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Wang Xihao, Chief Physician, Discusses The Academic Thoughts And Clinical Experience Of Various Syndromes Before And After Menopause

Posted on:2017-08-11Degree:MasterType:Thesis
Country:ChinaCandidate:C C LiuFull Text:PDF
GTID:2354330491962232Subject:Gynecology of traditional Chinese medicine
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Objective: 1 Climacteric syndrome is a common gynecological diseases,is also an incurable diseases.In recent time,the occurring rate has increased year by year,not only it seriously endangers women's health,but also causes great impact on the family and society.Xihao Wang is a national senior Traditional Chinese Medicine(TCM)expert,mentor(the fifth instalment),and master instructor,who has mainly engaged in traditional Chinese medicine Gynecology and research work.Wang has done in-depth research in TCM treatment of female reproductive endocrine,immune system regulation,and especially climacteric syndrome.Many of his invaluable experiences,however,have yet to be summarized and studied.This article is aimed to collate and analyze Wang's work on climacteric syndrome,based on the his lecture,outpatient follow-up observations,combined with personal clinical experience,with a modest view to contributing to the cause of TC-M.2 Climacteric syndrome has numerous clinical manifestations,such as irregular sweating,irritability,palpitations,insomnia,hot flashes,flushing,dizziness,tinnitus,edema,back pain,itching skin,emotional instability,and other symptoms.Although TCM treatment has been efficacious with few side effects,it lacks of a uniform standard and a holistic theory.In the following discussion,I will investigate the Wang's work in hope of obtaining a better understanding of the etiology and pathogenesis on climacteric syndrome,and creating quantitative indicators and efficacy evaluations for clinical applications.Method: 1 Wang Xihao tutor more than 30 papers,research data analysis tutor lectures,academic works and so on,climacteric syndrome methods and medication characteristics before and after menopause mentor Treating explore aggregated and analyzed by summarized.2 Clinical finishing their medical records of more than 150 cases of self side,the experience of more than 100 square,the other in the subtraction with the disease of drug and frequency of use for statistical analysis.3 The literature review,in-depth analysis of the relationship between mentor and academic thought existing theoretical framework for treatment of gynecological diseases.4 The combination of personal clinical experience and academic exchanges,academic thoughts mentor learning practice and repeated verification.5 The system summarizes the debate climacteric syndrome thought of writing professional paper-s.Result: with the division process,collect summary tutor more than 30 papers,organize its Clinical medical records of more than 150 cases of self side,experience side more than 100,Research and Analysis of its lecture materials,academic works,etc.,mentor debate governance climacteric syndrome methods and characteristics of drug analysis are discussed and summarized,combined with personal clinical experience,summed up the preliminary sorting mentor menopause dialectical thinking and clinics climacteric syndrome law summarized in the following specific areas:1 the analysis tutor climacteric syndrome etiology and pathogenesis1.1 "yin deficiency is its present." Chinese medicine believes that women "seven seven" of the year,kidney gradually decline,menstruation will be dried up,Chong and Ren second pulse loss,lack of energy and blood,menstruation to menopause and decreased reproductive ability gradually decreased to near extinction.Mentor believes Woman Yin,after a woman's lifetime,"through pregnancy,birth,breast," Hao Shang Yin several times,the body is "Yin often inadequate,often Yang Yu" physiological state,because "after forty chi and self half " Yin Ruosu body or productive labor room;or emotional injuries,gas fire Shangyin;serious illness or chronic illness,poor kidney will be like,will be more yin deficiency,can not irrigate five internal organs,nourishing all through,and then variable Health climacteric syndrome.Therefore,loss of kidney yin onset of the disease present.1.2 "Yang Kang flame is its mark." Chinese medicine,heart and kidney belong to both fire and water economic relations,liver and kidney essence belonging to homologous blood relationship.Menopause yin deficiency can not be on the economy in mind,make Firelight Kang alone,there kidneys do not pay,loss of water and fire relief,common clinical facial reheat,the palpitations,palpitation and insomnia,irritability,anxiety,depression and other Firelight symptoms of inflammation;kidney yin deficiency,renal water conservation wood is not enough,liver failure soft support,common clinical vertigo,tinnitus,weak knees,upset impatient,throat,mouth pain,heart palpitations,forgetfulness,insomnia and a series of liver and kidney,hyperactivity symptoms. Visible,climacteric syndrome to yin deficiency-oriented,yin deficiency caused by the flame of Yang Kang is the common representation.1.3 "Heart disease spread to the liver and spleen," women before and after menopause,virtual kidney failure,imbalance of yin-oriented,and often spread to liver,spleen three dirty spread to the heart,visible heart yin deficiency,kidney do not pay license;.Spread to the liver,often appear liver and lack of hyperactivity and symptoms of liver through the swelter of the fire;spread to the spleen,common spleen deficiency,spleen and stomach and other evidence.2 clinical experience,climacteric syndrome tutor menopause treatment2.1 "kidney-based,and aligning the liver and spleen."2.1.1 "seeking this treatment,nourishing yin and kidney is the key." Women before and after menopause because of physical differences,disease,birthing,nutrition and other factors,together with the reasons for family problems,social environment,work pressure and other aspects,so that the body is "Yin often inadequate,often Yang Yu" pathological state.Yin deficiency,organs dystrophy,followed by climacteric syndrome such as hot flashes,night sweats and mood disorders such as depression and anxiety.Therefore,climacteric syndrome Yin deficiency is menopause basic pathogenesis.Treatment should be nourishing yin,fill lean marrow for the basic law.2.1.2 "taking into account his dirty,heart,liver and spleen have focused on." Menopause climacteric syndrome basic pathogenesis is "its present in the kidney,liver,spleen spread" in this card,in addition to yin deficiency of the main clinical manifestations,often visible partial liver,eccentric,partial splenic different symptoms.Therefore,in Clinical Instructor,and we attach great importance to "review the pathogenesis," strictly so that "there is a disease with a drug." Treatment,in addition to nourishing yin mainly outside,but appearing somewhat based on clinical heart,liver,spleen different symptoms,drugs have different emphases.2.2 "Flat yin and yang,good Yin yang seek shade." Differential Treatment of menopause mentor all evidence,starting from the kidney,Flat kidney yin and yang.Although the disease yin deficiency syndrome in the majority,but not neglect deficiency and renal deficiency of both yin and yang.Note that the treatment temperature and yang yin and yang double up, and be good at seeking yin yang,Yin Yang,yin and yang among forget.2.3 "psychological counseling,pay attention to human care." climacteric syndrome as a physical and mental illness have been recognized,therefore psychotherapy treatment of this disease has an important role in medicine that emotion is the external manifestation of the internal organs function,only normal function of organs,emotions will be normal,and in turn had a very impassioned Goshi disorders but also affect the function of organs.Instructor particular emphasis on humane care in temporary certificate,on the basis of drug therapy,often given to patients with the necessary psychological counseling and health education to help patients smoothly through menopause:2.4 "both specimens,from deficiency,heat,stasis governance debate menopausal DUB." Menopausal dysfunctional uterine bleeding refers to women before and after menopause due to loss of ovarian function,follicle almost depleted,not the normal ovulatory menstrual cycle caused by menstruation,after the amount of disorder.The disease is a common disease gynecological disease,acute severe illness is incurable,is a bleeding medicine category.Following the teacher "via" the theory,bearing Fuqingzhunvke the doctrine,combined with decades of clinical practice,that menopause uterine bleeding etiology and pathogenesis is mainly deficiency heat,forced hot blood,both ecchymosis bleeding.treatment with Gushen,tone the liver,spleen,supplemented by heat and cooling blood to stop bleeding,stasis.3 climacteric syndrome's drug lawsCollected from September 2012 to May 2015,climacteric syndrome patients before and after treatment of postmenopausal tutor 56,172 prescriptions,and the statistics in which drug use frequency,and frequency.The results showed that the frequency of prescription drugs a statistically significant 28 flavor,accounting for 71.55% of prescription drug statistical frequency,and these drugs to treat the disease is the basic square(Cork,altogether,the composition of raw Rehmannia,raw yam,cornus,Chinese angelica,white peony root,Toosendan,raw keel,raw oysters,Salvia,the main drug Gallus gallus,Atractylodes)and permits and the common side,you can see climacteric syndrome mainly from nourishing yin,liver and spleen and aligning,based on this side of the card the subtraction with the card.Conclusion: climacteric syndrome is due to menopause women "July" year kidney gradually decline,menstruation will be dried up,Chong and Ren deficiency,fine blood,leading to the body's yin and yang imbalance,dysfunction of organs.Tutor in gynecology and research more than three decades,dialectical therapy for this disease has accumulated very rich clinical experience,that the basic pathogenesis of this disease is "its present in the kidney,liver,spleen spread",treatment with nourishing yin based,and aligning the liver and spleen,bearing in mind the balance of yin and yang,both specimens.Clinical syndrome accurate,precise and appropriate treatment,a significant effect.
Keywords/Search Tags:Wang Xihao, climacteric syndrome, clinic thinking, clinical experience, drug laws
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