Xu Changwei's Academic Thought And Clinical Research

Objective:According to the State Administration of traditional Chinese medicine,the fifth installment of the old Chinese medicine experts in the academic experience inheritance work requirements,summarize the academic experience of Professor Xu Changwei and treatment of cervical spondylosis,lumbar disc herniation,trauma,fractures,rheumatoid arthritis and osteoarthritis of the disease of clinical thinking distinguishes the characteristic.Method:Through clinical with teacher learning,independent clinical practice,to learn the classic,etc.,analyzed and summarized Xu Changwei Professor treatment of orthopedic diseases,dialectical thought and dialectical method,damage parts of the dialectical method,medication,with characteristics.Result:1 academic thought1.1mentor Xu Changwei professor of treatment of Orthopaedics and traumatology department disease dialectical thought: clinical diagnosis and treatment of Xulao advocate viscera syndrome differentiation,according to different lesions should also be overall in treating consciousness to according to the analysis of the clinical symptoms of the disease nature of pathological changes of internal organs of the body.To summarize: orthopedic medicine to nourish liver and kidney,regulating qi and blood and expelling wind cold dampness.That the treatment of bone to the liver and kidney,Qi and blood,expelling wind cold dampness as the standard.Pay attention to syndrome differentiation of Zang Fu organs,advocate in liver and kidney for the treatment of orthopedic diseases;synthesis of the four diagnostic methods,emphasis on inspection,palpation to give prominence to the characteristics of orthopedics department;ingenious treatment according to syndrome differentiation of TCM and differentiation of symptoms and diseases,and complement each other,not only to master four diagnostic methods of TCM,that distinguish the syndrome of traditional Chinese medicine,for the modern diagnosis and treatment technology and method also have to learn to use,that distinguish the disease of Western medicine,take the length of the second,expanding the scope of the study of traditional Chinese medicine;combined with external treatment,curative effect of superposition,shorten the cycle and the treatment of diseases,except in accordance with the principle of TCM treatment of endotherapy,tonifying the liver and kidney,regulating qi and blood and dispelling wind and cold wet treatment should also pay attention to.And stage of treatment of Traumatology diseases,early advocates "big break",mid to Qi and Ying,and blood and warming kidney for the latter part of the focus;according to the physique weak injured,in accurate differentiation based advocate tonification and purgation in combination,combination of internal and external governance,the two complement each other,period of treatment of disease relationship,damage earlier and more.Strengthen the rehabilitation of the disease,so that the combination of static and dynamic,the cooperation of doctors and patients,to enhance the patient's participation enthusiasm,exercise sometimes,orderly movement,sports square,effective movement;prevention first,combination of raising rule,nip in the bud,remain indifferent unreal spiritual realm,living,life rule,exercise a degree,diligent with the brain,early diagnosis,anti evil change.1.2mentor Xu Changwei professor of treatment of orthopedics department disease three dialectical method summary:(1)at the beginning of the treatment,the capture of stasis and inducing resuscitation and activating blood circulation method,method of removing heat to cool blood and gas eliminating stasis method for early treatment.(2)the mid treatment,and camp analgesia,continued reinforcement synthetism,Shujin Tongluo,so as to achieve the purpose of removing blood stasis and new muscle,bone,dispelling wind and meridians,Shujinhuoxue purposes.(3)late treatment,invigorating qi and nourishing blood,tonifying the liver and kidney,nourishing the spleen and stomach,Wenjingtongluo method.Injury after 1—2 weeks for early treatment should be based on "dismount" or "consumer law",including swelling and pain,Qi and dredging collaterals and promoting blood circulation to remove blood stasis mainly.At the same time also may use "Qing law",the implementation of this method is needless,or in the Blood Stasis Toxin intrusion case.And did not reduce or in case of blood stasis unquote gas closed syncope may use "law";injury after 3 —6 weeks for the treatment of metaphase,although injury symptoms has been further improved,and the pain,swelling and blood stasis has gradually subsided,but the pain,blood stasis resistance completely eliminated,so the treatment should also adhere to the "continuous" and "and",that is,the reunion of bone tendons,promoting blood circulation to remove blood stasis and earn a living;injury after 7 —8 weeks after the end of the treatment period,this stage bruising has disappeared,but bones function has not been fully restored,in order to make the muscles more solid,the treatment should also adhere to the nourishing liver and kidney,Qi and blood and Jiangu strong gluten.According to the joint flexion and extension,the wind cold dampness,muscle spasm in patients with late stage,should also be given Shujinhuoluo,warmingchannelstodispel cold treatment.1.3 mentor Xu Changwei professor of treatment of orthopedic diseases damage parts of the dialectical method:(1)Sanjiao syndrome differentiation treatment;(2)according to the damage sites induced by the drug.1.4 mentor Xu Changwei professor of treatment of orthopedics disease medication,in order:(1)fell servants injury is the leading cause of traumatic bone diseases of the important reasons,so stumble and caused the fracture,sprain,dislocation and internal the four major illness is in bone fracture treatment of the main direction.(2)the "three period" of the "1" theory of treatment,the initial period of injury after 2 to 3 weeks,to 6 weeks after the injury,7 to8 weeks after the injury.General as primary treatment of "down" method,the main points for the capture by blood stasis and inducing resuscitation and activating blood and dissipating blood stasis elimination of heat and cooling blood method and gas.The middle is the main treatment "and" method,which is mainly divided into Jieguxujin,analgesic and Shujinhuoluo method and camp.Post treatment mainly for the "fill" method,which is mainly divided into tonifying the liver and kidney,nourishing qi,warm the meridians.(3)combined with parts of the syndrome differentiation and treatment,in the implementation of the "three stage" theory of governance at the same time,should be combined with the injury site implementation of dialectical theory of governance,and the damage sites induced by drugs,the potency of the play a role in the injury site,to strengthening the therapeutic effect of objective.(4)pay attention to the choice of pharmaceutical dosage form and route of administration,clinical when administered,pharmaceutical dosage form and route of administration should according to the illness patients after injury was light,heavy,slow,anxious to decide,in powder,decoction,pill treatment based,but also use Shenmai injection liquid and Salvia miltiorrhiza injection.Injection treatment for critically ill patients.The treatment method has the advantages of convenient operation,quick and helpful to rescue,for light,slow or persistent injured should choose wine or decoction,pill.(5)not rigidly adhere to the stage,the need to be flexible.Such as the patient's age,the nature of the patient's injury,location and time to take the appropriate treatment.2 clinical characteristics2.1 cervical spondylosis Xu Changwei believes that the main characteristics of cervical disease is the virtual reality,the clinical symptoms of Bi pain,nerve root type of cervical spondylosis in the acute stage,syndrome differentiation: Qi and blood stasis,meridians and collaterals.Treatment: Quyu Tongluo Juanbi,pain.Vertebral artery type cervical vertebra disease,the disease mainly because of poor blood,meridian block,Ganfeng dynamic and marrow loss of charge and so on.Therefore,vertigo occurred with phlegm,deficiency,blood stasis is the main reason,at the same time,many for the virtual standard excess syndrome.The anti dazzle soup treatment.The pathogenesis of cervical spondylotic myelopathy,when liver and kidney insufficiency,this disease is void of the channel,virtual or virtual and cold.To nourish liver and kidney,Wen Tong Du,and Qi,qufengtongluo.With strong gluten Zhuanggu decoction.2.2 lumbar disc herniation Lumbar disc herniation in acute period,deficiency of liver and kidney,deficiency of Qi and blood,in addition to feel the wind cold dampness,resulting in stagnation of Qi and blood stasis,tendons and loss Ruyang,be illogical painful.The lesions of the positive imaginary for this,evil actually standard.Recommended for the use of Shu jin.Lumbar muscle strain,disease because of blood detention,meridian blocked,liver and kidney deficiency,so clinical treatment to tonifying the liver and kidney,strong gluten Zhuanggu,Huoxue Tongluo,recommended Duhuo Jisheng Decoction2.3 limb fractures,trauma blood stasis Qi and relieve pain and balance of yin and Yang,and adjustable.Early common treatments are the capture of stasis,Qi and dissipating blood stasis,Qingreliangxue,resuscitation and activating blood circulation method.Should a new,interim and damage of broken damage.The treatment principle and method based on that,while replenishing qi and blood stasis with drugs.Late in the treatment of nourishing method,Wenjingtongluo method is more commonly used.2.4 rheumatoid arthritis rheumatoid arthritis arthralgia due to wind cold dampness,expelling wind and removing dampness,scattered cold Tongluo recipe treatment scheme;rheumatic fever,rheumatoid arthritis,expelling wind and clearing away heat,dampness Tongluo effect.Deficiency of both qi and blood of rheumatoid arthritis,Yiqi blood,cold and dampness Tongluo mainly,and to nourishing,blood circulation,tendons and unobstructed.Yang deficiency of the spleen and kidney yang,Yang Qi,Yang Qi,dredging collaterals.Liver kidney yin deficiency,rheumatoid arthritis,nourish the liver and kidney,nourishing and activating,phlegm and blood stasis resistance rheumatoid arthritis,"phlegm,removing blood stasis and activating meridians.2.5 osteoarthritis arthralgia due to wind cold dampness type osteoarthritis,TCM pathological features of the virtual standard,the wilting standard Bi,cure to wind and cold dispelling dehumidification,Huoxue Tongluo;rheumatic fever type osteoarthritis,cure by clearing heat and expelling wind and dampness,promoting blood circulation to remove meridian obstruction.Liver and Kidney Deficiency Osteoarthritis,treatment of kidney and liver,and blood collaterals.Qi stagnation and blood stasis type of osteoarthritis,treated by promoting blood circulation to dispel blood stasis.Conclusion:Professor Xu Changwei for common diseases of orthopedics and traumatology of Chinese medicine,with syndrome differentiation,flexible application,the characteristic is bright,in different conditions of drug use,have their own characteristics.In clinical focus on etiology and pathogenesis of the syndrome differentiation,according to different syndrome differentiation results,not rigidly adhere to a single diagnostic method and treated by different methods,the orthopedics and traumatology of Chinese medicine disease diagnosis and treatment system,comprehensive diagnosis and treatment experience worth passing on.Learn the clinical experience of Professor Xu Changwei for further academic characteristics,concise,forming a specific genre,laid the foundation.