| Professor Lai Xianglin,Guangxi University of traditional Chinese medicine master tutor,Guangxi Bobai County,Guangxi Yulin Hospital Department of orthopedics Professor,combining traditional Chinese and Western medicine chief physician,fifth group of the old Chinese medicine experts academic experience inheritance to guide the work of teachers,engaged in clinical medicine,scientific research work in the past 50 years,the old Lai original work in Yulin Hospital of Traditional Chinese Medicine,from 1999 to Yulin traditional Chinese Medicine Hospital of traditional Chinese Medicine Department of orthopedics,Department of internal medicine,Department of orthopedics,treatment of elderly diseases is quite unique and comprehensive,the Chinese Medicine Department of internal medicine,Department of orthopedics diagnosis and treatment of senile diseases accumulated very rich experience.In this paper,through the basic theory research,and with the division of clinical medical records and clinical experience of Professor Lai's extensive collection of clinical the literature,documenting his academic thought,dialectical method,treatment characteristics,and summarized the treatment of orthopedic diseases,Professor Lai's academic experience.The academic thought of Professor Lai Xianglin:(1)focus on dialectical,pay attention to the overall.Syndrome differentiation is the basic content of TCM for understanding and treating diseases,is one of the characteristics of traditional Chinese medicine.The so-called "evidence" is a generalization of pathological changes in the development of the disease process in a certain stage,it includes the disease,etiology and pathogenic relationship conversion,can reflect the essence of pathological changes at a certain stage of disease development.It is more than a single symptom more comprehensive,profound and accurate to reveal the development process and the nature of the disease.The dialectic is the prerequisite and basis for treatment decisions,treatment means and methods of treating diseases,but also to test whether the actual dialectical right.TCM is correct or not,reflect the doctor's medical skill or performance in practice is the effect of good and bad old Lai.Mastery of<<>>of febrile disease,typhoid fever,the<>,on a variety of books of the Kung Fu deep in the Dialectical,weiqiyingxue dialectical,six meridians,viscera,and mastery,handy.Lai Lao has a deep differentiation,differentiation ability disease,such as nephrotic syndrome,the diagnosis of some doctors stressed that old Lai of Western medicine,inspection and diagnosis of Western medicine is important,but should adhere to the treatment of TCM according to the principle of cold,heat,deficiency,real dialectical treatment,do not see the edema diuresis detumescence.Lai Lao followed "keep healthy,do not be evil" and "evil are up,the gas ratio of false" theory,in the process of diagnosis and treatment for patients,to the overall concept of comprehensive observation considering the problem.Should correctly handle the relationship between the whole and the part in syndrome differentiation,not only pay attention to the whole lesion,nor ignore the local lesions.Because local lesions can affect the whole whole lesions can also affect local.For example,furuncle is local lesions,but it can affect the overall and The fever,chills,malaise and other symptoms,even poison invagination(so-called furuncle go yellow)caused the death of people.For example,blood deficiency is systemic disease,it can cause local headache,namely blood deficiency headache.Lai Lao in syndrome differentiation and treatment of attention seeking medical treatment,Qi and blood,balance of Yin and Yang,Gu spleen and stomach,Fuzhengquxie,prescription and decline,not only pay attention to local check erroneous ideas at the outset,and pay attention to the whole,to enhance Chinese medicine for cubic task has a positive clinical significance,not only follow the old old Lai,and adhere to the dialectical inheritance,Division of ancient and not learn it.(2)the physical characteristics of the elderly.A number of physiological and pathological changes of the elderly on Chinese medicine in ancient literature.Such as<Q->ancient innocence theory pointed out:"the woman.Five seven,Yang Ming channel,the face starts to coke,hair starts to fall;six or seven,this decline in the veins,all of coke,hair was white;seven seven,Ren Xu,Taichong clock decline less day.Disease.Its incidence increasing with age of cancer,cardiovascular disease,Alzheimer's disease,diabetes,immune disorder and deficiency,phlegm,blood stasis stagnation,deficiency and stagnation.Is the pathophysiological basis of many age-related diseases,depression and qi stagnation,stagnation and blood stasis,stagnation of phlegm Yu Qiao,closed.In addition,the elderly almost all diseases related to phlegm,and stasis syndrome,aged Trinidad and Tobago,extremely difficult to resolve,hypertension,atherosclerosis,cardiovascular disease,coronary heart disease,pulmonary heart disease,there are obvious signs of stasis.Blood stasis leads to various diseases,especially cardiovascular diseases.Such as stroke,hypertension,diabetes,hyperlipidemia,coronary heart disease,arrhythmia,the therapy of activating blood circulation,the curative effect were high.Old people can easily generate phlegm,leading to various diseases.Such as coronary heart disease,diabetes,hypertension,hyperlipidemia,stroke,obstructive pulmonary disease.Disease,have phlegm for patients.Studies have shown that cardiovascular disease,respiratory system disease,cerebrovascular disease,malignant tumor and TCM blood stasis are closely related.Yu Ke leads to viscera function disorder,cause of disease,aggravating illness.Phlegm dampness constitution people cough,asthma,dizziness,chest pain,stroke other diseases.The respiratory system diseases,endocrine system diseases,cardiovascular diseases,such as diabetes,high blood lipids,fatty liver,arteriosclerosis,coronary heart disease,cerebral infarction and phlegm.Cervical spondylosis,lumbar hyperplasia,arthritis,hyperplasia of bone and joint or bone hyperplasia,is one of the manifestations of human aging reflect the overall in the bone,bone is aging,degenerative symptoms.Senile cardiovascular disease,senile nervous system disease,senile urogenital diseases,skin diseases in the elderly,the Department of ophthalmology disease and blood stasis are related.Blood stasis constitution easily Stroke,blood stasis is an important physical basis of chest pain.The elderly such as arteriosclerosis,hypertension,coronary heart disease common disease,pulmonary heart disease,whether from the TCM perspective or on blood rheology,microcirculation detection objective,affirmed blood stasis is an important pathological factor.This kind of disease(3)respected "the hepatorenal homology" theory."The hepatorenal homology" also known as "Yi and GUI homology",Li Zhongzi of the Ming Dynasty in "Yi Zong reading>said:"called B sebacic homologous,kidney..Oriental wood,no false can't mend,the kidney tonifying the liver.The water,no real diarrhea the diarrhea,kidney Xiegan..therefore kidney."This in TCM Physiology,pathology and diagnosis and treatment of them,have been effective in guiding clinical practice.Limb strong.Therefore,kidney,in order to speed up the improvement of the disease.Therefore,the old Lai mainly uses the drugs into the kidney,with Duhuojisheng Decoction based on treatment of senile osteoporosis,tonifying the liver and kidney,to strong bones and muscles,blood nourishing essence,xingqizhitong.(5)with liver and spleen.The>that liver is wood,spleen to earth,they depend on each other in physiological and pathological effects of Shang Xianghu,easily lead to liver and spleen with the disease,so that in the treatment of liver and spleen.The physiological and Tongzhi mutual,living in the liver and spleen stomach.Living under the diaphragm,the liver is wood,spleen to earth the liver and spleen,closely related to the two dynasties were discussed.The physiology,mainly for the mutual promotion between the liver and spleen transport function,and the interaction between the liver blood and spleen of blood,common in the body's digestion and absorption,circulation and water metabolism process The pathology of liver and spleen play an important role.The mutual influence transmission.Both ends outside the pathology of liver and spleen related liver disease from spleen and spleen from liver,spleen and liver.According to the actual situation of disease machine is divided into wood by soil and wood by two kinds of deficiency syndromes,common hepatic spleen qi stagnation syndrome,liver stagnation and spleen deficiency,liver and spleen damp heat syndrome and blood stasis syndrome of liver and spleen.The pathogenesis is common due to stagnation of liver qi,Hengni Shuxie dereliction of duty,the spleen,the spleen's failure,foodstuff lost in the digestion and absorption,and this is the mixture of voicing,liver and spleen.In addition,due to the loss of transport of the spleen,endogenous dampness,trapped temper,wetness Sheng inhibited the regulation function of liver,liver spleen and liver.The symptoms of dereliction of duty,is more common in chest and hypochondrium,epigastric pain,anorexia,diarrhea and other symptoms.The liver and spleen Tongzhi in senile boneclinical researchObjective:To observe the Lai teacher self-made drug for osteoporosis Ning tablets in the treatment of primary senile osteoporosis clinical efficacy.Methods:120 cases of primary senile bone osteoporosis patients were randomly divided into treatment group and control group,60 cases in each.Treatment group used homemade drug bone Shu Ning tablets in the treatment,the control group were treated by calcium gluconate vitamin D2 P,two groups were 3 months for a course of treatment.Comparison of therapeutic effects and the changes of bone mineral density.Results:observation group,the effect and the change of bone mineral density is better than that of the control group(P<0.05).Conclusion:the self-made drug for osteoporosis Ning tablets in the treatment of primary osteoporosis of the elderly has good curative effect,can significantly reduce the symptoms of patients with bone pain,improve the quality of life of patients,and has the advantages of high safety,non-toxic side,and is easily accepted by patients,it is worth clinical promotion.Lai teacher has a solid theoretical foundation,rich clinical experience,comprehensive and flexible treatment methods,so overall system arrangement,collection,summary depends on the teacher academic ideas and clinical experience,more conducive to the inheritance and development of the classic depends on the teacher's academic experience. |
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