academic ideas
(a) Learn from other departments to benefit more departments.
Clinically, he has been trained and educated by famous doctors such as Jinmen Li Rilun, Gu Xiaochi and Ding. Especially in more than 20 years, it has inherited the academic thought and clinical experience of Professor Halliday, and achieved its true biography, which is the fourth generation of Hartmann medicine. In consultation with them, we should pay attention to the academic thought of regulating spleen and stomach, the application of qi-separating drugs and the holistic view of treating gynecological diseases. Another example is Gu Lao's rigorous treatment of diseases and incisive medication; Li Lao treated difficult diseases with classic prescriptions; Ding Lao Diao's experience in treating liver disease. Through extensive study and increasing knowledge, my theory and knowledge have been greatly improved. I not only learned the medical skills of my predecessors, but also learned lofty medical ethics from them. Ha Lao often teaches: "Doctors should be skilled and sincere to patients". Zhang takes this as his life goal and serves the patients wholeheartedly.
(2) Take the advantages of a hundred schools of thought and go your own way.
1. Pay attention to the holistic view of gynecological diseases: the holistic view is the basic concept of Chinese medicine. Traditional Chinese medicine believes that the human body is an organic whole, and the organs in the body, the organs in the body and the tissues and organs on the body surface are mutually restricted and interdependent, so that the human body can maintain the integrity of internal and external correlation in physiological functions and pathological changes through the connection of meridians. Reflected in gynecology, we must first comprehensively and integrally understand the physiological characteristics and pathological changes of women from the perspective of interconnection. Their physiological activities and pathological changes are closely related to the ups and downs of viscera function and qi and blood. Therefore, women's menstrual, pregnancy, breastfeeding, childbirth and other diseases are not only the pathological changes of local uterine organs, but the overall reaction of the body under the action of painkillers. Therefore, the discussion of gynecological diseases must proceed from the whole.
2. Application of eight methods of tonifying kidney in gynecology: Chinese medicine believes that kidney is the "innate foundation", and its function involves the growth and development of human body, disease resistance, and the rise and fall of the functions of various viscera. The whole development process of women from birth to old age, especially the generation and regulation of women's menstruation and the delivery of the fetus, is closely related to the function of the kidney. Therefore, the rise and fall of kidney qi is actually an important link in gynecological diseases such as menstruation, leucorrhea, fetus and childbirth. The application of tonifying kidney in treating gynecological diseases embodies the spirit of "seeking the root" in traditional Chinese medicine. Tonifying kidney and regulating menstruation, dredging collaterals, tonifying kidney and regulating liver, invigorating spleen and promoting hair growth, tonifying kidney and assisting pregnancy, preventing miscarriage, tonifying kidney and softening hard mass are commonly used in clinic. In the treatment of irregular menstruation, amenorrhea, uterine bleeding, premenstrual tension, menopausal syndrome, infertility, threatened abortion and other diseases have achieved remarkable results.
3. Application of the method of promoting blood circulation to remove blood stasis and softening hardness in gynecology: Smooth qi and blood, flushing and filling are important guarantees for normal physiological functions such as menstruation, leukorrhagia, fetus and delivery, while stagnation of blood stasis in flushing and filling will lead to gynecological diseases, such as hysteromyoma, ovarian cyst, endometrial cyst gonad (tumor) hyperplasia and so on. Because of the accumulation of blood stasis in uterus, it becomes a disease for a long time, so the methods of promoting blood circulation and removing blood stasis and endometrial hyperplasia are used respectively. After years of clinical observation and experimental study on mechanism, Chinese patent medicines such as Zheng Xiao Pill, Sanjie Pill and Dimethyl Pill have been formulated, and the curative effect is quite good.
4. Treating both internal and external diseases: The clinical function of oral drugs is mainly to adjust the qi and blood of viscera, so as to improve the body's disease resistance and fundamentally eliminate the lesions. The application of external therapy is mostly aimed at local lesions, relieving symptoms and relieving patients' pain. This is a palliative method, which can better play the therapeutic role of oral drugs, and the two complement each other. For the treatment of gynecological diseases, oral administration or external treatment should be selected according to the condition, or appropriate external treatment should be supplemented with oral administration to improve the curative effect and shorten the course of treatment. Commonly used external treatment methods include fumigation and washing, cervical drug application, rectal drug perfusion iontophoresis and so on.
5. Advocate the combination of syndrome differentiation and disease differentiation: Zhang is proficient in the gynecological theory of Chinese and western medicine, and thinks that although Chinese medicine and western medicine are two completely different theoretical systems, they both take understanding human beings as their own responsibility, aiming at preventing and treating diseases and improving health. Therefore, in the diagnosis and treatment of diseases, there are many points of combination between the two, and the organic combination of the two is advocated clinically. It is believed that the differentiation of diseases in western medicine is an understanding of local lesions, which has a clear positioning and qualitative analysis, while the differentiation of diseases in traditional Chinese medicine is a syndrome diagnosis made after comprehensive analysis of many factors such as etiology, pathogenesis, location and nature, which has a holistic concept. The combination of disease differentiation and syndrome differentiation is beneficial to the accuracy of diagnosis and the reliability of curative effect, especially for gynecological diseases. For the treatment of metrorrhagia and metrorrhagia, it is considered that the syndrome differentiation of metrorrhagia and metrorrhagia is nothing more than deficiency and excess. Deficiency is liver and kidney yin deficiency and spleen and stomach yang deficiency, but it is blood and blood stasis. Its disease differentiation is equivalent to anovulatory dysfunctional uterine bleeding, genital inflammation and irregular vaginal bleeding caused by some genital tumors in western medicine. As for the treatment, it is treated in stages according to the bleeding period and non-bleeding period. Hemorrhage stage, according to TCM syndrome differentiation and classification for treatment. Non-bleeding period, combining disease differentiation with syndrome differentiation. For example, most patients with adolescent metrorrhagia and metrorrhagia are accompanied by endometrial atrophy, and most of them are liver and kidney deficiency from the dialectical point of view. The treatment is mainly to regulate liver and kidney and restore circulation, with Ding Jing decoction or Zuogui pill; "Menopause" or childbearing age with endometrial gland cyst (disease) hyperplasia, syndrome differentiation belongs to kidney deficiency and blood stasis, and the prescription is "Ermayina Pill" (ibid.); Uterine leiomyoma causes metrorrhagia, mainly by promoting blood circulation to remove blood stasis, softening and resolving hard mass, and commonly used pills (Zhang Jing's prescription). Main drugs: Prunella vulgaris, pangolin, oyster, Sparganum, etc. Treatment of pelvic inflammatory disease and other causes, clearing away heat and promoting diuresis, softening and resolving hard mass. The main drugs of Sanjiedan (Zhang Jing's prescription) are Lobelia chinensis, Sargentodoxa, Malvaceae and so on. After years of clinical observation and experimental research on mechanism, the above three empirical formulas have good curative effects.
(C) the combination of Chinese and Western, learn from each other.
Zhang studied western medicine first, then Chinese medicine, and mastered the theory of Chinese and western medicine and diagnosis and treatment technology. Traditional Chinese medicine and western medicine have many points of integration in the diagnosis and treatment of diseases. In clinical practice, learn from each other's strengths, form a reasonable combination, and give full play to complementary roles. Clinical research, theoretical discussion and dosage form reform can only be carried out after clinical efficacy has been achieved. For example, in clinic, it is more effective to diagnose irregular menstruation, amenorrhea, metrorrhagia and infertility. It is more effective than single treatment to treat a long and heavy course of disease by using modern medical means and combining traditional Chinese and western medicine. In addition, in scientific research, the clinical efficacy of Zheng Xiao Pill in the treatment of hysteromyoma was studied by combining traditional Chinese and western medicine, which not only affirmed the efficacy, but also carried out experiments and mechanism research.
(four) rigorous scholarship, a teacher.
Zhang has been a doctor for more than 40 years, always teaching, undertaking teaching and clinical teaching, teaching seriously and responsibly, not only teaching skills but also teaching ethics, requiring every student to have professionalism, so that students can realize that "medical skills are the way to save lives, and medical ethics are the foundation of people." It has undertaken the clinical teaching of thousands of undergraduates, international students, graduate students and advanced students from all over the country, and reviewed the graduation thesis and defense of gynecological graduate students in previous years, which can be said to be all over the world.
Zhang has been engaged in gynecological medical treatment, teaching and scientific research of integrated traditional Chinese and western medicine for more than 40 years. Proficient in the theory of traditional Chinese and western medicine, rich in clinical experience. Using the theory of tonifying kidney and regulating menstruation to regulate the body's endocrine has achieved satisfactory results in clinical treatment of irregular menstruation, functional uterine bleeding, infertility and gynecological inflammation. Especially good at studying gynecological incurable diseases, strange diseases and emergencies. Zhang developed a Chinese patent medicine for treating functional uterine bleeding, hysteromyoma, ovarian cyst, pelvic inflammatory disease and cervicitis. , widely used in clinic, with good results. His experience has been exchanged at many national conferences, and he has treated more than 1 10,000 patients every year. He has written more than 40 papers, mainly focusing on "Research of Chinese Medicine in Family Planning". "Clinical research on the treatment of functional uterine bleeding with traditional Chinese medicine" won the scientific and technological achievement award of Tianjin Health Bureau; "Clinical observation of Kanggong Pill in preventing agalactia after cesarean section" and "Clinical study of Zheng Xiao Pill in treating hysteromyoma" participated in international conferences and exchanges; "Study on Treatment of Endometrial Gland Cyst (Tumor) Hyperplasia with Traditional Chinese Medicine" was exchanged at the national conference on difficult cases; At present, "Study on the Mechanism of Jill Pill in Treating Endometrial Cystic Hyperplasia" is an award-winning project of state administration of traditional chinese medicine. His main works are Selected Prescriptions of Gynecology of Traditional Chinese Medicine: Selected Cases of Gynecology of Halitian, Modern Gynecology of Traditional Chinese Medicine, etc. In medical education, I have been engaged in classroom teaching and clinical teaching. Over the years, I have trained a large number of graduate students, advanced students from all over the country, international students, previous undergraduates and taught young doctors, which can be said to be all over the world.
Motto: medical skill is the way to save people, and medical ethics is the foundation of people.