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Theoretical Research In The First Class Prophylaxis Of Apoplexy With Physique Theory Of TCM

Posted on:2009-10-25Degree:DoctorType:Dissertation
Country:ChinaCandidate:Y XuFull Text:PDF
GTID:1114360245950069Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
Apoplexy has another name called stroke,is a kind of disease with stupor and falling down suddenly and senselessly,hemiplegia,oblique mouth and tongue. Or without stuporand falling down suddenly,just with hemiplegia,crooked mouth and tongue,speaking unsmoothly,and half of the body numbly.It is a clinical common disease of Traditional Chinese Medicine nowadays.Generally speaking,it equals to acute cerebral vascular disease with symptoms above approximately in Western medicine.Apoplexy disease is the head of four difficult diseases in the ancient times for having the characters of abrupt invasion,being difficult to forecast its changes,serious condition and various sequela.Since the ancient times,it has been paid most attention by medical scientists.And it has been one of the disease witch discussed most frequently and raised most miscellaneous disputes in the historical medical books.Just because apoplexy is complicated to cure while having unsatisfactorily prognosis,if it could be prevent from emergence before its invasion by taking measures,it will be most ideal undoubtedly.So medical scientists had paid much attention to researching the preventing theories and methods and made a lot of argumentation in this respect since ancient times on.There are so much penetrating and correct judgement among them,and deserves to study and develop while we carry out the jobs of prophylaxis of apoplexy today.The prophylaxis of Traditional Chinese Medicine focuses on "Curing not disease ",and advocates proceeding from the concept of viewing the situation as a whole,insists on identifying symptoms for remedy,pay attention to adjusting the situation of human internal organs,negative and positive,qi and blood to maintain the state of hamony.give full play to people's independent health ability,before its function has contained apoplexy,the disease neutralized all aspects after being ill,have systems,overall advantage.Modern clinical research proves too,use traditional Chinese medicine to prevent apoplexy from having better results,therefore receive the extensive concern.However,compare with modern preventive medicine and prevent the achievement that the respect is made at apoplexy,traditional Chinese medicine demonstrates certain disparity more and more to research that apoplexy prevents and clinical practice,mainly shown in the following several aspects: It is to hitting the limitation that the critically ill dangerous factor of wind realizes at first.Modern preventive medicine thinks the dangerous factor of apoplexy is divided into and can't intervene the factor and can intervene two kinds of factors.The former includes age,sex,race,etc.;And then person including last disease,fat of blood unusual,arteriosclerosis,etc.disease and smoke,unhealthy life style of getting drunk etc.at blood pressures high, candy urine disease,energies.Under the guidance of this kind of understanding, modern preventive medicine sifts checking through the dangerous factor,can confirm the high-risk group that apoplexy is ill,and launch pointed intervention and treat to the dangerous factor that the high-risk group have. If control blood pressure through the medicine,treat diabetes and cardiovascular vessel disease actively;Adjust and control the fat of blood through medicine and diet,improve arteriosclerosis,etc.;Through the propaganda and education,help people to improve the life style,give up smoking wine of limit,etc..The understanding of dangerous factor of apoplexy is clear and objective,the intervening measure taken is operational and strong, comparatively standardize,it is easy to adopt.Review traditional traditional Chinese medicine,can see to hitting the argumentation of the critically ill dangerous factor of wind from the literature,involve age,sex,bad life style and eating habit,etc.,so put emphasis on preventing the occurrence of apoplexy by health care more,it is blanks to causing the understanding of different basic diseases of apoplexy.Secondly it is the not disease that defends the thought cavity first.It propose prevention theory tertiary medical sciences modern,it separately last disease disease,at disease and treatment after healing.Among them first class prevention calls and prevents correctly too,mean that launches the work of preventing from to various dangerous factors which causes disease.Chinese medicine prevent theory disease defend thought first and first class prevention theory of Western medicine difference strong at concept,butas stated above,the disparity realized to the dangerous factor of disease is comparatively obvious.Because of the existence of this kind of disparity, so the Chinese medicine not disease defends working first,only confine treatment and health care to the understanding of apoplexy omen card,exclude the treatment of the basic disease.And with the development of modern image technology,laboratory inspection technology,the medical circle is deep day by day to the apoplexy omen card,have already included it in second prevention category of apoplexy.Like this,the so-called not disease is defended first, in fact only have a content of health care left.Health care is no doubt important,but the traditional traditional Chinese medicine health care method does not emphasize "the dangerous crowd-suitable health care method-reduce the ill risk" This mode,the pertinence of the method is not strong that keeps in good health,comparatively generally,under modern society's tense working pressure and swift rhythm of life,it is apt to cause the compliance of the dangerous crowd not strong,make the method of health care ineffectual.In sum,not the disease has defended the thought first it is the prevention thought that our ancestor puts forward first,once made enormous contribution in order to guarantee human health,but in the modern society,quilt cavity progressively.Prevent the deficiency of the theory to the above-mentioned Chinese medicine, how remedy,make it radiate vigour anotherly,it is the important subject in front of our every Chinese medicine person.And with the development of the physique theory of Chinese medicine and reference of modern preventive medicine,the settlement of this subject has already revealed the dawn gradually.Modern medical science has prevented the development of the theory and made the brilliant achievement,but there are someobvious defects.Mainly display the development often depending on technology such as detection and image of biochemical index in the understanding of disease,can't know disease for the view which accords with the systematic theory like traditional Chinese medicine;The and for example general cost is relatively high,it is difficult to meet the chronic requirement that apoplexy prevents,wait a moment.But the first class prevention theory of modern medical science has given us great inspiration in hitting the understanding of the critically ill dangerous factor of wind.If traditional Chinese medicine can be found and intervened more essential factor that apoplexy of decision have illness coming on like modern medical science,can not really make the not idea that the disease has been defended first fulfill?Should realize this goal,the dialectical theory of traditional traditional Chinese medicine manages the obvious strength of the system and does not capture,because the starting point thatthe dialectical theory manages lay in the card,and before apoplexy has illness coming on,though a internal injury accumulated the course decreased,but its card is waited even show,it is the same that the card when may not have illness coming on with apoplexy either is waited,and it is relatively transient that the card waits the time to display,it is difficult to touch the essence of disease to verify the treatment. This is probably in literature of traditional Chinese medicine,touch upon and prevent,must talk about keeping in good health,and the main reason not putting emphasis on utilizing square medicine to launch the prevention from suffering from the diseases.Last century was since the end of the seventies,the physique theory of Chinese medicine has been studied and risen gradually,make the essential understanding to disease of traditional Chinese medicine have new promotion. The physique theory of Chinese medicine is a component of the basic theory of Chinese medicine,originally manage the system in the dialectical theory of traditional traditional Chinese medicine,while jumpedout "Dialectical "Circle,the disease one emergence,various card development and prognosis that wait transfer to if belonging to,wait a moment for there aren't incidents clinical.The physique that the physique theory of Chinese medicine defines is a kind of state with unified structure,function and psychology which reflects the person.This kind of state comes from being congenital,so can remain stable during quite a long time;While will become it the day after tomorrow,under the intervention of certain condition,will change.People's physique state can be weighed and described through observation of respects such as organism internal organs function,negative and positive qi and blood,etc..Because of the above-mentioned understanding,the physique theory of Chinese medicine maintains people are under the condition of the physical health,disease that will not be or not inci(?)t,even disease takes place, often the prognosis is good.But under most s(?)uations,people's physique is uneven,demonstrate various bias,this kind of(?)as will determine taking place and change of disease,disease will cause infl(?)ce on the bias of the physique conversely.So prevent and therapeutic purpos(?)is all to guarantee the state equilibrium of physique is not partial,and b(?)sic tool,understand its bias and intervene in order to impel it to get ba(?)to equilibrium state through distinguishing the physique.Utilize the physique theory to prevent apopl(?)y,but through to leading to the fact the dangerous factor that apoplexy has illness coming on learns to distinguish the physique of Chinese medicine,pass the physique of improving, prevent the infringement of the organism of these dangerous factors and can realize fundamentally.Therefore is deeper,mo(?)e pointed.The physique theory of Chinese medicine was advocated "Cure the not disease" The theory includes the abundant tertiary prevention thought,especially emphasize first class prevention.So,display its scientific value in the prevention of apoplexy day by day.Purpose:Study through the literature,prevent traditional theory of of apoplexy and method to review to traditional Chinese medicine,combine the understanding that apoplexy is prevented of modern preventive medicine,summarize practice that utilized the physique theory of Chinese medicine to prevent apoplexy in the past,the principle trying to be studied according to the physique,offer for first class prevention of of apoplexy and have effective schemes.Methods:1.collecting the materialsBased on materials in storage of library of our school,complementing with searching in the Internet and books purchased The source of the materials includes five respects the following:1.1 The series of books or reference books of the ancient TCM which reviewed and proofreaded by moderns.1.2 The ancient classical medicine books,medical commentaries and medical anamneses in the form of single-article pamphlet.1.3 The monographs of researching in apoplexy and physique theory of TCM which published in Modern and contemporary. 1.4 The electronic publications with enormous information.1.5 The full text databases of periodicals and theses with domestical authoritative such as CNKI,Wanfang,VIP,etc.I have downloaded more than 400 sorts theses about preventing and curing and studying apoplexy in Chinese medicine of the past 14 years,as the important references of writing of this thesis.2.Research contents of the materialsChoose medicine that cures the family representative successive dynasties to talk about some materials of the medicine case and modern medical science to sum up and summarize,divided into three sub special topics and described, first,traditional Chinese medicine apoplexy prevents summary and introspection of the theory,second,the summaries of the Chinese medicine physique theory theory and practice,third,utilize the physique theory to launch practice summarizing and theory study that the first grade of apoplexy prevents.Results:1.Apoplexy prevents summary and introspection of the theory and practice About apoplexy disease cause of disease getting ill key link of turning into of theory,system put apoplexy theory and practice that disease prevent from from ancient times to the present in order with traditional Chinese medicine, and has prevented the weak points of the theory and practice from elucidating to apoplexy in the brief summary after the page.Go through on the four period of stage on the whole development of theories,first,"in pass" stage,second,other wind say stage,third,interior wind say,propose,cure house internal and external wind and concurrently adopt stage,fourth,the heavy interior windstage alone.Among four period of stage, all understanding that apoplexy is prevented have characteristic,appear abundant trend gradually generally speaking."in through" period,cure house the causes of disease of disease for apoplexy have the ill to know more more comprehensively,beyond know wind to main fact,but it pay much attention to factors internal for function that have illness coming on,a lot of theories become later age on the foundation of curing family's argument of interior wind.But because of "in through" many for theory for discussion,iris clinical for characteristic that record to be the little,there is the getting more abundant comparatively the understanding that apoplexy is preventeds this period,but besides conserving one's health and exorcising evil spirits,few other prevention methods.The understanding of the saying period is ill to the cause of disease of apoplexy machine of other wind overweights" In empty and evil inside",Under the guidance of this kind of theory,the prevention and cure of apoplexy overweights and expells wind scatteredly and evilly, change through methods such as keeping in good health or acupuncture and moxibustion,etc.too "Empty inside" The recording and narrate of the state, but has not been obviously paid attention to.The family has proposed the gold dollar's curing" In the interior wind causes" Theory,it open it is at apoplexy new page of function while having illness coming on since it is internal without being probed into for factor,but from then on until will it be middle period Qing Dynasty,overwhelming majoritycure house whether internal and external wind say and concurrently adopt less than wind in weight, i.e.certainly wind and function in apoplexy has illness coming on of other wind at the same time.Under the guidance knowing in this kind of cause of disease is ill machine,apoplexy produced has prevented the thought and basically included resisting evacuating and treatment and intervention that the internal wind cause the cause of disease to be plain of foreign wind at the same time,but the treatment and intervene,take place until apoplexy have illness coming on often,it is already category that disease preapre for an unfavorable turn of events to be.Since modern times,as the understanding of physiological pathology of the brain of traditional Chinese medicine is strengthened gradually,the great majority cure the other wind that the family has abandoned apoplexy in an all-round way to know,the heavy interior wind alone,under the guidance of this thought,apoplexy produced prevents the theory,improve internal milieu especially too,flat wind while putting out. After summarizing apoplexy and preventing theory and method,I think,consult the modern medical achievement in preventing apoplexy,traditional traditional Chinese medicine is obvious defect and deficiency.Mainly include: (1)It is not enough to hitting understanding of the critically ill dangerous factor of wind;(2)Not the disease has defended the thought cavity first. So apoplexy of Chinese medicine is prevented and can only be confined to the disease preapres for an unfavorable turn of events,second prevention of studying in Western medicinethat that is to say,can't defend first grade promptly to prevent the respect from playing a greater role at the not disease first.2.Have summed up and summarized the research progress of the physique theory of Chinese medicine in an all-round way.Including:(1)The development source and course of the physique theory of Chinese medicine,the combination studying the thought and clinical practice is becoming closer that the physique appears generally;(2)Basic concept and method of the physique theory of Chinese medicine,studying the state and main achievement to review and summarize to Chinese medicine physique theory since the end of the seventies of last century,have recommended distinguishing the basic tool of preventing and curing disease of the physique;(3)The application of Chinese medicine in the prevention from suffering from the diseases of physique theory,in term of preventing the theory and modern medical science from preventing the theory in Chinese medicine,expounded the fact separately the physique theory of Chinese medicine is defended in the prevention from suffering from thediseases especially not disease first and the function in first class prevention.3.Summarize and explore:Utilize the physique theory of Chinese medicine to launch the theory and practice of first class prevention of apoplexy Introduce modern medical science to the first class prevention achievement of apoplexy,utilize view and method of the physique theory of Chinese medicine, about hitting questions such as understanding,physique characteristic,the elderly's physique characteristic of modern crowd of the critically ill dangerous factor of wind,etc.to modern medical science,should annotate to select,it was good that the comprehensive literature proposed apoplexy and disease to send physique type.Summarize and explore that utilizes the physique theory on this basis,the critically ill dangerous factor of wind is sifted and checked in distinguishing crowd's physique and going on,then direct against these dangerous factors and summarize and study the concrete prevention scheme,thus not enabling apoplexy,the idea that the disease has been defended first has been really fulfilled.Conclusion:1.The traditional Chinese medicine theory and practice of preventing apoplexy have compositions with rational science,exist in conformity with contemporary social characteristic defect and deficiency,defect these and enough to show mainly: (1)It is not enough to know to the dangerous factor of apoplexy,has not realized thatdizzy(a kind of modern hypertension)Role in course of having illness coming on of apoplexy of disease;(2)Can't implement disease defend idea first,do one's best for the prevention that apoplexy has illness coming on really.2.The contemporary physique theory of Chinese medicine defends having the important meaning first specially to the prevention from suffering from the diseases especially not disease.3.Use theory and method of the physique theory of Chinese medicine,all right:(1)Through annotating the concept of modern medical science,deepen and have illness coming on to apoplexy the understanding of the dangerous factor;(2)It is apoplexy and and not disease that have defended opening up the new intervention range first;(3)According to the physique characteristic,confirm the pointed scheme of health care;(4)Construct the platform exchanged between preventive medicine of Chinese medicine and modern preventive medicine Think finally that utilizes the contemporary physique theory of Chinese medicine to launch the treatment and prevention of apoplexy,it is one of the developing direction of the apoplexy prevention work in future.
Keywords/Search Tags:apoplexy, physique theory of TCM, the first class prophylaxis
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