Research On The Academic Thought And Clinical Experience Of Chief Physician Ba Zhuoma In Treating Diabetes And Its Complications

Objective:To organize, summarize chief physician Ba Zhuoma of academic thought and clinical experience and exploring the clinical diagnosis and treatment regularity and academic thought.mining and finishing its scientific connotation,and development and innovation to better inheritance the academic experience of old doctor of traditional Chinese medicine, improve the service ability of Chinese medicine to prevent and cure diseases, and contribute to the prosperity of traditional Chinese medicine.methods:1.Through weekly with the teacher of clinical copy party,written with teacher notes,weekly, monthly recording and teacher lectured regularly,seminars, and oral teaching and many kinds of methods collected teacher's academic point of view, to be organized, that summarizes the teacher's academic thought and clinical experience.2.Combined with our clinical practice, summarize, analyze, concise dialectical, legislation, prescription drug characteristics, diagnosis and treatment and to find their drug laws and characteristics, and to mining and sublimation, to put forward new new theories, ideas and therapies.Results:1.chief physician Ba Zhuoma in theory puts forward the characteristics of pathogenesis of high altitude disease vulnerable to manifestation of easy cold and deficiency,and to develop the corresponding prevention and principle of treatment based on syndrome differentiation.Dr.Ba zhuoma pointed out that the local area of pathogenic cold evil and dryness evil,in addition to the environmental and climatic factors caused by dryness,due to eating habits is more common.In the cold pathogen induced by viscera function damage has also a certain degree of difference, Dr.Ba zhuoma think that cold evil and dryness evil injury Yang-qi of the lung, spleen and kidney,and leading to the deficiency.2.Chief physician Ba zhuoma in the treatment of deficiency of five Zang-organs strategies pay attention to spleen, lung and kidney treatment together. Dr.Ba zhuoma in treating diseases always pay attention to the spleen and stomach,closely around the spleen and stomach being the pivot of rising and falling of Qi in Middle-Jiao,the source of producing Qi and blood.By healthy restores spleen and stomach as well as acrid opening and bitter descending.In clinical prescription use of drugs of invigorating the spleen and stomach.Pivot of mainly due to pulmonary qi,spleen for the source of producter, Kidney qi being closure of the possession,Dr.Ba zhuoma pointed out that due to the interaction between the three five Zang-organs,mutual restriction and functions of gas,maintaining the gas dynamic equilibrium.thus,Dr.Ba zhuoma pay special attention to the lung, spleen and kidney as the center of the adjustment function,through the three Zang-organs governance promote the gasification function to treat disease. Therefore, deficiency of medical treatment will be to tune up the organs function,based on the method of diffusing the lung,invigorating the spleen,tonify the kidney and other methods.focusing on Wen Tong, not blindly tonic, before it occurs.3.Disease treatment of emphasized physical syndrome differentiation, chief physician Ba Zhuoma believes that the human body is a natural endowment factors, natural environment, religious practices, social psychology and other factors under the formation of a combination of factors. On the basis of the analysis of the physiological state of the human body, the nature of the disease and the development trend, and then guide the prevention and treatment of disease.Dr.Ba zhuoma in the process of diagnosis and treatment of diseases pay attention to physical syndrome differentiation,emphasizing on the treatment of the organic combination of trial machine, identified the qualityand disease differentiation.the overall and essentially grasp the disease,according to cure for the principles of treatment,namely Chinese medicine "tindividuality-conceraed treatment"will improve the clinical efficacy.4.Treatment of latent syndrome, pay attention to identifying diseases, chief physician Ba Zhuoma proposed latent syndrome treatment,disease differentiation prior to differentiation of symptoms and signs,thinking of diagnosis and treatment of combination of disease and syndrome.Teachers believe that TCM should make full use of modern technology, not only can modern diagnosis of specific diseases, but also can grasp the condition and development trend of the evolution. Only two will be combined organically, in order to better olve clinical problems.5.Director of physician Ba zhuoma believes that spleen defici ency is of the basic pathogenesis of diabetes and runs through from the beginning to the end, getting to the deficiency of both qi and Yin,end to Yin and Yang all damaged,so the diabetes were divided into early and middle.The treatment emphasizes strengthening the s p-leen and Supplementing Qi,dispeling melancholy and removing da mpness,promoting blood circulation for removing blood stasis,taking into account the lung and kidney.At the same time, it is considered that the blood circulation can not only eliminate the pathological p roduct of diabetes, but also can block the source of the disease.It h as important clinical application value and is always used in the tre atment of diabetes.6.Chief physician Ba zhuoma believe that diabetic nephropathy is a chronic illness, caused by repeated injury in the kidney.the basic pathogenesis is deficiency of Yang as well as blood stasis and wet phlegm.But the vacuity disease,Yang deficiency in origin, blood stasis and wet phlegm is the standard.Sanjiao stalemated,meridian occlusion internal retention of water flooding in the skin caused kidney. To establish the principle of the treatment of diabetic nephropathy by Warming Yang,dissipation blood stasis and removing turbidity.In the treatment focused on the kidney yang,boosting the body's yang, making Yang-qi agitation,sweating opening and closing is normal.Yang Qi is abundant, activities of qi smooth,meridian Tongli, body fluid fluent,cause removing blood stasis and newborn and five zang-organs healthly movement.7.Chief physician Ba Zhuoma thinks core pathogenesis of diabetic foot is weakness of the spleen and stomach,endoretention of damp-heat,which run through the disease from beginning to end.because of its different of stages and sticky degree and miscellaneous pathogeny, pathogenesis related disease also have their own characteristics,formulating the treatmental principle of invigorating the spleen spleen and tonify deficienccy,clearing heat and eliminating dampness,treating triple burner together and the principle of internal and external treatment together.Teacher Bazhuoma stressed pathological changes of diabetic ulcerous feet is a process from light to heavy,therefore treatment should " therapeutical principle of syndrome", treat by stages.Outstanding the role of external treatment of traditional Chinese Medicine in treatment, combination of the overall and local organic,internal and external therapy,by fumigation,applicator,hooping,lo-cal debridement, removing slough and promoting growth of tissue regeneration improve the curative effect.8.Shen Fu Yi Shen capsule in the treatment of early diabetic nephropathy in patients with high altitude area,a total of 200 cases were included, of which 9 cases loss, the number of cases was 191 cases.Compared with the two groups, the total score of symptoms after treatment was lower than that of the control group (P<0.01).In the two groups, there was a decrease of 24h urinary protein,and there was no difference between the two groups (P>0.05).Two groups were able to reduce urinary protein, the study group was significantly better than the control group,there was statistical significance (P<0.01).In the evaluation of therapeutic effect,the total effective rate of the study group was 65.6% higher than that of the control group (85.6%), which was statistically significant (P<0.05),and the clinical effect was better.Dr.Ba zhuoma in the treatment of early diabetic nephropathy (Shen Yi Shen capsule) in improving symptoms, reducing urinary micro protein is superior to conventional Western medicine.9,Based on teacher views of Xuanfu theory,by summing up the ancient physicians of Xuanfu understanding,I have applied Xuanfu theory to the treatment of diabetic nephropathy,formulated the treatment of principles about promoting an unimpeded flow of Xuan Tong Xuan Fu and opening depression and closeand.and drawed up a therapeutic prescription,expanded the scope of application of the theory, obtain better curative effect,which has certain innovation.Conclusion:Ater long-term clinical practice,chief physician Ba zhuoma formed oneself the theory about high altitude disease of easy cold and deficiency;deficiency of five Zang-organs strategies pay attention to spleen,lung and kidney treatment together as well as thoughts of combining syndrome differentiation and disease differentiation in the treatment. She Firstl yputs forward for the theory of diabetic nephropathy caused Yang deficiency, blood stasis,phlegm in high altitude area.formulated therapeutic Principle of warming Yang qi and promoting the flow of qi as well as opening depression and close,she had develop the drug"Yishen Capsule".In clinical research the drug can improve symptoms, lower urinary trace protein has obvious effect,which is superior to that of simple western medicine treatment. Therefore, chief physician Ba Zhuoma of clinical thoughts and experience have a high academic and clinical value and worthy of further consolidation and inheritance.