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Wang Huanlu teacher academic thinking and Vision Bi Tong Luo Tang heat treatment of Blockage -type rheumatoid arthritis clinical research and clinical experience

Author: ZhangLiXin
Tutor: WangHuanLu
School: Beijing University of Traditional Chinese Medicine
Course: Chinese medical science
Keywords: Clinical experience Clinical research Shirebi Academic thinking Origin
CLC: R259
Type: Master's thesis
Year: 2011
Downloads: 15
Quote: 0
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Abstract


Teacher Wang Huanlu is the fourth batch of the famous traditional Chinese medicine experts academic inheritance tutor, male,76 years old, Beijing Zhan Lan Lu Hospital director doctor, famous traditional Chinese medicine experts, national famous old doctor of traditional Chinese medicine. This study by digging Wang Huanlu teacher academic thought origin, analyzes its academic context and academic thought formation; through combing the teacher Wang Huanlu main academic point of view, finishing, research teacher Wang Huanlu’s academic thoughts; through the analysis of teacher Wang Huanlu on arthralgia syndrome, spleen and stomach disease, cough, Lily disease, blood stasis, acne, uterine fibroids, pediatric anorexia nervosa treatment strategies, herbal prescription characteristics, summarizes the Wang Huanlu teacher’s unique clinical experience; the teacher Wang Huanlu Xuanbi Tongluo Decoction in treating dampness-heat blockage type rheumatoid arthritis clinical research, discuss Xuanbi Tongluo Decoction in treatment of dampness-heat blockage type rheumatoid arthritis clinical curative effect.Mr. Wang Huanlu was born in 1936 in Hebei Laishui; the son of Wang Shutang for the local doctor to practice medicine in the 1944 movement, while practicing medicine. Teacher Wang Huanlu affected by family, the childhood exposure to traditional Chinese medicine, in addition to the normal school, all the rest of time are either general medicine disease visits manage card, later followed in his father’s footsteps, still hanging pot for nearly sixty years. Wang Huanlu teacher be conscientious and do one’s best in clinical practice, Zizijiji in theory to explore, learn widely from others’ strong points, and Laguna today, many serious problems, renowned party. Teacher Wang Huanlu clinical attention to spleen and stomach disease, emphasis on conservation of the spleen and stomach diseases of spleen and stomach disease nursing Yannian, preventing healing. Teacher Wang Huanlu clinical attention to spleen and stomach’s academic thought, from the young Cheng Qi Huang, lapping" Lun"," Huang Di Nei Jing" conservation of the spleen and stomach health & Exposition," Treatise on the spleen and stomach in humans" embodied in the pathogenesis and syndrome differentiation in the important role of the spleen and stomach, flatulence, protection point of view, is the Wang Huanlu teacher pay attention to spleen and stomach later academic thought origin. Science of seasonal febrile disease theory to teacher Wang Huanlu considerable influence, especially the science of seasonal febrile disease theory of damp-heat, become the teacher Wang Huanlu later on Damp-heat academic thought origin. Teacher Wang Huanlu clinical focus on diagnostic method, emphasizes the four consultation with the Senate, clever use of palpation. On arthralgia syndrome differentiation, thinks that deficiency of Qi and blood disorders, is its internal cause, external cause is the cold and dampness blocking collaterals; arthritis is visible, but by the majority, particularly for damp heat evil stroke node in the muscles, tendons, and joints in meridian, Qi and blood running sluggish, the meridian unreasonable is the key in the treatment of disease; on wet pay equal attention to, intended for clearing heat and removing dampness and heat evil; to emphasize, clearing heat and detoxicating on link; on the pathogenic cold stress, pay attention to cold Tongmai, righting except with input; due to this disease involving the bones joints, so Wang Huanlu teacher in the treatment of all pays special attention to the use of wind and dredging collaterals method. In the spleen and stomach disease treatment Wang medication not rigidly reinforcing method, emphasize the middle-jiao and pass. Pro Card in the DHSS was significantly higher than the other, in the process of removing heat and dampness, dampness and regulating Qi Wang especially, in the succession of traditional syndrome differentiation method based on, bile reflux gastritis, selection of clearing heat and removing dampness medicine treatment; think gastroduodenal erosions, ulcers and deformation is mostly associated with excessive secretion of gastric acid, can be used for acid in Chinese herbal medicine. Differentiation and treatment of cough, differentiate evil according to six attributes, differentiation syndrome combined physical factors, the treatment emphasizes the exorcism, prescription drugs selected considering the combination of disease and syndrome. The king that old" lily disease" is the imaginary evil love, imbalance between yin and Yang, neither any attack, and a virtual free fill, inappropriate drug use, often spit benefit to complete. So choosing drugs, should be to balance yin and Yang, tonifying deficiency does not prevent evil, negative ones do not hurt as basic principles, Gan run, Gan Ping, Gan light treatment method. Common lily as main drug, taking Baihe Dihuang decoction as main prescription. The treatment available in special basis, as to permit treatment, in order to not pan. Wang believed that blood stasis is a disease, and further cause other diseases, which involves a wide range of. In the premise of promoting blood circulation to remove blood stasis syndrome by treatment, can often get better curative effect. Promoting blood circulation and removing blood stasis method is a method of pathogenic, too Jun Meng Yi trauma gas consumption of blood, loss of righteousness. Summary of Teacher Wang’s record, realize the treatment of blood stasis syndrome to distinguish excess and deficiency, and adopt different methods of treatment. Early treatment of acne, key in the coke, clearing lung heat and cooling blood to give priority to, can use cooling blood detoxification drug, such as students, CLR, honeysuckle, dandelion. Late acne, and liver and kidney yin deficiency, treatment to regulating liver kidney, available Eclipta alba, Shouwu, Ligustrum lucidum, Zhimu, cork and other drugs. Infantile anorexia clinical mostly healer from spleen and stomach, liver and spleen in treating multiple hands, and teacher Wang Huanlu after years of clinical practice, spleen and kidney in the pathogenesis of infantile anorexia plays a very important role, and pediatric" insufficiency spleen, kidney is often false" physiological characteristics are closely related; the treatment, Wang Huanlu the teacher with tonifying spleen and kidney method on prescription combined with the children, and hot, and wet, and food, and liver yin deficiency, and different, the card plus or minus medication, clinical effect is obvious.According to the basic theory of traditional Chinese medicine, combined with clinical research, observation of Xuanbi Tongluo Decoction in treatment of dampness-heat blockage type rheumatoid arthritis clinical curative effect to the treatment of rheumatoid arthritis with new ideas. From the outpatients of our hospital in 46 with the western medicine diagnosis standard and criteria for TCM Syndromes of SHI-re-bi resistance type of rheumatoid arthritis were randomly divided into two groups,30 cases in the treatment group, control group 16 treated with Xuanbi Tongluo Decoction in treatment, the control group was given nonsteroidal anti-inflammatory drugs, the treatment course is 8 weeks two groups. After the end of treatment for safety and efficacy tests. Statistical analysis using SPSS 16.0 statistical analysis software to calculate. The treatment effect of the disease, syndrome effect, symptom improvement and so on, total effective rate in the treatment group 96.67%, control group, the total efficiency of 62.51%, the treatment group was superior to control group. In the improvement of joint swelling and tenderness degree and number, number, the flexor extensor adverse in treatment group than in control group. The results show that the Xuanbi Tongluo Decoction, treatment of damp heat blockage type rheumatoid arthritis with improved effective therapy, patients with clinical symptoms and signs, the decrease of the erythrocyte sedimentation rate and C reactive protein, such as the role of the remission of the disease.The king thought that old pro see rheumatism, arthritis SHI-re-bi than. Wang Laolin card with the ancient and not imitation, pay attention to the differentiation of shi-re-bi. Treatment of focus on clearing heat and removing dampness, Party group of clearing heat and removing dampness Tongluo drugs, in addition to the traditional recognition functions, on rheumatoid arthritis may have particular utility, and has antiviral effect. After a long-term clinical exploration, summed up the treatment of king old SHI-re-bi experience Fang Xuan Bi Tongluo Decoction, obvious effect.This study followed the national name of old Chinese teacher Wang Huanlu teaching learning gain, as epigenetic learned Wang Huanlu old Chinese medicine academic thought and clinical experience provides valuable information, at the same time on inheritance, excavation, improve the medicine, Chinese medicine academic prosperity thought, have particularly important sense. Objective: according to the basic theory of traditional Chinese medicine, combined with clinical research, observation of Xuanbi Tongluo Decoction in treatment of dampness-heat blockage type rheumatoid arthritis clinical curative effect on rheumatoid arthritis, in order to provide new thought of treatment.Methods: from outpatients in our hospital in 46 with the western medicine diagnosis standard and criteria for TCM Syndromes of SHI-re-bi resistance in patients with rheumatoid arthritis, were randomly divided into two groups, 30 cases in the treatment group, 16 cases in the control group.The treatment group was given Xuanbi Tongluo Decoction treatment, Water decocting 2 times, take juice 400ml, sooner or later the 2 postprandial minutes, each serving 6 days, stop taking L day. The control group were given nonsteroidal anti-inflammatory drugs: diclofenac sodium tablets 25mg, 3 times a day after meals. The diagnosed patients ask detailed history, detailed check, fill in the observed table, after the end of treatment for safety and efficacy tests: (1) disease curative effect observation; (2) associated symptoms and signs: joint tenderness, number of swollen joints (the number to 28 joint count: 10 proximal interphalangeal joints, 10 palm finger joint, 2 wrist, 2 elbow, 2 shoulder joints, 2 knee ), joint pain; (3) syndromes of traditional Chinese medicine observation: joint pain, joint swelling degree degree, joint tenderness degree, duration of morning stiffness, joint flexion extension of symptoms; (4): laboratory examination the erythrocyte sedimentation rate, C reactive protein as observation index.Statistical analysis using SPSS16.0 statistical analysis software to calculate, two groups of curative effect of disease, TCM efficacy compared with rank test, the total efficiency was compared with X2 test. Individual clinical signs and symptoms and laboratory indexes were compared between groups, with group t test, group before and after treatment were compared using the paired t test.Results :: 46 cases of patients with rheumatoid arthritis were randomly divided into Xuanbi Tongluo Decoction treatment group (30 cases) and antipyretic analgesic agent control group (16 cases ), the treatment effect of the disease, syndrome effect, symptom improvement and so on, total effective rate in the treatment group 96.67%, control group total efficiency of 62.51%, the treatment group was superior to control group, before and after treatment for disease symptoms, signs and other aspects of analysis, all had obvious improvement than before treatment, improvement in the number adverse treatment group than in control group, two groups within groups before and after treatment showed significant differences.Conclusion: Xuanbi Tongluo Decoction in treating dampness-heat blockage type is effective therapy for rheumatoid arthritis, with improvement in patients with clinical symptoms and signs, the decrease of the erythrocyte sedimentation rate and C reactive protein, such as the role of the remission of the disease.

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