| BackgroundAs a academic ideas inheritor of the national famous veteran teran doctors of TCM, in order to comprehensively summarize the rich clinical experience and academic thought of professor Pan, learn cure idea and make a diagnosis and give treatment in clinical diagnosis and treatment skills, combined with the teachers'explanations and my own comprehension, sums up some clinical experience of the teacher during three years study.ObjectiveSummarize professor Pan's academic thought, summed up academic experience of diagnosis and treatment of fracture, bone disease. Key research from pharynx phlegmy wet bi disease resistance treatment item collaterals syndrome treatment experience. Through experimental animal studies and clinical research, dynamic observation, analysis, from pharynx differentiation therapy by applying the method of "neck pain cure pharynx" slow laryngeal bi as the triggers of the bi disease and blood stasis phlegm dampness syndrome, provides the experimental and clinical evidence, for screening distinct Lingnan characteristics of Chinese medicine treatment and formulas provide theoretical support.MethodsBy looking at the teacher academic origin, understand the teacher's academic inheritance and innovation, summarizes usual with clinical cases, listen to the teacher daily teaching, and combined with own experience, will be the teacher of academic experience system comprehensive summary. In a particular disease research, introduced from pharynx differentiation therapy by applying the method of "neck pain cure pharynx" slow laryngeal interruption of treatment experience, respectively from two aspects of clinical research and experimental research. Clinical research:A randomized, single-blind clinical trial design method, according to the existence of pharyngeal symptoms are divided into 2 groups,80 cases in each group, each group were randomly divided into control, treatment and control B and B group,40 cases, control group given pinellia atractylodes rhizoma gastrodiae soup to add and subtract syndrome differentiation treatment, treatment group was given "phlegm wet party" add and subtract syndrome differentiation treatment, the curative effect for cervical spondylosis visual analog pain scale, dividing scale (VAPS), slow laryngeal bi quantitative criteria of TCM syndrome classification scale observation of curative effect, such as analysis of therapeutic effect. Animal studies:6 months in New Zealand white rabbit 80 with high fat feed, feed into accord with the characteristics of TCM clinical phlegm dampness syndromes model, chronic pharyngitis with Peng's method to establish a rabbit model of repeated four cycles, make Phlegm dampness blocking collaterals type cervical spondylosis animal model.Select 64 were randomly divided into treatment group (neck pain cure pharynx group), control group 3 group (pinellia atractylodes rhizoma gastrodiae decoction group, slow pharynx particle group, saline group), each group of 16. In 7 days for a cycle, each one period after treatment, random take each group model 4 pharyngeal signs and symptoms score, only then to be put to death animals, repeat 4 weeks. Turn into homogenate, intervertebral disc and pharyngeal mucosa with ELISA method to detect the concentration of IL-1, IL-6 and PGE2. At the same time observe pharyngeal mucosa, pathological morphological changes of cervical intervertebral disc.Results1.The sorting of academic thoughts and clinical experience.Formation of professor pan academic thoughts and clinical experience and research reports, system carding summed up the experience of diagnosis and treatment of fracture and the bone disease, professor pan for peace to the orthopedics, inheriting characteristics of lingnan bonesetting fourteen method, insist on using the traditional complex bonesetting manipulation treatment of closed fracture. For intra-articular fractures, adjacent joint fractures, fractures with dislocation and dated sex fracture malunion of closed treatment has unique curative effect. He treatment of fractures with claims for early, stability, force is exquisite;Treatment is good at summarizing, diversiform,&experience inside and outside and cure, medication is rigorous. Bone disease, from the "phlegm wet" differentiation orthopaedic poliomyelitis miscellaneous disease, drug combination of lingnan area characteristics, treatment, seize "from resolving phlegm wet" master classes, and according to the disease in the flexible sent the clinical syndrome differentiation, in order to enlarge. And according to the characteristics of the "phlegm wet pathogenic parts and different, respectively set up phlegm wet side, sternoclavicular arthritis, kidney empty, synovitis, gout, the clinical practice, have a good curative effect.2.Clinical curative effect evaluation and animal experimental study.Clinical trials research:two groups of curative effect before treatment in patients with cervical spondylosis score, slow laryngeal bi TCM syndrome classification of quantitative score, the VAPS comparative differences had no statistical significance (P>0.05), the two groups after treatment in patients with three scores were significantly lower than before (P<0.05), the treatment of three grades A and B group were significantly lower than the control group A, B, there are significant difference comparing statistical significance (P<0.05). Phlegmy wet party whether patients with pharyngeal symptoms curative effect index were significantly higher than that of pinellia atractylodes rhizoma gastrodiae decoction curative effect index (P< 0.05). Animal studies:phlegmy wet, pinellia soup, slow pharynx particles can reduce cervical intervertebral disc, pharynx ministry mucous membrane, the content of IL-1, IL-6 and PGE2 in can have the treatment of chronic pharyngitis caused by cervical spondylosis, the phlegm wet overall effect is more significant. Phlegm dampness recipe, pinellia soup, slow pharynx particles can promote pharynx ministry mucous membrane inflammation in the repair process, the pathological results hint Phlegm dampness recipe effect is best, the repair of the slowest blank group. Phlegm dampness recipe, pinellia soup, slow pharynx particles can delay the process of intervertebral disc degenerative changes, pathologic findings hint phlegmy wet delay effect is best, blank control group degeneration is the most serious.Conclusion1. Professor Pan has systemic academic thinking and clinical experience, a large number of summary work remains to be further improved.Professor Pan of fracture dislocation and bone disease treatment formed his unique academic thought and theory system, clinical technique for the treatment of fracture dislocation reduction, fixation and drug treatment has the original opinion, treatment is diversiform, bone disease treatment of adjust measures to local conditions, and the characteristics of medical experience, clinical speculative law deserves further dig deep.2. Phlegm dampness recipe is effective in the treatment of cervical spondylosis caused by chronic pharyngitis.Zhi-xiong pan think for this type of cervical spondylosis patients with chronic pharyngitis treated from pharynx, by using the "neck pain cure pharynx" method to the throat phlegm and dredge meridian dehumidifying, to "go to YuanChen Cuo", and create the experience of party phlegmy wet party. Experience side phlegmy wet treatment of this kind of disease, not only solve the problem of the phlegm wet blocking meridians, but also a targeted treatment of pharyngeal lesions, which can severely, "phlegm wet" relatively simple treatment, the curative effect is larger. Through animal experiments of phlegm wet side at the same time, the study found Phlegm dampness recipe with pinellia decoction group, slow pharynx granule group and the blank group comparison, in promoting pharynx ministry mucous membrane inflammation in the repair process and delay the process of intervertebral disc degenerative changes, pathologic findings hint phlegmy wet delay effect is best, blank control group degeneration is the most serious. From pharynx differentiation therapy by applying the method of "neck pain cure pharynx" slow laryngeal bi as the triggers of the bi disease and blood stasis phlegm dampness syndrome, provides the experimental and clinical evidence, and the summary to the name of the old Chinese medicine experts treatment experience, academic thought, lingnan screening distinct characteristics of Chinese medicine treatment and to provide theoretical support for the formulas.To perfect the theory system of traditional Chinese medicine, promote the development of the lingnan medicine, rich traditional Chinese medicine "flow" more than a source of academic features and pattern. |
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