Professor Tiezhong Zhang’s Academic Theory Of Treatment On Senior Patient Mainly On Regulating And Reinforcing Spleen And Kidney, Dissipating Phlegm And Removing Blood Stasis, Regulating The Movement Of Qi

Background:Professor Tiezhong Zhang was born in a traditonal Chinese medicine family in Tianjin, he had great interest on traditional Chinese medicine in his childhood Professor Tiezhong Zhang has been working on TCM internal medicine department in Traditional Chinese Medicine Hospital of Tianjin Railway. In this period Professor Tiezhong Zhang learn the fourth important classics of TCM, and books of four scholastic sects of Jin-yuan dynasties by heart and was a famous doctor in the local area. And then, he studied under the famous professor Chen Keji who was master of Chinese medicine. He read a lot of classics books of TCM, the academic thought and practical skill were further sublimated.Professor Tiezhong Zhang was teaching, researching with excellent academic attainments and rich clinical experience since he graduated from Tianjin Traditional Chinese Medical University41years ago. In the treatment of senile disease, professor Tiezhong Zhang attaches great importance to the physiological characteristics and pathological changes of old people, such as deficiency syndrome complicated with excessiveness and multi-Yu and phlegm. His therapy was focusing on four diagnostic methods that detailed in the categorical identification and he can flexible application of classical prescription, make free with Current Prescription. His formulary is well-considered and specifically drug with great power, which is not to hurt the vital qi at the time of removing pathogenic factors, and invigorating vital qi without keeping pathogenic factors,so that the herbs can integrate prevention than treatment, what’s more is the combination of prevention and treatment. Professor Tiezhong Zhang has published more than60academic articles in medical journals of China and edited more than10medical books, excepting that he also has presided and completed85national research and various research projects of State Administration of Traditional Chinese Medicine. He was awarded as the fourth old academic experience of experts and inherit the instructor in the whole nation by the State Administration of Traditional Chinese Medicine. Obiective:This paper is a systematic review of ideological origins about the academic thought of professor Tiezhong Zhang’s and has summarized his geriatric academic experience of treatment, focusing on summarized the experience of treatment and acknowledge on common diseases,such as vertigo, constipation, depression syndrome and insomnia.This paper also uses data mining techniques to analysis professor Tiezhong Zhang’s common law of drug treatment of senile disease, which is intended to explore and summarize his academic thought and clinical experience of geriatric treatment, providing a new way to inherit professor Tiezhong Zhang’s academic thought.Method:1. This paper systematic review of ideological origins about the academic thought of professor Tiezhong Zhang which is including those from classical theory of traditional Chinese medicine and Chinese medicine theory of all known:yin-yang theory,the overall concept and the concept of gasification, of Hucmgdi’s Canon of Medicine, the six meridians dialectics and organs dialectics of Diseases Caused by Cold Factors,"Yang than Yin deficiency" theory of Zhu Danxi and clinical theory on diagnosis and treatment of the diseases caused by Qi, Blood, Phlegm, Stagnation, Fire and Spleen and Stomach Theory of Li Gao, which have a huge impact on professor Tiezhong Zhang.2. This paper summaries professor Zhang Tiezhong teacher’s academic experience in the treatment of geriatric, especially on the experience of treatment and acknowledge on common diseases, such as vertigo, constipation, depression syndrome and insomnia.3. Using data mining techniques to explore professor Tiezhong Zhang’s experience, academic treatment of elderly patients, the specific methods are like this: firstly, collecting the clinical prescription on common diseases,such as vertigo, constipation, depression syndrome and insomnia.secondly, establishing a database about the prescription information in accordance with the technical requirements of data.thirdly, using statistical software to analysis the data and get the results.Results1.Huangdi’s Canon of Medicine, Diseases Caused by Cold Factors, and four theory of Jin and Yuan dynasty are the theoretical basement on professor Tiezhong Zhang to understand and treatment of senile disease. and Spleen and Stomach Theory of Li Gao lay the foundation for the academic thought on regulating spleen and Stomach.2.The professor Tiezhong Zhang’s experience of treatment on common diseases,such as vertigo, constipation, depression syndrome and insomnia.(1) Experience on vertigo:professor Tiezhong Zhang thinks elderly patients with vertigo is caused by deficiency of wuzang and weakness of jing, so the main cause is deficiency.The deficiency causes excessiveness later and induces deficiency syndrome complicated with excessiveness and the deficiency is below the body,which is the deficiency of kidney, dysfunction of spleen in transport, YANG-orifices failing to be nourished. However, the excessiveness is upper the body,which is the liver-yang hyperactivity that accompanied by phlegm, Stagnation, phlegm and thus the performance of wind phlegm, wet sputum, phlegm and Stagnation, mixed with water. The deficiency induces the dystrophy of Qingqiao then it disturbs the balance and makes for the dizziness. As foe the treatment, we can grasp the common pathological features, such as kidney yin deficiency, water is not keeping wood, hyperactivity of ganyang and spleen dysfunction and phlegm obstruction,combined with the physiological and pathological characteristics of elderly innate consumable, acquired fragile, easy to empty, easy to depression and so on. We follow the principles of regulating the functions of spleen and kidney with removing stagnation and eliminating phlegm. The principles are invigorating the deficiency but eliminating the excessiveness, which are in flexible use according to the different situations. Invigorating is about promoting the kidney yin and invigorating the spleen and qi combined with removing liver qi stagnation and making smooth flow of qi and shen. Eliminating is making yang keep in the right place.(2) Experience on depression syndrome:professor Tiezhong Zhang proposed the "older and more virtual,""older than Yu," which are the characteristics of elderly patients. Due to deficiency,it causes Yu and then Yu induces diseases, which influence each other The basement is the spleen and kidney both are deficiency and the manifestation is the stagnation of gi.So following the principles of "all Yu are in the zhongjiao should use chuangshu and chuanxiong to promote qi",which is from Zhu Danxi’s treatment ideas and then guiding with the regulating the spleen and kidney, removing stagnation and eliminating phlegm and smoothing flow of qi.Proposing the idea of invigorating the spleen and qi, nourishing the postnatal nursing to promote the innate, regulating the spleen to hold water of kidney and then restore the body ascending function.Meanwhile, removing liver qi stagnation and making smooth flow of qi makes the spleen strong to eliminate phlegm and smooth flow of blood, then the disease vanished.(3) Experience on constipation:professor Tiezhong Zhang proposed the idea of the constipation in old patients is caused by "deficiency induces the block",what’s more,he provides the view of "treat the senile constipation from the stagnation of governance". Professor Tiezhong Zhang points that the pathological senile constipation key is the large intestine conduction (transfer of property) dysfunction, however the formation and excretion is inseparable from the internal organs, so the dysfunction of Zang-Fu system is the key factor of constipation The deficiency of Zang-Fu system is the fundament of large intestine conduction dysfunction, especially closely with the organs of lung, spleen and kidney. In terms of treatment, professor Tiezhong Zhang thinks the principle includes warming yang and invigorating qi and making smooth flow of qi,which highlights warming kidney and invigorating spleen promoting qing and descending zhuo.(4) Experience on insomnia:professor Tiezhong Zhang thought that the reason of insomnia is caused by internal injuries and emotions fail is the main cause. Although there are clinical cases of excessiveness, the mostly cases are deficiency, especially in elderly patients. In addition, the emotions fail, such as joy, anger, worry, anxiety, sadness, fear, panic over with less can cause disease by the changes of yin and yang, qi and blood in the body. Anger damages liver then causes the dysfunction of liver, which causes liver qi stagnation, the soul is not in possession and disturb the mind, finally it induces insomnia.On the other hand, concern too much and makes the spleen and heart are tired, deconditioning of spleen and the dysfunction of digestion,so there are not enough nourishment to the shen of heart, shen is not in the right house causes insomnia. professor Tiezhong Zhang stresses that clinical treatment of older people should tell the actual situation of the pathogenesis of yin and yang and chooses the appropriate application of the forma.3. Using data mining techniques to analysis the four kinds of drugs.which are including the medication frequency, the core of the drug and drug combinations, and get the results according to data analysisConclusions:1. Professor Tiezhong Zhang’s academic experience is rooted in the four Chinese classics and Four classical theory of Jin and Yuan dynasty. Professor Tiezhong Zhang thinks that yin and yang theory is an important foundation of traditional Chinese Medical theory. In clinical diagnosis of disease, whether or treatment, we must first distinguish between yin and yang, then diagnosis and treatment can be correct. Chinese medicine emphasizes the understanding of an whole concept. The ancients stressed that "all God-shaped","God-shaped one" and thought people’s normal life activities was the combination of psychological and physiological functions of integration. As for the pathological changes, the organization of the Zang-Fu between the local and global, between the pathology can be influenced each other, the mass changes are resulting from the complex pathological changes. Zhu Danxi’s theory of "yang than yin deficiency", and he was good at using qi, blood phlegm,stagnation and fire in clinical which impacts on the academic ideas of Professor Tiezhong Zhang. During Clinical nursing care,he always keep in mind the theory of protecting the yin and he likes to use shanyao.shanzhuyou and so on.His treatment also focus on eliminating excessiveness,specially eliminating phlegm including wind phlegm, sputum wet, he is fond of using erchen and baijiezi and so on. Professor Tiezhong Zhang is good at treating elder patients from the yu and gets a significant effect.As for the stomach professor Tiezhong Zhang is influenced deeply by Li’s theory of the spleen and stomach injuries,so he emphasis on the important role of the spleen and stomach during treat the old and focus on conditioning of spleen and stomach. His treatment is not only from the stomach to treat a variety of age-related diseases, but also treat the diseases of the nursing care,that is to protect the stomach qi and invigorate the spleen qi, so that the spleen and stomach are in good condition and enough blood, then lung qi is smooth, enough heart blood,liver qi flows smooth and kidney qi is solid enough,at last wuzang are in good condition.2. The academic experience in the treatment of common diseases of old age,such as vertigo, constipation, depression syndrome and insomnia is not consistent with clinical practice,but has been clearly demonstrated by data mining technology research,which finds out that the treatment of geriatric academic thinking lies regulating spleen, eliminate phlegm and smooth flow of blood.