| My mentor Zhu Zongyuan, as the National Celebrated Traditional Chinese Medicine Expert. He graduated from ShangHai Trad it ional Chinese Medicine Col lege at1962. And he was one of the medical science Experts who support the Border and minor i ty, The first at that t ime. My mentor comes from Inner Mongol ia Medical College, Traditional Chinese medicine and Mongolian Department. And work for teaching and Clinical work. My mentor base the ancient experience. Assiduously study from the Cinical work, and have the Extensive experience in medical illness, especially, in the Cardiovascular and cerebrovascular diseases, Stomach diseases, arthropathy, nephropathy, he has Extensive experience in these fields.This Paper Purpose on that comprehensive summary my mentor’s academic thinking and clinical experience in the field of Cardiovascular disease and in-depth study my mentor’s ideology.My paper divided into two parts:Part1Teacher Zhu Academic originProfessor Zhu read classics, especially praise highly with<Huang Di Nei Jing>,<Shang Han Lun>,<Wen Re Lun>,<Pi Wei Lun>, the Prescription he used mostly rooted in the classics, but he didn’t limited in those books, in clinic, professor Zhu brought the authors’theories and methods together and understand thoroughly.1. Based on the theory "the heart fire " in the<Huang Di Nei Jing>,and that heart master people’s activity, we trust the Yang Qi of human body rooted in heart fire, so cure the heart diseases should warming Yang Qi. Besides,<Nan Jing> said,"Ming Men is the key base of energy and vitality." So we regard "Ming Men"as the basis of viscera, then we think cure the heart disease should warming the Yang Qi of kidney to improve the Yang Qi of heart.2. Based on the theory "the heart makes blood " in the<Huang Di Nei Jing>,<Ling Shu.Jue Qi> said,"in Zhong Jiao where turns the Qi and other factors into red juice, it is called blood." And Lidongyuan’s<Pi Wei Lun>said,"If the spleen and stomach hurts, every kinds of disease comes." Then we pay more attention on invigorating the spleen and stomach, at the same time, value the importance of invigorating kidney3. Ye said," Chronic illness transforming to collaterals ". the Principle using of treatment for collaterals’ disease is that "dredge the collateral, using the acrid drug, besides the drug of sweet flavor with warm nature".Part2Summary professor Zhu’ s academic thinking and clinical exper ience1.Academic thinking1.1Value studying on the ancient books of traditional Chinese medicineProfessor Zhu regards the classics as the basic of TCM studying, the classics is most important woks in its subject areas, which is the most typical in the special era. In the classics, we can learn a variety of theories and ideas, and the ways of using the medicines and drugs.1.2Actively promote the Modern TCMThe Modern TCM is based on the "Classical Chinese medicine", with the way of Modern science and technology and Humanities and Philosophy to study, improve, Innovation the Classical Chinese medicine.1.3Traditional Chinese Medicine and Philosophy thinksChinese medicine theory built on the basis of Ancient Phi losophy,so, Philosophy have a significant impact on the Traditional Chinese Medicine.2. The characteristic of professor Zhu’s treatment based on symptom’ differentiation2.1Combine the treatment based on symptoms’differentiation with the distinguishing of diseases.Professor Zhu improves the clinical effect through the choice of combination of disease with symptoms, or without symptom take the disease, without disease take the symptom, and withdraw symptoms take the disease, withdraw the disease, take the symptoms.2.2Grasp the main symptom, lay emphasis on inquiryThe main symptom is the embodiment of pathogenesis, and the most prominent manifestation of disease, so the doctors should solve it instantly. Grasping the main symptom makes dialectical thinking much more clear.2.3Theoretical basis2.3.1Weakness of body is fundamental, existence of pathogenic factors is the appearance.The heart disease based on the deficiency of heart (heart Qi, heart Yang, heart Blood, heart Yin), especially the deficiency of the heart Qi and heart Yang. Existence of pathogenic factors, including stagnation of Qi, stagnation of phlegm, stasis of blood, coagulation of cold.2.3.2The location of disease is the heart, but related with all the visceraThe deficiency of spleen and stomach, causing the lack of supplies of heart. The deficiency of spleen and heart, or the deficiency of spleen makes the Zong Qi weakness, extravasated blood occurs, or bad habits of dinning hurts the stomach, and the function of elevating refined substances and lowering turbid essence are also reduced, turbid essence deceive the hear Yang result in the heart disease.Heart control the blood vessel, liver keep and store the blood, liver and kidney are isogeny, the Jing and blood promote and limit each other to keep balance. The deficiency of kidney Yin may leave the heart Yang’s hyperfunction. Liver Qi should be free from obstructed, then the blood vessel can be clear, without extravasated blood. Lung Qi out of function will make more phlegm, blocking the chest Yang, cause the Xiong Bi and cardiopalmus.3. Six characters of curing the heart disease3.1Tonifying heart Qi, warming Yang QiThe disease located in heart, heart master blood, heart Qi push it circulate in the vessel, the deficiency of heart Qi can cause extravasated blood,"treatment should seek in the basic reason", so professor Zhu regards tonifying heart Qi as the root of the coronary disease treatment. Heart Qi depends on heart Yang’s warming, so warming Yang Qi also is the core treatment.3.2Seek Yang in Yin, seek Yin in YangBasic on theory that heart is the fire viscera, and kidney store the real Yang to promote Heart fire, so professor Zhu emphasis on nourish the Fire, which means the Ming Men Fire. As the Yin and Yang can support each other, so he use Buguzhi to enhance the Guizhi’s function of warming heart Yang. Using Maidong, Wuweizi nourish Yin, combine with Dangshen, aim to give birth the pulse.3.3Invigorate the circulation of blood, dredge collaterals to analgesia.Ye said," chronic illness transforming to collaterals." Professor Zhu thinks chronic pain transforming to collaterals, so remember removing blood stasis when treat the chronic disease, as the drugs, it’s different from the usual, he uses such as pests and ant.3.4Nourishing Yin and blood, tranquilizing by nourishing the heart For heart master blood, the deficiency of heart Yin makes heart Yang sthenic, heart blood turns to deficient can’t fill the blood vessel, which can’t nourishing the heart vessel, we should nourishing Yin and blood, tranquilizing by nourishing the heart to treat this condition3.5Combine the Traditional Chinese medicine with modern medicineWe should take advantage of the modern technologies, such as the experimental inspection methods, to study the scientificalness of Traditional Chinese medicine, do rational evaluation of Chinese medicine clinical curative effect, but mustn’t judge the theory of traditional Chinese medicine correct or not just by the way of modern mendicine.3.6Characteristic of drug using—little dose and effect concentrationThrough a long term of clinical work, professor Zhu value the symptomatic treatment mostly, find the real reason, use the correct drug, not the big dose of many drug. In this way, reducing the economic burden of the patients, and save the precious drug resources, to obtain better social benefit.4Medical Records Appreciation4.1Coronary heart disease Medical Records4.2Cervical spondylosis Medical Records4.3Cardiovascular neurosis Medical Records5Lessons Learned5.1Clinical Treatment of angina pectorisUsed Heart I prescriptions is a foundation, according to the card-like addition and subtraction5.2From the cervical spine on the treatment of Clinical Treatment of heart disease and syndromeThe cervical spine is connected to the human brain and viscera (heart), an important part of the limb, Is also an important hub of the blood through the line, once the cervical blood stagnation, the context of stasis, not sufficient to support the brain awakened, can not be raised mind, it is treatment of from the cervical spine.5.3Clinical Treatment of cardiovascular neurosisHeart and kidney is very important, emphasizing the Qi and Blood, Yin and Yang is harmony and balance.6InnovationThe author in teacher’s treatment of heart disease in six points on the basis of Xuan Su lung treatment of coronary heart disease with chronic heart failure, and stressed the role of the lung in the treatment of heart failure, the choice of the lung of the Campanulaceae declared, cited drug uplink of Paul lung, the co Tinglizi jujube Xiefei soup, combined with almonds, Suzi Xuan Su lung, reflecting the effect of mentioning pot Uncovery better play the role of the water passage.Part3Qi deficiency and Blood Stasis of Chronic heart failure treatment and Clinical StudyPurposes:Observation of Xinshuai decoction Qi deficiency and Blood Stasis treatment of chronic heart failure clinical efficacay and safety to explore the treatment of cardiac xinshuai decoctionof chronic heart failure, clinical use as a guide to provide a reliable theoretical basis.Materials and method:Qi deficiency and blood stasis in patients with chronic heart failure randomized controlled by60cases of law were randomly divided into two groups, control group (30cases) the use of conventional western medicine treatment, the treatment group (30cases) in the control group based on the use of xinshuai decoction,4weeks of treatment. Observed before and after treatment efficacy in patients with heart failure, cardiac function, TCM Syndrome points, single effect of TCM Syndrome, Six minute walking test.Results:Xinshuai decoction conventional Western medicine combined therapy can significantly improve the clinical efficacy in patients with heart failure, compared with the control group were different (p<0.05);Xinshuai decoction conventional Western medicine combined therapy can significantly improve cardiac function in patients with heart failure classification, compared with the control group were different (p<0.05) Xinshuai decoction joint conventional Western medicine can significantly improve the scores of Chinese medicine in patients with heart failure syndrome effects, compared with the control group were different (p<0.05); Xinshuai decoction joint conventional Western medicine can significantly improve the treatment of heart palpitations, shortness of breath, chest tightness, fatigue syndrome sweating, TCM individual syndromes compared with the control group have differences(p<0.05), surface floating limb swelling two groups had no difference (p>0.05).Xinshuai decoction joint conventional Western medicine can significantly reduce the chronic heart failure patients with NT-proBNP(p<0.05) has the difference. Two groups of patients group were no adverse reactions after treatment on cardiac Xinshuai decoction of toxic side effects on the human body did not, is safe and effective.Conclusion:The treatment of cardiac Xinshuai decoction deficiency and blood stasis in patients with chronic heart failure is effective and can significantly improve the efficacy in patients with heart failure, clinical symptoms and quality of life.5.The Innovation:Besides the upper six points, the writer put forward that descending the lung Qi to cure the coronary heart disease and chronic heart failure. |
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