摘要:Professor GUO Weiqin points out that hyperlipidemia belongs to grimy blood in traditional Chinese medicine. The basic pathogenesis of hyperlipidemia is mutual resistance of spleen deficiency and phlegm-blood stasis. Professor GUO attaches great importance to reinforce deficiency,invigorate the spleen to tonify the root,meanwhile,eliminating phlegm and removing blood stasis to treat the manifestations. She divides hyperlipidemia into four main pattern types and make treatment based on syndrome differentiation: stagnation of phlegm-dampness pattern treated with the method of invigorating the spleen for eliminating dampness and phlegm; stagnation of liver qi and spleen deficiency pattern treated with the method of soothing the liver,invigorating the spleen,tonifying and activating blood; phlegm pyretic and fu-organ sthenia pattern treated with the method of clearing heat,resolving phlegm and relaxing bowels;phlegm and blood stasis pattern treated with invigorating the spleen and promoting blood circulation to eliminate phlegm and remove blood stasis.
关键词:hyperlipidemia;treatment based on syndrome differentiation;famous veteran doctor
摘要:Professor GUO Weiqin has unique insights and valuable clinical experience on arrhythmia.She believes the basic pathological changes of arrhythmia is deficiency of heart qi and blood stasis blocking heart,and the pathogenesis is deficiency of nutrient qi and yin fluid,which induces loss of heartmind. The treatment method is benefiting qi for activating blood circulation and nourishing yin for tranquillization. Professor GUO advocates syndrome differentiation combined with disease differentiation in the treatment of arrhythmia along with different diseases. This paper introduces her experience on coronary heart disease complicating arrhythmia,chronic heart disease complicating arrhythmia,rheumatic valvular heart disease complicating arrhythmia,functional arrhythmia and menopause arrhythmia.
关键词:arrhythmia;palpitation;deficiency of heart qi;syndrome of blood stasis due to deficient qi;benefiting qi for activating blood circulation;famous veteran doctor
摘要:Heart failure due to coronary heart disease is a common disease with high mortality. Professor GUO Weiqin believes the pathogenesis is deficient root and excessive manifestation,which means the root cause is yang deficiency,and the manifestation is blood stasis and fluid stagnation. Therefore,the basic treating principle should be benefiting qi for warming yang and promoting blood circulation for diuresis.In clinic,Yiqi Xiefei Decoction shows good effect.
关键词:coronary heart disease;heart failure;famous veteran doctor
摘要:Professor GUO Weiqin believes hypertension is caused by emotional disorder,improper diet and internal deficiency and injuries. Professor GUO Weiqin advocates syndrome differentiation combined with disease differentiation,and integrated Chinese and western medicine in the treatment of hypertension. Based on the experience inheritance of her father- professor GUO Shikui,she divides hypertension into six syndrome types: syndrome of flaming up of liver fire,syndrome of phlegm-dampness blocking,syndrome of stirring wind due to deficient essence and blood,syndrome of yin deficiency of liver and kidney and hyperactivity of liver yang,syndrome of yang deficiency of spleen and kidney. She makes good use of herb pairs in the treatment of hypertension and its complications,and the herb pairs include Zhenzhumu and Juemingzi,Gouteng and Tianma,Gouqizi and Juhua,Sangjisheng and Duzhong,Danshen and Honghua,Suanzaoren and Hehuanpi,Chuanxiong and Dilong,Yujin and Jianghuang,etc. The use of herb pairs makes good effect in clinic.
关键词:hypertension;syndrome differentiation types;herb pairs;famous veteran doctor
摘要:There is a high proportion of anxiety combined with cardiovascular disease,so improving somatic symptoms of anxiety patients is significant for slowing down the progress of cardiovascular disease and getting a high quality life. Professor GUO Weiqin believes anxiety is caused by loss of heart-mind due to weakness of zang-fu,or by excessive melancholy and worry induced qi movement disorder of zang-fu.Harmonizing qi and blood could help improving the symptoms,so she makes good use of invigorating spleen and replenishing qi,invigorating spleen for benefiting lungs method to regulate qi movement. Also,she divides anxiety into 5 different syndrome types based on the constitution of patient and complicated symptoms. The syndrome types are as follows,syndrome of liver qi stagnation,syndrome of qi depression transforming into fire,syndrome of qi deficiency of heart and gallbladder,syndrome of qi deficiency of heart and spleen,syndrome of yin deficiency of heart and kidney. Flexible application of traditional Chinese medicine could get better clinical curative effect.
关键词:cardiovascular disease;anxiety;syndrome differentiation and treatment;famous veteran doctor
摘要:Professor GUO Weiqin has unique insights on restenosis after coronary stent,and she believes deficiency,blood stasis and heat toxic are key pathogenesis. The pathogenesis is blood stasis due to qi deficiency and stagnated toxic heat. Benefiting qi for activating blood circulation and removing toxic substance and resolving stagnation is an important method for treating restenosis after coronary stent and she picks up herbs to make the empirical formula,Fangzhai Huayu Decoction. Professor GUO emphasizes using clearing heat and cooling blood and removing toxic substance and resolving stagnation as soon as possible based on benefiting qi for activating blood circulation after coronary stent. The most common herbs are Mudanpi,Chishao,Jinyinhua,Lianqiao,Shancigu and Ezhu,etc.
关键词:coronary heart disease;in-stent restenosis;experience;famous veteran doctor
摘要:The harmonious doctor-patient relationship is an important part of harmonious society. Recently,doctor-patient contradiction is becoming a focal social problem. Therefore,building a new type doctor-patient relationship is an important project of medical reform. This paper aims to discuss the effect of narrative medicine from the perspective of Chinese and western narrative medicine,to identify the improvement of human care and narrative ability of medical staff,to perfect the traditional Chinese medical parallel cases,as well as to improve the effect of medical ethics and medical skills on doctor-patient benign interaction,thus to provide theoretical direction for a new doctor-patient relationship.
关键词:new type doctor-patient relationship;narrative medicine;human care;parallel cases
摘要:The view of life and death is the fundamental view and attitude to life and death,the author discusses the connotation of different views on life and death in Chinese and western culture,and based on different points of view,this paper discusses the concept of narrative medicine theory and the view of life and death under the perspective of narrative medicine. On this basis,discussion on the application of the concept of life and death in the clinical practice of Chinese medicine from the perspective of traditional Chinese medicine,we need to pay more attention to health preservation and hospice care,to advocate establishing a positive view of life and death,to strengthen the narrative ability of medical staff,thus to improve the quality of life of dying people.
关键词:the view of life and death;narrative medicine;traditional Chinese medicine;hospice care
摘要:Objective To investigate the effect of Wenyang Huatan Sanjie Formula on the inhibition of breast cancer. Methods 30 nude mice were randomly divided into 5 groups( n = 6) : model group,tamoxifen group,middle dose group of Wenyang Huatan Sanjie Formula,high dose group of Wenyang Huatan Sanjie Formula and combination group( tamoxifen + middle dose of Chinese medicine). After the estrogen receptor( ER) breast cancer nude mice transplantation tumor model was set up,the model group was given distilled water,tamosifen group was given tamoxifen citrate solution,middle and high dose groups of Wenyang Huatan Sanjie Formula were treated with middle and high dose of the formula,and the combination group was given both tamoxifen citrate solution and middle dose of Wenyang Huatan Sanjie Formula. Continuous medication lasted 15 days and general status,body weight,food intake,tumor weight and tumor inhibitory rate of nude mice were recorded. Results The mental state of nudemice in every group was weak before giving drugs. After taking drugs,the mental state of tamoxifen group and middle and high dose groups of Wenyang Huatan Sanjie Formula was improved. Body weight of middle and high dose groups of Wenyang Huatan Sanjie Formula increased significantly( P < 0. 05). Food taking of middle dose group of Wenyang Huatan Sanjie Formula was significantly higher than model group and combination group( P < 0. 05). Tumor weight of tamoxifen group and high dose group of Wenyang Huatan Sanjie Formula were significantly lower than model group( P < 0. 05). Compared with middle dose group of Wenyang Huatan Sanjie Formula,tumor weight of tamoxifen group was decreased significantly( P < 0. 05). Tumor inhibitory rate of tamoxifen group,middle and high dose groups of Wenyang Huatan Sanjie Formula,combination group were 47. 89%,14. 03%,43. 07%,25. 00%,separately.Conclusion Wenyang Huatan Sanjie Formula could improve the general status and body weight,restrain the growth of breast cancer transplantation tumor in nude mouse,which has a certain correlation with drug dosage.
关键词:breast cancer;dissipating phlegm and resolving masses;tamoxifen;warming yang;nude mouse
摘要:Objective To investigate clinical medicine distribution and common drug combination of pneumonia patients. Methods The concept of real world research was adopted,and the frequency associated and statistic rules analysis were used to analyze the most frequency Chinese and western medicine,as well as the drug combination. The research included 33 123 inpatients with pneumonia from January2003 to August 2011 in 19 third-class one-grade hospital all over the country. Results Through the analysis,according to the drug names,the most common drug pairs were compound glycyrrhiza oral solution combined with azithromycin,and the support rate was 6. 31%; according to drug types,the most common drugs were clearing heat and removing toxicity formula combined with dissipating phlegm drugs of western medicine,and the support rate was 26. 81%. Conclusion Compound glycyrrhiza oral solution combined with azithromycin was the most common drug combination of antibiotic and herbs,and clearing heat and removing toxicity formula combined with dissipating phlegm drugs was the most common drug combination of Chinese and western meidicine.
关键词:pneumonia;hospital information system;real world;integrated Chinese and western medicine;drug combination
摘要:Objective To observe the curative effect of Kuling Chushi Decoctionon on senile eczema.Methods 54 patients with senile eczema were involved in this study,and they were treated with Kuling Chushi Decoction,and different herbs were added to different syndrome. Meanwhile,hospital prescription named Fufang Kushen Zhiyang ointment was used externally. The treatment lasted 2 weeks. The changes of curative effect,skin lesion morphology,lesion area,itching degree and total score were compared before and after treatment. Results After treatment,there were 2 cases were cured( 3. 70%),22 cases were markedly effective( 40. 74%),20 cases showed effective( 37. 04%),10 cases showed ineffective( 18. 52%),and the total effective rate was 81. 48%. Compared with that before treatment,the score of skin lesion morphology,itching degree and the total score were significantly lower( P < 0. 05).No statistical difference showed on lesion area before and after treatment( P > 0. 05). Conclusion Kuling Chushi Decoction has good effect on the treatment of senile eczema.
摘要:Professor WANG Dajing has unique insights on the treatment of rheumatoid arthritis. He advocates the diagnosis with western medicine and treatment with Chinese medicine,and single herb is used based on syndrome differentiation. He believes the etiology and pathogenesis is wind-cold-dampness invading people when yang deficiency,and he divides the treatment of rheumatoid arthritis into two different stages,stage of attack and stable stage,and then syndrome differentiation is used. He makes good use of herbs with great warm or cold feature such as Fuzi,Shengshigao,as well as the herbs with the function of removing heat-phlegm and dispersing stagnation for dredging collaterals such as Chaobaixianpi,Baijiezi,etc. The treatment shows better curative effect.
关键词:rheumatoid arthritis;treatment based on syndrome differentiation;famous veteran doctor
摘要:Professor SUN Chengxiang emphasizes regulates yin and yang in treating tendon injuries,and he makes good use of treating tendon injuries according to liver,spleen and kidney. Professor SUN believes drug pairs is simple and flexible,and the common drug pairs he uses were Chuanniuxi and Mugua,Quanshen and Tufuling,Baishao and Gancao,Quanxie and Wugong,Buguzhi and Roucongrong,Pianjianghuang and Bixie,etc. He created the experienced formulae named Huangqi Sanxian Decoction,Jiteng Sanchong Decoction,Taoxi Lijin Decoction. Professor SUN always use internal therapy combined with external therapy in the treatment of tendon injuries,and the effect is significant.
关键词:tendon injuries;Chinese medicine;experience;famous veteran doctor
摘要:The teaching model of "self-directed and performed"student standardized patients( SSP) was firstly carried out in the probation period of internal Chinese medicine,taking the probationers as subjects and group as unit,which simulated the complete diagnosis and treatment procedure of a patients with certain typical pattern through team cooperation,profile setting and role playing. With the situational teaching method involved,the teaching model of "self-directed and performed"SSP achieved good results in increasing probationers’ activity and cooperation,acting and decreasing the teaching difficulties,designing the physician characters to improve the communication skills of physicians-patients,designing the patient characters to achieve empathy effects,reducing the deficiency of typical standardized patients and the expenditure on teaching. In addition,the model helped to find out the weakness and improvement method,which has practical significance on teaching.
关键词:self-directed and performed;student standardized patients;teaching model;internal Chinese medicine;probation period