| Wang Renqiang, a famous doctor of traditional Chinese Medicine, is the academic expert and the supervisor of the fifth batch national old Chinese medicine academic experience inheritance. Professor Wang engaged in clinical work of traditional Chinese medicine in recent 40 years, has a unique experience in the spleen and stomach difficult diseases especially in the Department of internal medicine diagnosis and treatment. Professor Wang is good at using Chinese medicine or integrated traditional Chinese and Western medicine treatment of various intractable diseases of digestive tract diseases. The paper is derive and learn from Professor Wang's many years working experience.In this paper, based on the analysis of the theory of the spleen and stomach on the origin and development, mainly through the collection and collation name of medicine, WangRenqiang medical records medical words, clinical case, previously published academic works, the name of TCM in treating spleen and stomach disease condensed Wang Renqiang experience of the papers, and the related data of successive dynasties about spleen and stomach works of Wang Renqiang, a Chinese medicine the spleen and stomach academic thought to carry on the induction, summarize and inherit. This paper is divided into three parts:The first part of Wang Renqiang's academic origin of Chinese medicine.Wang Renqiang, a solid theoretical foundation of traditional Chinese medicine, pay attention to the physiological functions of the spleen and stomach. Attach importance to academic activities, take the initiative to veteran ask, from lessons, inherited and developed the academic thought and clinical experience of the old experts, and in nearly 40 years of clinical work, understanding of the classics of Chinese medicine, more in-depth. The academic thought and clinical experience of succession were summarized in the paper. Pro. Wang learned from ancients Chinese medicine but not stubborn, he studied from Zhang Zhongjing's academic thought. Li Dongyuan, Ye Tianshi academic essence, both easy to reinforcing the earth "faction of the wind, and he Meng" moderate "sent. At the same time, the clinical experience of many old experts has been inherited and developed, which has gradually formed a unique taste of the spleen and stomach.The second part of Wang Renqiang's academic thought and clinical experience of tcm(traditional Chinese medicine).Wang Renqiang, a famous doctor of traditional Chinese medicine in theory to the spleen and stomach, to stress the importance of the physiological characteristics of the spleen and stomach, spleen and stomach with our valley water Yunhua, is the source of Qi and blood in the body and vigor of the root. "That is," for "lifting", "dampness of mercy" is the basis of normal physiological function of spleen and stomach. Pay attention to the relationship between the spleen and the stomach and other organs. Spleen and stomach and liver is the meridians, Qi and blood dependence. The spleen and stomach of shengqingjiangzhuo, metaplasia of Qi and blood in the liver function depends on Qi, Qi regulating. At the same time, the liver is just dirty, but spleen yin and blood to nourish, can "Cliffide Flower". The spleen and stomach is the mother of the lung, the main gas, the source of the gas depends on the spleen and stomach, the transfer to the lung. "The spleen is the source of phlegm, and lung is the storage of phlegm", sputum production, and spleen yang deficiency, wet not related. And the lung qi obstruction, can not be subtle in the body of nutrition shufu. Therefore, the treatment of the phlegm syndrome, from the lung and spleen two dirty. Is the mutual relationship between heart and spleen and stomach. The fire. Stomach transportation, Lai Xinyang warm, stomach transportation subtle, if no firelight funding, must not be Jianyun, firelight can warm the spleen, promote spleen shipped functional health movement and endless. The relationship between the spleen and stomach and the kidney is the mutual breeding. Spleen yang in kidney yang, Yang deficiency, fire immature soil, not warm Spleen Yang, deficiency of Spleen Yang more. Two reciprocal causation. Kidney essence, in addition to the essence of the essence, the essence of the source is the spleen and stomach. The essence of the nature of the day is also dependent on the continuous replenishment of the day after tomorrow. Kidney spleen and stomach with subtle nourishment, to life and growth in nature. Pay attention to air lift, think the viscera are lifting. Huang Yuan Yu "a respected four" theory, emphasizes the function of spleen and stomach is the human air lift hub. Emphasizes the overall concept, pay attention to the internal organs, meridians, Qi and blood, yin and Yang between the view system. In the treatment of drug use light, emphasis on restoration of the splenic gastric physiological function and recovery machine, gas and the importance of free and pay attention to promoting blood circulation to remove blood stasis, emphasize Ruanjian San method of early intervention treatment, and put forward as an extension of the inspection, for the TCM provides the basis, make the stomach mirror and the dialectical combination of gastroscopy and the changes of gastric mucosa, enrich the content of four diagnostic methods. The application of Mao Zedong's military thought for clinical practice. Wang believed that fight disease is a war of no smoke, doctor's prescription is to deploy forces. The treatment of chronic atrophic gastritis with intestinal metaplasia. Treatment is difficult, the treatment is not timely, the possibility of cancer is large. Wang Wang firmly grasp the intermediate link of intestinal metaplasia to cancer. In the formulation of the early use of soft and hard to disperse method. The use of Pleione, fried turtle shell, lingxiaohua, zhebeimu, Xuanshen etc.. He said Ruanjiansanjie method as to the evils in the containment between intestinal metaplasia and cancer. To slow down a large number of variants, or to slow down the rate of variation, or not to develop a tumor.The clinical experience of the academic thought of TCM Wang Renqiang of the spleen and stomach, of common diseases of the spleen and stomach gastric esophageal anti flow of sexually transmitted diseases, diarrhea type irritable bowel syndrome, functional digestive on treatment of malnutrition, chronic atrophic gastritis with intestinal of, tumor treatment were summarized.Wang Renqiang has rich clinical experience of spleen and stomach in traditional Chinese medicine academic thought, of common diseases of the spleen and stomach gastric esophageal anti flow of sexually transmitted diseases, diarrhea type irritable bowel syndrome, functional digestive on treatment of malnutrition, chronic atrophic gastritis with intestinal and tumor treatment. Aiming at the gastroesophageal reflux disease, Professor Wang proposed spleen two dirty disorder is an important factor in the pathogenesis of this disease, pathogenesis of deficiency for this, and liver qi stagnation, interior accumulation of dampness and turbid. In the treatment, should be based on the value of liver and spleen wet. Square with Shuganjianpi dampness decoction. Irritable bowel syndrome of liver stagnation and spleen deficiency is the foundation, is the essence of spleen kidney yang deficiency, spleen and kidney tonifying method on early application. At the same time pay attention to the relationship between the liver and spleen, liver failure lead, unreasonableness invading the lung and chronic Jiuzhibuyu diarrhea, lingering illness of the important reasons. So, Mr. Wang stressed that both spleen and kidney and tonifying liver qi. The combination of the two complement each other. In order to fill in the kidney and kidney to add. Functional dyspepsia is syndrome of stagnation of liver qi, the emotion is not smooth; diet section, retention of food in the stomach; endowment is insufficient, weakness of the spleen and stomach; exogenous injury; stomach yin deficiency; intermingled and lead to dysfunction of Qi of the spleen and stomach machine. Teacher Wang think that this disease is liver qi stagnation, and the weakness of the spleen and stomach, and dysfunction of the spleen in transport, water valley places left, so if you simply using Shugan solution depression or single Spleen Qi method there are biased, therapeutic effect are not good. He through the long-term clinical practice, summed up the sparse, filling and elimination, conductance method "in the treatment of functional dyspepsia with," Shu "as catharsis, ease, reorganizing the liver of. "Compensation" for health movement, tonifying spleen and stomach qi. "Elimination" for the elimination of the stagnation of the meaning. "Guide" to eliminate the export of pathological products, enhance gastrointestinal motility, recovery of gas lift. This academic thought is effective in the treatment of functional dyspepsia. Chronic atrophic gastritis with intestinal metaplasia is Qi deficiency of spleen and stomach, blood line of weakness, block of Qi and blood in the spleen and stomach, or poor emotional, liver qi stagnation, qi stagnation and blood stasis, gastric stasis obstructing collaterals, resulting in coke gas lift caused by the disturbed. That should in the treatment in strengthening the spleen and replenishing qi, nourishing Yin while focusing on adjustable Chang Qi, promoting blood circulation and removing blood stasis, and early use of soft firm medicinal powder knot drugs. For gastric cancer treatment focus on maintaining the body upright, medication against abused Qingrejiedu anticancer drugs, advocated drug calm, Gu to protect the stomach qi, emphasizes the relationship between the spleen and kidney, focus on strengthening the spleen and tonifying the kidney. Pay attention to "reinforcing the gas, gas lifting machine" thought of cancer treatment. Wang's tumor treatment on the one hand to pay attention to the function of the spleen and stomach. The spleen and stomach in the middle Jiao, for the whole body of the hinge, the spleen is advised to be healthy, stomach should be reduced and the lifting of the orderly, then the gas machine. On the other hand, attaches great importance to the human body Yang "". "Yang Qi, Yin forming". Protecting people healthy, pay attention to the protection of the kidney, spleen yang. Wang pointed out that the adjustment of the patients with the "innate" and "the day after the spleen" of the importance of.The third part of research on Wang Renqiang's academic experience of Chinese Medicine.In view of the correlation of spleen and kidney tonifying experiences "Shu warming kidney solid intestinal side" for the treatment of diarrhea predominant irritable bowel syndrome clinical studies and gastrointestinal hormones study is of Ren Qing Wang TCM recipe disciple of one of the main topics. The clinical trial proved that the treatment group was better than the western medicine control group in clinical symptom score, the improvement of stool character and life treatment were superior to the control group, and the clinical effect was obvious. Also gastrointestinal hormone vasoactive intestinal peptide (VIP), substance P,5-serotonin, after treatment, the treatment group and the control group, gastrointestinal hormone between groups comparison, there are significant differences, with statistical significance (P< 0.05). Treatment of gastrointestinal hormone levels before and after treatment compared with statistical difference (* P No.< 0.05), and control group self medication after gastrointestinal hormones decreased, but no significant difference and no statistical significance (P No.> 0.05). It is obvious that the treatment of diarrhea type IBS after the treatment of diarrhea type was decreased, and the degree of decline was significantly higher than that in the control group, there were statistically significant differences. There was a positive correlation between the therapeutic effect and the decrease of gastrointestinal hormone. This conclusion needs to continue to observe a large number of clinical samples in the late stage. If the late large sample observation and the experimental results are consistent, gastrointestinal hormone can be used as a clinical observation index for scientific research. |
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