| Objective 1 TANG Chang-jin academic experience of professor sorting and summary Chinese medicine is the treasure of Chinese civilization, the old Chinese medicine cure experience is accumulated for decades, have clinical actual curative effect, as a modern Chinese people, have the responsibility to also must learn and master it, and do a good job in succession to today, the rapid development of modern medicine of traditional Chinese medicine, to better serve the society. As the fifth batch of old experience the heir to the inheritance of traditional Chinese medicine, I'm from Suzhou city, Anhui province hospital of traditional Chinese medicine name old doctor of traditional Chinese medicine, professor TANG Chang-jin efforts to "read classic, with teacher, many clinical", in order to study inheritance don't clinical experience, through reading classic again, repeatedly clinical exercise, further improve their understanding of traditional Chinese medicine, and to do a good job of inheritance, spread and carry forward traditional Chinese medicine. Long-term clinical practice, don't advocates the overall concept of traditional Chinese medicine, emphasize the principle of evidence-based medicine, and gradually formed the spleen and stomach theory as the core, guided by the differentiation of the principle, factors viscera Qi activity as the theoretical system of the therapeutic principles. Don't emphasize clinically based on spleen and stomach, pay attention to protect the spleen and stomach gas, always in the spleen and the stomach for testimonies, the spleen and stomach, and protect the spleen and stomach. When using the method of regulate Qi activity, attaches great importance to spleen and stomach, liver, lung, heart and kidney of Zang-fu organs, especially the spleen and stomach. The pivot of spleen plays an important role in whole body down regulation, general Qi activity is given priority to with lung diseases with machine lifting, heart and kidney fire intersection of up and down. 2 The bow the flavored pill combined fluoxetine hydrochloride(trade name: best optimal solution) treatment of depression clinical curative effect observation The flavored the bow pill combined fluoxetine hydrochloride(trade name: best optimal solution) the efficacy and safety of treating depression patients; To explore traditional Chinese medicine with western medicine therapy against depression depression the advantage of western medicine.Methods 1 TANG Chang-jin academic experience of professor sorting and summary This study based on fully succeed, focused, the principle of scientific reasoning, using near diagnosis analysis, case analysis, the clinical study, etc., professor of TANG Chang-jin thoughts origin, academic thoughts and clinical experience and the treatment of depression is studied the finishing work. 2 The bow the flavored pill combined fluoxetine hydrochloride(trade name: best optimal solution) treatment of depression clinical curative effect observation 2.1 Study design: randomized, double-blind, controlled trials were positive. 2.2 The object of study with 18 to 60 years old Suzhou city hospital outpatient department in accordance with the general international depression diagnostic criteria for ICD- 10. And TCM syndrome standards as stipulated in "the state administration of traditional Chinese medicine cooperation" depression "standard syndromes and treatment of TCM depression(see journal of Beijing university of Chinese medicine, 34(12) in l2. 2011). Depression assessment tool for 24 Hamilton depression rating scale(HAMD) and depression self rating scale. Clinical cases for voluntary clinical trials and signed informed consent of 60 cases of patients with depression, according to the time sequence of random points to treatment group and control group, treatment group 30 cases and control group 30 cases. 2.3 Treatment: the treatment group used traditional Chinese medicine medicinal broth flavored the bow tonga fluoxetine hydrochloride(trade name: best optimal solution) treatment; The control group with fluoxetine hydrochloride(trade name: best optimal solution) treatment, treatment of 8w. 2.4 observation indexes and observation points: general population data before the treatment(0w); Syndromes curative effect observation table 8 weeks record the change of symptoms and signs, symptoms, including interest, be agitated, thinking slow, fatigue weakness, insomnia, forgetful, loss of libido, loss of appetite, and according to the above the affixation TCM symptom classifying quantization table light, medium, heavy, tongue coating pulses. HAMD scale in 0w, 2w, 4w and 8w 1 time each assessment; Observe curative effect evaluation after treatment 8w 1 times; After Treatment 2w, 4w and 8w, respectively, fill in the scale(Treatment emergent symptom scale, TESS); Blood in the urine routine, liver and kidney function and electrocardiogram(ecg) before the test and test at the end of a 1 time monitoring; Records in the two groups after treatment of adverse events.Results 1 Long tang organized and summarized the academic experience of professor king Don't academic thoughts and clinical experience is: Syndrome differentiation and treatment, the spleen and stomach for this; The factors, lift to; Treated from lung liver disease; It heavy tongue diagnosis, interrogation especially heavy eating, shit. 2 The bow the flavored pill combined fluoxetine hydrochloride(trade name: best optimal solution) treatment of depression clinical curative effect observation This study into the actual cases of 60 cases, treatment group 30 cases and control group 30 cases, the results showed that the treatment group and control group in treatment of depression has significant curative effect, the doctor of traditional Chinese medicine clinical symptoms of depression are improved significantly. Treatment group total effective rate was 93.33%, control group total effective rate was 50%, the treatment group therapy effect is significantly higher than the optimal solution in the control group, two groups was statistically significant(P < 0.05). Both groups can significantly reduce the HAMD scale score and the scores of SDS, HAMD scale score was to compare the treatment group decreased significantly(P < 0.05), the treatment group were superior to control group.Conclusions The results showed that the treatment group and the control group in the treatment of depression have a significant effect, can significantly reduce the HAMD and SDS score, the clinical symptoms of depression were significantly improved. The treatment effect of the treatment group was significantly better than the control group, the two groups had statistical significance. And the safety of the treatment group was significantly better than that of the control group. |
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