Analysis Of Shugan Qi Drug In The Treatment Of Epigastric Pain

Purpose:In this paper,by investigating 300 cases of epigastralgia hospital-patients' free coursing Liver-Qi drug use and using frequency analysis to study the rule of Liver-Qi drug use,in order to provide the meaningful reference in the treatment of clinical epigastralgia.Method:Through a retrospective clinical study of randomly selected 300 cases of epigastralgia throughout the year in 2008 in the Digestive Department, fill the general condition of patients,TCM diagnosis,Western medicine diagnosis,the number and name of the free coursing Liver-Qi drug into "the epidemiological investigation table for the use of free coursing Liver-Qi drug", and use Excel software for data statistical to analysis the conditions and frequency for the use of free coursing Liver-Qi drug.Results:1.In the 300 cases of epigastralgia,six pattern identifications constitute ratio is:51%of Liver-Qi invading the stomach,31%of stomach heat flourishing, 8%of dyspeptic retention in stomach intestine,4%of syndrome of static blood in stomach collaterals,3%of syndrome of deficient cold of spleen and stomach, 3%of stomach yin depletion.2.In the drug treatment of the 300 cases,89%of patients using the Liver-Qi drugs, in which,100%of Liver-Qi invading the stomach,88%of dyspeptic retention stomach intestine,83%of syndrome of static blood in stomach collaterals,77% of Stomach heat flourish,67%of syndrome of deficient cold of spleen and stomach, 56%stomach yin depletion of patients use such drugs.3.The frequency of single the free coursing Liver-Qi drug use in every pattern identification:Liver-Qi invading the stomach:Chai Hu is 100%,Tangerine Peel is 83%,Rhizoma Cyperi is 76%,Rhizoma Chuanxiong is 65%,Green Tangerine Peel Is 55%.Stomach heat flourish:Chai Hu is 73%,Tangerine Peel is 65%,bergarmot is 58%,Citron is 54%,Yu jin is 47%.Dyspeptic retention stomach intestine:Mu xiang is 83%,Rhizoma Cyperi is 79%,Bitter Orange is 67%,Tangerine Peel is 50%, Green Tangerine Peel is 42%.Syndrome of static blood in stomach collaterals: Bitter Orange is 83%,Green Tangerine Peel is 67%,Yu jin is 67%,Rhizoma Chuanxiong is 58%,Rhizoma Cyperi is 50%.Syndrome of deficient cold of spleen and stomach:Tangerine Peel is 67%,Rhizoma Cyperi,bergarmot,Citron are both 56%. Stomach yin depletion:chinaberry fruit,Rhizoma Cyperi are both 56%.4.The frequency of the single free coursing Liver-Qi drug commonly used in the 300 cases of epigastralgia patients:Chai Hu is 78%,Tangerine Peel is 70%, Rhizoma Cyperi is 53%,Rhizoma Chuanxiong is 49%,Green Tangerine Peel is 42%, Bitter Orange is 30%,Yu jin is 28%,bergarmot is 25%,Citron is 24%,Mu xiang is 20%,chinaberry fruit is 15%.Conclusion:1.Liver-Qi invading the stomach accounted for 51%in the 300 epigastralgia hospital patients,showing that emotion is the common factor for which the disease occurred.Emotional factors influence on free coursing of liver function, resulting in stagnation of qi activity,stagnancy or qi adverseness,which affect the qi activity of middle-jiao.Therefore,in the treatment of the disease,we must pay attention to emotion regulation and qi activity of ease.2.89%of 300 epigastralgia patients use free coursing Liver-Qi drugs,of which 100%of Liver-Qi invading the stomach,88%of dyspeptic retention stomach intestine,83%of syndrome of static blood in stomach collaterals,77%of Stomach heat flourish,67%of syndrome of deficient cold of spleen and stomach,56%of stomach yin depletion use such drugs in patients.We can see that free coursing liver-Qi drugs widely used in the treatmentof epigastralgia.3.The use of the single free coursing Liver-Qi drug in every pattern identification of 300 epigastralgia patients:Liver-Qi invading the stomach and Stomach heat flourish focus on the use of relieving qi stagnancy in Liver as the main ways,such as Chai Hu,Tangerine Peel.In Liver-Qi invading the stomach,we can often add Green Tangerine Peel, Rhizoma Chuanxiong,Rhizoma Cyperi.We can often add such as bergarmot,Citron instead of injuring yin drugs in Stomach heat flourish.Dyspeptic retention stomach intestine focus on the use of promoting qi circulation to relieve pain as the main ways,such as Mu xiang,Rhizoma Cyperi. We can often add such as Bitter Orange,Tangerine Peel,Green Tangerine Peel.Syndrome of static blood in stomach collaterals focus on the use of regulating the flow of qi and promoting blood flow as the main ways,such as Bitter Orange,Yu jin.We can often add such as Green Tangerine Peel,Rhizoma Chuanxiong, Rhizoma Cyperi.Syndrome of deficient cold of spleen and stomach focus on mainly the use of Tangerine Peel,Rhizoma Cyperi,We can often add such as bergarmot,Citron.Stomach yin depletion often use chinaberry fruit,Rhizoma Cyperi.In nourish yin and the blood drugs chinaberry fruit added,which can both relieve qi stagnancy in Liver and to prevent nourish yin drug too greasy.