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Lv Jingshan Academic Thoughts And Clinical Experience And Hypoglycemic Tiaozhi For Prescription Intervention In Type 2 Diabetes Clinical Study Of The Lipid Metabolism Disorders

Posted on:2013-07-03Degree:MasterType:Thesis
Country:ChinaCandidate:Z Y HaoFull Text:PDF
GTID:2244330371981426Subject:Chinese medical science
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This article introduce the academic achievements of professor LvJingShan, academic thoughts and clinical experience, and so on. LvJingShan, male, born in1934, Henan province. In1956, admitted to Beijing institute of traditional Chinese medicine. From Beijing "four famous doctors" was one of professor Shi jinmo and Mr. ChenYu professor. In1978, write the book "medicine clinical experience of Shi jinmo", and was published in1982, the book on medicine for277. Now for the third and fourth group of national Chinese medicine experts academic experience inherit old work guiding teacher, Shanxi Province administration of traditional Chinese medicine senior adviser. In1992was issued by the state council of special government allowances. Many are invited to guangdong, Hong Kong, Canada, was taught this Shi jinmo medicine, LvJingShan "for acupuncture point", in the local caused enormous response, they say to medicine is the party in essence, is worthy to be popularized. Academic inheritance "Shishi to medicine", and "acupuncture point to," said. In his book "practical acupuncture’s handbook, the acupuncture point set of clinical experience" and many other works, about1million words, the Shi Jinmo to medicine clinical experience set" won the1983annual national outstanding scientific books first prize. Tony has "walk with needles, compatibility of acupuncture point","from Shishi to see the magical medicine supplement each other30papers, about200000words.Objective:To explore the mining LvJingShan professor academic ideas and the origin of clinical experience and its forming process, system summarize lu’s academic thoughts old, and therefore, can accurate, systematic summary of the old lu’s thoughts and clinical experience is Chinese medicine academic features aimed at complete keep old unique academic thought lu and diagnosis and treatment technology. In order to further to inherit and carry forward LvJingShan professor unique academic ideas and clinical experience, not only make the majority of patients benefit, but also learn some scholars after Pope, Chinese business generation expert.Methods:In this atticle, the study retrospectively review the old growth process, who comes working experience, such as honor, and cleaned up the three years old with lu clinical practice of the study with teacher record notes, comments, lu in the typical YiAn old certificate, study and understand the teacher’s papers and books and daily and the teacher deep exchange, a comprehensive collection to the teacher’s diagnosis and treatment and material. And under the guidance of the old in lu learning the acupuncture by party b of the acupuncture dacheng, the LvJingShan to acupuncture point "and so on the work, extensive literature review and material, and then probes, mining, conclude and summarizes the experience of the old lu, who, academic ideas and clinical experience of origin and form academic thoughts and clinical experience, and writing paper cost.Achievement:A cupuncture point is a special study of the two points with each other."Refers to two points the compatibility of the application."For" the meaning has two, one is into double, matching is called, is this form, is the external performance; The second house "mutual" meaning, this is the key, is the essence. It reveals the composition of acupuncture point is not optional, simple piece together, but the two holes on the performance based on suitable open, movement of economic und out, lift author, supplement each other, supplement each other organic connections. The ancient not said case, is lu old initiative. The spirit the coffins needle "yue:" first get its way, rare and thin.""Acupuncture point to" application, it is "first get its way". Lu old in "ShiShi to drug" under the inspiration of the idea, in YangJia three teachers under the influence of feishu compatibility, a classical literature review, in the master chief performance feishu, based on the objective condition according to the pattern identification and treatment, combined with clinical practice gradually found "point to the law. There are two made said purpose:to find a downsizing. The spirit the coffins, needle article "cloud:" first get its way, rare and thin." Which means that the doctor warned, with acupuncture point to Jane and fine and take a hole can cure does not take two holes, take two holes can cure does not take three acupuncture point.... Did improve the curative effect. To enhance the curative effect, will be the first the meridian. Had a hole sex, coordinating formula, can directly and with. While closing of acupuncture point open applied in your movement, author and functions. With the basic principle of acupuncture point is "the fine parse", which is to be based on syndrome, choose acupuncture point to refining can reach the effect of leehom’s purpose only."The needle painlessly, walk with needle", the needle painlessly that speed stab into the needle, this into the advantages of acupuncture is:the needle speed, the pain is small, and gas velocity, needle feels strong, staying power. Especially for children and feared the needle is more appropriate for patients. Walking is LvJingShan stitches with professor inspired by the resonance phenomenon and the formation, that history with the pace of the Russian soldiers and traverse the bridge, because the pace and frequency of the natural frequency of the bridge resonate bridge collapse. Walk up to speed up with stitches to gas speed, increase therapeutic effect. TCM treatment means a lot, all have the expertise and their respective axiomatization, had nothing concrete, but modern Chinese medicine clinical, many doctors or heavy medicine, or heavy light needle needle light medicine, biased, difficult to play to the advantages of traditional Chinese medicine combined treatment, clinical curative effect greatly abate. Mr. LvJingShan combined with years clinical experience, to the repeated proof "needle medicine and was the appropriate, the" point of view. Due to different causes, the body parts and special events, and needle drug treatment of each has his strong point, or needles or medicine, or a needle and medicine, shall be according to the clinical practice flexible.Conclusion:LvJingShan is the famous Chinese medicine experts, clinical experience, the author comes in third with clinical study, explore mining LvJingShan professor academic ideas and the origin of clinical experience and its forming process, system summarize lu’s academic thoughts old, and therefore, can accurate, systematic summary of the old lu’s thoughts and clinical experience is Chinese medicine academic characteristic, complete keep old unique academic thought lu and diagnosis and treatment technology. Purpose:Using "the method of lipid-lowering and glucose-lowering" to intervene Type2Diabetes Mellitus diabetes dyslipidemia of yin deficiency TCM syndrome, through a randomized controlled clinical study,observe patients improvement in symptoms and signs, glucose and lipid metabolism disorder, reduce of insulin secretion and general improvement in quality of live. Using Western medical clinical test for evaluation and contrnlof the Chinese and Western medicine combined administration, with improvement of clinical symptormand signs. Secondly control and evaluate possible prevention, delay or reduction of the disease’s complication.Methods:All included patients ware diagnosed as type2diabetes mellitus with lipid metabolism disorders, which and complies with the Chinese medicine pattern of qi—yin deficiency spurtum. A total of90cases ranging in age from35—65years old, were randomly divided into three groups:Traditional Chinese medicine treatment group, combined treatment group Chinese and western medicine, western medicine treatmentgroup(control group), each group consisting of30cases. All three groups were beforetreatment at gender, age, disease, illness, etc., not statically significant compared. All of the included patients were without serious complications(ketosis, acidosis, severe, infections, tuberculosis, cerebrovascular accident, etc.), in the near future before treatment2weeks without any lipid-lowering drugs and glucose-lowering drugs; Western medicine with Western medicine treatment group(metformin0.85g2time/day+simvastatin20mg/nigth)+diabetes self-management education; Chinese medicine treatment group use the " the method of lipid-lowering and glucose-lowering", Fried juice400ml, daily a dose, points2times taking morning and evening+diabetes self-management education; in western medicine combined with Chinese medicine treatment group has "the method of lipid-lowering and glucose-lowering "+TCM basic+diabetes self-management education. Each group are the two months course of the treatment. Outcome measures:the treatment of clinical symptom were observed before and after fasting, with2h postprandial blood glucose and insulin, glucosylated hemoglobin, fructosamine, serum lipid(TC, TG, LDL-C, HDL-C), assafety indicators. All data were statistical analyzed with statistical software SPS S13.0.Results-"the method of lipid-lowering and glucose-lowering" improved lipid metabolism disorder and clinical symptom. It also alleviate the insulin resistance, enhanced insulin sensitivityand improveB-cell function, which thereby reduced blood glucose, corrected metabolism disorder and reduced weigth; reduce the inflammatory factors and blood viscosity. By using two month of "the method of lipid-lowering and glucose-lowering",21of the30cases of type2diabetes patients with lipid metabolism disorder, were cured to a satisfyingly level,5cases were controlled,5cases of notreatment result. The total curative effect rate83.33%, which compared with the western medicine group expressed significantly differences(P<0.01). Combined treatment group Chinese and western medicine: clinical control of10cases,16cases markedly effect, possible effect in2case, no effect in2cases, the general effective rate was93.33%, which compared with the western medicine group and Chinese medicine treatment group expressed significantly differences (P<0.01; P<0.05). Concerning lowering blood glucose and changes in lipid metabolism disorder, the Chinese medicine group and western medicine group shows no significant difference(P>0.05), while the Chinese combined with western medicine group and Chinese medicine group, western medicine group has significant differences(P<0.05). After treatment of Chinese medicine group and combined treatment group Chinese and Western medicine were elevated blood viscosity decreased compared with before treatment there is significant difference(P<0.05, P<0.01), compared with western medicine treatment group there is also significant diference(P<0.05).Conclusion:"the method of lipid-lowering and glucose-lowering", integrates through a variety of ways in the effective role of lowering blood glucose, and improving the disorder of lipid metabolism in type2DM. It effectively improves lipid metabolism and survival quality, delay or reduction of the disease’s complication in the treatment of these patients. The aspects of superiority and possible wide range of applications, it is worth further study.
Keywords/Search Tags:LvJingShan, Academic ideas, Clinical experience, Sorting and studyThe method of lipid-lowering and glucose-lowering, Diabetes, Glucolipid metabolism disorders, clinical treatment
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