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Clinical Research On Lai Xianglin's Academic Thought And Treatment Of Apoplexy Aura

Posted on:2017-03-21Degree:MasterType:Thesis
Country:ChinaCandidate:J W LiuFull Text:PDF
GTID:2334330485978237Subject:Fractures of TCM science
Abstract/Summary:PDF Full Text Request
Tutor Lai Xianglin,director of internal medicine physician,director of Guangxi branch president of China Association of Chinese medicine,Guangxi Traditional Chinese medicine professional committee,integrated traditional Chinese and Western medicine combined with Guangxi Medical Professional Committee,deputy director of the Institute,of professional committee of Guangxi and promoting blood circulation to remove blood stasis,Chinese medicine science and Technology Committee,five scientific research achievements have been awarded the Municipal Science and technology progress award,has more than 130 papers published in publications at all levels,the publication of monographs 7.Engaged in traditional Chinese medicine clinical work more than 40 years,has a wealth of clinical experience.Yulin is the only one who won the national title of the old Chinese medicine doctor.The diagnosis and treatment of various diseases in Department of internal medicine has rich clinical experience,especially in the aura of stroke by using comprehensive therapy have originality.This paper through theoretical basis and clinical literature finishing research and with the division of clinical experience in clinical experience instructors on the Lai Xianglin performed extensive collection of record finishing his academic thought,dialectical method characteristics,treatment,induction and summarizes Lai Xianglin tutor treatment of internal diseases especially stroke first megabytes of academic thought.One treatment of disease,good tone of the spleen and stomach.Spleen,acquired the.The source of the biochemistry is also.Main transport,division of fine powder.Unified blood.General nutrition.The involvement of other organs.Cause a variety of diseases.It can affect the spleen.The method of treating the spleen,a wide range,as long as the use of appropriate.Can be used in the inside and outside,gynecology and pediatrics,orthopedics and other diseases.Tutor in the treatment of disease,good regulating spleen and stomach,so we can say has a close relationship between stroke aura and spleen,such as spleen governing transportation and,ascending of the clear,President of blood disorders,Qi,blood and body fluid biochemical passive,causing Qi,blood and body fluid cannot Rong orifices of brain caused by stroke onset.Treatment of general from the spleen to the stroke of the spleen and stomach qi deficiency syndrome,spleen deficiency syndrome,spleen and kidney yang deficiency edema syndrome;health card Qi method for treatment of spleen and stomach qi deficiency syndrome,deficiency of Qi and blood deficiency.Two.To prevent disease,which lead to disease.TCM "preventive treatment of disease" contains two aspects of disease prevention and disease prevention.Stroke disease is a serious hazard to human health,stroke and stroke are closely linked,such as stroke aura can not be effectively treated,some of which can progress to stroke.The use of Chinese medicine"prevention before disease,which lead to disease prevention of apoplexy"thought has important practical significance.Disease prevention first refers to the disease did not happen before,in the usual life should pay attention to health.Old age and infirmity,emotional disorders,tobacco and alcohol addiction,improper diet,excessive labor,irregular work and rest,obesity and genetic and aura of stroke onset are closely related.Therefore,in the absence of disease,we should pay attention to flirt Chi,moderation diet,quit alcohol,moderate exercise.Control of high blood pressure,diabetes,dyslipidemia,arteriosclerosis,coronary heart disease and other diseases that can easily lead to stroke.Which lead to disease,it is to point to in the initial stages of the disease,should strive to achieve the early diagnosis,early treatment,to prevent disease progression and transmission.Gao Fufa rate is a major feature of stroke,how to prevent the recurrence of stroke is a major problem.Treatment of Lai division based on differentiation of symptoms and signs on the treatment,using Qinggan Xiere method,phlegm and descending turbidity,Yiqi Tongluo treatment of Aurae of apoplexy clinical curative effect is remarkable.At the same time pay attention to early detection,diagnosis and treatment of the importance of stroke aura,so as to better control of stroke.Three.Pay attention to the dialectical,pay attention to the whole.Treatment with syndrome differentiation is one of the characteristics of traditional Chinese medicine,treatment based on syndrome differentiation is correct or not,reflect the depth of the doctor of traditional Chinese medicine medical skill,in practice is the effect good and bad.Lai Lao mastery of epidemic febrile disease"," typhoid"," classic ",to a variety of books of the work is quite deep,proficient in Sanjiao differentiation,Wei,Qi,Ying and blood dialectical,six meridian syndrome differentiation,syndrome differentiation of Zang Fu organs,and can achieve mastery through a comprehensive study of the subject,handy.Lai Lao in syndrome differentiation and disease differentiation has a deep skill,such as remarkable in the treatment of threatened apoplexy.Threatened apoplexy is a harbinger of stroke disease,these two diseases with similar etiology and pathogenesis,wind,fire,phlegm,blood stasis and deficiency(Qi deficiency,yin deficiency)is visible on the aura of stroke patients who received different can also be present in the different stages of the same aura of stroke patients.Lai division based on decades of clinical experience,the main cause of threatened apoplexy summarized as the following three aspects:1 liver meridian,anger on the inverse type;internal node 2 phlegm,becloud clear orifices;Qi deficiency and blood stasis,choroid blocked.Methods:Qinggan Xiere method,suitable for liver liver dysfunction caused by heat,fire inverse,Qingqiao disadvantage.Choose Longdan Xiegan decoction.Lai division that the climate in Yulin is hot and rainy,due to fog miasma,many after the onset of the disease can be manifested as damp heat syndrome.As Zhu Danxi "wet phlegm heat can cause a stroke," Zhang Xichun,the fire on the punch clamp hepatobiliary blood "can cause stroke.Therefore,the selection of patients with syndrome of purging liver and gallbladder damp famous prescription Longdan Xiegan Decoction treatment.II,eliminating phlegm and descending turbidity method,suitable for voxel obesity and improper work and rest,in addition to food sweet Atsumi,endogenous phlegm heat,phlegm within the knot,stagnation of Qi due to apoplexy.Lai division does not rigidly adhere to the ancient and clinical treatment on the basis of the original and Oriental waterplantain rhizome,Herba Artemisiae Scopariae by strengthening phlegm turbidity reduction;Kayama,Salvia miltiorrhiza by promoting blood circulation to remove blood stasis;vertigo and Gastrodia and Uncaria to calm the liver wind.3 Effects of Yiqi Tongluo method for persons for old and infirm,Genki Da Kui,encouraged weakness,Wen Yun had no right to,caused by blood stasis pulse,meridian blocked caused the aura of stroke.Buyang Huan Wu Decoction is supplementing qi and activating blood circulation on behalf of the party,Lai division with the addition and subtraction,in reuse of Radix Astragali,Radix Puerariae sun,agitate the heart qi,weeks general;Angelica tail,radix paeoniae rubra,Radix Salviae Miltiorrhizae and activating blood circulation,removing blood stasis and dredging collaterals,so that the blood with the gas line;both phlegm heat and fu organ sthenia,wind phlegm interference,and rhubarb,mirabilite Tongfu Xiere;Fructus Trichosanthis,Arisaema cum bile,clearing heat and resolving phlegm;concha haliotidis,uncaria,Prunella Pinggan wind,in clinical practice,a lot of good effect.But their urination Ghassan parasitism,Niuxi;what is Qi deficiency plus ginseng;compared with the original,the Aurae of stroke is more appropriate.Four.Pay attention to the treatment of the present,and the treatment of specimensRely on the clinical treatment of the clinical requirements,and treatment,such as the treatment of vertigo,Chinese and Western Medicine on the cause of vertigo,each treatment is not the same way,there is no unified treatment and prevention methods.The disease is easy to recurrent,prolonged,but a few years or even decades may not be radical.The teacher thinks,vertigo should be false vertigo syndrome,"evils caused by" empty".Such as"treatment tips" cloud "vertigo,is also deficiency".Clinical treatment should follow the "so-called" disease problems,specimen and cure and to treat the standard,after treatment the"," long plug the empty and predicate the Lianggong "purpose.The onset of vertigo,dizziness symptoms,control,and should be put on the internal organs,the treatment of solid,tonic fill in the blanks,eliminate hidden dangers.Therefore,the fixation of the treatment is an important link in the treatment of vertigo.clinical researchObjective:To observe the clinical effect of treating apoplexy of wind phlegm Blocking Collaterals type of apoplexy 3.Methods:60 cases of wind phlegm Blocking Collaterals stroke patients were randomly divided into two groups,the control group was treated with low-dose aspirin 0.1g/times,the treatment group on the basis of the control group,the oral administration of stroke 3.4 weeks for 1 courses of treatment,after 2 courses of treatment to observe the improvement of clinical symptoms,according to the main symptoms and secondary symptoms of stroke symptoms were assessed.Results:in the treatment group,5 cases were basically cured,14 cases were markedly effective,8 cases were effective,3 cases were ineffective,the total effective rate was 90%.In the treatment group,the total effective rate,the basic cure rate and the significant efficiency were significantly higher than those in the control group.There were significant differences between the two(<0.05 P).Conclusion:the treatment of wind phlegm Blocking Collaterals of wind phlegm type 3 is significant,and it is worthy of clinical application.
Keywords/Search Tags:stroke aura, clinical experience, stroke 3, clinical research
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