A Summary Of The Clinical Experience Of Professor Zhang To Treat Menopathy According To The Theory That Phlegm Hurts Liver And Kidney

Objectives: TCM as an important part of the Chinese culture has beendeveloped a special theory as early as3000years ago, and after going throughlots of hardships, it is handed down to us now and comes as treasure of ourcountry. It not only benefits the Chinese with the modern medicine, but alsowas accepted by more and more Westerners. As TCM students we need notonly to inherit but also innovate and accept the new ideology because of thechange of the society. Nowadays we can enjoy ourselves and live a wealthylife as the rapidly development of the science and technology. We take somuch food including flour, meat, alcohol, etc and do so little exercise that somany people catch on weight and obesity becomes a serious epidemic. TheTCM says the excessive food and water become to phlegm and fat peoplealways have phlegm. My tutor has been working as a doctor and a teacher forover30years and is good at using herbs to treat many kinds of disease. Hesums up that phlegm syndrome has been the major epidemic now and wrote abook called the theory of phlegm. To have the previous experience handeddown and help other people engaged in the same pursuit to become aware ofthe theory that phlegm hurts liver and kidney and then result in the menopathy,we decided to write this thesis.Methods: By ways of reading my tutor’s books, papers and otherwritings, sitting besides him and listening to what he says to learn how touse the four diagnostic methods and herbs to treat the patients when he doeshis practitioners, I have had a systematic and profound knowledge of thepathogenesis, pathogenesis, diagnosis, treatment and Chinese herb medicine.We will discuss the relations among menopathy, phlegm, live and kidney,and the treatment and aftercare of the common menopathy in the first part of the thesis.In the second part we will view the change of symptoms of the cases withdysmenorrheal using two different methods. We will record the scores of thesymptoms of the patients before and after the experiment. All the data wereanalyzed by statistical software of SPSS18.0for windows. For measurementdata, we adopt Wilcox on Signed Ranks Test to make comparison of the scoresof the symptoms before and after the treatment. Enumeration data werestatistical analyzed by line*column chi-square test.The diagnostic criteria are made as following:First, the women will have a complaint of periodical lower abdomen andbreast pain during the period or before or after seven days of it, with otherdiscomforts, and can’t work and live as usual.Second, the pulse condition: the spleen’s is rolling or turbid or stagnantor forceful, the liver’ and kidney’s are rolling or turbid or stagnant or feeble orwiry.Third, coating: the coating is greasy or glossy, especially on the middleand rear part of the face of the tongue.Fourth, the menstrual blood is thick contained with blood clots and ishard to flow; the patient is overweight; there is something wrong with thewrest or the legs; the patient may have psychogenic disease or stomach andchest distension and depression; there are different problems with the head,eyes or stool and pee and so on.If the patient meets the first three and any one of the fourth, we willdiagnose that she has developed the disease.According to this diagnosing standard and their sequences to the clinicsin combination with enrolled principal and the exclusion principal, we select60patients whose number is2as the experimental group and60patientswhose number is3as the compared group randomly.Before treatment, we had recorded the general information of the patients,such as name, gender, age, profession, medical record, work unit andtelephone number, then we start our treatments. First, make differential diagnosis for every patient, and then divide theminto different types.Second, choose suitable principles and methods of treatment.Last, give the experimental group Chinese Medical Material decoction.Take one dosage a day, two times, warm way use. When patients drinking up,ask them to come back for the second treatment until the coating and pulsebecome normal.The time of treatment lasts no more than3months. Thecompared group take“YueYueShu”before7days of the menses till3daysafter the coming of the menses, one bag every time, two times a day.Then observe the effect after3months of the therapy.In the study, all the objects belong to the type that phlegm hurts liver andkidney and cause dysmenorrheal, but everybody has her characteristic, so weshould give treatments in accordance with physique of an individual. Thebasic recipe in TCM is made up by the following herbs: Earthworm (6g),Thunberg Fritillary Bulb (10g)，Trichosanthes kirilowii Maxim(20g), Tuber ofPinellia(10g), Perillaseed(10g), Platycodon grandiflorum(10g), Agastacherugosa(10g), Acorus tatarinowii(10g), Radix scutellariae(10g), Caulisbambusae in taeniis(13g), Caulis sargentodoxae(10g), Spatholobussuberctu(30g), Semen Arecae(10g), Fructus aurantii immaturus(10g), Cortexmagnoliae officinalis(10g).Results:1Comparison of the general things of the experimental group and thecompared groupThere are56cases in the experimental group and58cases in thecompared group after all.2Comparison within the group2.1Comparison of the pain degree(1) The total case number of experimental group is56. The number of thecase with mild pain is23,28with moderate pain, and5with severe pain.Cases of clinical cure are6,0,0respectively; Cases of significant effective are8,15,0respectively; Cases of effective are0,4,2respectively; Cases of invalid are all9,9,3respectively. The typical symptoms and signs were all improveddistinctly. The total the effective rate is62.5%. Carried on Wilcoxonsigned-rank test, p<0.01, there is an obvious statistical significance.(2) The total case number of compared group is58. The number of thecase with mild pain is13,34with moderate pain, and11with severe pain.Cases of clinical cure are0,0,0respectively; Cases of significant effective are3,4,2respectively; Cases of effective are0,0,0respectively; Cases of invalidare10,30and9respectively. The typical symptoms and signs were allimproved distinctly. The total effective rate is15.52%. Carried on Wilcoxonsigned-rank test, p<0.01, there is an obvious statistical significance.2.2Comparison between the scores of other symptoms before and afterthe treatment(1) Carried on Wilcox on signed-rank test, the scores of the fur and pulseof the experimental group after the experiment is lower than before; theaverage value before and after are3.929and2.518; the standard deviation are2.1478and1.7476, Z=-5.731, p<0.01, there is an obvious statisticalsignificance.(2) Carried on Wilcox on signed-rank test, the scores of the fur and pulseof the compared group after the experiment is lower than before; the averagevalue before and after are3.931and3.5; the standard deviation are1.5202and1.26, Z=-2.629, p=0.009<0.01, there is an obvious statistical significance.(3) Carried on Wilcox on signed-rank test, the scores of the accompaniedsymptoms of the experimental group after the experiment is lower than before;the average value before and after are8.554and4.821; the standard deviationare5.6017and4.0141, Z=-6.256, p<0.01, there is an obvious statisticalsignificance.(4) Carried on Wilcox on signed-rank test, the scores of the accompaniedsymptoms of the compared group after the experiment is lower than before;the average value before and after are12.103and11.707; the standard (5) Carried on Wilcox on signed-rank test, the scores of all the symptomsof the experimental group after the experiment is lower than before; theaverage value before and after are21.241and11.884; the standard deviationare8.6292and7.2086, Z=-6.513, p=0.00<0.01, there is an obvious statisticalsignificance.(6) Carried on Wilcox on signed-rank test, the scores of the accompaniedsymptoms of the compared group after the experiment is lower than before;the average value before and after are26.328and23.647; the standarddeviation are6.6988and7.1451, Z=-3.104, p=0.002<0.01, there is an obviousstatistical significance.3Comparison between the groups(1) There are56cases in the experimental group.3cases of clinical arecured;9cases have significant effectiveness;31cases have effectiveness;13cases are invalid. The total effective rate is76.78%.(2) There are58cases in the compared group.0cases of clinical arecured;0cases have significant effectiveness;9cases have effectiveness;49cases are invalid. The total effective rate is15.52%.(3)Carried on Wilcox on signed-rank test, the effectiveness index of thepain, fur and pulse, the accompanied symptoms and the total symptomsbetween the experimental and compared group all have differences and theyhave statistical significance.4There is no side effect appeared.Conclusions:1Phlegm hurts liver and kidney and result in menopathy at last. So we canreduce the secretion of phlegm and reconcile the function of the liver andkidney to treat menopathy. Based on the TCM theory the phlegm derives fromthe Middle Jiao; The spleen and stomach govern the digestion and if the foodintake is more than what we need it became into phlegm; the phlegm stays inthe Middle Jiao as a evil and makes the spleen lose its normal function andthus cause many syndromes such as abdominal distension and stomachache,zhieng-clock, borborgmus, nausea and vomiting which we call the excess syndrome of spleen. Phlegm could ascend with the liver and warmth to theheart and lungs and descend with the lungs and cold to the liver and kidney.According to the theory of five elements: the liver belongs to wood and rulesspreading; kidney belongs to water and rules storage; the excessive spleencould not only over-acts the kidney but also counter-acts the liver. The liverand kidney governs the menses; if they are in disorder, there will be a problemof menses. Using the theory that phlegm hurts liver and kidney to treatmenopathy is an effective and safe method.2The cure for the experimental group has an obvious effect.3The effect of the therapy for the experimental group is better than thecompared group.4There are still more works for us to do to make the research perfect.