Biography of Zakharyin Gregory

The article of the Moscow School has excellent research methods, comprehensive accurate diagnostics. The Zakharin school is based on observations and accurate knowledge of the anamnesis and etiology, on a detailed study of the patients, on their questioning, erected to the height of art, to the therapeutic so definite that in the hands of the head of this school it became an almost accurate science.

Yushar, Grigory Antonovich Zakharyin, the history of medicine is rich in a huge number of not just bright figures, but outstanding representatives of practical and scientific medicine in Russia. Zakharyina is an outstanding therapist of the past Grigory Antonovich Zakharyin -, the pride of Russian medical science, was born in Penza, in a poor landowner family.

His father, Anton Zakharyin, retired captain, participated in the capture of Paris in the year. Mother, Heyman Lyudmila Grigoryevna,-the granddaughter of Professor Fischer von Waldheim, president of the Moscow Medical and Surgical Academy. Zakharin’s childhood passed on the estate of his father in the Saratov province. Then-excellent study at the 1st Saratov gymnasium, after which he entered the medical faculty of the Imperial Moscow University in the year.

He enthusiastically listened to the lectures of his first teachers-the head of the department of comparative anatomy and physiology of I. Glebov, a student of A. Filomafitsky-a physiologist and a general pathologist who laid the foundations of the experimental physiological direction of the development of medicine in Russia, and L., he noticed the great abilities of Zakharyin and, thus, opened his way to the scientific and pedagogical activity of the university.

It was A. Over that recommended that Zakharyin be left in the faculty therapeutic clinic for further improvement. In - gg. Zakharyin prepared a doctoral dissertation on the topic “The doctrine of postpartum diseases”, and he is sent abroad for a year to prepare for a professor’s rank and improve special knowledge. By this time, he freely speak French and German. Together with him, future luminaries of domestic science and clinic of internal diseases went on a business trip: Ivan Mikhailovich Sechenov, with whom Zakharyin became very friends, and Sergey Petrovich Botkin.

Zakharyin studied in Berlin and Prague with R. Virkhova, L. Traube, F. Frerichs, E. Geppe-Zayler, J. Skoda, T. Opoles, L. in Paris-at A. Trusso and K. For the whole life, G. Zakharyin made friends with the French internalist A. G. Zakharyin studied pathology and therapy, gynecology, urology, syphilidology, skin diseases, skin diseases, skin diseases, skin diseases, skin diseases, skin diseases, skin diseases, skin diseases, skin diseases otorhinolaryngology.

In the year, he returns to the university and begins to give lectures on semiotics. In the year, he is the adjunct of the therapeutic clinic, teaches a course of general therapy. In the year - an extraordinary professor, gives lectures on the course of diagnosis and therapy. In the year - an ordinary professor and director of the faculty therapeutic clinic of the university.

Zakharyin led the faculty therapeutic clinic from for a year and turned it into an exemplary educational institution that has won European glory.

Zakharina, but also in the history of the domestic clinic of internal diseases, from which historians of medicine and clinicians begin to count the heyday of clinical medicine in Russia. Zakharyinsky method of questioning the patient has become an important element in the formation of the Moscow therapeutic school. Zakharyin in the methodology of communication with patients and, above all, in the survey reached marginal perfection.

Reliable knowledge of the anamnesis, a thorough analysis of complaints and all the characteristics of the patient's condition studied in his bed, made up the clinical thinking system, which was the basis of practical activity to the present. As noted in an article on the letnut of the faculty therapeutic clinic1, “Zakharyin’s wisdom was expressed in how great he attached to the therapy of a patient with the environmental factors to hydropower, climatotherapy, the use of mineral waters, cummia, while thinly and deeply examining and arguing drug therapy”.

Zakharyin owns the fundamental thoughts of the great significance of preventive medicine and hygiene, which can “defeat the ailments of the masses” 2. In the methodology of the patient, the patient Zakharyin identified the following main provisions: the patient’s questioning about the conditions and lifestyle, about the condition and history of the disease; He paid special attention to the etiology of the disease, adverse effects of dysfunctional life, overwhelming work, insufficient rest, alcohol abuse, smoking, bad habits, heredity, early functional disorders of organs involved in the pathological process preceding the precursors of anatomical changes; In an objective study, the main attention of the inspection, palpation, percussion, auscultation, dynamic observation of the patient, additional laboratory research.

Grigory Antonovich considered the patient’s study not as “mechanical collecting information about the disease” 3, but as the creative process of clinical thinking aimed at establishing the diagnosis of Diagnosis Morbi, accompanying disorders and all the characteristics of the patient Diagnosis AEGRI, to determine the prognosis and methods of treatment. Professor Zakharyin defended the principles of etiology and pathogenetic therapy, but, given the limited possibilities of their use at that time, he skillfully used symptomatic drugs that he introduced into practice after a thorough test, requiring the action of each of them.

He avoided polypragmasis, although he was a supporter of complex therapy, in which he assigned a large role to personal hygiene, diet, herbal medicine, balneotherapy, climatotherapy3. The glory of the method of Grigory Antonovich and its widespread spread in Russia and abroad were due to its simplicity, logical, humane attitude to the patient, as well as great practicality and ability to identify the initial changes in the functional activity of the body4.

The principles of the diagnostic process developed by G. Zakharyin have retained their significance at the present time: everything that the doctor is doing now is proposed in the conditions of his time, when information about the patient could be received only upon his questioning and objective examination by examination, palpation, percussion, Grigory Antonovich brought the method of questioning to the highest level, creating the original, classical method of studying the patient, the classical method of studying the patient, Without contrasting it with other objective and laboratory research methods.

G. Zakharyin himself admitted that at the beginning of his activity he listened in detail the patient’s story, but then was convinced that such a story leads to the “loss of time and mutual fatigue of the patient and the doctor”, and the story of the “educated patient” gives a ready -made opinion about the disease and “can confirm the correctness of his own conclusion about the disease and its treatment” 5.

The principles of the diagnostic approach of Zakharyin are not shaken by the existence of other modern laboratory and instrumental research methods. As before, the information received during the patient survey is of great, and sometimes paramount importance. Clinicists know well how important for making a diagnosis a qualitatively collected history, assessment of patient complaints.

Only this is enough to build the correct diagnostic concept. Zakharyin Grigory Antonovich - - great Russian clinician, founder of the famous Moscow therapeutic school. Zakharyinsky method of questioning - an anamnesis - has become the most important element of the formation and characteristic feature of the Moscow therapeutic school, which developed the advanced traditions of Russian clinical medicine: a preventive direction, an individual approach to the patient.

The formation of new independent scientific disciplines: pediatrics, gynecology, gastroenterology, neuropatology and other faculty therapeutic clinic of MMA named after Zakharyin A. Health and education in the city and outside. Makolkin V. Act speech "The role of the faculty therapeutic clinic named after Vinogradov in the development of the domestic school of internal medicine.

” The significance of the faculty therapeutic clinic named after Vinogradova MMA named after Pavlov B. Zakharyin are little known from life. News on the topic.