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Professor Liu Yanchi academic thought and clinical experience and clinical studies for treatment of diabetes

Author: XingZhaoHong
Tutor: LiuYanChi
School: Beijing University of Traditional Chinese Medicine
Course: Chinese medical science
Keywords: Liu Yan pool Yiqiyangyin Diabetes Type 2 diabetes Quality of Life
CLC: R249
Type: Master's thesis
Year: 2011
Downloads: 22
Quote: 0
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Abstract


Professor Liu Yanchi, Chief Physician and MD tutor at Beijing University of Traditional Chinese Medicine, is a national famous doctor of Traditional Chinese Medicine (short for TCM). He is also an expert with State Council special allowance for his outstanding contributions. He is rated as one of the instructors to the third and fourth academic inheritors of famous TCM experts by the State Ministry of Personnel, Ministry of Education, Ministry of Health and the State Administration of Traditional Chinese Medicine. Having been engaged in teaching, scientific research and medical practice for nearly 50 years, Professor Liu Yanchi, with noble medical ethics and rigorous scholarship, is deeply respected and loved by the students and the colleagues.As the one of the fourth academic inheritors of professor Liu Yanchi, the author had the honor to follow his clinical study and diagnosis for three years. Therefore a thesis is presented to record the results of the study.First of all, it is a review of Professor Liu’s learning experience, work experience, academic achievement and academic status.Secondly, Professor Liu’s academic ideas are summarized in four aspects:benevolent, practice virtues; learned precise thinking, rigorous scholarship; erudite, Chinese and Western learning; emphasis on inheritance, emphasizing the development. In the author’s opinions, the reason why Professor Liu has made such great achievements as a generation of famous doctors is due to his good quality, clear goal ahead, the correct way and tireless efforts, thereby that is the most important part for the younger generation to inherit and carry forward.Thirdly, Professor Liu’s academic ideological origins are refined into five characteristics:(1) Based on the theory, learn and use:Professor Liu Yanchi has been engaged in teaching, scientific research and medical practice of TCM for nearly 50 years. He specializes in the use of TCM basic theory to guide clinical practice.(2) The overall and constant moving, full adjust:In the view of Professor Liu, the characteristics of TCM theory system, based on clinical practice, taking pathological changes in human life and activities as their object of observation, mainly using comprehensive analysis methods, study and assess the overall level of body physiological and pathological response status, movement variation, and its impact on life activities, pathological changes in the regulatory mechanism from a macro aspect. Thus the way of thinking of the theoretical system of TCM, without overemphasis on material entity, but rather focuses on overall, contact, sports etc points to understand and solve the problems.(3) Based on TCM and participation in the West, integrating new knowledge:Professor Liu Yanchi promotes dual diagnosis of TCM and Western medicine, emphasizing the merging of macroscopical syndrome differentiation and microcosmic disease differentiation. TCM should "let it serve me", "west for east". Basing on TCM and participating in the West, diagnosis and treatment of disease will be more particular and comprehensive.(4) Nourishing yin as the advocacy of drug use, by following Danxi:Professor Liu has pointed that the main significance of Danxi School lies in its treatment thoughts which guide the diagnosis and treatment of modern diseases.(5) Prescriptions are relative with disease, flexible thinking changed with principles:Professor Liu, combining experience-based prescriptions with understanding- based prescriptions, has clinically made new prescriptions and adjusted them based on the principles.Fourthly, Professor Liu’s academic thoughts "Ziyin" and his rich clinical experiences are sorted and explored through a great deal of complex work. They are reflected in various diagnosis and treatments available for diabetes mellitus, stomachache, vertigo, arrhythmia, acne, and other diseases. They both provide an invaluable reference for the later practitioners.Fifthly, clinic research:Study on the clinical curative effect and quality of life in the patients with type 2 diabetes mellitus by Professor Liu Yanchi’s therapy method of Yiqi Yangyin.Research Objective:To study the clinical efficacy and quality of life impact in patients with type 2 diabetes mellitus by the Yiqi Yangyin therapy method.Methods:60 patients with type 2 diabetes mellitus (in accord with the diagnose standard of TCM and Western medicine) were selected and divided into the treatment group and the control group randomly. Patients in both groups maintained the basis treatment of diabetes of Western medicine, while the treatment group was added the Chinese medicine of Yiqi Yangyin. Both groups were treated for 4 consecutive weeks. The treatment period was 4 weeks. Curative effect standard:scoring of TCM symptom, HbAlc, fasting blood glucose and 2h postpradial blood glucose, quality of life scale for type 2 diabetes mellitus, the herbs include Astragalus membranaceus, Radix Trichosanthis, Radix Rehmanniae Recens, Radix Scrophulariae, Savia miltiorrhiza, Ophiopogon Japonicus, Herba Dendrobii, Coptis chinensis Franch, Cortex Phellodendri Chinensis, Radix Puerariae, etl and so on.Results:Before treatment compared to baseline, P> 0.05, there were no significant differences between the two groups. They were comparable. After treatment the treatment group’s total effective rate was 86.67% while the control group’s total effective rate was 60%, there was significant difference between the two groups, that is the treatment group’s total effective rate was better than that of the control group. TCM clinical symptoms total score after treatment compared to before treatment there was a significant difference,** P<0.01; TCM clinical symptoms total score of the control group after treatment than before treatment were significantly different, P<0.05, significant difference; the comparison between the symptom score after treatment, P<0.01, there was a significant difference. FBG decreased significantly after treatment, P<0.05, significant difference; FBG before and after treatment compared to the control group, no significant differences. FBG treatment group and control group between the two groups after treatment, P<0.05, significant difference. PBG, HbA1C before and after treatment and between the two groups, there was no significant difference. Quality of life scale statistics, in the physiological function, mental and psychological aspects within the two groups after treatment, P<0.05, significant difference; after treatment, between the two groups P<0.05, significant difference. However, in social relations, the influence of drugs in the treatment group before and after treatment, P> 0.05, no significant difference; the control group before and after treatment, P> 0.05, no significant difference.Conclusion:The therapy method of YiqiYangyin significantly improved the curative effect on TCM symptom, FBG and quality of life of patients with type 2 diabetes mellitus; It obviously reduced the patients’symptoms such as malaise, fatigue, shortness of breath, lazy words and so on; It had a positive impact on patients’physical function and psychological factors; It significantly improved the quality of life of patients with type 2 diabetes mellitus. In short words, the therapy method of YiqiYangyin has clinical effectiveness with reasonable prescriptions, Qi instead of hot, nourishing yin and not greasy.Diabetes mellitus, as a kind of frequent and common disease, really do great harm to the health of people, but no good method can be found to cure the complications of diabetes mellitus with western medicine. The therapy method of integrated Chinese and Western medicine can prevent and improve the complications of diabetes mellitus, thus it brings new hopes for the patients. Professor Liu’s academic idea "Nourishing yin as the advocacy of drug use, by following Danxi" is embodied thoroughly in the therapy. The therapy idea of Danxi School has good guiding effect in the prevention and improvement of disease. The study, exploring the new ideas and methods to study the inheriting of the famous TCM doctor’s ideas, offers the reference for inheriting and developing the experiences of famous TCM doctors. Research Objective: To study the clinical efficacy and quality of life impact in patients with type 2 diabetes mellitus by the Yiqi Yangyin therapy method.Methods: 60 patients with type 2 diabetes mellitus (in accord with the diagnose standard of TCM and Western medicine) were selected and divided into the treatment group and the control group randomly. Patients in both groups maintained the basis treatment of diabetes of Western medicine, while the treatment group was added the Chinese medicine of Yiqi Yangyin. Both groups were treated for 4 consecutive weeks. The treatment period was 4 weeks. Curative effect standard: scoring of TCM symptom, HbAlc, fasting blood glucose and 2h postpradial blood glucose, quality of life scale for type 2 diabetes mellitus, the herbs include Astragalus membranaceus, Radix Trichosanthis, Radix Rehmanniae Recens, Radix Scrophulariae, Savia miltiorrhiza, Opbiopogon Japonicus, Herba Dendrobii, Coptis chinensis Franch, Cortex Phellodendri Chinensis, Radix Puerariae, etl and so on.Results: Before treatment compared to baseline, P> 0.05, there were no significant differences between the two groups. They were comparable. After treatment the treatment group’s total effective rate was 86.67% while the control group’s total effective rate was 60%, there was significant difference between the two groups, that is the treatment group’s total effective rate was better than that of the control group. TCM clinical symptoms total score after treatment compared to before treatment there was a significant difference, ** P <0.01; TCM clinical symptoms total score of the control group after treatment than before treatment were significantly different, P <0.05, significant difference; the comparison between the symptom score after treatment, P <0.01, there was a significant difference. FBG decreased significantly after treatment, P <0.05, significant difference; FBG before and after treatment compared to the control group, no significant differences. FBG treatment group and control group between the two groups after treatment, P <0.05, significant difference. PBG, HbAlC before and after treatment and between the two groups, there was no significant difference. Quality of life scale statistics, in the physiological function, mental and psychological aspects within the two groups after treatment, P <0.05, significant difference; after treatment, between the two groups P <0.05, significant difference. However, in social relations, the influence of drugs in the treatment group before and after treatment, P> 0.05, no significant difference; the control group before and after treatment, P> 0.05, no significant difference.Conclusion: The therapy method of YiqiYangyin significantly improved the curative effect on TCM symptom, FBG and quality of life of patients with type 2 diabetes mellitus; It obviously reduced the patients’ symptoms such as malaise, fatigue, shortness of breath, lazy words and so on; It had a positive impact on patients’ physical function and psychological factors; It significantly improved the quality of life of patients with type 2 diabetes mellitus. In short words, the therapy method of YiqiYangyin has clinical effectiveness with reasonable prescriptions, Qi instead of hot, nourishing yin and not greasy.Diabetes mellitus, as a kind of frequent and common disease, really do great harm to the health of people, but no good method can be found to cure the complications of diabetes mellitus with western medicine. The therapy method of integrated Chinese and Western medicine can prevent and improve the complications of diabetes mellitus, thus it brings new hopes for the patients. Professor Liu’s academic idea "Nourishing yin as the advocacy of drug use, by following Danxi" is embodied thoroughly in the therapy. The therapy idea of Danxi School has good guiding effect in the prevention and improvement of disease. The study, exploring the new ideas and methods to study the inheriting of the famous TCM doctor’s ideas, offers the reference for inheriting and developing the experiences of famous TCM doctors.

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