Professor Wang Shouru's Experience On Treating Oral Mucosal Disease Academic Thought And Clinical Experience Of Research

Objective: Professor Wang Shouru in the past 50 years of medical, teaching and research work in practice, in the prevention and treatment of oral diseases, periodontal disease and other oral diseases have a wealth of experience and unique academic ideas. Under the guidance of Prof. Wang Shouru, this study on the basis of theoretical basis and clinical literature collation and research, the system first finishing the previous research experience and achievements in the powder, to sum up the clinical syndrome in the medical records of academic experience, and make the theory summary and medical analysis combined, the two complement each other cards, and verified by clinical study of recurrent oral ulcer, tries to reveal and summarize the Wang Shouru professor of treatment of oral mucosal diseases academic thoughts and clinical experience, for further consolidation and inheritance and clinical experience of the academic thought of Professor Wang Shouru provided for ideas.Method:1.Through weekly follow the teacher clinical copied side, careful observation of the four diagnostic methods of teacher, carefully written with teacher notes, with month division record, and communication between teachers and students and the oral, listening to the teacher in class, watch the teacher teaching video and other methods of recording the teacher's academic point of view, combined with their own clinical practice experience, analysis, understanding, summary, concise the theory, method, prescription and medicine, nursing characteristics, exploration of Professor Wang Shouru of oral mucosa diseases theoretical understanding, debate treatment experience and medication rule and characteristic, prophylaxis and nursing methods and mining, deepening and sublimation, creativity to come up with new ideas, new theory, new therapies. To sort out, sum up and refine the teacher's experience and academic ideas.2.Carefully read the teacher works such as "the utility of combining traditional Chinese and Western medicine oral medicine", "Chinese and Western medicine diagnosis and treatment of oral diseases" and "Handbook of world traditional medicine dentistry", "Chinese medicine diagnosis and treatment of pain syndrome", "Encyclopedia of Chinese Medicine Oral Science", "Chinese ent science" and so on more than 10 books, learning professor Wang Shouru the previous works on medicine, academic reports and his after the previous research results and teaching notes more than 80 articles, back teacher academic ideological origins and theoretical basis, to provide a solid academic origin and theoretical basis for further discussion, in accordance with the relevant basic theories in medicine, analysis of the internal logic and rule of its existence, summary and mining it is the core of thought.3.Read the four great classics of TCM and professional TCM ancient books such as "spleen and stomach", "tongue", "Chonglou Yuyao", teachers and Chinese classic Pro Card experience combined, deeply understand the teacher academic ideological origins.4. Retrieval modern traditional Chinese medicine and Western medicine combined with oral literature, study the academic characteristics of TCM doctors, in order to gain experience and clinical features of the academic thought of Professor Wang Shouru.5. The theory is improved and the experience of a combination of methods, to Professor Wang Shouru clinical specializes in treating diseases of oral mucosa as the breakthrough point, classification and integration of the its in the diagnosis, differentiation, treatment, prescription and prognosis of health care, and so on fragmentary, scattered experience, collect Shoujin Ru professor in the treatment of oral mucosal diseases outpatient medical records and preserved the original data review of medical records of 120 cases were analyzed, summarizes the research and refined, in order to sum up the the clinical experience.6.Carefully screening Prof.Wang Shouru's efficacy cases of differentiation of syndromes of oral mucosal diseases Professor Wang Shouru, diagnosis and treatment analysis of the comments, extraction which reflects the treatment based on syndrome differentiation is the key and the key points of the characteristics, to form characteristics of the editorial and the case of the summary of, order to seek a more lively and flexible showing Shoujin Ru Professor differentiation of oral mucosal diseases of academic thoughts and clinical experience.7.Prof. Wang Shouru's experience in the treatment of oral mucosal diseases in clinical, with 72 cases of recurrent oral ulcer as the breakthrough point, to observe the clinical research, the symptoms, signs and laboratory indicators of patients before and after treatment.Result1.In theory research: The academic thought mainly includes the following four aspects: the importance of the concept of the whole nursing care acquired; Care for the spleen and stomach; Fuzheng and Quxie combination;Combination of TCM and Western medicine. The origin comes mainly from the "Yellow Emperor" "Shanghanzabinglun" "spleen and stomach" and other Chinese classics, but also affected by the modern school.The tutor will sum up the above ideas, and apply to clinical practice, forming a unique academic thought and experience.2.In clinical experience:(1)The etiology and pathogenesis of oral mucosal diseases: Professor Wang Shouru proposed and Yin and Yang Qi and blood disease is the master, is the basic pathogenesis of qi deficiency, blood stasis is the key pathogenesis.(2)Oral mucosal disease treatment method: Professor Wang Shouru proposed "harmony, in a" rule of combination therapy and health.(3)Oral mucosa disease diagnosis and treatment patterns and characteristics: Professor Wang Shouru proposed "model of diagnosis and treatment of disease syndrome constitution differentiation" three-in-one, using various means first disease; In the "disease syndrome" on the basis of unity, and strive to simplify the syndromes and standards of syndrome differentiation, to improve symptoms and prevent relapse, prevent malignant transformation for the prevention and control of key; constitution in order to guide the prevention of oral mucosal disease in high-risk population and lifestyle(including oral health care measures) guidance and intervention for oral precancerous lesion(or state) to prevent disease before, which lead to disease, has become into the role. Because oral mucosal disease symptoms are complex, and more closely associated with systemic disease, so the differentiation should form and magnitude, and a disease will be the main square, a party will be the main drug, put forward the "Qi and spleen, Fuzhengquxie five", include the vast majority of oral mucous membrane disease, more in line with clinical practice than traditional syndrome differentiation, and the maneuverability is strong, significant effect.(4) Clinical prescription characteristics: weight training for the day after tomorrow, both heat and cooling blood and activating blood circulation to remove stasis and tonifying; Dakwah and protecting stomach qi.(5) Experience summary of the treatment of disease: The tutor believes that the oral lichen moss disease because of deficiency, blood stasis, wet, hot, the disease machine for the virtual reality, the spleen is weak, and the heat and blood stasis. The treatment is divided into three stages: the elimination of erosion, cure to detoxify dampness; eliminating reticulate, treated with blood stasis; consolidate curative effect, treatment with Spleen Qi, and pay more attention to the important role of the emotion of the disease. The basic pathogenesis of recurrent oral ulcer for spleen deficiency and blood stasis, firelight upside. Treated with Supplementing Qi and tonifying spleen, clearing away heart fire Lianyang method, The treatment can be divided into three stages: the early stage of the disease, in order to reduce both Fuzhengquxie, seizures, Fuzheng to enhance disease resistance; the peak is mainly to Quxie, to relieve symptoms, shorten the peak time; the latter should increase the spleen and stomach, help to prevent recurrence of the solid element. The pathogenesis of atrophic glossitis for heart and spleen two deficiency of Qi Yin, Yin Huo Wang, two injured. The heart and spleen two deficiency and Qi Yin two injuries for the Yindeficiency as its subject. Blood stasis can aggravate the disease.So in the spleen qi and activating blood circulation, clearing away heart fire healing treatment under the guidance of the party with glossitis.3.Clinical results of recurrent oral ulcers:The treatment group in improving the ulcer size, number, pain, fatigue, anorexia, congestion and burnout thin stool has better effect than the control group(P<0.05); the total effective rate of treatment group compared with the control group, no significant difference(P>0.05). In the two groups, the clinical curative effect of TCM syndrome was more effective than the control group, the treatment group was better than the control group, the difference between the difference between the two groups was significant(P<0.05). The recurrence rate in the treatment group was significantly different from that of the control group(P<0.05). The treatment group can improve the CD3, CD4/CD8, CD4, CD8 value, and compared with the control group, there is a significant difference(P<0.05). The treatment group decreased blood viscosity(low shear), plasma viscosity, platelet aggregation rate, hematocrit, erythrocyte aggregation index, fibrinogen compared with the control group had significant difference(P<0.01), erythrocyte sedimentation rate decreased compared with the control group there were significant differences(P<0.05).Conclusion1.Prof. Wang Shouru read the classics of Chinese medicine, division of ancient and not imitation, but also from the physicians long, full participation in the west, academic fully inclusive and equitable, flexible combined with clinical practice, form and magnitude. The treatment of oral mucosal diseases, has its own characteristics in the aspects of theory, method, prescription and medicine, nursing and so on, the important role of spleen and stomach function in the pathogenesis of this disease of the spleen qi, Fuzhengquxie treatment method, combined treatment with Chinese and Western medicine, it has a great effect on clinical curative effect to improve the oral mucosal disease, is worthy of further study, analysis, mining system, further on the basis of inheritance and innovation.2.Clinical research results show that the treatment group has no significant difference in improving local symptoms, clinical efficacy and total effective rate, but is better than the control group in improving symptoms, reducing recurrence rate, improving blood rheology index and improving T lymphocyte. Kouchuang ling is safe and effective prescription, it is worthy of clinical application. The mechanism may be related to improving blood viscosity aphtha spirit, regulating immune function.