Study On Wang Cheng-rong’s Academic Thought Of Treatment Experience

Objective:to summarize Wang Cheng-rong researcher to treat disease of department of gynaecology of academic ideas, characteristics and clinical experience, and repeat the discussion on the prescription of the treatment of hypomenorrhea, to facilitate better heritage and promotion.Method:Through clinical follow teacher learning and regular academic lectures and exchanges, make notes, collection of the original data, serious thinking and experience of Teacher Wang explain, understand his academic thought, characteristics, and drug laws, etc.Clinical research methods:Using randomized controlled study method, the eligible subjects were divided into experimental group and control group according to the ratio of 1:1, respectively, to be ZiheDecoctionstage treatment or estradiol valerate treatment, and evaluate the curative effect.Statistical methods:measurement data using mean+standard deviation (x+s) said, count data to the number of cases and the percentage of representation; rank sum test was used to compare the efficacy of two groups of patients, were compared using t-test, before and after the treatment group compared with paired t test.Result:Cheng-rongwang’s academic thinking come from the classics, and is higher than the classics, and to study and reference the western thought, inheritance and innovation.Cognition and practice of Teacher Wang to "traditional Chinese medicine and Western medicine combined with ":adhere to the traditional Chinese medicine advocates" simple, convenient, effective and cheap "medical ethics, to" do not want to own, do not impose on others "transposition thinking, with to lower costs and shorter time get a larger effect principle, reasonable application of theories of traditional Chinese and Western medicine and the means of detection and effective experience diagnosis and treatment of gynecological diseases of academic thought, fully embodied in the clinical thinking and mode of treatment.Teacher Wang combine traditional Chinese and Western medicine treatment ideas:Western medicine based on differentiation of disease combined with syndrome differentiation of traditional Chinese medicine, TCM combined with necessary auxiliary examinations, treatment is not confined to pure Chinese medicine or western medicine thinking, to avoid the use of Chinese and western medicine without limit.Stressed that the standard interrogation, pointed out theview of Golden mirror of Medicine-gynecological heart tips:before the treatment of women’s diseases, to understand the situation of menstruation and pregnancy. If the disease is unknown, this is not a trivial matter, and it is difficult to solve the problem, the cause can not be clear. The above point of view should be the guidelines for the doctors to follow, but also for the Chinese Medicine Department of internal medicine, surgery, acupuncture and other medical practitioners should pay attention to advice.Follow the Hejian six Books point of view:the girl before menstrual cramps, belong to Shaoyin. After menstruation, belongs toJueyin. After menopause, belongs to the Taiyin.Consider kidney of menstruation and pregnancy and the importance, emphasize and focus on the different age stages of treatment at the same time, in growing period and menopausal patients should be the proper use of the therapy of Tonifying Qi of the kidney.Emphasis on "to clear the blood and qi movement, let them unobstructed" purpose, consider that the treatment with blood stasis, dredge the meridians, blood supply to assist should be one of the basic principles of effective clinical treatment.Especially for meridian stagnation of Qi and blood running already exists, not smooth pathological and physiological changes of middle-aged women,in follow the "should not have this symptom and appear, or should have this symptom but not see, also want to seek its disease machine " view to syndrome differentiation and treatment prescription medication, should pay attention to properly supplemented by removing blood stasis and dredging, to protect the blood reconcile unobstructed, equilibrium is reached.Teacher Wang believes that endogenous heat is caused by the cause of endometriosis, and the periodic Jingqi is the disease repeatedly episodes, dysmenorrhea or infertility and other diseases not cured important disease machine,put forward the "Hot damage energy and leave stasis, stasis long heat of a fire cause heat and blood stasis knot "point of view.Treatment point is "dominating the Lord, and to know the cause," treated with heat clearing and detoxifying, removing stasis.based on the above views to createthe "BailianSanjie Decoction".Teacher Wang is based on the understanding of "Five seven, Yang Ming channel, the face starts to coke, hair starts to fall" and "The female body is Yin, Yang deficiency, so women aging from Yangming started" classical theory, combined with modern medical knowledge, that "Yang Ming weak" is due to deficiency and blood stasis, put forward from "Chong and RenXuyu" treating gynecopathy. Emphasizes the principle of "take the body unobstructed as the advantage, or keep the body unobstructed for keeping health, or both two taking into account" treatment, based on the above views to create the "Zihe Decoction" and "Zihuo Decoction".Teacher wang for the hallmark symptoms of menopause syndrome "Hot flashes sweating",although this disease and kidney deficiency is closely related to, but the main and common symptoms for "dynamic" like and liver, liver Yang more closely, analyze the etiology and pathogenesis, and put forward from the "water does not contain wood" syndrome differentiation, treatment with purging liver kidney, balancing Yin and Yang.According to the deficiency of the kidney and hyperactivity of the liver samples priorities, or to purging liver fire and Tonifying Kidney Yin specimen and cure, or first Xiegan take temporary solution and then another specimen and cure, to brighten Yin and yang to return to the to "Yin qi peace and yang qi stand", choose DangguiLiuhuang Decoction or LongdanXieganDecoction.Teacher wang stressed that the combination of traditional Chinese and Western medicine treatment of uterine bleeding, clear disease diagnosis, choose of reasonable treatment scheme. He believes that theory of uterine bleeding syndrome although cold, heat, deficiency, the real different pathogenesis also complicated, but to blood heat and blood stasis is the majority of patients.He put forward the clinical treatment from the "blood stasis" in treating metrorrhagia. On the treatment of uterine bleeding "plug flow, clean source, involution" three methods, Teacher Wang think that Xiao Xun Cheng for the first order heat source is more in line with the "plain questions" by decree and more practical. Therefore to fit with traditional Chinese medicine on the treatment of metrorrhagia and metrostaxis ideas is firstly according to the etiology and pathogenesis of "heat and blood stasis" to receive "Fu Qi Lord" effect, according to this view to create the "Qinghua Decoction".Clinical see reproductive antibodies abnormal, the general condition was good, but there is no clear pulses about cold, hot, deficiency symptoms, if according to TCM four diagnostic methods is difficult under the dialectical conclusions.Teacher Wang thought that antibody as an objective index of the reaction about Zhengqi, normal antibody lack may be thought of as weak Zhengqi, abnormal antibodies appear may be thought of as Zhengqi excess, the so-called "excess of Qi is the fire". He put forward the treatment of reproductive antibody positive caused by immune infertility or recurrent abortion from the "blood heat" patients, according to this view to create a " XiehuoDaheng Decoction".Teacher wang treatment of dysmenorrhea, attaches importance to find the cause, combining with the necessary inspection, the judgment is thefunctionality or Organic nature. Those who have ruled out the need to rely on Western medicine to achieve the effect of the people, all the first choice for the treatment of Chinese medicine syndrome differentiation.Clinical treatment emphasizes "first distinguish between cold and heat,the second that clear of the Zang Fu organs and meridians and find the cause".Most of the 4 different types come from the "uterine deficiency,uterine stasis,Qi stagnation and blood stasis,heat stasis knot" to prescription for syndrome differentiation.ZiheDecoction and staging treatment of hypomenorrhea clinical findings: in the experimental group, the markedly effective rate and the total efficiency of 76.67% and 86.67% respectively. In the control group, the markedly effective rate and total effective rate was 40.00% and 73.33% respectively, the difference in efficacy between the two groups has statistical significance (P< 0.05). The endometrial thickness of the two groups were improved after treatment, and there was significant difference between the groups (P<0.05).Conclusion:Characteristics of Wang Chengrong thinking about diagnosis and treatment of gynecological diseases, academic thoughts and clinical experience,are unique features.He created the prescriptions are simple and primary and secondary clear,used clinically effective.Clinical research found that the clinical effect of hypomenorrhea was better with the use of ZiheDecoction stage treatment.