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Professor Gao Li 's Academic Thought And Clinical Experience And Clinical Study Of Qinghua Huatan Method

Posted on:2017-04-29Degree:DoctorType:Dissertation
Country:ChinaCandidate:Y S MengFull Text:PDF
GTID:1104330482484931Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
Professor Gaoli, chief physician, master’s and doctoral tutor. The academic leaders of the Chinese and Western Medicine Department of internal medicine, Xuanwu hospital, Capital Medical University. For the State Administration of traditional Chinese medicine in the fifth batch of the national traditional Chinese medicine experts academic experience to inherit the work of the teacher. The clinical, scientific research and teaching work of the combination of traditional Chinese and Western medicine in the long term. Academic achievements in western medicine neurology specially influential.1. PURPOSES:1.1 Systematic collation of Professor Gao academic origin, academic thought and clinical experience;1.2 With the documents and with the division of clinical research of Professor Gao stroke academic thought and analysis of Professor Gao based on the theory of spleen and stomach as a stroke of the cause and treatment of academic thought.1.3 According to the clinical observation of traditional Chinese medicine of asymptomatic intracranial artery stenosis in patients with cerebral angiography after traditional Chinese medicine hot syndrome change research, discusses the phlegm and toxin, heat in the whole brain after cerebral angiography reduce heat syndrome, improve endothelial activity and inhibitory effect on platelet aggregation. So as to provide clinical support for the theory of phlegm, toxin and heat in the cerebral vascular stenosis.2. METHODS:2.1 The study by Professor Gao learning background, learning experience and clinical practice experience of finishing, combined with the theory of modern development of stroke and clinical practice of Chinese medicine, tutor’s academic thoughts analysis formation origin.2.2 With the theory of the spleen and stomach and stroke and the stroke of non-"wind" to explore the mentor for the theory of stroke treatment mode of thinking, with the stomach and stroke to collate the academic thinking of stroke patients.2.3 Based on the combination of disease and syndrome, Chinese medicine and Western medicine academic thinking of finishing the clinical academic experience and drug characteristics.2.4 Clinical research to mentor to phlegm, blood stasis and toxin, heat point of diagnosis and treatment of cerebral vascular stenosis, effect in the treatment of asymptomatic intracranial vascular stenosis cerebral angiography after heat syndrome in the changes in research of traditional Chinese medicine in the treatment of cerebral vascular stenosis starting point, with the change of traditional Chinese Medicine Hot Syndrome of cerebral vascular angiography of the neural response. And 190 patients were randomly divided into treatment, statistical analysis, evaluation of its clinical efficacy.3. RESULTS:3.1 The academic thought of Professor GAOLI. Individualized treatment plan for stroke patients. Living in damaged and to recognize the clinical practice of stroke onset of spleen and stomach function correlation exists in stroke pathogenesis theory, Professor Gao combined with the social characteristics of the times, environmental factors, diet, physical factors, recognize impairment of the spleen and the stomach and stroke incidence relations: the elderly, emotional damage, food festival is the result of damage to the spleen and stomach, spleen and stomach damage, dysfunction of the spleen invigorating spleen, phlegm turbid and streamer channels, Blocking Collaterals of the brain; the spleen and stomach coke, coke stasis, to lift the spleen and stomach disorders, Qi lift reverse chaos, Qi and blood disorders, the phlegm and wind, relying on blood, relying on fire, carrying toxic fled meridian, stagnation of blood for stroke. The etiology and pathogenesis of apoplexy is related to phlegm, toxin, blood stasis, fire and deficiency. Which "poison", "blood stasis", "phlegm" is the most important. The clinical treatment of brain-stomach Tongzhi advocate ". The stroke patients were divided into three stages:acute injury, injury and repair, and repair. Combined with the three phase of the dialectical formulation of the corresponding prescription treatment. Clinical application on inspection, interview, stressed the importance in the diagnosis and treatment of diseases of the tongue. Through the diagnosis judgment gastrointestinal disorders and Stroke Association, the disease is judged by the tongue diagnosis prognosis, disease and pathological stages of attributes. Treatment of stroke at application "xia fa" method, that the stroke acute stage blood against the chaos, evil obstructing the gastrointestinal form empirical constipation, abdominal distension of the abdomen, purgation can Jiangni detoxification, adjustable Chang angry machine, the application of purgation to grasp the good opportunity.In the acute phase of cerebral hemorrhage, advocate promoting blood circulation to remove blood stasis for treatment of cerebral hemorrhage, which is convenient for clinical application. Narrowing of blood vessels in the brain that phlegm, blood stasis and toxin is cerebral vascular stenosis of pathogenic factors, phlegm and blood stasis, blood stasis and toxin resistance in vein stenosis, qi stagnation and blood stasis, the treatment proposed phlegm by blood stasis in treatment of cerebrovascular stenosis.in view of the traditional Chinese medicine injections reported adverse reactions, Professor Gao thouthat injections of traditional Chinese medicine with modern pharmacological effects at the same time, also has the characteristic of traditional Chinese medicine cold hot warm and cool properties, clinical should to the theory of traditional Chinese medicine (TCM) is based, according to syndrome differentiation of TCM syndrome type against does not follow the differentiation of symptoms and signs according to the instructions to use.Clinical work the combination of TCM syndrome differentiation and modern etiology and pathology, advocate the combination of traditional Chinese and Western medicine diagnosis and treatment of disease pattern, emphasizing the combination of combine traditional Chinese and Western medicine to some theoretical innovation, the combination of surface and do not form, to make the theory, in the treatment of diseases of complementary advantages, powerful alliances, forming the best treatment to achieve the "best efficacy, minimal side effects and the best health economics indexes".3.2 Clinical experience in the treatment of Professor GAOLI.In the summary of Professor Gao specializes in the treatment of ischemic stroke, cerebral hemorrhage, cerebral vascular stenosis, cerebral cardiac syndrome and SARS treatment experience. Differentiation of the God, Qi and blood, phlegm, blood stasis and dampness in the treatment of apoplexy. Treatment of stroke treatment:acute inflammation period and sputum burn, damage repair coexist and phlegm, Qi related, repair period and loss of kidney essence related, and a breakdown of treatment. Follow the "cerebral hemorrhage from the blood is blood stasis" principle, promote blood circulation treatment of cerebral hemorrhage. In the etiology of cerebral hemorrhage on the basis of discrimination, with cold and heat syndrome, early use of promoting blood circulation and removing blood stasis in treatment of cerebral hemorrhage. Cerebral vascular stenosis of the main pathogenesis for pulse adverse, etiology and deficiency of Zang Fu, phlegm, blood stasis and toxin in raw block blood vessels, blood running, the deficiency is organs dysfunction, viscera function disorder; standard is turbid phlegm, blood stasis, qi stagnation.Tanhuofang turbidity deposition in the blood, and blood, to form the phlegm and blood stasis. The visible vein obstruction, resulting in blood is running slow, therapy is advocated phlegm by blood stasis in treatment of cerebrovascular stenosis. Palpitations (brain heart syndrome) in the treatment of Professor Gao think palpitation is by the virtual reality, the virtual frail, essence and blood deficiency, or liver and kidney yin deficiency; standard actually febrile disease complicated by wind, phlegm, blood stasis, blood against the chaos. Treatment methods of tonic and reducing method is. Belonging to the turbid phlegm, blood stasis, treatment and activating blood circulation and resolving phlegm, which belongs to the deficiency of heart qi and brain God dystrophy, received therapy of Supplementing Qi and nourishing, reviving Yang for resuscitation treatment. In the treatment of severe acute respiratory syndrome (SARS), Professor Gao think the disease virus attack, Fenghuo evil burning lung injury of collateral, wet turbid students, dampness spleen, water wet do not carry, coincide with the evil heat, damp heat inclusion, viscous uncomfortable, resulting in wind, fire, wet, toxic injury to the lung. The incidence of serious, change quickly. Using Chinese medicine to get better effect.3.3 GAOLI professor of applied method of removing heat phlegm of asymptomatic intracranial vascular stenosis cerebral angiography after heat syndrome in clinical research, of toxin, heat, phlegm in the cerebral vascular stenosis in the pathogenesis, and clearing heat and resolving phlegm on DSA after heat syndrome in effect. The study showed that:190 cases in group of patients with complete clinical research.3.3.1.DSA postoperative fiery syndrome of traditional Chinese medicine syndrome effect: control group of patients with traditional Chinese medicine hot syndrome integral has increased, with significant difference (P< 0.01), indicating that the DSA for patients can induce and aggravate the fiery syndrome of traditional Chinese medicine; phlegm fire prescription group DSA after heat syndrome of TCM syndrome integral statistical difference, the fiery syndrome of traditional Chinese medicine syndromes have decreased (P< 0.05). The two groups were compared with statistical difference. Phlegm fire can improve the heat syndrome of traditional Chinese medicine after DSA (P< 0.05).3.3.2.DSA postoperative C-reactive protein (CRP):control group patients were examined before and after blood CRP has an increasing trend, with the statistical difference (P< 0.05); phlegm fire treatment group, CRP changes in statistical difference was not significant (P> 0.05) and between groups comparison with statistical difference was not significant (P> 0.05).The effect of FIB on after3.3.3.DSA:the control group and the sputum treated group were all increased with the increase of FIB, which was statistically significant (P< 0.05). The difference between the two groups was not significant (P> 0.05).PAgT postoperative3.3.4.DSA effect:the control group, the pAgT had a higher trend before and after surgery, statistically significant difference (P< 0.05); phlegm fire Fang Group pAgT has a downward trend, statistically significant difference (P< 0.05). There were statistically significant differences between the groups (P< 0.01).3.3.5. In age groups of patients with baseline of traditional Chinese medicine in patients with heat syndrome integral, FIB, CRP, pAgT statistical analysis a age group of traditional Chinese medicine in patients with heat syndrome integral, FIB, CRP, pAgT differences of the not significant, indicating that different age group in fiery syndrome of traditional Chinese medicine syndromes, FIB, CRP, pAgT differences between each group was not significant.4. CONCLUSIONProfessor GAOLI of disease has profound academic knowledge, for knowledge, active thinking, full participation in the west, ground for old, outstanding achievement. He constantly open up in the clinical work, put forward the combination of traditional Chinese and Western medicine "the three most" standard has important methodological significance.
Keywords/Search Tags:Professor GAOLI, clinical research, academic thought
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