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Professor Wang Qingguo 's Academic Thought And Its Experience In Treating Allergic Rhinitis With

Posted on:2017-02-15Degree:DoctorType:Dissertation
Country:ChinaCandidate:X Q WangFull Text:PDF
GTID:1104330482984934Subject:Traditional Chinese Internal Medicine
Abstract/Summary:PDF Full Text Request
Professor Wang Qingguo was born in 1952 on Cangzhou city, Hebei province. He is a doctoral supervisor, a tenured professor of Traditional Chinese Medicine at Beijing University of Chinese Medicine, serves as directors of the State Administration of traditional Chinese medicine Key Laboratory of Chinese Medicine Research Center, the city of Beijing and the Ministry of Education Key Laboratory -- syndromes and formulas of basic research laboratory, the National Bureau of TCM medical schools -- Yanjing Liu school of Shanghan, and Duzhou Liu Research Laboratory. He was engaged in teaching and research work of clinical Chinese medicine for 46 years. This paper reviews the clinical experience of Professor Wang, aiming to preserve and inherit the valuable clinical experience, and inspire followers to improve the clinical efficacy.1. AimsWe have reorganized Professor Wang’s academic thought and clinical experiences. Raveled out his family heritage, teacher-studentlineage and inheritance relationships of traditional Chinese medicine. Providing the basis of guiding successors in the growth and high-level personnel training of TCM. To summarize the specific syndrome differentiating system around special recipe for special disease we arranged the Pro. Wang’s clinic experiences in treating common diseases. In addition, we also evulated the pesticide effect Shuangxin Biqiu Tang in the treatment of allergic rhinitis (AR). The results have offered an effective clinical basis for the diagnosis and treatment of AR.2. Methods:2.1 Road to success and academic thought origin of Professor WangTCM has dual characteristics of both the humanities and natural sciences. Doctor’s clinical thinking has something to do with influence of individual environment and interaction between different academic thought, it is not accurate and integrated to arrange doctor’s clinical experience without a background. Therefore, in order to inspire students, over-all arrangement of Chinese Medicine thinking connotation of instructors needs recording of experience of success, collection of clinical firsthand and combination of characteristics of the times, growing environment, education and other human factors.2.2 Academic origin of Pro. WangA comprehensive summary of domestic inheritance and apprenticeship of Professor Wang, arrangement of famous doctors who has influenced him and summary of his life experiences and process of academic development have been done.2.3 Arrangement of academic achievements of Pro. WangBy recording and finishing usual teaching Quotations of Professor Wang, interviewing me and my fellow comrades, and I have summed up distinctive academic point of view and the main research ideas of Professor Wang. I recorded his whole speech of "Shanghan Lun" with lectures, video, and translated audio data into text, while finishing his article, lesson plans and textbooks article, lesson plans and textbooks about study "Shanghan Lun" and reorganizing his distinctive insights about’’Shanghan", in order to show the academic achievement of Professor Wang from "scholarship" to "clinical" and further "research".2.4 A summary of Pro. Wang’s clinical experienceThrough the standardized and unified prescription, which is written by Professor Wang directly after inquiry, we have saves first-hand clinical data as much as possible, which might be a true reflection of his thinking of syndrome differentiation. With clinical probation in manner of combination of case collection, experience induction, statistics and tutors instruction, we have concluded part of the medical specialties of common and difficult disease, commonly used prescription, compatibility and subtraction experience, which is used by Professor Wang. After considerable discussion with Professor Wang, The research achievements can be treated as the final result of characteristics of clinical diagnosis and treatment.2.5 Characteristic experience of Pro. Wang in treating allergic rhinitis using "Shuang Xin Bi Qiu Tang"Allergic rhinitis (AR) is IgE-mediated chronic inflammatory disease of the nasal mucosa, and it causes a severe influence upon patients’sleep, memory, mood, and quality of life. Using a method of YiQiWenYang, JieBiaoSanHan and JianQingYuRe, Professor Wang can significantly improve the symptoms of patients and cure part of them, which shows the advantages of traditional Chinese medicine treatment of AR. From the nasal symptoms of allergic rhinitis, with symptoms and other aspects, the research evaluated the clinical efficacy of "Shuang Xin Bi Qiu Tang" treatment of allergic rhinitis. In this research, opening and self- controlled way is used, and 42 cases of allergic rhinitis patients met the inclusion criteria were included for 8-week observation. To evaluate the efficacy of the treatment, TNSS and TNNSS points are used before and after the process of the treatment.3. Results3.1 Famous experience of Pro. WangFamous doctor Professor Wang has gone through about 5 stages, including:initiation in childhood accumulating cultural heritage, hard working deriving true principles of Chinese Medicine, studying in capital thinking widely, probation at any time getting true capability from the teacher, hard thinking, creating and integrating new knowledge. His many achievements made today, are closely related to early experiences, providing the basis for guiding the growth of TCM heir and development of high-level talents.3.2 Instructor Academic OriginAfter working hard on<Shang Han Lun>, yet without losing the ancient meaning of the legislation, not rigidly adhere to the ancient formula, professor Wang is erudite about the usage of classic formula. He is not only good at using the classic formula, while focusing on lessons from each famous doctors. He memorize the<Yi Zong Jin Jian> well, and is fond of Dongyuan Li, Danxi Zhu, Shiduo Chen, Qingzhu Fu, Xichun Zhang, Tianshi Ye and so on. He attached importance to absorption of the diagnosis and treatment experience and is able to integrate into clinical practice within the above-mentioned various home experience, diagnosis and treatment outside, women, children subjects diseases to improve clinical outcomes.3.3 Academic thoughtProfessor Wang obtain true mass of his mentor Professor Liu Duzhou, and he makes good use of Bupleurum associated prescriptions, presents a theory claiming the importance of cardinal and "harmony" rather than "smooth". On this basis, he is good at using both classic formula and contemporary recipe, also creating new formula. He attached importance to Syndrome Differentiation, heavier Syndrome Differentiation combined, integration of new knowledge, usage of modem medicine knowledge. He also pay attention to "one disease (syndrome), one formula" and advocate "one disease (syndrome), more formula". He always said, based on syndrome, we can explore the effective ways and methods of "Chinese medicine modernization". Internal and external, priorities and facilities, medication based on illness are always mentioned, and he speaks highly of not only creating law and formula, also holding law and formula.3.4 Clinical experience:Summary of tutor’s academic thought and clinical lessons is essence of master-disciple teaching, inheritance from three different part such as "Dao", "Fa", "Shu", is effective means to spread and promote academic thoughts, and improve clinical outcomes. In the diagnosis and treatment of digestive diseases, Professor Wang was influenced by the academic thought "Bao Wei Qi" of Zhongjing, but also Dongyuan Li, and he uses formula such as "Banxia Xiexin Tang" and " Buzhong Yiqi Tang" to deal with this kind of diseases. In order to treat liver disease, he performed blood as the key link, use formula such as Bupleurum agent, ephedra agents, Linggui agent, particular expertise in the clinical trearment of Hepatology. In order to deal with ulcerative colitis Professor Wang believes pathogenesis is spleen-oriented, heat stasis as the standard, and both liver disorders and kidney deficiency, with Chaihu Guizhi Ganjiang Tang, Tongxie Yaofang and Yuanjue Shendan he creates "Wenyangbupi", "Tiaoganhexue" and "Qushizhixie" as methods of disease cures. He stresses Syndrome consistency, stage of governance, the creation of "Chuanteng Tongbi Tang" as treatment of rheumatoid arthritis. He uses a method of "Bushen" to treat menopausal syndrome with "Zishui Qinggan Yin", and headache with "Qingshang Juantong Tang", which reflects his unique experience.3.5 Evaluation of application of "Shuangxin Biqiu Tang" on the treatment of allergic rhinitis: Efficacy of disease shows that, two weeks after treatment, the total effective rate was 50%, at 4 weeks after treatment, the total effective rate was 78.5%, at 8 weeks after treatment, the total effective rate was 92.8%. Comparison of patients before treatment and two weeks, four weeks, eight weeks after treatment of nasal congestion, runny nose, nasal itching, sneezing symptom score, P<0.01, the difference was statistically significant, while the average number of changes were a clear downward trend. According to secondary efficacy indicators, compared before treatment and two weeks, four weeks and eight weeks after treatment, snot flows from the nose throat symptoms score, P<0.01, the difference was statistically significant, the mean change was significantly decreased. Comparison of therapy symptom score between 2 weeks and 4 weeks,4weeks and 8 weeks, P>0.05, the difference was not statistically significant. Compared with the tears symptom scores before treatment, p value of two weeks, four weeks, eight weeks after treatment all<0.01, the difference was significant statistically significant, the mean change was significantly decreased. According to the nose or eyes itching, difference between 2 weeks and before is not obvious. Compared symptom scores of before.4 weeks has significant difference, p= 0.008<0.01, and the effect has been extended to 8 weeks. Comparison of before treatment, nasal or oral maxillary pain and headache symptom scores of two weeks, four weeks, eight weeks with, P values were<0.01, the difference was statistically significant, the mean change was significantly decreased.
Keywords/Search Tags:Allergic Rhinitis, Curative effect evaluation, Clinical experience, Shuangxin Biqiu San, Professor Wang, Academic thought
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