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Treatment of oral ulcer based on TCM syndrome differentiation 被引量:1
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作者 Ying Yao Li Liu 《Journal of Clinical and Nursing Research》 2020年第3期67-69,共3页
Oral ulcer is a kind of ulcerative injury that occurs in the oral mucosa and is very common in clinic.In severe case,it can affect the quality of life of the patients.Western medicine treatment of oral ulcer is often ... Oral ulcer is a kind of ulcerative injury that occurs in the oral mucosa and is very common in clinic.In severe case,it can affect the quality of life of the patients.Western medicine treatment of oral ulcer is often prone to relapse,while the effect of traditional Chinese medicine treatment is remarkable. 展开更多
关键词 Oral ulcer Traditional Chinese medicine syndrome differentiation treatment
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Treatment of Oral Ulcer based on TCM Syndrome Differentiation
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作者 Ying Yao LiLiu Shaanxi 《Journal of Clinical and Nursing Research》 2020年第4期29-31,共3页
Oral ulcer is a kind of ulcerative injury that occurs in the oral mucosa and is very common in clinic.In severe case,it can affect the quality of life of the patients.Western medicine treatment of oral ulcer is often ... Oral ulcer is a kind of ulcerative injury that occurs in the oral mucosa and is very common in clinic.In severe case,it can affect the quality of life of the patients.Western medicine treatment of oral ulcer is often prone to relapse,while the effect of traditional Chinese medicine treatment is remarkable. 展开更多
关键词 Oral ulcer Traditional Chinese medicine syndrome differentiation treatment
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Regularity of syndrome differentiation and treatment of traditional Chinese medicine for Henoch-Schonlein purpura based on data mining techniques 被引量:1
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作者 Shuai Zhang Yinglin Qin +3 位作者 Jiaqi Yang Jie Guo Xueshuai Dai Xiaoming Jin 《Medical Data Mining》 2019年第4期169-175,共7页
Objective:This study aims to explore the regularity of syndrome differentiation and treatment of traditional Chinese medicine(TCM)for allergic purpura.Methods:CNKI,Weipu Chinese science and technology database,wanfang... Objective:This study aims to explore the regularity of syndrome differentiation and treatment of traditional Chinese medicine(TCM)for allergic purpura.Methods:CNKI,Weipu Chinese science and technology database,wanfang medical network database,and Chinese biomedical literature database were searched for eligible studies.Medical records including complete patient personal information,patient symptoms,TCM syndromes,treatment,and medication were included.The data was analyzed using the Chinese medicine heritage support platform provided by the Chinese Academy of Chinese medicine(V2.5).Results:Differentiation of health gas camp blood was the most commonly used method of differentiation of symptoms and signs in famous veteran TCM.The treatment included cooling blood,activating blood circulation,clearing heat and detoxifying toxins,removing blood stasis and stopping bleeding.Honeysuckle,Forsythia suspensa,cicada slough and other drugs were interrelated.Potential drug pair combinations and drug networks showed the basic drug composition of Qingying Decoction.According to the entropy cluster analysis,28 core drug combination and 12 new formulations were obtained.Conclusion:The regularity of syndrome differentiation and treatment of traditional Chinese medicine for Henoch-Schonlein purpura based on the famous and old TCM doctors was complex.Further researches are still needed. 展开更多
关键词 syndrome differentiation and treatment traditional Chinese medicine Henoch-Schonlein purpura data mining
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Progress of traditional Chinese Medicine on ADHD Treatment Based on Syndrome Differentiation
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作者 Ying-Ying Zhang Ya-Ping Li 《Drug Combination Therapy》 2021年第3期10-15,共6页
Attention-Deficit Hyperactivity Disorder(ADHD)is a common neurodevelopmental disorder in childhood.Syndrome differentiation for ADHD in traditional Chinese medicine is complex without common uniform,it is important to... Attention-Deficit Hyperactivity Disorder(ADHD)is a common neurodevelopmental disorder in childhood.Syndrome differentiation for ADHD in traditional Chinese medicine is complex without common uniform,it is important to propose unified standards.Based on the principle of syndrome differentiation,this article focused on the different names of different syndrome differentiation methods but the same essence,and summarized Chinese medicine compounds according to syndrome factors.By collecting relevant literature on ADHD treatment with Chinese herbal compound in recent years,ADHD is classified into 7 different syndrome types,and Chinese herbal compound is classified correspondingly for reference and selection of clinical treatment of ADHD. 展开更多
关键词 ADHD treatment based on syndrome differentiation Chinese herbal compound differentiation standard dialectical system
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Summary on Professor QIAO Bao-zhang's Experience in Syndrome Differentiation and Treatment for Pancreatic Cancer
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作者 张琦曼 郑瑾 《World Journal of Integrated Traditional and Western Medicine》 2020年第11期31-37,共7页
Objective:To summarize clinical experience of Professor QIAO Bao-zhang in treatment for pancreatic cancer,and to provide reference for clinicians.Methods:Through learning from Professor QIAO during his clinical practi... Objective:To summarize clinical experience of Professor QIAO Bao-zhang in treatment for pancreatic cancer,and to provide reference for clinicians.Methods:Through learning from Professor QIAO during his clinical practice and listening to his lectures,Professor QIAO Bao-zhang's clinically proved cases of treating pancreatic cancer based on syndrome differentiation were organized and summarized.From aspects like etiology,pathogenesis,treatment principles and treatment methods of pancreatic cancer,Professor QIAO's experience in diagnosis and treatment for this disease was analyzed and explored,and characteristics of medication were summarized.Two typical cases were selected as proof,and his treatment ideas and methods were explored.Results:Professor QIAO believes that the pathogenesis is mostly deficiency of vital Qi(正气),and stagnation of phlegm,heat and dampness in Zang-Fu(脏腑)and meridians.Around intermingled deficiency and excess,syndrome differentiation and treatment were performed.Due to treatment methods such as strengthening vital Qi to eliminate pathogenic factor,clearing heat,eliminating dampness and resolving phlegm,as well as removing toxicity and resolving hard mass,progress of malignant tumors was inhibited and recurrence and metastasis of malignant tumors were delayed.Conclusion:Professor QIAO's experience in treating pancreatic cancer is worth learning. 展开更多
关键词 QIAO Bao-zhang Pancreatic cancer syndrome differentiation and treatment Medical record Famous doctor's experience
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Analysis on the Law of Chinese Medicine Use of Ulcerative Colitis and TCM Syndrome Differentiation and Treatment
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作者 Jiaojiao Zhang Heng Mu +3 位作者 Xiaogang Wang Xingxing Yu Fan Zhang Yi Li 《Proceedings of Anticancer Research》 2021年第3期24-26,共3页
Ulcerative colitis is a kind of inflammatory bowel disease.The disease is slow and easy to relapse.Western medicine treatment mainly focuses on symptomatic treatment,which has certain side effects on liver and kidney ... Ulcerative colitis is a kind of inflammatory bowel disease.The disease is slow and easy to relapse.Western medicine treatment mainly focuses on symptomatic treatment,which has certain side effects on liver and kidney function.Ulcerative colitis has unique advantages in disease,so by studying a large amount of information,mainly from the law of traditional Chinese medicine use of UC,and a brief summary of the treatment of TCM syndromes,this article provide s ideas and basis for clinical diagnosis and treatment of the disease. 展开更多
关键词 Ulcerative colitis Law of traditional Chinese medicine syndrome differentiation and treatment
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Summary of Experience in Treating Hyperthyroidism with TCM Syndrome Differentiation
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作者 Xu Chen Luli Wang +2 位作者 Zengke Liu Kejie Ren Gui Qi 《Journal of Biosciences and Medicines》 CAS 2022年第9期167-173,共7页
Syndrome differentiation is the characteristic and soul of Traditional Chinese Medicine (TCM), which has certain advantages in the treatment of hyperthyroidism. TCM mainly divides its syndrome differentiation into fou... Syndrome differentiation is the characteristic and soul of Traditional Chinese Medicine (TCM), which has certain advantages in the treatment of hyperthyroidism. TCM mainly divides its syndrome differentiation into four types: exuberant liver fire type, yin deficiency and fire exuberant type, qi-yin deficiency type and phlegm stagnation type. This paper summarizes the treatment of hyperthyroidism by TCM syndrome differentiation, in order to provide some reference for the treatment of this disease. 展开更多
关键词 TCM syndrome differentiation treatment HYPERTHYROIDISM
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Chief Physician Wang Defen’s Experience in Treating Thyroid Nodules based on Syndrome Differentiation
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作者 Tian Zhao Defen Wang +1 位作者 Mengyu Zhang Jinjin Chai 《Journal of Clinical and Nursing Research》 2021年第6期139-141,共3页
To summarize the experience of Chief Physician Wang Defen in the treatment of thyroid nodules.According to many years of clinical experience,Chief Physician Wang Defen believes that the occurrence of thyroid nodules i... To summarize the experience of Chief Physician Wang Defen in the treatment of thyroid nodules.According to many years of clinical experience,Chief Physician Wang Defen believes that the occurrence of thyroid nodules is mostly affected by emotional factors.Qi stagnation,liver depression and fire,phlegm and Qi are the pathogenesis of the disease,which is closely related to liver Qi stagnation.Based on the basic treatment principle of Nourishing Yin,clearing heat,soothing liver and strengthening spleen,the prescription chose Danzhi Xiaoyao Powder plus or minus can often achieve good clinical efficacy. 展开更多
关键词 Thyroid nodules Danzhi Xiaoyao Powder syndrome differentiation and treatment EXPERIENCE
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Some Problems of Warm Acupuncture in the Treatment of Knee Osteoarthritis
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作者 王宁 李义凯 《World Journal of Integrated Traditional and Western Medicine》 2023年第3期46-51,共6页
Knee osteoarthritis(KOA)is a chronic derivative joint issue that mainly damages the artistic cartilage and leads to pain,swelling,and stiffness around the joint,which is commomly worldwide.With the aging of society an... Knee osteoarthritis(KOA)is a chronic derivative joint issue that mainly damages the artistic cartilage and leads to pain,swelling,and stiffness around the joint,which is commomly worldwide.With the aging of society and the increment in obesity rate,the incidence of KOA increases sharply,which seriously effects the quality of human life.Before,how to take effective treatment methods is very important.Severe ways to treat the disease include non-steroidal drugs,local injections,surgery,and cell and gene therapies.However,each therapy has certain defections,such as gastrotestinal tract irritation,cardiovascular safety,or high medical costs for patients.Traditional Chinese medicine has a long history in treating KOA,reported by acupuncture,massage,internal administration of traditional Chinese medicine,and external use of traditional Chinese medicine.In clinical practice,patients can be treated from the root agreement to different etiology,and patients can be treated agreement to different syndrome types by syndrome difference to achieve effect.Studies have shown that warm acupuncture is effect in treating KOA.It has two kinds of treatment methods:acupuncture and moxibustion at the same time.It has fewer side effects and is more acceptable to patients.However,there are still some problems in the basic research and clinical application of warm acupuncture and moxibustion in treating KOA.This paper discussed the existing problems from the followingfive aspects:lack of unified synthesis difference and treatment system,problems in clinical research,weak basic research,problems in the study of moxibustion,and lack of the best treatment program recognized by the academic community.Meanwhile,the selection of acupoints,the relationship between acupuncture depth and anatomy should be further studied in order to offer research ideas for the healthy development of the treatment of KOA with warming acupuncture and moxibustion in the future. 展开更多
关键词 Warm acupuncture Knee osteoarthritis treatment based on syndrome differentiation Clinical study
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Traditional Chinese medicine combined with low-dose glucocorticoid for treating nephrotic syndrome: A case report 被引量:1
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作者 Shu-Ting Huang Si-Chao Ding Gan-Feng Xu 《Drug Combination Therapy》 2020年第1期34-44,共11页
Nephrotic syndrome(NS)is a common refractory clinical disease that can develop into end-stage renal disease(ESRD)if cannot be controlled.At present,in Western medicine,glucocorticoid or immunosuppressant drugs with he... Nephrotic syndrome(NS)is a common refractory clinical disease that can develop into end-stage renal disease(ESRD)if cannot be controlled.At present,in Western medicine,glucocorticoid or immunosuppressant drugs with heavy dose and long course are used for the therapy of NS.There are still few reports on the combined treatment of traditional Chinese medicine and low-dose glucocorticoid for NS.Here,we reported a case of a 48-year-old man diagnosed with NS,accompanied by severe pulmonary infection,abundant proteinuria,and pleural effusion.Integrated traditional Chinese and Western medicine was used as the therapeutic regimen of this patient.Traditional Chinese medicine(TCM)mainly focused on invigorating spleen and kidney,promoting blood circulation,removing blood stasis and promoting diuresis,and Chinese patent medicines or TCM immunosuppressants were given to consolidate the treatment.In Western medicine,small dose and short course glucocorticoids combined with symptomatic treatment were adopted.Delightfully,proteinuria subsided after 5 months treatment with integrated TCM and Western medicine and all laboratory reports were negative after 10 months,which has been normal so far(July 2019).This case report indicates that the combination of TCM and low-dose glucocorticoid is effective in curing NS,with low recurrence rate and few side effects. 展开更多
关键词 Nephrotic syndrome Traditional Chinese medicine Integrated Chinese and Western medicine treatment based on syndrome differentiation GLUCOCORTICOID
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Clinical Experience in the Treatment of Vulvovaginal Candida Disease with Integrated Traditional Chinese and Western Medicine 被引量:2
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作者 Xiaodan Yang Jie Wang +1 位作者 Zhenzhen Jia Lihong Zhu 《Journal of Clinical and Nursing Research》 2021年第4期110-112,共3页
Summarizing two cases of vaginal candidiasis,cured by integrated traditional Chinese and western medicine in clinical work,it is found that the combination of traditional Chinese and western medicine has a significant... Summarizing two cases of vaginal candidiasis,cured by integrated traditional Chinese and western medicine in clinical work,it is found that the combination of traditional Chinese and western medicine has a significant effect on the treatment of this disease.The curative effect is outstanding,and the recurrence rate is significantly reduced,which can be used as a reference for gynecological medical workers. 展开更多
关键词 Integrated traditional Chinese and western medicine Vulvovaginal candidiasis syndrome differentiation and treatment
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Professor Chen Xianhai's experience of herb pairs in the treatment of pulmonary diseases
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作者 Jia-Lu Ma Qing Li +1 位作者 Xue Zhu Xian-Hai Chen 《Journal of Hainan Medical University》 2021年第12期49-50,共2页
According to the theory of traditional Chinese medicine,based on the four properties and five flavors of traditional Chinese medicines,the lifting and lowering theory and channel tropism,Professor Chen combined with t... According to the theory of traditional Chinese medicine,based on the four properties and five flavors of traditional Chinese medicines,the lifting and lowering theory and channel tropism,Professor Chen combined with the theory of traditional Chinese medicine and constitution identification to prescribe for patients and used herb pairs to treat many kinds of pulmonary diseases.And he has achieved good clinical effect by"treatment methods selection according to syndromes".His experience in medication and compatibility mechanism are worthy of further exploration and promotion by scholars. 展开更多
关键词 Herb pairs Pulmonary diseases syndrome differentiation and treatment EXPERIENCE CHEN Xian-hai
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Research progress of diabetes treatment guided by Traditional Chinese Medicine constitutional types
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作者 Yu-Qing Sun Si-Qing Zhang +2 位作者 Yu-Ling Wang Sheng Peng Wen-Rui Wang 《TMR Integrative Medicine》 2021年第5期1-7,共7页
Diabetes and its complications seriously affect patients’life quality,and have a major impact on individuals,families,health systems,and national economies.Traditional Chinese Medicine constitution refers to the inhe... Diabetes and its complications seriously affect patients’life quality,and have a major impact on individuals,families,health systems,and national economies.Traditional Chinese Medicine constitution refers to the inherent characteristics of a relatively comprehensive and stable form,structure,physiological function,and psychological state formed under the combined effects of innate endowments and acquired in the course of an individual’s life.Many studies have shown that the constitution type is closely related to the incidence of diabetes,especially in the process of disease prevention and treatment.This article reviews the correlation of diabetes and its chronic complications with constitution types to provide theoretical basis for the treatment of diabetes based on syndrome differentiation. 展开更多
关键词 DIABETES TCM constitution PATHOGENESIS syndrome differentiation and treatment
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Application of Stone Needle Therapy Based on Blood Stasis Theory in the Treatment of 36 Cases of Knee Osteoarthritis in Early and Middle Stage
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作者 Yu-Feng MA Xue-Jian ZHANG +4 位作者 Ling TANG Xu-Yue PAN Yue TANG Li-Li DING Ya-Li XIAO 《Journal of Integrative Nursing》 2019年第2期73-79,共7页
Objective:To evaluate the clinical efficacy of stone needle therapy based on blood stasis theory for different traditional Chinese medicine(TCM)syndrome types of patients with knee osteoarthritis in early and middle s... Objective:To evaluate the clinical efficacy of stone needle therapy based on blood stasis theory for different traditional Chinese medicine(TCM)syndrome types of patients with knee osteoarthritis in early and middle stage.Methods:Totally 36 patients with knee osteoarthritis were enrolled in the orthopaedic ward between March 2016 and December 2017,and diagnosed as qi stagnation and blood stasis syndrome,cold dampness and stasis syndrome,or phlegm and stasis syndrome according to TCM syndrome differentiation.After treatment,stone needle was used for ironing on the different meridian acupoints according to different syndrome.The efficacy of patients with the above three syndromes was respectively evaluated,and the visual analogue scale(VAS)score and western ontario and mcMaster universities arthritis Index(WOMAC)score of the three groups were calculated before treatment,2 weeks,and 4 weeks after treatment.Results:The effective rates of the three groups were 86.67%,81.82%,and 80.00%,respectively.After 2 weeks and 4 weeks of treatment,the VAS and WOMAC scores of the three groups decreased significantly compared to treatment before(P<0.05).Conclusion:Stone needle therapy for ironing on the acupoints around the knee joint has a good therapeutic effect on knee osteoarthritis of different syndrome types,which is worthy of further application. 展开更多
关键词 Blood stasis theory Stone needle Knee osteoarthritis treatment based on syndrome differentiation
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Summary and correlation analysis of TCM syndromes in 159 elderly patients with acute myeloid leukemia
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作者 Chen-Yang Fan Li-Xiang Yan +4 位作者 Xing-Li Wang Wei-Feng Zhang Lei Zhao Fang Yao Xiang-Dong Yang 《Clinical Research Communications》 2022年第3期24-28,共5页
Objective:To investigate the characteristics of TCM syndromes in elderly patients with acute myeloid leukemia(AML)at the onset,and to analyze the main syndrome types and their correlation with age,percentage of bone m... Objective:To investigate the characteristics of TCM syndromes in elderly patients with acute myeloid leukemia(AML)at the onset,and to analyze the main syndrome types and their correlation with age,percentage of bone marrow blasts,and genetic prognostic stratification.Methods:A retrospective analysis was performed on 159 AML patients aged over 60 years who were diagnosed and treated in our hospital,and the clinical data were collected and analyzed statistically.Results:In 159 elderly AML patients,the main clinical symptoms were fatigue,poor appetite,conscious fever,and various hemorrhages.The main syndromes were Ying(42.01%),Wei(31.25%),Essential(14.81%)and Blood(11.69%);the syndromes are divided into Qi and Yin deficiency(32.70%),Qi and blood deficiency(30.19%),true Yin deficiency(28.03%)and Qi heat and blood(8.81%).The age difference between the two groups was statistically significant(P<0.001),and the multiple comparison results showed that the age of the Qi-blood deficiency group was younger than the true-Yin deficiency group and the Qi-Yin deficiency group;the percentage of bone marrow blasts was statistically significant in the three groups at the initial diagnosis(P<0.05),multiple comparison results showed that the percentage of bone marrow blasts in the true Yin deficiency group was higher than that in the Qi-blood deficiency group and the Qi-Yin deficiency group;the genetic prognostic stratification of the three groups was statistically significant(P<0.05),multiple comparisons.The results showed that the genetic prognosis of the true Yin deficiency group was poorer than that of the Qi and blood deficiency group and the Qi and Yin deficiency group.Conclusion:The most common clinical symptoms of elderly AML patients are fatigue,the disease is located in the bone marrow,and the disease is Ying,Wei,essence,and blood.With the increase in the patient's age,the TCM syndrome types tend to be more insufficiency of true Yin and deficiency of both Qi and Yin,and the prognosis of patients with insufficiency of true Yin is poor.It provides a directional scientific basis for the treatment of senile AML with integrated traditional Chinese and Western medicine. 展开更多
关键词 acute myeloid leukemia traditional Chinese medicine syndrome Qi and Yin deficiency syndrome differentiation and treatment
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Based on the Four Segments and Treatment by Syndrome Differentiation to Lower the Mortality of Sepsis 被引量:2
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作者 刘清泉 《Chinese Journal of Integrative Medicine》 SCIE CAS 2009年第1期16-18,共3页
Lowering the mortality of sepsis has become an important issue in the international critical care medicine because of its unacceptably high incidence. In 2004 and 2008,there were no essential breakthroughs in internat... Lowering the mortality of sepsis has become an important issue in the international critical care medicine because of its unacceptably high incidence. In 2004 and 2008,there were no essential breakthroughs in international guidelines for the management of severe sepsis 展开更多
关键词 Based on the Four Segments and treatment by syndrome differentiation to Lower the Mortality of Sepsis
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Clinical Observation on Treatment of PostcardiotomicComplications with Chinese Herbal Medicine BasedOn Syndrome Differentiation in 58Patients with Angiocardiopathy
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作者 马丽红 焦增绵 张瑞华 《Chinese Journal of Integrative Medicine》 SCIE CAS 1999年第2期156-156,共1页
关键词 Clinical Observation on treatment of PostcardiotomicComplications with Chinese Herbal Medicine BasedOn syndrome differentiation in 58Patients with Angiocardiopathy
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Professor Ruixia Pei's Experience in Treating Hyperthyroidism
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作者 Fen Zhang Xingyu Chen +1 位作者 Di Sun Ruixia Pei 《Proceedings of Anticancer Research》 2021年第4期64-66,共3页
In this article,we summarize the clinical experience ofProfessor Ruixia Pei,a famous traditional Chinese medicine practitioner in Shaanxi Province,China,in treating hyperthyroidism.The etiology and pathogenesis,syndro... In this article,we summarize the clinical experience ofProfessor Ruixia Pei,a famous traditional Chinese medicine practitioner in Shaanxi Province,China,in treating hyperthyroidism.The etiology and pathogenesis,syndrome differentiation,and medication experience are introduced in detail.This paper summarizes the advantages of Professor Pei's methods of syndrome differentiation and treatment of hyperthyroidism.This may help enrich the clinical treatment of hyperthyroidism,and provide some diagnosis and treatment ideas. 展开更多
关键词 HYPERTHYROIDISM Ruixia Pei EXPERIENCE TCM syndrome differentiation treatment
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Differentiating and Treating Gynecological Diseases based on the Theory of Collateral Diseases
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作者 薛冰 任洁 +3 位作者 闫颖 吴林玲 哈虹 张晗 《World Journal of Integrated Traditional and Western Medicine》 2020年第10期28-37,共10页
The collateral disease theory is a unique component of the theoretical system of traditional Chinese medicine(TCM),which is currently applied to all kinds of diseases related to the collaterals.With the in-depth study... The collateral disease theory is a unique component of the theoretical system of traditional Chinese medicine(TCM),which is currently applied to all kinds of diseases related to the collaterals.With the in-depth study of collaterals theory by many practitioners,its advantages in differentiating and treating gynecological diseases are gradually embodied.Based on the theory of collaterals disease,we discussed the pathogenesis,syndrome differentiation and treatment of gynecological diseases,concluded that the deficient collaterals under nourishment and the stagnant and blocked uterine collateral are the important pathogenesis of gynecological illness.Then we pointed out that invigorating the spleen and tonifying the kidney,and unblocking collateral and dissipating stasis are important treatment methods.We discussed the application of collateral disease theory in Tianjin HA's gynecology,and provided certain theoretical basis and clinical reference for the treatment of gynecologic diseases. 展开更多
关键词 Collateral disease theory Gynecological diseases Etiology and pathogenesis syndrome differentiation treatment Tianjin HA's gynecology
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Clinical Study of Western Medicine Combined with Chinese Medicine Based on Syndrome Differentiation in the Patients with Polarized Hypertension 被引量:7
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作者 陈松林 刘小云 +2 位作者 徐文明 梅卫义 陈霄莲 《Chinese Journal of Integrative Medicine》 SCIE CAS 2012年第10期746-751,共6页
Objective: To investigate the effects and safety of Western medicine combined with Chinese medicine (CM) based on syndrome differentiation in the treatment of elderly polarized hypertension (PHPT), or isolated sy... Objective: To investigate the effects and safety of Western medicine combined with Chinese medicine (CM) based on syndrome differentiation in the treatment of elderly polarized hypertension (PHPT), or isolated systolic hypertension with low diastolic blood pressure (DBP). Methods: A total of 125 elderly patients with PHPT were randomly assigned to two groups: 59 in the control group treated by Western medicine and 66 in the intervention group treated by Western medicine combined with CM treatment. Based on syndrome differentiation, the patients in the intervention group were further divided into subgroups of yang-qi deficiency and yin-qi deficiency. All subjects were treated with Western medicine of Amlodipine Besylate Tablets and Irbesartan Tablets (or Irbesartan and Hydrochlorothiazide Tablets), to decrease their systolic blood pressure (SBP) slowly to 125-135 mm Hg in 2-6 weeks. In the intervention group, Shiyiwei Shenqi Capsule (十一味参芪) was given additionally to the subgroup of yang-qi deficiency at the dosage of 3-5 capsules, thrice a day, while Dengzhan Shengmai Capsule (灯盏生脉胶囊) was given additionally to the subgroup of yin-qi deficiency at the dosage of 2 capsules, 2-3 times per day. For all subjects, SBP, pulse pressure (PP), and DBP were measured before treatment and at the terminal of a 6-week treatment. For subjects in the intervention group, left ventricular ejection fraction (LVEF) was also recorded. Results: After a 6-week treatment, the SBP in the two groups and the PP in the intervention group decreased significantly compared to those before treatment (P〈0.05), while the PP in the control group showed no significant difference between prior and post-treatment (P〉0.05). After treatment, the DBP in the control group decreased (P〉0.05), while the DBP and LVEF in the intervention group showed an increase tendency although it had no statistical significance (P〉0.05). When subjects in the intervention group were classified further by the course of disease, the DBP and LVEF of subjects whose course of disease were less than 2 years, increased significantly after treatment (P〈0.05). Conclusion: Western medicine combined with CM treatment based on syndrome differentiation was safer and more effective than Western medicine alone in the treatment of elderly PHPT, because it not only reduced SBP but also improved DBP, which might lower the incidence of the cardiovascular and cerebrovascular events. 展开更多
关键词 polarized hypertension low diastolic pressure Chinese medicine syndrome differentiation and treatment isolated hypertension with low diastolic blood pressure
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