Hou Zhenmin Academic Thoughts And Clinical Experience And Benefiting Kidney Purge The Treatment Of Senile Functional Constipation (deficiency Syndrome) Clinical Research

The current paper includes academic achievement, thoughts, and clinical experiences of Professor Hou Zhenmin, also includes the gains in depth of comprehension of the author from whose study under Professor Hou. Professor Hou Zhenmin is75years old now. He is notable physician in Tradition Chinese Medicine nationwide, also is a member of Cardre’s Health Care Expert Panel in Shanxi Province and Advisor in inheriting academic experiences in TCM. For the past50years being engaged in clinical treatment and medical research, Professor Hou completed10research topics and five of them had been assessed by provincial scientific and technological commission. In particular, a TCM pill named Mao-Se-Tong was chosen as one of top ten scientific and technological achievements in Shanxi Province in1992.Objective:The objective of the paper was to explore the sources and forming process of Professor Hou’s academic thoughts and clinical experiences, also to theorize them, The work systematically summarizes the academic features and treating techniques of Professor Hou in order to keep them completely, which could be inherited and developed by later generations in TCM so as to benefit numerous patients.Method:The current paper was formed based on reviewing Professor Hou’s learning experiences, occupational history and gained achievements in his career, collecting Professors Hou’s materials in diagnosis and treatment, also adding author’s three-year learning records and understandings in clinical practice and some typical cases. The work also was under the instruction from Professor Hou while exchanging ideas and learning some classic works such as Shang Han Lun and Chinese Internal Medicine.Achievements:The origination of Professor Hou’s clinical thoughts includes three aspects. Firstly, it was from ancient documents and materials, such as Three Character Medical verses, Huangdi’s Internal Classics, Treatise on Febrile Diseases, Synopsis of Golden Chamber, and so on. Secondly, it was from his teachers, masters and advisors. Professor Hou had taken some famous TCM scientists as his master, including Mr Zhang Zilin, teacher Li Hanqin, Professor Liu Duzhou and Professor Yin Huihe. Last but not least, it was from Professor Hou’s clinical experiences. After long-term theoretical study, being instructed by masters and diligent clinical practices, Professor Hou gradually shaped his academic thoughts and gained a successful career in TCM. He applied the method of tonifying kidney in treating age-related diseases, taking much count of cardinal symptoms in clinical practices, flexibly applying ancient herbal formula and being good at treating difficult diseases. Specifically Professor Hou thinks that discerning types of syndrome depends on combination of TCM and Western Medicine so as to make use of their complementary advantages in diagnosis and treatment. He is good at using ways of discerning types of syndrome and differentiating diseases in practice, and making the most of advantages of TCM in treating chronic, neuropathic diseases and regulation in recovery period.Professor Hou also suggests that treating age-related diseases should rely heavily upon tonifying kidney. He thinks occurrence and development of the age-related diseases are based on internal organ hypofunction and Yin-Yang attenuation in the elderly. The basic pathogenesis of age-related diseases is insufficiency of vital Qi, which mainly includes physiological activities weakening, immunological deficiency, and internal organs being damaged in substance and nutrients deficiency. Aging is inevitable rule to human. So, Professor Hou thinks that the six main age-related diseases are closely associated with kidney deficiency, such as chronic bronchitis, emphysema, diabetes mellitus, age-related dementia, constipation, osteoporosis and prostate disorders.Dealing with chief symptoms in some complicated diseases is regarded as another key point by Professor Hou. He thinks treating diseases just likes resolving contradiction. Among symptoms, settling the chief symptom is well benefit to remove side symptoms. For example, in diseases of respiration system, generally, producing phlegm is a chief symptom and treatment to phlegm is vital to the diseases, also is more effective in practice. Another good example is treating digestive diseases basing on the different functions of Zang and Fu. Physiologically, Stomach and intestines should be unobstructed. Being obstructed would induce diseases in stomach and intestines. Conversely, spleen has the function to transport and transform nutrients and Qi. So digestive diseases induced by spleen always are based on spleen deficiency. In summary, it can be said that treating the type of Xu should aim at spleen while treating the type of Shi should aim at stomach in treating digestive diseases.Professor Hou is very good at treating miscellaneous diseases using some empirical TCM formulae. The so-called empirical formulae refer to those herbal formulae which experienced many times clinical application and were certified to be effective. Professor Hou suggests that these formulae are more used in treating hydrosis, hypertension and canker sore.Professor Hou thinks that treating diseases induced by Qi should be on the basis of stagnation symptom. Stagnation symptom is mainly induced by blood stasis, phlegm-fire and dyspeptic retention. He divided stagnation symptom into Qi-stagnation, Fire-stagnation, Hepatic-wind, Phlegm-stagnation, Dyspeptic-stagnation and Blood-stagnation. Specifically, Hepatic-wind is induced by Fire-stagnation and Blood-stagnation, which should be treated by clearing wind-warm. The idea complements the traditional content of stagnation symptom and improves the clinical effects in treating the diseases.In terms of treating all sorts of pain, Professor Hou considers that discerning pain symptoms should be based on different properties and positions. The properties of pain include Qi, Blood, Cold, Hot, Xu and Shi, while the positions involve heart, head, chest, rib, stomach, underbelly and lumbar region. Clearly discerning pain symptom in the two aspects is very helpful to the treatment. The current paper takes some typical cases as summary to the clinical experiences of Professor Hou in treating the diseases.In addition, the paper summarizes the experiences of treating other difficult and complicated diseases, for example, the clinical application of decoction Qing-Zao-Jiu-Fei and decoction Wei-Jing in treating respiration diseases, decoction Bu-Yang-Huan-Wu in treating apoplexy sequelae in syndrome of Qi deficiency to blood stasis, decoction Xu-Jian-Duan-Gu in treating old-related osteoporosis, decoction Zhen-Wu in treating chronic heart failure and renal failure and experiences of treating canker sore.Conclusion:Professor Hou Zhenmin is a famous medical specialist in TCM nationwide. He has rich clinical experiences. The writer of the paper had studied his clinical techniques and theories following him for three years and learned clinical thoughts a little. The paper summarizes his academic thoughts and clinical experiences so as to exploring and developing them and providing new treating method and idea for benefiting numerous patients. Objective:To observe short-term therapeutic effects of YishenTongbian decoction (YTD) on clinical symptom and Quality Of Life (QOL) in elderly patients with Functional Constipation and deficiency syndrome.Methods:Eighty elderly patients with FunctionalConstipation of deficiency syndrome were randomly divided into two groups:The observed group (n=40) treated with Yishen Tongbian decoction, and the control group (n=40) treated with Biantong capsule for four weeks.The total clinical therapeutic effect, the change of cumulative score of clinical symptom were analyzed. The Quality Of life (QOL) was evaluated by36-item Short Form Health Survey (SF-36)Results:The total effective rate was87.5%in the observed group, which was higher than that in control group (77.5%,P<0.05). The cumulative scores of clinical symptom were decreased in two groups(P<0.05), and that in the observed group were obviously lower than that in the control group(P<0.05). After treatment, the score of SF-36were increased in two groups, and that in the observed group was obviously better than that in the control group(P <0.05)Conclusion:Yishen Tongbian decoction had a short-term therapeutic effect on elderly functional constipation of deficiency syndrome, and improving the quality of life quality in elderly patients with functional constipation and deficiency syndrome.