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Professor Zhao Guanying Treatment Of Stomach Pain, Fullness And Academic Experience

Posted on:2011-01-05Degree:MasterType:Thesis
Country:ChinaCandidate:F Y KongFull Text:PDF
GTID:2204360305472572Subject:Traditional Chinese Medicine
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[Object] Guided by the Chinese medical theory, adopping the method of case analysis of clinical epidemiology survey methodology and Mathematical Statistics to analyse the real-time Out-patient cases of patients suffered form stomachache and stuffiness who treated by Professor Zhao Guanying, inorder to summarize Professor Zhao Guanying's academic thought and clinical experiences in curing stomachache and stuffiness, and try to investigate a new thinking and method of researehing and inheriting academic thought, clinical experience of famous and old doctor on Chinese medicine.[Method] Adopting the case analysis of clinical epidemiology survey methodology to recorded the general situation and clinical date of 130 patiences who suffered from stomache or stuffness and treated by profferror zhaoguanying, establish a database, and make the result by SPSS16.0 software mange descriptive statistics,use the X2 test or t test, P<0.05 is regarded as statistically significant.[Result]1. Baseline data:130 patients have 210 prescriptions in all, male to female ratio 0.76:1, the minimum age is 18 years, maximum age is 75 years, average age of 49.2 years, with the largest number of 41-50 year-old age group(30.8%). The most common factors triggering onset in patients are extreme emotions that has the proportion of 34.6% and the second factors are improper diet that has the proportion of 31.5%.The Gastrointestinal symptoms as follows are common to see:gastric distention (89.1%), stomachache(57.6%), acid regurgilation (54.3%), fullness in the epigastriumt (42.4%), early satiety (41.4%), heartburn (40.0%), belching (34.3%), etc. bitter taste (35.2%) and dry mouth(31.9%) are the most common systemic body symptoms. Red tongue, pink tongue and white coating are most common to see in tongue manifestation; taut pulse and slippery pulse have highest frequence inpulse condition.2 syndromes distribution:The main and accompanying symptoms distribution have no differences between the patients of stomachache and stuffniss. The functional incoordination of liver and stomach syndrome has the highest percentage both in mian and accompanying symptoms, the second and the third one are weakness of the spleen and stomach syndrome,damp-heat in the spleen and stomach syndrome.3 Common therapeutic methods:regulating qi flow (79.6%), regulating the liver (69.5%), helping apetite (63.4%), replenishing qito invigorate thee exterior (55.2%), heat-clearing (46.2%),pungency disperses while bitterness descends (27.1%), wet-clearing (26.7%), promoting blood circulation by removing stasis (20.0%), Nourishing Yin (11.9%). dispelling internal cold (7.1%), regulating liver qi and liver method used most frequently.4 commonly used prescription:14 established formula are founded in 210 prescriptions. The use of frequency as follows:cold limbs powder 140 times, four gentleman decoction 98 times, zuojin pillls 55 times, pinelliae decoction for purging stomach-fire 27 times, shaoyao-Gancao decoction 25 times, harmony-preserving pills21 times, bupleurum powder for relieving liver qi 20 times, capejasmine and fermented soybean decoction 20 times, important prescription for diarrhea with pain 18 times, six gentlemen decoction with cyperus and amomum 16 times,decoction of three kinds of kernels 10 times, wubei powder 8 times, stomach-Nourishing decoction 5 times, decoction of agastache, magnol ia, pinellia and poria 4 times, ophiopogon decoction 4 times. Established formula for regulating the liver and qi flow has the higest frequency.5 summarizing the rule of medicines:6 herbs had appeared more then 50% of total, The 6 drugs are Gancao,Shengsanxian, Baizhu, Baishao, Chaihu, Jineijin, Zhiqiao, Foshou;12 herbs had been used between 50-20%, they are Xiangyuan, Huanglian,Dangshen,Lianqiao,Qingpi,Fuling, Zhizi,Huangqin,Yiyiren, Chenpi,Wuzhuyu, Gualoupi.28 herbs have the percentage between 10-5%, they are:Dangui, Banxia, Pugongying, Hopo, Sharen,Quangualou, Baihuasheshecao,Ganjian g etc.30 herbs into 10 types is truthful, the freguency show that drug for regulating qi flow and the live> drug for helping apetite>drug for Nourishing Qi and spleen> drug for heat-clearing> drug for excreting water and dampness> drug for resolving dampness>drug for Nourishing blood> durg for promoting blood circulation by removing stasis> drug for Nourishing Yin> drug for dispelling internal cold. Drug for regulating qi flow and the liver has the higest freguency.[Conclusion]1 Professor ZhaoGuanying studied classic deeply. His academic theory for treating stomachache and stuffiness has far-reaching foundation.2 The most common factors triggering onset in patients are extreme emotions. The functional incoordination of liver and stomach syndrome has the highest percentage in stomachache and stuffiness. Drugs for regulating qi flow and liver is used more than other types. Professor ZhaoGuanying stress treating stomachache and stuffiness form regulating the liver.3 The commonly used prescription for stomachache and stuffiness by Professor ZhaoGuanying are cold limbs powder, four gentleman decoction, zuojin pills etc.The commonly used drugs are Gancao, SShengsanxian, Baizhu, Baishao, Chaihu, Jineijin, Zhiqiao, Foshou etc. 4 Eidemiological investigation methods is an effective way to analyze and sum up the academic thought and clinical experience of famous and old doctor on TCM.
Keywords/Search Tags:Treatment rules based on syndrome differentiation, Experience of famous and old doctor on TCM, Stomachache, stuffiness, Using drugs regularity, Professor Zhao Guanying
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