The paper systematically summarizes the experience of Director Song Fuyin in treating Hashimoto's thyroiditis which is a typical emotional disease that causes obvious changes in organ morphology and endocrine and ...The paper systematically summarizes the experience of Director Song Fuyin in treating Hashimoto's thyroiditis which is a typical emotional disease that causes obvious changes in organ morphology and endocrine and body fluid metabolism.It belongs to the category of psychosomatic diseases,and is the embodiment of a series of pathogenesis processes of qi disease,blood disease,essence disease and deformation in TCM theory.The whole course of the disease is dominated by the dialectical relationship of mutual influence,mutual control,mutual root and mutual use among the deity disease,qi disease,blood disease,essence and spiritual disease.Therefore,the treatment emphasizes the dialectical relationship based on qi,blood,essence and spirit.At the beginning,the treatment focuses on regulating qi and clearing heat and eliminating phlegm;at the middle stage,the treatment focuses on replenishing essence and promoting yang and eliminating wind and calming the deity;at the late stage,the treatment focuses on replenishing qi and eliminating phlegm and promoting collages.Flexible use of calming the spirits,regulating qi,dispersing essence,eliminating phlegm,promoting blood and other methods of stage classification treatment,can be targeted,improve the cure rate of the disease.This article aims to clarify the experience of Director Song Fuyin in treating Hashimoto's thyroiditis based on syndrome differentiation of qi,blood essence and spirit.展开更多
目的探究加味补阳还五汤联合镜像疗法对气虚血瘀型脑梗死后中重度上肢偏瘫患者脑侧支循环建立及肢体康复的影响分析。方法选取气虚血瘀型脑梗死后中重度上肢偏瘫患者100例,随机分为两组,每组50例。对照组使用常规治疗,观察组在对照组基...目的探究加味补阳还五汤联合镜像疗法对气虚血瘀型脑梗死后中重度上肢偏瘫患者脑侧支循环建立及肢体康复的影响分析。方法选取气虚血瘀型脑梗死后中重度上肢偏瘫患者100例,随机分为两组,每组50例。对照组使用常规治疗,观察组在对照组基础上联合加味补阳还五汤及镜像疗法治疗,疗程为4周,对比两组患者临床治疗效果、美国国会卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分、蒙特利尔认知评估量表(Montreal Cogni-tive Assessmen,MoCA)、基质细胞源性因子1(Stromal cell-derived factor 1,SDF1)、S100钙结合蛋白B(S100 calcium bind-ing proteinB,S100B)、血小板源性生长因子(Platelet-derived growth factor,PDGF)、福格-米勒运动功能评分量表(Fugl-Meyer motor function assessment,FMA)评分及巴塞尔指数(Barthel index,BI)评分。结果治疗后对照组总有效率为68.00%(34/50),显著低于观察组的90.00%(45/50)(P<0.05);治疗后两组NIHSS评分较治疗前显著降低(P<0.05),观察组评分显著低于对照组(P<0.05);治疗后两组MoCA评分均较治疗前提高(P<0.05),观察组评分显著高于对照组(P<0.05);治疗后两组PDG水平均显著升高,观察组显著高于对照组(P<0.05);SDF-1、S100B水平均显著降低,且观察组显著低于对照组(P<0.05);治疗后两组FMA评分及BI评分均较治疗前显著提升(P<0.05),观察组显著高于对照组(P<0.05)。结论加味补阳还五汤联合镜像疗法治疗气虚血瘀型脑梗死后中重度上肢偏瘫患者具有良好的临床治疗效果,显著改善患者神经功能及认知水平,促进脑血管新生和侧支循环形成,并改善患者肢体运动功能,全面提升患者生存质量。展开更多
文摘The paper systematically summarizes the experience of Director Song Fuyin in treating Hashimoto's thyroiditis which is a typical emotional disease that causes obvious changes in organ morphology and endocrine and body fluid metabolism.It belongs to the category of psychosomatic diseases,and is the embodiment of a series of pathogenesis processes of qi disease,blood disease,essence disease and deformation in TCM theory.The whole course of the disease is dominated by the dialectical relationship of mutual influence,mutual control,mutual root and mutual use among the deity disease,qi disease,blood disease,essence and spiritual disease.Therefore,the treatment emphasizes the dialectical relationship based on qi,blood,essence and spirit.At the beginning,the treatment focuses on regulating qi and clearing heat and eliminating phlegm;at the middle stage,the treatment focuses on replenishing essence and promoting yang and eliminating wind and calming the deity;at the late stage,the treatment focuses on replenishing qi and eliminating phlegm and promoting collages.Flexible use of calming the spirits,regulating qi,dispersing essence,eliminating phlegm,promoting blood and other methods of stage classification treatment,can be targeted,improve the cure rate of the disease.This article aims to clarify the experience of Director Song Fuyin in treating Hashimoto's thyroiditis based on syndrome differentiation of qi,blood essence and spirit.
文摘目的探究加味补阳还五汤联合镜像疗法对气虚血瘀型脑梗死后中重度上肢偏瘫患者脑侧支循环建立及肢体康复的影响分析。方法选取气虚血瘀型脑梗死后中重度上肢偏瘫患者100例,随机分为两组,每组50例。对照组使用常规治疗,观察组在对照组基础上联合加味补阳还五汤及镜像疗法治疗,疗程为4周,对比两组患者临床治疗效果、美国国会卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分、蒙特利尔认知评估量表(Montreal Cogni-tive Assessmen,MoCA)、基质细胞源性因子1(Stromal cell-derived factor 1,SDF1)、S100钙结合蛋白B(S100 calcium bind-ing proteinB,S100B)、血小板源性生长因子(Platelet-derived growth factor,PDGF)、福格-米勒运动功能评分量表(Fugl-Meyer motor function assessment,FMA)评分及巴塞尔指数(Barthel index,BI)评分。结果治疗后对照组总有效率为68.00%(34/50),显著低于观察组的90.00%(45/50)(P<0.05);治疗后两组NIHSS评分较治疗前显著降低(P<0.05),观察组评分显著低于对照组(P<0.05);治疗后两组MoCA评分均较治疗前提高(P<0.05),观察组评分显著高于对照组(P<0.05);治疗后两组PDG水平均显著升高,观察组显著高于对照组(P<0.05);SDF-1、S100B水平均显著降低,且观察组显著低于对照组(P<0.05);治疗后两组FMA评分及BI评分均较治疗前显著提升(P<0.05),观察组显著高于对照组(P<0.05)。结论加味补阳还五汤联合镜像疗法治疗气虚血瘀型脑梗死后中重度上肢偏瘫患者具有良好的临床治疗效果,显著改善患者神经功能及认知水平,促进脑血管新生和侧支循环形成,并改善患者肢体运动功能,全面提升患者生存质量。