| Objective:Learning and inheriting mentor Long Zuhong professor of traditional Chinese medicine "Regulating therapy" academic thoughts and clinical experience in the spleen and stomach disease, is applied to the non erosive reflux disease(NERD) in clinical diagnosis and treatment, enrich TCM theoretical level, improve the clinical curative effect of traditional Chinese medicine.Methods:Research and experience summary sections: 1. Academic thought through with teacher study, review the medical literature, the teachers of Chinese medicine "Regulating therapy" the academic tradition of academic ideas, past dynasties doctor characteristics and treatment are discussed and the experience of diagnosis and treatment of spleen and stomach disease NERD to sort out and summarized. 2. Clinical research: NERD liver stomach with syndrome of the patients were randomly divided into treatment group and control group cases. The control group treated with western medicine, the treatment group on the basis of western medicine and serving tutor experience side "stomach drop decoction", course of six weeks. End of the test statistics of two groups of patients with TCM symptom score, RDQ integral, disease, curative effect and safety indicators, 4 weeks and 8 weeks after treatment, as the number of recurrence of data analysis, evaluate the two treatments.Results:Research and experience summary sections: 1. The academic thinking of Chinese medicine "Regulating therapy" academic origin, the acknowledgement and mentor "Regulating therapy" NERD experience of diagnosis and treatment of thoughts, sorted out and summarized, form the writing material. Part 2. Clinical research: into the group of patients 72 cases, 68 cases.(1) basic situation of two groups of patients before treatment comparable(P > 0.05); Diction of TCM symptoms integral comparison: two groups against acid against the burning pain, often eat, heartburn pain, belching hiccups, pharynx ministry unwell, poor appetite, depressed be agitated, dry mouth, bitter mouth, defecate not free, the weak body tired symptoms score after treatment than before treatment were significantly decreased, with statistical significance(P < 0.01); Treat heartburn after burning pain, acid reflux, belching hiccup fullness, poor appetite, depression, often be agitated, defecate not free, dry mouth, bitter mouth, weak body tired symptom score in treatment group than the control group, a bigger drop was statistically significant(P < 0.05), pharynx ministry unwell symptom integral change is not obvious(P > 0.05).(3) the doctor of traditional Chinese medicine symptom integral comparison: two groups after treatment of TCM symptoms total score was significantly lower, the result was statistically significant(P < 0.01), the decline in treatment group is superior to control group, the result was statistically significant(P < 0.01).(4) RDQ integral comparison: two groups of patients after treatment RDQ total integral, degree of frequency integral, integral decreased, line group compared, the result was statistically significant(P < 0.01), the line between groups, the treatment group, a bigger drop was statistically significant(P < 0.01). 5] disease curative effect comparison: the total effective rate of the two groups after treatment, the treatment group was 94.29%, the control group was 75.76%, the difference was statistically significant(P < 0.05), shows the overall efficacy of traditional Chinese and western medicine treatment is better than western medicine treatment. [6] effective number of patients with recurrence after treatment comparison: 4 weeks and 8 weeks after treatment, the control number of relapse and recurrence rate were higher than the treatment group, the difference was statistically significant(P < 0.05), shows that combine traditional Chinese and western medicine treatment effect is more stable and durable, disease recurrence rate is low. Once safety evaluation: two groups of patients after treatment the WBC, N, RBC, Hb, PLT, ALT, AST, Cr, BUN line within the group, the comparison between groups had no statistical significance(P > 0.05), the two groups after treatment in patients with routine, urine routine, stool and abnormal electrocardiogram(ecg) compared with before treatment did not see. In the clinical treatment of 6 weeks, two groups of patients were found no adverse reactions.Conclusion:This paper discusses the "Regulating therapy" narrow sense "Regulating therapy" category of traditional Chinese medicine, but you’ll have a concept of generalized "Regulating therapy". Mentor of TCM treatment "Regulating therapy" is a variety of organic comprehensive therapy treatment, especially contains a variety of contradictions, especially suitable for the treatment of complexity and refractory diseases.Long Zuhong professor that NERD is the basic pathogenesis of liver stomach, in a word, and fever, lift disorderly. Its corresponding treatment is soothing the liver and stomach is given priority to, should transfer fever, adjust the lift, harmony. The comprehensive treatment is to be able to reflect the modern traditional Chinese medicine of "Regulating therapy" theory.Clinical research part in teachers "Regulating therapy" theory of TCM is verified under the guidance of the "inverse stomach drop soup" NERD synergy of conventional western medicine treatment, can rapidly improve the patient’s systemic symptom, improve clinical curative effect, reduce the disease recurrence, curative effect is superior to pure western medicine treatment.Based on the traditional Chinese medicine "Regulating therapy" academic origin and representative subject that point of view on the basis of the study of past dynasties, concise mentors "Regulating therapy" academic thoughts and clinical experience of traditional Chinese medicine and is applied to the clinical observation, NERD with detailed data to verify the theory "Regulating therapy", practicality and advancement of diagnosis and treatment experience and prescription, improve the clinical curative effect of TCM treatment of NERD, enriched and developed the "Regulating therapy" theory of TCM. |
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