| Students starting in 2012 under the tutelage of Jiangsu Province Traditional Chinese medicine Shen Chunti Professor learning, with the teacher paternity diagnosis 3 years, witnessed the teacher to cure many diseases, finishing a brief summary. The teacher has combined three famous experience in traditional Chinese medicine has accumulated rich experience in clinical department of internal medicine. The teacher is good at differentiation, side with the law, the law from the rationale, with the development of modern medicine and evidence-based medicine, the teacher will gradually modern medical statistics and methodology to apply to traditional Chinese medicine, and actively advocated the combination of syndrome differentiation and treatment, in addition, in order to improve the ability to improve clinical differentiation, improve the level of dialectical thinking. Teacher under the guidance of Xu Dihua professor "critical state" theory of syndrome were indepth study, that in the evolution of the disease and syndrome of "critical state" is the basis of TCM clinical differential diagnosis and syndrome differentiation, in critical theory research based on the proposed "critical" dialectical method, will be more able to reflect the dynamic changes of TCM clinical syndrome differentiation, which helps to improve the clinical Chinese medicine diagnosis ability and level.Teacher’s profound theoretical foundation and rigorous scientific research spirit had a profound influence on the students. Teacher is a clinical syndrome of each will be asked in detail about the illness, in line with the "big medicine sincere heart, regardless of poverty and wealth, for the patient careful treatment, words and deeds. In the case of any incurable diseases, often through a lot of data and absorbing the essence and to guide the clinical medication. In the students Pro card guide aspects, teacher was strict with every time a condition analysis, total to say, on the rational, science, law, parties, drugs, clarity of train of thought, and has been the students said, "life-long learning", cannot stop the pace of the acquisition of knowledge, which is the patient’s a responsible. The teacher has a profound experience and understanding of the traditional Chinese Medicine Department of internal medicine, especially good at treating lung disease, heart disease, stomach disease and gynecological diseases. Graduation thesis is mainly about the common diseases and frequently occurring disease in the lung, and the dialectical thinking and the experience of drug treatment are summarized and analyzed.Teacher in the differentiation and treatment of coughing, first much, Xuan Su, medication brisk; at the same time pay attention to seasonal and time; pay more attention to the overall and internal and external therapies, viscera balance. Chronic bronchitis and emphysema and chronic bronchitis are common symptoms of cough, expectoration, shortness of breath, the treatment of teacher pay attention to both exogenous and internal injuries, "wind is riddled with long, when to Xuanfei scattered evil, evil to, Zheng’an, cautioned not to early use of astringent agent, so as not to stay behind closed doors Kou; also as a result of sputum is the pathological products, pierces through the disease has always been the recurrent, refractory lingering; repeated experience evils may increase the lung, spleen and kidney three dirty function disorders, both influence each other and treatment when the balance. For persistent chronic cough, mentor carefully study the Menghe medical school fees in treating cough of experience, combined with modern medicine to the understanding of chronic cough, Menghe Fee’s theory for treatment of cough experience to get a good effect, and analyzes the cough of governance is ventilating the lung to stop cough, clearing heat and resolving phlegm, spleen to help transport, Yin Runfei; the composing principle for monarch, minister, assistant. The composition of apricot, Fritillaria, Adenophora, Ophiopogon japonicus, pericarpium trichosanthis, white mulberry root bark, dried tangerine peel, Poria, tuber pinellia, licorice. This basic with the card to add and subtract in treatment of cough variant asthma (CVA), nasal drip syndrome (PNDs), gastro esophageal anti flow cough (GERC), post infection cough (PIC), laryngeal cough (LC), chronic bronchitis, chronic pharyngitis quite efficacy. Another from the perspective of the Chinese medicine, some chronic cough caused by irritation cough, pharynx itching and other characteristics, reflecting the characteristics of TCM study style evil, belong to the traditional Chinese medicine "wind cough" category. Teacher through years of clinical practice, on the other to the wind cough "theory as a guide, clinical use of expelling wind and dispersing lung method" treatment of the disease, good effect. Prescription is composed of Chinese ephedra, almond, Radix Scutellariae, Herba schizonepetae, students aster, coltsfoot flower, Radix Peucedani, Sinomenium acutum, raw liquorice, the party played a total of expelling wind and dispersing lung, relieving cough and resolving phlegm.For bronchial asthma patients, mentor claims from dispersing lung qi and relieving asthma, cough and phlegm to treat, ephedra, almond, Magnolia, Zhuli pinellia tuber, Sichuan Fritillaria Bulb, Lumbricus, fineleaf schizonepeta herb, Rhizoma Belamcandae, old perilla fruit, radish seed and other, often several agents can have good curative effect and control of symptoms attack. The teacher thinks that the basic pathogenesis is phlegm in case of evil, trigger, choking the airway, dispersing the descending lung loss.In the treatment of lung phlegm as the focus, and to his law. Drug claims can not be too cold, fear of wind evil obscure; should not overheating, lest the phlegm fire rise. Often the king of ephedra, almond, phlegm, dispersing the lung, relieving asthma; Pinellia and Magnolia, Pericarpium Citri Reticulatae Chen, with a meaning of "Banxia Houpu Decoction", regulating qi and resolving phlegm and "Erchen decoction" and strengthening spleen, resolving phlegm, in order to eliminate the source of phlegm; served with blackberrylily rhizome, earthworm, perilla fruit, white mustard seed, and the like and asthma, antiasthmatic, expectorant and licorice as the help antitussive and expectorant. Differentiation of symptoms and signs at the same time, pay attention to the clinical addition and subtraction, dry mouth, red tongue, little coating Yin deficiency, often through the South and North Adenophora, Sichuan Dendrobium; allergic factors treated with Matrine; cough is very, sunburn aster, coltsfoot flower, Bai Qianhu; phlegm sticky, Ghassan trichosanthis phlegm; treatment with particular emphasis on nursing care of the spleen and stomach, because of "spleen for the day after tomorrow, party and extensive use of tangerine peel, fried gizzard membrane, San Jiao Xian etc.. Teachers think that blood stasis in asthma pathogenesis has very important role, it and stagnation of phlegm in the composition of the "perennial". Accordingly, the teacher hit "Xiong Zhu Decoction" for treatment. From the point of view of the Zang Fu organs, lung, spleen and kidney of both, "lung for sputum storage", "the spleen is born the source of phlegm", "renal sodium gas", remission stage treated by invigorating spleen and lung, and the lung and kidney tonifying. As the Zhang Jingyue Theory:"tired for the vitality of mind, will bring vitality gradually filling the chambers, to convalesce...", often the king of placenta, amethyst, Bushen Naqi; Ethernet dangshen, astragalus root, Poria, Atractylodes, yam, Huang Jing, Pericarpium Citri Reticulatae, strengthening the spleen and tonifying the lung; asthma for a long time for, often plus Schisandra, fried Fructus Mume photo Qi is satisfied.The teacher thinks that kidney qi is not is the essential reason of COPD patients with asthma, kidney is the innate, main nano gas, even if is acute exacerbation should not from the palliative and also to consider strengthening the necessary. Combined with modern medicine’s understanding of COPD, improve airflow obstruction and inflammation control become currently the main goal of the research on new drugs at home and abroad, the teacher in clinical herbal prescription, combined with traditional Chinese medicine pharmacology research, often when addition of antibacterial, antiviral and anti allergic drugs, such as baikal skullcap root, dandelion and Houttuynia cordata. At the same time the teacher also focused on the pathogenesis of acute exacerbations of chronic obstructive pulmonary disease, she thinks the disease often is accumulation of phlegm heat, Qi inverse, governance when Qingfei phlegm and ventilating the lung and relieving cough, teacher from fee Jiazhi cough medical items and self-made cough comprehensive analysis, summed up the basic rule of cough is:ventilating the lung and relieving cough, phlegm, spleen to help transport, Yin Runfei; principle prescription for monarch, minister, assistant and make a. And Qingfei Huatan act on behalf of the party is the teacher through study of Meng River doctor curing cough basic localization of cut and that clinical practice confirmed that it is indeed effective. Concrete is composed of Morus alba, pericarpium trichosanthis, Thunberg Fritillary Bulb, almond, Radix Scutellariae, sunburn aster, perilla seed, semen Lepidii, dandelion, Houttuynia cordata, dried tangerine peel, Herba Epimedii, the party not only strong relieving cough, removing phlegm and relieving asthma, warming and Invigorating Kidney Yang nano gas, Tongfu Runchang purge heat and power, and antibacterial, antiviral, anti-inflammatory, antioxidant, improve immunity, also can protect the function of gastrointestinal tract, avoid bitter cold medicine to hurt a stomach.According to the "critical state" theory of Xu Dihua’s syndrome, the teacher found the "critical syndrome differentiation" method. "Critical syndrome differentiation" is conducive to doctors to master the minimum diagnostic criteria, and through the study of chronic bronchitis, for example, developed a combination of phlegm heat stagnation syndrome, cold drink stop lung syndrome, kidney deficiency and blood stasis syndrome of three types of "critical syndrome" norms, for other diseases or syndrome "critical syndrome" established a model. Clinical prospective case study results show that different doctors use the "critical syndrome differentiation" method for clinical syndrome differentiation, in which the results of the syndrome and the identification of the four card information have a high consistency. Therefore, the "critical syndrome differentiation" method has clinical operability... |
PDF Full Text Request