| Objectives: This paper summarizes Professor Li Yingdong’s clinical experience in treating chronic heart failure through literature studying,analyzes the medication rules of Professor Li for chronic heart failure based on the traditional Chinese medicine supporting platform software,and combined with typical case studies to summarize his academic thoughts on the treatment of heart failure.Methods:1.Retrieve and collect literatures related to Professor Li Yingdong’s treatment of chronic heart failure,including journals,books,conference papers,unpublished works and papers,etc.Organized and researched the preliminary conclusions that Professor Li Yingdong’s basic pathogenesis,principle of treatment and treatment experience of chronic heart failure laid a theoretical foundation for this subject.2.Through the outpatient consultation with Professor Li Yingdong,collecting the cases and prescription medications of patients with chronic heart failure,borrowing the traditional Chinese medicine inheritance assistance platform software(V2.5)to establish a database,based on association rule analysis,improved mutual information method,and complex system entropy clustering Algorithms and other data mining methods,statistics of drug frequency and frequency,analysis of high-frequency drug groups and prescriptions,evolved core combinations and synthesized new prescriptions.3.Summary of 6 typical cases of Professor Li Yingdong’s treatment of chronic heart failure.Results:1.Summarize Professor Li Yingdong’s knowledge about heart failure through literature research,he believes that the etiology and pathogenesis of heart failure is more complicated,the main disease location is in the heart,involving multiple organs such as lung,spleen,liver and kidney,etc.The nature of the disease is the essence of deficiency and the manifestation of concrete,the basic treatment is supporting vital qi to eliminate pathogenic factor,and treating both manifestation and root cause of disease,the specific treatment is mainly based on supplementing qi and promoting blood circulation,attaching importance to warming the heart and yang,as well as treating the spleen,reducing phlegm,relieving liver,regulating qi,etc.Clinical features focus on both organ and governance,adhere to the principle of treating both manifestation and root cause of disease,reinforcement and elimination in combination,and combining with the loading treatment mode of traditional Chinese medicine to accurately distinguish and treat heart failure.2.According to the frequency statistics,the Chinese medicines with usage frequency of ≥40 times have 55 flavors.The top 15 high-frequency medicines are classified and statistically classified according to their efficacy,the four nature of drugs are mainly warm,cold,and calm,the five flavors are mainly sweet,pungent and bitter drugs,while the channel tropism are mainly spleen,liver,lung,heart,stomach and kidney meridian,and the drug combination is analyzed based on the rule of association rules 61 groups,90 groups of medicine rules with confidence≥0.99190 were analyzed,49 groups were analyzed based on the improved mutual information method,and the associations between drugs were ≥ 0.030.30 core combinations were analyzed based on the core combinations of complex system entropy clustering,extract 15 new party.3.Summary of 6 typical cases of Professor Li Yingdong in treating chronic heart failure.Conclusions:1.Professor Li Yingdong believes that the etiology and pathogenesis of heart failure involves multiple organs,the disease location is in the heart and is closely related to other organs.The disease differentiation is mixed with deficiency and excess,and the syndrome type is mainly qi deficiency and blood stasis syndrome.The basic treatment for heart failure is supporting vital qi to eliminate pathogenic factor,and treating both manifestation and root cause of disease,replenishing qi to support the body and to cure its essence,removing stasis to cure its target.2.Professor Li Yingdong attaches importance to the application of qi and blood theory in the treatment of heart failure.In terms of medication,the main benefits are activating blood circulation and removing blood stasis drugs,and benefiting qi drugs.pay attention to adjusting yin and yang.Warming Yang is mainly based on slow tonic,and dilute water is often used in diuretic products,the overall medication is peaceful.3.Pay attention to the treatment of heart failure from the spleen and stomach,advocate "double heart treatment" of heart failure,cardiopulmonary Qi deficiency stage,liver depression and spleen deficiency stage and heart and kidney deficiency stage are given to supplement the heart and lung Qi,to drain the liver and strong spleen,warm the heart and kidney as the treatment,and give different degrees of activating blood circulation for diuresis prescriptions in the treatment of heart failure at different stages and different syndrome types. |