Summary Of Academic Thought And Clinical Experience. Professor Jin Hongyuan And Chronic Hepatitis B Study

The thesis is composed of four parts, which preliminarily summarized the professorJin-hong yuan theory and Clinical Experience, based on the exploring the origin of theLiver, kidney, spleen and stomach theory.In the first part, the author reviewed the origin of theLiver, the kidney, the spleen and stomach.《Huang-Di-Nei-Jing》 gave a compact base for the theory of theLiver, the kidney, the spleen and stomach which discussed the anatomy, physiological, functions, pathobiology, diagnosis and treatment of theLiver, the kidney, the spleen and stomach. In 《shanghan-Zaibinglun》, Zhang-zhong jing formulated a series of schema and prescription theory, founded the six-channel dialectical and zang-fu organs and meridians dialectical and set a standard for the use of theory of spleen and stomach, liver, kidney in clinical diagnosis and treatment. professorJin-hong yuan early graduated from chengdu university of traditional Chinese medicine, later engaged in medical, education, research work, he carefully study the theor y of 《Huang-Di-Nei-Jing》 and 《shanghan-Zaibinglun》, Stealling from many, Absorbing the essence, formed innovative his style of Chinese medicine diagnosis and treatment and had the profound attainments and the original ideas. Especially in the spleen, stomach, liver, kidney aspect. Prof. Jin-hong-yuan absorb anything and everything and achieve mastery through a comprehensive study of the subject to make good use of the classical prescription, Also Emphasize current prescriptions, and match with his own experience drug use. It have reflected in this point in the treatment ofLiver disease what He is good at, such as sini powder is a classical prescription regulating the function of the liver and spleen and Regulateing The operation of the gas, Prof. Jin-hong-yuan ofen combination with the current prescriptions in order to enhance curative effect. He is good at the treatment of spleen and stomach disease, On one hand takeing clinically the spleen jade Yang method ofLiDongYuan modulation of spleen and stomach, On the another hand paying attention to yetianshi, point of view that the spleenLike firm and dry character and stomachLike softness and moisture, make good use of nourishing Yin treatment stomach method. Clinical use more straightLadybell north, radix ophiopogonis, jade bamboo, stone dendrobium, pollen, yam, lentils, combined with strengthening the spleen and stomach drug such as Codonopsis, large-headed atractylodes nutrilite products. Treating nephritis had its unique features according to theLaw of zishenhuayu andLishuijiedu.Based on impart of advisor, The second part is summary of professor Jin-hong yuan' Academic thoughts, the author Summarized as follows:1) To pay attention to taste theory, By the treatment, we shall give more consideration on stomach and spleen.2) Professor Jin deemed that the differentiation of symptoms and signs is a basis and we shall integrate the differentiation of disease, differentiation of disease shall Combined with western medicine index. The syndrome differentiation and treatment is the soul of traditional Chinese medicine diagnosis and treatment of the disease. diagnosing and treating diseases correctly shall combine use of the four diagnostic methods and many ways, Treatment ofLiver disease Don't forget to enrich spleen, Treatment of spleen disease Don't forget ShuGan, AdjustableLiver Don't forget to remove the Blood stasis. Treatment of spleen shoud be paied attention to zishenhuayu and zi kidney to remove the Blood stasis. DetoxificationLishi is r the basic method of treatment of chronic nephritis. Keeping pace with The medical Times thinking concepts and Science regimen Provide a Strong Guarantee for professorJin-hong yuan' longLasting medical career.The third part is a summary of Professor JinHongYuan rich and unique clinical diagnosis and treatment experience, especially treating on chronic gastritis, chronic nephritis, posthepatitis cirrhosis, anaphylatic purpura nephritis And chronic hepatitis, the author introduced some medical records of advisor and gives a detailed analysis of the method, Sum up its experience as follows:1) Chinese and western medicine treatment of disease emphasize magnificent, Jin-hong-yuan size up the trend of events and sincere advocate of West Participation, Huitong Chinese and Western medicine. and Debate and dialectical combination of disease of treatment, And, on a theoretical guide, Many herbs independent initiative, Such as King's hepatitis b granule/King's nephritis pill/medicinal herbs, etc.2) To Pay attention to spleen and stomach theory. And was good at Regulate taste to cure miscellaneous diseases, he thinked that canLead to disease of spleen and stomach such as extrnal infection, internal injuries, seven emotions, work and desire. Other zang-fu organs such as theLiver, bravery, lung, kidney and otherLesions can be directly or indirectly cause spleen and stomach disease. So he emphasis on the key that clinical departments should regulate of spleen and stomach disease. Reuse astragalus, dangshen, tuckahoe, largehead atractylodes and rhizome.3) professor Jin-Hong Yuan in xinjiang region according to regional features of practicing with his fifty years clinical experiences puts forward Treatment of chronic gastritis should with WenYun Spleen And Stomach, nourishing Yin. Reuseing dwarfLilyturf, stone straightLadybell duhu, jade bamboo etc.4) Professor JinHongYuan proposed treatment of Henoch-chonlein Purpura Nephritis should be given priority to zishenjianpi and Complementary to qinrejiedu and give consideration to nourishing the blood and promoting blood circulation.5) Professor JinHongYuan proposed treatment of chronic hepatitis b should be ShuGan DaYu, nourishing blood and liver, Consolidating the centralizer and jointing western medicine antivirus solutions.In the fourth part, According to advisor's unique academic ideas and clinical experience of spleen and stomach disease, hepatitis b, hepatic cirrhosis treatment, the author did clinical research to hepatitis b in order to get some guiding clinical practice theory. Objective To observe the clinical efficacy of traditional Chinese medicine (TCM) and Western medicine in treating patients with chronic hepatitis B (CHB) and summarize JIN Hong-yuan theory. Mmethods142patients with CHB were randomly assigned to two groups. The71patients orally administered with TCM based on differentiation symptoms and signs andLAM in the treatment group and71administered withLAM in the control group. Thetherapeutic course was6monthes. All patients received the usual therapy. the negative rates of ALT, HBV DNA and HheAg, the conversion rates of HBeAg/HbeAb of patients were observed after treatment and clinical efficacy of the treatment was evaluated. Results The overall effective rate was68.18%. In the treatment group, and39.68%in the control group, respectively, showing significant diffiencebetween the two groups (P<0.05); The improvement of the negative rates of ALT, HBV DNA and HbeAg, the conversion rates of HBeAg/HbeAb in the treated group were superior to those in the control group (P<0.05). Conculation Therapy of traditional Chinese medicine and Western medicine could enhance the therapeutic effect in treating CHB through suppressing hepatitis B virus and improvingLiver function. professor Jin-Hong Yuan Emphasized the following in the treatment ofLiver:1) importance to:soothing theLiver and invigorating the spleen;2) strengthening healthy qi in order to mprove the immune function.3) being integrated traditional and western medicine.4) jointing the antiviral treatment ofLamivudine or entecavir on the basis of Chinese medicine treatment, professor Jin thinked TCM therapy for chronic hepatitis b should be ShuGanYunPi, soothing theLiver nourish the Yin, removing stasis and detoxification throughout all the time, based on the early andLate3period has the stress characteristics, In the early, warm damp and hot should be gived priority to Tcm Syndrome, Expelling Dampness Heat; In the middle, liver stagnation and spleen deficiency is gived priority to Tcm Syndrome, Expelling ShuGan Yunpi; InLater Stages, deficiency syndrome of bothLiver and kidney yin and blood vessel flow should be gived priority to Tcm Syndrome, Expelling nourishing kidney and removing blood-stasis. ShuGan Yunpi, Nourishing "Yin" softLiver, detoxification and elimination of blood stasis Can regulate the abnormal immune function, Improve the body's defenses and ProtectiveLiver cell, improve Hepatic Circulation, promotesLiver cell's repair function So as to achieve the purpose ofLiver function recovery. To reverse chronicLiver disease, liver cirrhosis, liver cancer to the direction of the trend of development is of certain benefits, It Reflect the thought of Chinese medicine preventive treatment of disease In the treatment ofLiver disease. Yiganzhuanyintang (YGZYT) founded In accordance with thisLaw had beeen effective pharmaceutics in treating. chronic hepatitis B (CHB) in our hospitaL and is declared second-class state-level new medicine.