| Objective:In order to comprehensively and systematically summed up the doctor’s theory, as well as Dr. Mi Yiying’s theory main content and clinical experience. Emphasis on summarize the doctor’s clinical experience on treatment of lung cancer, the doctor clinical thought and prescription habits and characteristics, in order to understand and appreciate the doctor’s theory better, inheritance of her clinical experience.Method:1. Scribe prescription:Copy the prescription is the traditional teach and learning method, has continued for thousands of years. It took us three years, together with Dr. Mi at the clinic, and copy the prescription, in the process of learning, experience the doctor’s clinical thinking and drug characteristics. In this process, with Doctor Mi communication, reading her thesis, writing, reading classics books she recommended, in the form of reading notes to accumulate knowledge, summarizes the doctor clinical forming process of the theory, and main theory, inheritance of her clinical experience.2. Data of cases collection and analysis:We use" Chinese medicine in prevention and treatment of major diseases clinical individualized diagnosis information acquisition system", recorded the treatment of lung cancer cases, to achieve the doctor’s prescription clinical information dynamic, multidimensional, structured acquisition. After the case of structured clinical data through ETL software into the database of Guang’anmen Hospital, China Academy of Chinese Medical Sciences, which records information into the analysis of the data, to facilitate analysis of mining her physician experience. Through clinical intellectualize analysis platform, carrying out data analysis and experience of mining.3. Comprehensive analysis:Clinical experience and case analysis of acquisition were analyzed, mutual authentication, draw final conclusions, and then get doctor Mi’s approval.Results:In1947July, Dr. Mi Yiying was born in a family of intellectuals, county Gai of Liaoning province, Work in Beijing Hospital, Ministry of health, Traditional Chinese Medicine Department, chief physician, tutor of doctoral students. In1963Dr. Mi entered the Beijing College of traditional Chinese medicine to study, graduated in1969. The same year went to the Beijing Medical University, since1985worked in Beijing Hospital, Ministry of Health, Department of traditional Chinese medicine. As the old Chinese medicine doctor, she was the tutor of third and fourth batch of the succession of the old Chinese medicine experts in the academic. She was ninth, tenth, eleventh session of the National Political Consultative Conference committee. In2007she was named the first national hundred outstanding female doctors. Enjoy special government allowances of the state council.One, the forming process of the theory1. Study in collegeDr. Mi in1963entered the Beijing College of traditional Chinese Medicine, Department of TCM, since the College had just set up, there are many Chinese medicine masters, cultivate a large number of Chinese elites. These Chinese masters teach by precept and example for Mi to lay a solid basic theory of traditional Chinese medicine.2. Working in Beijing Medical College and hospitalIn1969, after graduating from University, Dr. Mi entered the Beijing School of medicine, traditional Chinese Medicine Teaching Department, after then she turned to work in the People’s Hospital. During Dr. Mi attached great importance to study western medical knowledge, laid a very solid medical foundation. At the same time, Dr. Mi is still focused on traditional Chinese learning, especially her long-term following Master Zhu chenyu, got a lot of guidance. Master Zhu considered traditional Chinese medicine and Western medicine are equally important, Western adept at diagnosis and traditional Chinese medicine syndrome differentiation, that is the main direction of combination of Chinese traditional and Western medicine. Rely on Western Medicine on disease diagnosis, is conducive to disease development of traditional Chinese medicine on prognosis, can offer the reference to TCM syndrome differentiation. Moreover, Master Zhu also advocate the Chinese and Western drugs used simultaneously. He argued for tumor patients do chemotherapy, take a tonic medicine for adjuvant therapy at the same time, can reduce the toxic and side effects caused by chemotherapy, and improve the quality of patients’ life. Master Zhu attaches great importance to Qi and blood, usually uses Qi and blood syndrome differentiation method, diagnosis and treatment of miscellaneous diseases and gynecological diseases. Master Zhu’s teacher is Mr. Shi Jinmo, who was good at drugs-partner in the prescription compatibility, not to stick to one pattern, pay attention to spleen, kidney on human physiological and pathological role. These academic insights produced profound effects on Doctor Mi clinical and theoretical form.3. Working in Beijing HospitalDuring work in Beijing Hospital, Ministry of Health, Department of traditional Chinese medicine, Dr. Mi exposured to the large number of oncology patients, gradually accumulated a large amount of clinical experience, and has formed her own theory system in tumor therapy. In the leadership health care work, she began to study of elderly patient’s clinical and drug characteristics, at the same time studied with other experts.4. Forming her own theoryDr. Mi can obtain today’s result, got many teaching and help from traditional Chinese medicine doctor, but also her own hard work, unremittingly study and learning.Second, Dr. Mi theory main content1. Great importance to the spleen and stomachDr. Mi attaches importance to the theory of the stomach is influenced by the concept of "The Orthodox Classic of Huangdi", Zhongjing and Li Dongyuan. Dr. Mi is very advocating Li Dongyuan said the point of view that "stomach injury, disease occurs". And often use the prescription of the Zhongjing treatment of stomach diseases in clinical. Combined with today’s society, doctor Mi believe the cause of stomach diseases has changed. Due to the increase of working pressure, changes in diet caused an imbalance between the liver and stomach, the imbalance between the liver and spleen, spleen weakness, lack of Qi, produce metabolic waste. Doctor Mi believes that the function of organs decline is the physiological characteristics of the elderly, and the Qi and blood deficiency is more obvious. One of the important reasons is that increased with age, and a variety of pathogenic factors, so that older people’s spleen and stomach function drops gradually, cause the shortage of energy source in human body, gradually lead to deficiency of Qi and blood, affecting other organs function, causes the lack of Qi, damaged by disease. To patient with tumor, Doctor Mi thinks that the spleen weakness or deficiency is very common, and may be one of the reasons it comes. On the other hand, tumor patients commonly used western medicine treatment means, such as operation, chemotherapy and radiotherapy; also have a negative effect on the function of spleen and stomach. Doctor Mi often uses bellow prescriptions:Sijunzi decoction, Xiangsha liujunzi decoction, Jiawei Xiangsu powder, Buzhong Yiqi Decoction, Shenling Baizhu powder, Xiaojianzhong decoction in treating spleen and stomach disease.2. Treatment of geriatric diseasesDr. Mi considers that geriatrics as a fundamental to weak, showing a variety of symptoms. And geriatrics disease has some characteristics and should pay attention in clinical practice. Dr. Mi stressed that the treatment of geriatric spleen and kidneys, taking into account other organs. Drug characteristics in order to emphasize the attack supplementation and multi-take into account, mainly in reinforce, stop the medicine in time when the disease is controlled, take care of the stomach, a small amount of drugs, long term and long disease should do some in the blood circulation, how to prevent disease, and so on.3. Treatment of cancerDr. Mi believes that the development of malignancies is a variety of pathogenic factors, such as endowments differences Six Exogenous injuries impassioned, work and rest disorders, eating injured, long-term effects on the body, resulting in the injury of the body upright, the organs lose and block meridians, yin and yang, loss of balance, a series of pathological changes caused. Dr. Mi puts great emphasis on two aspects of the treatment, for the treatment of the tumor itself; the second is the treatment of secondary modern medicine. Advocate Chinese medicine with Western medicine, Dr. Mi pays attention to differentiation with disease and try to distinguish disease to dialectical mainly, combination identified a history of clinical diagnosis and treatment principles, clinical prescription must adhere to the TCM-based,"there is a compatible illness and certain drugs "rather than" suffering from some kind of tumor and on the use of certain drugs. In clinical practice, Dr. Mi attaches great importance to the tongue diagnosis, tongue diagnosis to judge the depth of the disease; to determine the rise and fall of the Stomach; to determine trends and prognosis of the disease. Dr. Mi in the treatment of cancer of the process, often using the complex method and generous to diagnosis and treatment of patients achieved a very satisfactory efficacy, and gradually formed a style of her own medication."Generous use of complex method", Dr. Mi takes special emphasis on: This is not a simple superposition of a variety of treatment method, nor is the arrangement of the multi-flavor drugs, but for some of the complex pathological mechanisms specific diseases, using a method of treatment."Generous of complex method" is also achieved through the diagnosis and treatment under the guidance of a holistic view. In the concrete application, attention should be prioritized, orderly combination. Dr. Mi commonly prescribed Sanren decoction, Shiquan Yuzhen decoction, Yiguan Jian, Xuefu Zhuyu decoction. Dr. Mi, according to these years of clinical experience, combined with the experience of their predecessors, was founded by her prescription for lung cancer, prostate cancer, colorectal cancer, breast cancer, liver cancer and is very effective in clinical practice. At the same time, tumor patients taking some Chinese and Western drugs also affect the digestive function of the spleen and stomach. In addition, tumor patients’anxiety, fear and emotional factors also have a negative impact on the spleen and stomach. The needed nutrients of body need to absorb and transport from diet by spleen and stomach, the several kinds of drugs, at the same time, also needs through the stomach absorption into the body and play a role. The function of spleen and stomach and whether it is normal for the outcome of a disease is very important, so the doctor Mi in tumor treatment process attaches great importance to the spleen and stomach. She also attaches great importance to cancer patients’diet, emotional. That poor diet can lead to tumor development and further deterioration, and proper diet can prevent the occurrence of cancer. And the reasonable diet can also play a positive role for the recovery of the patients with tumor. During the treatment of tumor patients, Dr. Mi often tells them the importance of keeping a good mood, keep in cheerful mood, actively cooperate with the doctor, establish the confidence to overcome the disease, and let the family take care and comfort the patient. Dr. Mi stands for cancer patients be careful on physical therapy, because of certain physical factors for the human body is a stimulant, it causes the body to produce systemic vasodilator, metabolism accelerated. These reactions are accelerated tumor growth, even have risk of accelerated tumor metastasis, or may be remnants-in a relatively static state-tumor cells "are activated".4. The same attention to identify syndromes and to identify diseaseDr. Mi believes that both of the two are the understanding of the disease process. To identify syndromes of disease syndromes in the analysis process, identified the disease process is actually a diagnosis of the disease process. Dr. Mi is often used Western Diagnosis of Diseases in clinical, which is conducive to learn to master the disease outcome and prognosis. When the disease and syndrome is complying, it should be based on syndrome differentiation. When the two do not coincide, it should seize the main disease, deal good with two relations. In conclusion, Dr. Mi advocates traditional Chinese medicine and Western medicine are equally important, syndromes and diseases are equally important, put forward the Clinical principle of diagnosis and treatment--"the disease is premise, syndrome is the foundation".Conclusion:1. Dr. Mi’s theory formation process is divided into three stages1.1Beijing College of Traditional Chinese Medicine for six years learning phase.1.2Session that after graduating from university, work in the People’s Hospital.1.3In1985transferred to the Ministry of Health hospital phase.2. Dr. Mi theory main content.2.1Great importance to the theory of the spleen and stomach.2.2The theoretical treatment of geriatric diseases.2.3Tumor therapy theory.2.4Syndromes and diseases are equally important theory.Third, Dr. Mi treatment of lung cancer experienceSelect Dr. Mi outpatient lung cancer patients, a total of144people,432number of times. Case-acquisition and analysis results:Patients treated by surgery,92times; Radiation therapy patients,67times; Ongoing chemotherapy patients,127times; Chemotherapy of patients,72cases; Targeted therapy of patients,24cases; Patients only treated by Chinese medicine,49cases. Recorded in a total of186symptoms and signs, the highest frequency of positive symptoms and signs are cough, fatigue, thready pulse, red tongue, greasy moss, shortness of breath and so on. Acquisition cases, the traditional Chinese medicine syndrome frequency as follows:Qi and Yin deficiency> phlegm> heat toxin> lack of lung and kidney> spleen and kidney deficiencies> qi deficiency and lead to blood stasis> Stomach reflux> Yin deficiency induced heat> liver is not comfortable. Among which Qi and Yin deficiency, phlegm and heat toxic, lack of lung and kidney are in larger quantities. There are26ways in prescription therapies:reduce sputum in286cases, stop cough in282cases, increase Yin in204cases, reduce heat in190cases, strong spleen in174cases, and grow of gas in166cases. Descript that Dr. Mi treats lung cancer in these methods mainly.432prescriptions, used106times in the prescription of cough, used78times for lung cancer prescription, using the21times of spleen and kidney invigorating prescription. Shenling Baizhu powder used25times; Baihe Gujin used13times; Maimendong decoction used13times. Her own prescriptions had accounted for the majority, classic fixed prescriptions as auxiliary. Showed Mi formed a relatively mature treatment scheme. Tonic medicine, antipyretic, reduce phlegm drugs are the most commonly used, wherein the deficiency-nourishing drugs accounted for20.1%, heat-clearing drugs accounted for17.6%, and expectorants accounted for12.6%. Blood activating and stasis removing drugs accounted for only5.7%. In the acquisition of288prescriptions, prescription drug for at least16kinds of traditional Chinese medicine, with a maximum of30kinds,22kinds for average, this with the characteristics of Dr. Mi generous, commonly used" compound method" in treatment of lung cancer. The highest frequency of use are as follows:20medicines of Rhizoma Pinelliae, tuckahoe, Fritillaria thunbergii, Prunella, Polyporus, zedoary, perilla, Amomum villosum, Campanulaceae, Schisandra, cardamom, mulberry, fried Fructus aurantii, licorice, CLR, tangerine peel, dodder, asarum, eucommia, aster. The weight minimum drug for asarum, Schisandra, the dosage is2g--3g, tuckahoe, Polyporus, tansymustard seed, the weight of the heaviest30g. Other commonly used drugs’weight for general5-20g. Commonly used drugs is a combination of Rhizoma Pinelliae, Fritillaria thunbergii, Prunella, Polyporus, tuckahoe, white atractylodes rhizome, mulberry, Schisandra, perilla, licorice, these ten medicine constitutes the doctor Mi of the basic method of treatment of lung cancer.Summary:Dr. Mi’s experience in treating lung cancer1. The lack of righteousness causes disease.2. Stands for integrated traditional Chinese and Western medicine, western medicine diagnosis, and traditional Chinese medicine treats.3. The imaginary, phlegm, heat, blood stasis, poison, these five aspects as main syndrome.4. According to the western medicine treatment stages determine the principle of treatment.5. Make the best use of the classic.6. Use the" compound method"7. According to the disease characteristics, create several commonly used formulas for lung cancer.8. Use drug-partner, based on modern pharmacology, used for multiple purposes.9. Pay attention to diet and emotional factors. |
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