chun clinical experience in the research3.1 The diagnosis and treatment of chronic obstructive pulmonary disease academic experienceMentor, points out that chronic obstructive pulmonary disease(COPD) is a kind of limited airflow characteristics can prevention and treatment of disease, attributable in TCM "lung expansion", "phlegm retention" and "gasping syndrome" category, such as the pathogenesis of COPD is a chronic inflammation of the airway, lung parenchyma, and pulmonary vascular characteristics, clinical cough, cough phlegm, wheezing, short of breath as the main performance, can be associated with the complexion dark, methyl violet purple, or lip often abdominal distension full, limb edema, severe cases can appear god faint, convulsions, bleeding, asthma and critically ill to take off the syndrome.Is a variety of chronic lung diseases break out repeatedly, delay no more, cause lung flatulence, not the folding of the drop of a kind of disease.Tutor thinks lung qi deficiency is the main internal cause of COPD, and phlegm turbidity and blood stasis is a pathological product and pathogenic factors, feel invaded is the main external cause, COPD acute in acute aggravating period, give priority to with evil real, see more phlegm, blood stasis and heat syndrome;And see the zang-fu organs such as lung spleen kidney deficient syndrome.AECOPD in a critical condition, complex and changeable, prognosis is poor, so the professor Zhao Chun emphasizes to combine traditional Chinese and western medicine treatment actively.To western medicine comprehensive treatment such as positive control respiratory tract infection;Improving respiratory function, prevention and treatment of respiratory failure and heart failure;To improve microcirculation and blood flow;Prevention and treatment of complications;Prevention and control of well fatigue;Maintain a stable internal environment;Nutrition support, regulating immune function, etc., and syndrome differentiation of traditional Chinese medicine using qingrejiedu, clear phlegm to smooth wheezing, promoting blood circulation to remove blood stasis, qi and nourishing Yin, Wen Yang Li water, refreshing begin to understand, smooth liver Xi Feng treatment and organic combination of the formulas can improve the success rate of rescue.The author realized the COPD of mark this virtual to real, invaded in acute period is often due to the complex sense, phlegm heat indicates(respiratory infections) and induced cough asthma, lung edema(respiratory failure) and heart failure, so the treatment should be according to the urgent is treats the symptoms and enlarge the principle of the integrated use of clearing lung detoxification, strengthen resistance to infection;Polyester phlegm to smooth wheezing, save failure;Wen Yang Li water, prevent heart refactoring;Blood know luo, improve microcirculation;The centralizer thrift, but combine traditional Chinese and western medicine treatment, such as nutrition support the key measures to treat the disease of acute period.3.2 The prevention and treatment of chronic heart failure in academic experienceTeacher points out that the basic mechanism of the development of chronic heart failure occurred is a variety of endogenous neuroendocrine cytokines and chronic, long-term activation promote myocardial remodeling.Reason of heart failure treatment is the key to the neuroendocrine blockers prevent or delay the myocardial remodeling, the purpose is to change the failure in the biological properties of the heart, improving the prognosis of patients.Mentor, points out that traditional syndrome of TCM of chronic heart failure for confined to "cure disease" stage, the reverse is not easily, it is difficult to effectively improve the prognosis of patients.Mentor to guide the prevention and treatment of chronic heart failure "cure not ill", to deepen the understanding of the pathogenesis and syndrome of traditional Chinese medicine treat chronic heart failure rule, proposed Yin fire, Yin deficiency with internal, Yin hand is one of the important pathogenesis of chronic heart failure of the new point of view, emphasized according to syndrome differentiation for choose ziyin decrease internal heat, nourishing Yin, clear heat, liver Yang, nourishing liver and kidney treatment and formulas, make the whole function of the patients reached a new balance of Yin and Yang.Regulate the body’s neuroendocrine factor system, inhibit the chronic activation, stop and prevent myocardial remodeling development, effectively improve the prognosis of the disease.The author put forward the "prevention is better than cure" chronic heart failure control idea and strategy of new ideas, sublimate the tutor academic experience of prevention and treatment of chronic heart failure, summed up the chronic heart failure in stages a new method of integrated traditional Chinese medicine and western medicine.3.3 Treatment for severe crush injury and multiple organ dysfunction syndrome of academic experienceTeacher said crush injury and crush syndrome refers to human limbs or trunk muscle rich parts by weight(such as stones, earthwork, etc.) for a long period of time extrusion, in extrusion to lift the body after a series of pathophysiological changes.Mainly displays in clinical limb swelling pain, myoglobinuria, the characteristic of the high potassium for acute renal failure.If not treated in time, often multiple organ dysfunction(MODS), and even the multiple organ failure(MOF) led to the deaths of patients.Ze hurt this disease in TCM to call "pressure", is the external things human limbs, sudden pressure damage, winding damage of blood stasis stagnant water.Hot pressing Ze injury causes, poison, blood stasis and wet on the body, qi activity inverse chaos, in two or more than two dirty really organs will cause severe damage to dirty exhaust.Due to spleen and kidney function decline, spleen cannot transport water wet, kidney gas lines of water, the water in the wet, block and down Qing Yang don’t rise, turbid Yin don’t drop, Qing Zhuo coherence, the wine is poison, which evolved into block and repulsion.At this point the water blood stasis poison three junction, or pneumatic blood;Or god all know-how, which can cut the five internal organs, more make deteriorating condition, to take off, outside the closed within Yin exhaust Yang wu critically endangered syndrome.Teacher pointed out that combine traditional Chinese and western medicine treatment for severe crush injury and MODS obvious advantages, its treatment experience is: grasp the clinical features, early rapid diagnosis;Attaches great importance to the treatment as soon as possible, to the scene first aid;Seize the key pathogenesis, do well the follow-up treatment.The author realized the follow-up treatment using continuous renal replacement therapy(CRRT) is one of the key measures to rescue the disease, and traditional Chinese medicine has an irreplaceable role, from the "empty", "stasis", "water", "poison" four aspects, USES the yiqi centralizer, activate blood, detoxification treatment and water, the formulas to clear endogenous toxin factor the damage to the body, restore the body’s physiological function, so as to improve the rescue success rate.3.4 Professor Zhao Chun experience studiesTutor records of ancient character now, more than her own experience, unique formula, used for the corresponding disease, curative effect is distinct, these prescriptions are serious study, can make oneself more deeply understand the tutor’s academic thoughts and drug laws and experience, now the teacher studies the experience of the party is as follows:3.4.1 Asthma double gold to partyComposition: honeysuckle, golden buckwheat, forsythia, broiled ephedra, plaster stone, cordate houttuynia, almond, platycodon grandiflorum, fritillaria, reed root, salvia miltiorrhiza, licorice.Efficacy: qingrejiedu, reduce phlegm, releasing lungs and asthma.The Lord cure: the exogenous fever, acute exacerbation of chronic obstructive pulmonary disease, bronchial asthma, pneumonia, bronchiectasis and other disease of toxic heat attack lung syndrome.3.4.2 The parties to cough and gasp the recoveryComposition: astragalus root, ginseng, poria cocos, atractylodes, pinellia, dried tangerine or orange peel, Chinese angelica, red paeony root, eucommia bark, gingko, licorice.Efficacy: yiqi lung, invigorate the circulation of phlegm, qi and asthma.Indications: for the treatment of lung, spleen and kidney deficiency syndrome(see: cough and gasp the phlegm, move, especially palpitations cannot lay down, god tired fatigue, chest, short short, dark red tongue, white greasy moss, pulse fine and smooth.3.4.3Heart failure Ning FangComposition: attached, ginseng, astragalus membranaceus, sweet semen lepidii, poria cocos, cassia twig, atractylodes, grifola, alisma, plantain seed, salvia miltiorrhiza, motherwort, red flowers, licorice.Efficacy: Wen Yang Yi strong heart gas, invigorate the circulation of the water swelling.The Lord cure: the lung, rheumatic diseases, coronary heart disease, cardiomyopathy, caused by the mist of kidney Yang deficiency, phlegm and blood stasis block, water wet inside of heart failure.4.Professor Zhao Chun double jw gold label scotch cough phlegm heat clinical research indicates the lungs4.1 Objective: clinical observation tutor professor Zhao Chun double jw gold label scotch cough phlegm heat indicates pulmonary syndrome curative effect and adverse reactions.4.2 Methods: according to the case into the standard choice case, that is, in line with the western medicine of acute bronchitis, chronic bronchitis acute diagnosis standard, TCM diagnosis of cough phlegm heat indicates pulmonary license.And randomly divided into treatment group and control group.Observation cases each 30 cases in both groups, the treatment group with double jw gold label scotch decoction oral;Control to the urgent bronchitis syrup oral, are seven days in a course of treatment.Observed two groups of patients before and after treatment of TCM symptom score changes, according to the curative effect evaluation standard to judge curative effect, and to observe the adverse reaction of two groups of patients.4.3 Results4.3.1 The total curative effect comparisonBy the clinical research shows that the double jw gold label scotch treatment group total effective rate was 93.33%;Control group total effective rate 80.00%, two groups total effective rate by the rank and inspection, P < 0.05, the curative effect of treatment group is better than the control group.4.3.2 Syndrome integral comparisonSyndrome integral comparison between the two groups of patients before treatment groups, P>0.05, no statistical difference, comparable.Syndrome score lower in treatment group than the control group after treatment, P < 0.05, statistically significant, prompt treatment group syndrome integral effect is better than the control group.4.3.3 Cough integral comparisonCough integral comparison between the two groups of patients before treatment groups, P>0.05, no statistical difference, comparable.Integral are reduced, the two groups after treatment cough and cough score significantly lower in treatment group than the control group, P < 0.01, there is significant difference, the treatment group and control group all can relieve a cough, but the treatment group is better than the control group.4.3.4 Treatment group and control group patients during drug tolerance is good, did not appear allergic reactions and nausea, vomiting, diarrhea and other adverse reactions.4.4 Conclusion: The results of this clinical study showed that,Professor Zhao Chun double side has definite effect on the treatment of cough phlegm heat obstructing the lung,No allergic reactions and other adverse reactions were not occurred. |
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