| Professor Gaoli, Beijing Xuanwu hospital chief physician, the fifth state batch of the apprentice instructor. Department of internal medicine, Beijing University of Chinese Medicine,doctoral tutor.Member of the Committee of experts on China’s elderly health association, director of the academic committee of brain health professional committee of the Chinese elderly health association, member of the Department of Neurology, Chinese and Western medicine, Chinese and Western medicine, Beijing Chinese and Western medicine combined with the professional committee of the Department of neurology, member of the old professional committee of the association of Chinese and Western medicine in Beijing. From thirty years of teaching and research work in clinical, specializes in cerebral vascular disease,and brain related diseases, In the field of difficult encephalopathy and other unique insights, the clinical treatment and research work of traditional Chinese medicine has special clinical experience and academic thought. Gao teacher put forward a brain physiological "Zhuyang gathering place " Yang Yi Kang Sheng; The head, Qingqiao easy blocking; "The house of Yuanshen" Yuanshen is easy to damage; "the sea of marrow"marrow is easy to empty;" the pulse of the meeting" is easy to damage and so on. Teacher Gaoli thinks core theory of the pathogenesis of cerebral vessels in pathology is blood stasis, phlegm, stagnation, causing grief, bad veins closed orifices, blood stasis application, the application of blood stasis, phlegm, Tongfu treatment etc.,clinical effect is quite good. The high teacher in the clinical treatment of various difficult encephalopathy has a unique effect, I was greatly influenced by the teacher’s teaching and learning from the teacher. Teacher Gao thinks that the core pathogenesis of disease of cerebral vessels is blood stasis, phlegm, stagnation of fu, teacher Gao summed up a variety of clinical application of the law, thinks phlegm, blood stasis Tongfu method used effectively, In the treatment of the increase in the territory will be the "pass" method to extract summary, using in the treatment of cerebral vascular disease, the "clearing up, through treatment, dredging" method widely used in cerebrovascular disease, the application of Huoxue Huatan Tongfu plays an important role in clinical practice.In this paper,9 cases of high school teacher’s academic thinking and clinical thinking,characteristics of drug use, the application of blood stasis, phlegm, purgation method, especially in the acute stage of cerebral vascular disease(including cerebral hemorrhage)application of drugs for promoting blood circulation and clearing heat.[Objective] To explore the theoretical basis of Quyu Huatan Tongfu therapy on ischemic stroke, clinical observation. [Methods] This paper summed up the ancient and modern, Chinese and Western medical knowledge and treatment for stroke and put forward resolving phlegm and removing blood stasis through the idea of Fu method in the treatment of ischemic stroke.68cases of patients with ischemic stroke recovery period of diagnosis, according to the random number table. The actual available for medical statistics are 65 cases The patients were randomly divided into observation group and control group were observed group (33 cases) by removing blood stasis and phlegm Tongfu decoction combined with western medicine in the antithrombotic lipid-lowering therapy,32 patients of control group were treated by western medicine antithrombotic lipid-loweringtherapy, treatment for3 months, through the comparison of the related indicators before and after treatment observed Huatan Quyu through the clinical curative effect of Fu Fang.[Result]1.TCM syndrome score comparison:observation group before and after treatment, P <0.01, there were significant differences in the control group before and after treatment, P< 0.05, there was statistical significance, while the observation group and control group after treatment compared with P< 0.05, the observation group improved better than the control group;2, Compared two groups of patients with clinical efficacy, observation group total effective rate was 90.0%, control group total effective rate was 65.6%, the compare of curative effect of two groups was statistically significant, P< 0.05, suggesting curative effect observation group is better than the control group;3. Two groups of patients with neurological function defect score comparison:after treatment, the observation group of patients with score by statistical analysis, P< 0.01), significant difference; the control group of patients with P< 0.05, while the observation group and control group after treatment compared with P< 0.05,suggesting that the observation group was superior to the control group in improvingneurological function;4. The daily life ability (ADL) of the two groups were improved, compared with ADL,P< 0.05,no statistical significance;the control group were statistically significant (P< 0.05);after treatment, the ADL score of the observation group was significantly difference (P< 0.01); ADL score of the control group before and after treatment,having statistical significance (P< 0.05); Observation group and control group after treatment,P<0.05, the observation group was better than the control group;5. Two groups of patients with laboratory test index comparison:serum cholesterol, blood homocysteine (HCY),high sensitivity C-reactive protein (CRP) detection were prompted to observe the observation group has an advantage over the control group;6. Safety observation index:in patients before and after treatment, blood routine, urine routine, stool routine,liverand kidney function and ECG were routine detection, in indicators before and aftertreatment were in the normal range that safety of the experimental treatment.[Conclusion]1.Resolving phlegm and removing blood stasis through Fu can improve stroke patients in the TCM symptom score, and neurological deficit situation, improve the patient’s quality of life and activities of daily living (ADL).2.Resolving phlegm and removing blood stasis and Tong Fu Fang can improve the patients of blood homocysteine, high sensitive C reactive protein and blood cholesterol levels, have good clinical efficacy. |
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