| Professor Zhang Daozong graduated from Anhui University of Traditional Chinese Medicine in1965.He has worked on clinical and teaching for over40years, he has much experienced in clinical and teaching and Solid theoretical foundation of basic skills. Now he works as medical business director in the second affiliated hospital of ahtcm. The nation-wide professor of TCM in China, the guide teacher of the third and the fourth group of national old doctor of traditional Chinese medicine academic experience heir.Doctoral advisor of Nanjing University of Traditional Chinese Medicine.He has more experience on using acupuncture&moxibustion and traditional Chinese medicine to treat difficult and complicated illnesses.Especially good at using acupuncture methods to treat disease, particularly more thorough research on the Du meridian,use the Du meridian function to acme.Teacher emphasizes we should treat an illness with guidance in the overall concept, the viscera and channels as the core of syndrome differentiation, treatment with acupuncture combine with traditional Chinese medicine.The first part of this thesis summarized the teacher zhang's academic thinking, and the second part is his Clinical experience summary of how to cure apoplectic hemiplegia by the method of "Tong Du Tiao Shen". The third part is the clinical research.。The first part:academic thoughts and clinical professor experience of ZhangDaozong.Introduced academic origin of professor ZhangDaozong, his rich experience of life, to the services of traditional Chinese medicine love, all of this engendered more profound influence to academic thinking formation. Its academic characteristics has the following aspects:1stay realistic and pragmatic, the four diagnostic methods and participationTeacher Zhang always record of the patient's progress truthfully. The primary inspection, auscultation and olfaction, inquiry and pulse-taking very carefully. Especially the treatment after the onset, retroactive diagnosis and treatment process,laboratory text which the patient had take, the medical examination of positive findings. And is increasingly concerned about the condition change when in the second course of treatment, no matter be reduced, the better, has not changed, aggravating, medication reaction and so on, all the facts such as honestly described. It will be explained while change rules of treatment or change herbs, He choose concise and comprehensive language let the students feel personally on the scene.2Pay attention to holism concept, focuses on syndrome differentiationThe overall concept and diagnosis and treatment is the soul of the traditional Chinese medicine. Teacher zhang is good at collecting clinical material, but not Day-books of mechanical. And blend Dialectical thinking into analysis,thus consilia of the expression is not confined to record, and reflect the syndrome differentiation and treatment of oneness. As the guide of TCM theory, and a comprehensive analysis of the disease priorities, Yin and Yang&exterior and interior, cold and heat&deficiency and excess,qi and blood&channels and collaterals, viscera function, find out the characteristics of the change, so as to guide legislation, sent formulas, choose herbs.3Using acupuncture&moxibustion and traditional Chinese medicine to treat difficult and complicated illnessesThe teacher praise highly and comprehend the point of view of Zhang Zhongjing, Sun Simiao, etc.They claims," combined use of acupuncture and medicine";"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. He claims,for cervical spondylosis and facioplegia only by acupuncture is enough;for trauma, and urticaria, nephritis should choose medicine;but for heart palpitations,gastric ulcer, stubborn insomnia, dizziness,we choose acupuncture with medicine. Teacher broke the phenomenon that some doctors who won't acupuncture or acupuncturist who won't use traditional Chinese medicine. The teacher is expert in follow the ancient prescriptions, 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.4pay 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 round while treat an 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. Such as lung disease must have "reinforcing earth to generate metal"; Liver has disease, should "see liver disease at the head of the spleen"; Kidney disease should nourishing the spleen to stop the overflow of the kidney water,, In a word, He never forget pay attention to protect "earth"—— spleen and stomach, the source of acquired constitution in the course of treatment.5Preference to choose Du meridian for acupunctureDu meridian, follow the body back,body back is Yang,to supervise role was in command have to the whole body Yang meridians Qi,called "the sea of Yang meridians",So the teacher often take Du meridian point in the treatment of different diseases, especially difficult and complicated illnesses,often get Magical effect. According to the theory of "Tong Du Tiao Shen" that Teacher Zhang put forward,choose Du meridian points during the treatment of cerebrovascular disease,then,it can receive the good effect.6Pay attention to the acupuncture technique, acupuncture diverse methodsThe teacher emphasis manipulation of acupuncture in acupuncture treatment.The teacher often said, when acupuncture there must be feeling "De Qi", means bring about the desired sensation,it is a key of curative effect when acupuncture. As the "Lingshu. Nine Needles&twelve originals""Said," the most important thing for Acupuncture is bring about the desired sensation,then effectively will come after." Requires the acupuncturist should use the correct manipulation of acupuncture. For example, reinforcing and reducing by speed,by lifting and thrusting,by inserting needle while breathe out or breathe in,by closing or enlarging the acupuncture hole.Teacher Zhang use diversified needling instrument,such as filiform needle, earpins, miscanthus needle, water booster, etc. Not only with the needle, but also be good at moxibustion. Such as needle warming moxibustion,moxibustion by box, and indirect moxibustion, etc. Methods are various, curative effect is distinct.The second part is his Clinical experience summary of how to cure apoplectic hemiplegia by the method of "Tong Du Tiao Shen".1To the traditional understanding of the stroke.2the modern research hemiplegia stroke to acupuncture treatment3Experience finishing of professor ZhangDaoZong that choose the method of "Tong Du Tiao Shen" to cure stroke hemiplegia.(1) the attitude to "Tong Du Tiao Shen"(2) the attitude to "god"(3) the attitude to the etiology of stroke.(4) Analysis of how to choose the points for the theory of "Tong Du Tiao Shen"The third part is his clinical research of how to cure apoplectic hemiplegia by the method of "Tong Du Tiao Shen".1Purpose:The theory of "Tong Du Tiao Shen" is come up with clinical treatment by professor ZhangDaoZong. This research objective evaluation ""Tong Du Tiao Shen" solution to the clinical curative effect of the treatment of stroke hemiplegia, compares the quality of acupuncture treatment and rehabilitation therapy. Explore clinical value and promoting significance of the method of "Tong Du Tiao Shen" treatment to this disease.2Methods:Choose randomized, controlled study,divide into groups by acupuncture group, rehabilitation treatment group, acupuncture treatment group compared with rehabilitation group. Acupuncture group has20cases, recovery group has20cases, acupuncture compared with rehabilitation group has20cases.The rehabilitation group for the control group,and the others is examined group. This study to observe the analysis (namely a third party) blind method, and at the same time as far as possible subjects blinded; In the proposal making, generating random Numbers for the blind, the researchers record test results to make evaluation, data management until the statistical analysis, keep the blind state. Research and complete the data analysis, it will be "open blind"., the study unblinded till the statistical analysis completed.3The result:There are no significant difference of gender,age and neural function defect scale, daily life activity ability score, sports functional score and function compared comprehensive evaluation among each group before treatment.It has statistically comparable(P>0.05).After the28days average treatment, three groups of patients daily life activity ability score, sports functional score and function integrated assessment has improved, and before treatment with significant difference (P<0.05); neurological defect scale score were significantly lower than before treatment after treating among three groups, meaning with significant difference (P<0.05); After treatment, the acupuncture group and needle kang group of neural function defect scale score was significantly lower than the recovery group, meaning with significant difference (P<0.05); Acupuncture group and the acupuncture and rehabilitation group effect comparison between the two groups has no significant difference (P>0.05).4Conclusion:The method of "Tong Du Tiao Shen" better than pure rehabilitation therapy method, and there is no significant difference to acupuncture compared with rehabilitation group of clinical effect.It can rapidly improve movement function of patients who have got stroke with hemiplegia, alleviate limb spasms, improve life quality,It can make patients to return the society earlier. This method has clinical value and promoting significance. |
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