Professor Huang Lijuan 's Clinical Experience And Summary Of Clinical Experience In Treating Hyperlipidemia

Professor Huang-lijuan has engaged in medical work of traditional Chinese medicine for about 50 years.She has not only deep academic attainments, but also a lot of clinical and teaching experiences. She has her own unique views on the understanding and diagnosis of disease.It is a very meaningful to in-depth study and dig her academic thought and law of diagnosis and treatment, and it is of great significance to inherit and carry forward.1. Professor Huang Li-juan’s academic thoughts originProfessor Huang often study diligently,she was one of the first peoples who were theWestern medicine doctors to study the traditional Chinese medicine. After systemly learned the Western medicine knowledge, she systematically studied the four classical Chinese medicine medical books.The holistic concept of traditional Chinese medicine, combination of disease differentiation and syndrome differentiation,pay attention to the Spleen and Stomach theory have great influence on the formation of Professor Huang’s academic thoughts. She study also earnest, and learn from the famous old Chinese medicine’s thoughta extensive, such as Wang wei-lan, Jiliang-chen, Fanghe-qian, Sun bo-yang, and so on. under the tutelage of Wang Weilan, Ji Liangchen, systemly learn their academic ideas and clinical experience. Combined with their clinical practice, Professor Huang flexiblely through a comprehensive study of various theories and formed her own characteristics in theory and application.The harm of cardiac and cerebral vascular diseases caused by hyperlipemia has attracted people’s attention. In recent years, Professor Huang pay part of her attention on focusing to use the traditional Chinese medicine and Western medicine on the hyperlipemia combined treatment,put forward the important pathogenesis of hyperlipidemia that was caused by the dysfunction of Spleen, phlegm and blood stasis resistance. So she emphasized on the treatment of tonifying the Spleen, clearing the dampness and phlegm turbidity, promoting blood circulation and removing blood stasis were the main treatment principle.2.Characteristics of Professor Huang Lijuan’s academic thoughts2.1 Emphasis on the overall concept of Chinese medicine, pay attention to the unity of man and nature.The overall concept theory of "The Inner Canon of HuangDi"has a profound influence on Professor Huang Li-juan. As the human life are living in nature, "man and nature is the unity ", people and the nature influse each other.And the people are also an organic whole, various viscera have influse with each other and restrict with each other. Professor Huang emphasized that when we diagnosis and treat disease on clinical,we should pay attention to the overall concept, the seasonal climate, environmental factors, human factors, adhere to the principle of "three accommodation":person conditions,time conditions,and local conditions.2.2 Correlation of five viscera, attention Syndrome differentiation of visceraLiver, Spleen, Lung and Kidney five internal organs between the internal organs are interdependent and mutually constraining relationship. Coordination between the internal organs to each other to ensure that human health, if the five viscera laws was chaos, the human will be ill.Professor Huang thought that when clinical diagnosis and treatment of one organ’s disease, we should pay attention to the protection of the other four organs, in order to promote the improvement of the disease.2.3 Attention to the foundation of postnatal-Spleen and StomachProfessor Huang attaches great importance to the theory of "the spleen and stomach is the foundation of postnatal ", she emphasized that many kinds of diseases are the onset of people do not control their diet,and this was the etiology and pathological mechanism of spleen and stomach injury, so in her diagnosis and treatment,she often protecting the spleen and stomach, in the treatment of any a kind of diseases including cardiovascular are always pay attention to the spleen and stomach.2.4 Treatment based on Qi and blood, emphasizes the role of QiIn the physiological activities of the body, blood and Qi occupy an important position,their relationship is "gas is blood is commander, blood is gas mother". The two on the physiology, pathology, both influence each other. Professor Huang is in the process of making clinical attention from the blood to treat the disease, often used for the double adjustable Qi and blood methods, such as replenishing Qi and blood.On the process of Qi and blood homology, the teacher has paid more attention to the important role of Qi.2.5 Combination of disease differentiation and syndrome differentiationProfessor Huang use traditional Chinese medicine with western medicine to treat desease.When she use the Chinese medicine syndrome differentiation and treatment at the same time, emphasize the importanceof the diagnosis of western medicine in order to clear disease development and prognosis, and guiding the use of drugs. The Chinese medicine syndrome differentiation and treatment can tell we the specific syndromes of disease at different stage. In the differentiation of diseases, diagnosis and treatment, pay attention to research progress of traditional Chinese medicine and Western medicine pharmacology,so to using traditional Chinese medicine on the disease.3 Clinical experience of Professor Huang Li-juan3.1 Blood turbidity(hyperlipemia)Professor Huang think that the pathological mechanism of blood turbidity is the Spleen’s deficiency and loss of the function of transport which cause the phlegm and blood stasis resistanced. The virtual reality is spleen deficiency, and the phlegm and blood stasis is actually.The treatment is given priority to with spleen dampness stasis, promoting blood circulation to remove blood stasis, with Sanhuang Xiaozhi Pills as the basic prescription,add and subtract along with symptom.At the same time,with diet and exercise can achieve good lipid-lowering dffect.3.2 Chest pain disease (Coronary heart disease)Professor Huang think that the pathological mechanism of Chest pain disease is the "Yang deficiency and Yin string ". "Yang micro" is that not only the heart deficiency of Qi, blood, Yin and Yang, but also the deficiency of lung, spleen, liver and kidney. "Yin string" is that the subject of a solid, Qi stagnation, phlegm, cold coagulation, blood stasis and other effects of the five zang organs function caused by unreasonable pain.Basic principle of treatment is strengthening the body resistance to eliminate pathogenic factors: supplementing Qi and nourishing Yin, warming Yang to promote menstruation, promoting blood circulation to remove blood stasis, eliminating phlegm and dredging collaterals, attention should be in conjunction with adjustment of the five zang organs imbalance.3.3 Heart failure deaseProfessor Huang thinks the disease location is the heart, but it often involves the other four viscera. Professor Huang think that heart failure disease machine multi for the actual situation inclusions, the main machine are Qi,Yin and yang deficiency, the pathological product of phlegm and blood stasis is is actually. My teacher commonly used basic treatment for warming Yang and nourishing Qi, promoting blood circulation and diuresis,at the same time,care about the body fluid of heart, lung,spleen and stomach.The characteristics of the primary disease of the heart, which are often identified by the combination of disease and syndrome differentiation.3.4 Heart palpitations (Arrhythmia)Professor Huang thinks the disease location is the heart, and also closely relate to the spleen, lung, kidney and liver, belonging to the virtual demonstration, and the fundamental deficiency symptom. The deficiency is in Yin, Yang, Qi and blood disorders, the virtual demonstration is relevant to cold and heat, phlegm and blood stasis, the seven emotions and others. She always use ShengMai Powder as basic decoction treatment, at the same time pay attention to blood stasis, and tranquilize mind by nourishing the heart. According to the internal organs discriminate, use different treatment to the differentsyndrome.The treatment should be different between two types of fast and slow arrhythmia, so we can use drugs to the disease.3.5 Vertigo (Hypertension)The disease location is in the liver and kidney, impact brain, also has closely relationship with heart and spleen, due to the emotional mood, fatigue, old age, diet imbalance, resulting in gas disorder, disharmony of Qi and blood, wind, fire, stagnation, phlegm, blood stasis and disturbing orifices.belonging to the virtual demonstration, and the fundamental deficiency symptom. Professor Huang thinks that the deficiency of kidney essence, liver Yang hyperactivity, phlegmy wet resistance, stagnation of the liver qi and cards for the common clinical syndromes and treatment focus on syndrome differentiation of viscera.3.6 DiabetesDiabetes is the high incidence of disease, is equivalent to coronary heart disease (CHD). Yin deficiency is the virtual demonstration, and hot and dry is the surface symptoms whichis recognized the pathogenesis of this disease. Professor Huang Li-juan combined with modern people’s life style and clinical characteristics, think that the spleen and stomach function disorder cause the blood stasis is the etiology and pathogenesis.The treatment is nourishing Yin to clear the heat, regulating spleen and stomach, promoting blood circulation to remove blood stasis is the commonly used treatment.3.7 Thyroid diseaseProfessor Huang thinks that the stagnation of the circulation of vital energy, Condensation of phlegm turbidity and blood stasis are the main pathological mechanism. As for the treatment of primary method is to regulatie the Qi activity, appropriate with invigorating the circulation of blood and softening hard mass, reducing phlegm,etal. The main etiology and pathogenesis of Subacute thyroiditis is exogenous wind heat evil poison, or in bad mood which cause the local toxic heat indicates.The treatment is learing heat and soothing the liver, relieve swelling and pain, treating yin deficiency by reinforcing body fluid.4.Clinical research of Professor Huang Li-juan for the treatment of hyperlipidemia4.1 Tonifying spleen, removing damp and turbid promoting blood circulation to remove blood stasis in the treatment of hyperlipidemia clinical studiesObjective:Observe the clinical curative effect and safety of SanHuangXiaoZhi tablets.Methods:We randomly divided 60 patients into the treatment group and the control group.Observation group treated with SanHuangXiaoZhi, and the control group used Xuezhikang Capsules,observed 8 weeks. Ttraditional Chinese medicine symptoms integral, blood lipids and other changes were observed. Results:The patients’chest tightness, shortness of breath, fatigue and other symptoms on both groups improved significantly than before treatment (P<0.05). After treatment the level of TG、TC in the two groups declined significantly than before treatment (P<0.05),in the treatment group it can improved the HDL-C and declined the LDL-C significantly than before treatment (P<0.05). Conclusion: Tonifying spleen, removing damp and turbid promoting blood circulation to remove blood stasis Can improve the patient’s clinical symptoms, reduce blood fat levels, has good clinical curative effect on the prevention and treatment of hyperlipidemia.4.2 Research of the drug’s regularity of Professor Huang Lijuan for the treatment of hyperlipidemiaBy analyses the syndrome of 156 patients with hyperlipidemia treated by Professor Huang, there were three kinds of the common TCM syndromes of composition ratio,the results showed that:the most type is the spleen loss of health, the most endogenous phlegm; followed by it was stagnation of liver qi and blood stasis type;and it is not rare in clinical liver and kidney yin deficiency. Professor Huang Lijuan the commonly used drugs in the treatment of hyperlipidemia syndrome differentiation mainly include these drugs with the function of tonifying spleen, soothing the liver, promoting the circulation of qi, activating blood, tonifying kidney, resolving dampness, reducing phlegm, warmingYang.The main therapy were:invigorating spleen and supplementing Qi, promoting diuresis and expelling phlegm; promoting blood circulation to remove blood stasis.The use of the drug frequency of the top ten is purslane, turmeric, alisma, giant knotweed, cattail pollen, poria cocos, coix seed, atractylodes, stone calamus, Bi Xie, etc. Loss of pixu (spleen deficient), phlegm turbidity endogenous formula:three yellow mesotherapy add and subtract. Diseases with ease, qi and blood stasis formula:three yellow mesotherapy and xiaoyao powder. Spleen and kidney Yang deficiency, water in the wet stop formula:three yellow mesotherapy and zhenwu soup. In the treatment of patients with high triglycerides, the use of the drug frequency of the top ten is Purslane, turmeric, lotus leaf, Polygonum cuspidatum, cattail pollen, Poria, Alisma, Atractylodes, raw barley, Cassia. In the treatment of patients with mixed type hyperlipidemia, the use of the drug frequency of the top ten is lotus leaf,Polygonum cuspidatum, cattail pollen, Euonymus alatus, Astragalus membranaceus, Cassia, Polygonum multiflorum, white hyacinth bean, Purslane, turmeric.