Professor Zhang Daozong 's Academic Thought And Clinical Experience And Clinical Study On The Treatment Of Vascular Cognitive Impairment By Acupuncture Therapy

My teacher has been engaged in teaching, scientific research and clinical work for 51 years, who has profound theoretical foundation of traditional Chinese medicine and has accumulated rich experience in scientific research, teaching and clinical. He emphasizes the theoretical system of holism concept, viscera and channels as the core, the treatment based on syndrome characteristics of diagnosis and treatment of disease.Experience its academic achievements, its content involves in, wife, son, skin, facial features, such as clinical multidisciplinary.His clinical experience and academic achievement is related to internal medicine,surgical department, gynecology and pediatrics. Especially good at acupuncture medicine and treating brain diseases such as stroke, dementia, dizziness and rheumatism metabolic disease, digestive system. He proposed the famous "Tong Du Tiao Shen" acupuncture method and academic thought of "earth is in each four seasons",due to the further study of du meridian and spleen and stomach diseases. The theoretical research is the first part of this article, first summarize my teacher’s academic summarization, followed by sorting and research teacher academic thought and clinical experience, and finally is the clinical experience finishing and research to treat vascular cognitive impairment by "Tong Du Tiao Shen" acupuncture treatment. The second part is the clinical research through the "Tong Du Tiao Shen" acupuncture treatment of vascular cognitive impairment.The first part:theoretical researchI.Academic originProfessor Zhang’s academic thinking is come from his solid foundation of Chinese medicine, firm concepts of Chinese medicine, rich life experience and love for the acupuncture. It has produced a profound impact on the formation of his academic origins.2. research of academic thoughts and clinical experience2.1 Taking the four diagnostic methods together, combined diease with syndrom and evalue the organs and meridians equalThe teacher has taken the four diagnostic methods together, combined diease with syndrom and evalue the organs and meridians equal in clinical. Make a clear distinction of Yin and Yang, exterior and interior, cold and heat, deficiency and excess, qi and blood, channels and collaterals, so as to guide legislation, sent formulas, choose herbs. To use medicine or points on the basis of the syndrome differentiation will be more efficient. Professor Zhang take "syndrome" as the main basis in the diagnosis, according to the patient’s "syndrome" to find reasons, from the patient’s "syndrome" to explore the development trend of the disease. In terms of the relationship between disease and syndrome, both of which are two inseparable aspects of the same disease. But Western medicine treatment is good at identifing disease, so the diagnosis focuses on the etiology, pathogenesis bit. While the TCM take the overall into account, emphasis on treatment of strengthening body resistance and consideration to dispelling pathogenic factor. Pay attention to mobilize the body’s inherent resistance to disease. It can be concluded that TCM treat disease is taking syndrome in the first place, the disease in the second place. In short, Mr Zhang experienced through long-term clinical, teaching, research practice that determination of pathogenic factors based on the differentiation of symptoms and signs, syndrome differentiation and treatment, four methods of diagnosis, syndrome combined with disease and taking viscera and meridians equal attention is the essence of the characteristics of acupuncture, and also a direction of TCM development.2.2 combined use of acupuncture and medicine, good at using ancient formulaThe teacher advocate in the theory of "combined use of acupuncture and medicine" specially, and carry forward it. He believed that,"poison to attack inside, needle to treat outside"; "needle can reach where drug can not". Sometimes choose pure acupuncture, sometimes medicine, or acupuncture with medicine. Professor Zhang is good at using ancient formula, such as gui zhi tang, minor bupleurum decoction and san ren tang, he thinks that the ancient prescriptions is passed by clinical inspection for thousands of years,has the unique effect for treat the disease, we can use it directly sometimes. Nowdays, we need agilely modify included, because of the modern people eatting food, daily life, the environment are different than before. The young physicians should study his not completely sticks to the Ancient classical.2.3 Earth is in each four seasons, pay attention to protect spleen and stomachThe teacher according to "soil carry four elements", "soil is the mother of all things", and the spleen is the source of acquired constitution, belongs to earth in the five elements, so he put forward the theory "earth is in each four seasons", we must pay attention to "earth "all the year around while treat illness. There is many rheumatism in Spring, dispel the wind and functions of wet cannot be ignored; and Summer is Summer-heat and damp, in addition to the clear away heat, attention should be paid to clear wet; Autumn is dry evil, we should add promote diuresis in the dryness; more cold Winter, in the dispelling cold also dispelling damp. We also need to pay much attention to "earth" conditioning also in the treatment of the viscera lesions. In a word, He never forget pay attention to protect "earth"——spleen and stomach, the source of acquired constitution in the course of treatment. The academic thought of "earth is in each four seasons"can be summarized as:to take spleen and stomach as the core and related with four viscera and four seasons; Highlight the damp plays an important part in four seasons conversion, be good at using the method of strengthening spleen and removing dampness.2.4 Preference to choose Du meridian for acupuncture, be good at treat brain diseasesTheory of "Tong Du Tiao Shen" could treat brain disease, what is to acupuncture the Du meridian points to achieve the purpose of dredging Du meridian and adjusting the god. It is based on the concept of traditional Chinese medicine in the thinking of "form and spirit", and that the disease is divided into two levels of "god disease" and "form disease". "Tiao Shen" can make the brian work, which is the body functions such as form of zang-fu organs and meridians to master; "Tong Du" is refers to unclog the du meridian and its associated meridian system, on the basis of the meridian qi and blood running unobstructed, god is able to adjust, improve, thereby promoting disease rehabilitation finally to achieve. Du meridian is a meridian which belongs to the brain and collaterals in the brain, and linked to heart. Heart is the king in viscera, dominate people’s mind; The brain is the where the god is, therefore, "Tong du "could play the role of "Tiao shen". So the teacher often take Du meridian point in the treatment of different diseases, especially difficult and complicated illnesses,often get Magical effect.When myself in the treatment of cerebrovascular disease, according to the theory of "Tong Du Tiao Shen" that Mr Zhang put forward, choose Du meridian points during the treatment of such as vascular cognitive impairment, and vertigo, stroke,then,it can receive the good effect.2.5 Pay attention to the technique of reinforcing and purgation, making acupuncture methods diversification.My teacher emphasis on acupuncture technique in acupuncture treatment and the method of reinforcing and purgation in clinical practice. He puts forward the acupuncture "eight method"of’han, tu, xia, he, wen, qing, xiao,bu" on the basis of summing up predecessors’ experience. Teacher Zhang uses diversified needling instrument, such as filiform needle, earpins, miscanthus needle, water booster, etc. Not only with the needle, but also good at moxibustion. Such as needle warming moxibustion,moxibustion by box, and indirect moxibustion, etc. Methods are various, curative effect is distinct.3.Clinical experience summary of how to cure Vascular cognitive impairment by the method of "Tong Du Tiao Shen".3.1 The traditional understanding of the Vascular cognitive impairment.3.2 Research of Vascular cognitive impairment to acupuncture treatment.3.3 Experience of professor Zhang that choose the method of "Tong Du Tiao Shen" to cure Vascular cognitive impairment.3.3.1 The attitude to "Tong Du Tiao Shen".3.3.2 the attitude to " regulating mind ".3.3.3 Analysis of how to choose the points by the theory of "Tong Du Tiao Shen".The second part is the clinical study of curing Vascular cognitive impairment by the method of "Tong Du Tiao Shen".1. Purpose:Clinical efficacy studies "Tong Du Tiao Shen" Acupuncture treatment of vascular cognitive impairment and its impact on the expression of IGF-1. Discussion on "Tong Du Tiao Shen" the merits of the clinical efficacy of acupuncture and drug therapy. For the treatment of vascular cognitive impairment to provide reliable clinical program.2. Methods:Choose randomized, controlled study,divide 72 patients into groups by acupuncture group,drug control group, acupuncture treatment group compared with drug control group. Acupuncture group has 36 cases, donepezil group has 36 cases. Respectively before and after 35 days treatment of TCM symptom scores, MoCA, evaluate the MMSE and ADL scale, measured before and after treatment insulin-like growth factor 1 (IGF 1) level. Take a third party observation and analysis of the study blinded, blinded as cover subjects simultaneously. Use statistical software to generate random numbers compiled blind end, and to develop appropriate control measures and methods of test bias, so that the known sources of bias to a minimum. From auditing inspectors, data management and evaluation of test results the researchers made the final statistical analysis must remain blinded until be "unblinded" study is completed and after the completion of the statistical analysis of the data.3. The result:2 groups of patients before treatment of gender, age, duration and TCM symptom score, ADL score, MMSE score and MoCA assessment consistent baseline, statistically comparable (P> 0.05). After an average of 35 days after treatment, acupuncture group total efficiency of drug control group, the difference was statistically significant (P<0.05).35 days after each treatment group scale scores than before treatment and significantly better than the control group change (P<0.05). After treatment, the two groups of patients with serum IGF-1 levels were higher than those before treatment, but acupuncture group was significantly higher than the drug group, the difference was statistically significant (P<0.05).4. Conclusion:The method of "Tong Du Tiao Shen" method is better than that of drug treatment, can improve cognitive function in daily life ability, TCM symptom and patients with clinical symptoms, improve the level of IGF 1 in patients with vascular dementia, the vascular cognitive impairment has good curative effect, can make patients return to society as soon as possible. This method has clinical application and promotion value.