Discussion On The Regularity Of Traditional Chinese Medicine In The Treatment Of Menopausal Syndrome In Beijing Wangfu Traditional Chinese And Western Medicine Hospital

Under the direction of TCM theory,the prescriptions of experienced doctors in our hospital were analyzed to get the regularities of drug use of TCM treating Menopausal Syndrome, further to explore the characteristics of TCM treating Menopausal Syndrome.PART I ReviewThe review contained four parts, the summary of the Menopausal Syndrome.the development of both the Syndrome differentiation and the treatments of the Menopausal Syndrome.For the summary of the Menopausal Syndrome.disease name,etiology and pathology were discussed.For the differentiation,differentiation from heart-liver-kidney spleen-stomach,blood stasis-phlegm were discussed.In the western medicine treatment progress, the drug treatment were discussed.PART II Analysis of traditional Chinese medicine in the treatment of Menopausal Syndrome in our hospital1000 pieces of prescriptions for TCM treating climacteric were collected,of which the compatibility and the regularity of medicines were analyzed and calculated by Access data base under the direction of TCM basic theory, Chinese Medicine,Clinical Chinese medicine.There are 8 kinds of syndromes that commonly used of the 1000 prescriptions,totally 1082 syndromes,375 of which are of yin deficiency in liver and kidney syndrome, that is 34.66%,18.02%(195) are of ver qi stagnation and spleen qi deficiency syndrome,11.92%(129) are of blood stasis syndrome,8.69%(94) are of deficiency of qi and blood syndrome,8.50%(92) are of abnormal physiological function between heart and kidney syndrome,7.49%(81)of which are of yang deficiency of spleen and kidney syndrome,6.38%(69) are of deficiency of yin and yang syndrome,4.34%(47)are of deficiency of essence and blood syndrome.Regularities and characteristics varied according to different TCM syndromes.For the regularities of the herb use,the four properties and five flavors,meridian oriented effect,herb effect and the toxicities were discussed.For the four properties, herbs of cold and cool properties were of 42.40%compared to warm and hot properties herbs 31.95%,as the heat syndrome seemed more in the Menopausal Syndrome.For the five flavors, herbs of sweet and bitter flavors were commonly used as blood deficiency and stasis were common syndromes in the Menopausal Syndrome.For the meridian oriented effect analysis,most of the herbs belonged to Liver meridian,heart meridian,lung meridian or kidney meridian.For the herbs effect,qi-tonifying drug.yin-tonifying drug,heart-nourishing tranquilizer,blood tonifying drug were commonly used.For the drugs,fuling,White peony Root,Chinese Angelica,Indian Bread,Chinese Thorowax Root,Spine Date Seed, Largehead Atractylodes Rhizome,Light Wheat,Three peony Bark、Rehmannia Root, were commonly used.For the toxicities,herbs of toxicity were only 1.33% of the whole.For the correlation analysis,Remove repeat after medicine related samples in the prescription of a total of 43234 times. The first vertex is fuling, white peony, chinses angelica,bupleurum, atractylodes,licorice, dried tangerine peel.The secondary vertex is huangqi,rhizome of chuanxiong,etc,about 50 species.The Database base of the TCM treatments were established to investigate the regularities of the drug use, meaningful references were provided,which would promoted the development of TCM clinical pharmacy in Menopausal Syndrome. Still more data need to be collected and the base need to be expanded to provide further study.