| Guangxi Chuang autonomous region which has rich resources of national medical, commite to achieve a lot of ethnic medicine with rigorous scholarship, noble medical ethics and Superb Medical skills. The academic thoughts and technical expertise of the Guangxi famous old Chuang Medicine are Systemic excavated, arranged and inherited, which is not only to rescue, save and inherit their valuable experience, but also to cultivate the high level of national medical talents with the characteristics of the school and technical expertise. Professor Huang Han-ru is the main founder and academic leader of the Chuang medicine. During fifty years of clinical work and researching on the Chuang medicine, he has formed his own distinctive academic ideas and unique diagnosis and treatment technology, and accumulated wealthy clinical experience. To inherit his academic ideas and technical expertise is the foundation of inheritance, innovation and development of Chuang Nationality Medicine. This research will divide into three parts:the first part is Professor Huang Hanru’s academic thought origin, the second part is the research of his academic thoughts and clinical experiences, and the last part is study the clinical treatment of gout, which caused by toxin and dampness, with Chuang medicinePart 1 Explore Professor Huang’s academic thought originProfessor Huang’s growth experience, study, career achievements, academic spirit and life history were detailed discussed, and comprehensive summarize the ancient physicians in the application of Chuang medicine. Which can make us deply understanding Professor Huang’s academic thought and clinical experience, so that we can inherit his academic thought and clinical experience better.Part 2 The research of Huang Han-ru’s academic thoughts and clinical experiences ObjectiveTo summarize the academic thoughts and clinical experience of Professor Huang Hanru.MethodsTo summary professor Huang’s academic thoughts and clinical experiences by using the method of literature research to study his clinical cases, academic monographs, published papers and other information. First, highly summarized Professor Huang’s academic thought of Chuang medicine theory; Secondly, summed up Professor Huang’s academic thoughts and clinical experience of Chuang Medicine during the treatment of diseases. Finally, Combined the theory of "Sha、Zhang、Gu、Du、Feng、Shi", "SanDao" "LiangLu" with the typical medical cases, summed up the special treatment methods and experience of Professor Huang Hanru’s in treating Chuang’s common disease.ResultsProfessor Huang Hanru Forming his own basic theory of Chuang medicine as follow:one is that the theory emphasizes Yin and Yang and the balance with the three natural Qi (heaven, earth and human). another one is that normal organs, bone, muscle, Qi and blood, "SanDao" "LiangLu" make up the physiological and pathological view. The last one is he first proposed that Toxin and asthenia are pathopoiesia. Professor Huang advocates the combination of disease and syndrome, but the disease is the main. He also advocates that special disease using special prescription, and puts forward three principles which are detoxification,regulating Qi,and replenishing the deficient in treating diseseas. We summarized the special treatment methods and experience of Professor Huang Hanru’s in treating Chuang’s common disease such as "Sha disease", "Zhang disease", "dampness disease", "QiDao disease", "GuDao disease", "ShuiDao disease" and "LongLu disease"-. "HuoLu disease"ConclusionProfessor Huang Han-ru has his own distinctive academic views and unique diagnosis and treatment technology.Part 3 Clinical study on treatment of gout from the angle of damp toxin of Chuang MedicineObjectiveBased on professor Huang Han-ru’s academic thoughts and experiences of gout, Using self-made Tadehagi Triquetrum Qushi Jiedu Decoction in the treatment of gout for clinical research, aim to make the experience of Professor Huang’s can be inheritance and innovation.Methods60 participants with gout were randomly divided into treatment group and control group, each group had 30 cases. The participants in the control group were treated with diclofenac sodium dual release enteric-coated capsules and other drugs, while the treatment group were given Tadehagi Triquetrum Qushi Jiedu Decoction. Before and after treatment, data include TCM Syndrome score, Visual Analogue Scale(VAS) score and biochemical indexes including serum uric acid(SUA), c-reactive protein(CRP), erythrocyte sedimentation rate(ESR). safety index were used to evaluate Tadehagi Triquetrum Qushi Jiedu Decoction’s clinical effect.ResultsBecause of adverse drug reaction, two participants in the control group dropped out. ①Impact on biochemical indexes:after treatment, SUA of treatment group had significant improvement than before (P<0.01), when compared with the control group the improvement effect was more obvious(P<0.01); The CRP of treatment group after treatment was significantly lower than before. (P<0.05), the two groups of anti-inflammatory effects were equal (P>0.05); ESR of treatment group after treatment was significantly lower than before (P<0.01), and obviosly lower than those in the control group (P<0.01).② Effect on symptoms and signs:after treatment, pain VAS score、arthritis score and the knee functionscore in treatment group were significantly lower than before (P<0.01). The control group was better than the treatment group in relieving pain(P<0.05), and there was no significant difference in the improvement of arthritis score and the knee function score(P>0.05). Joint swelling index of the two groups had no statistically significant difference (P>0.05);After treatment, TCM syndrome scorehad significant difference than before (P<0.01);The improvement oftreatment group was obviously better than control group(P<0.01). ③Total effect rate of treatment group was 93.3%, while control group was 82.1%, there was no significant difference between the two groups (P>0.05), But the combined effect of the treatment group was better than that of the control group by Ridict analysis(P<0.01).④The treatment group were safety since no one has adverse drug reactions, which was significantly better than the control group.ConelusionThe two groups have the similar effect in improving the symptoms and signs of gout, and the treatment group can reduce uric acid significantly. The clinical application showed that Tadehagi Triquetrum Jiedu Qushi Decoction can avoid western medicine’s adverse reactions, and can effectively improve clinical symptom remission rate. |
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