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Based On Data Mining Study On Men Jiuzhang’s Clinical Experience In Using Banxia Xiexin Decoction

Posted on:2022-01-29Degree:MasterType:Thesis
Country:ChinaCandidate:X ZhaoFull Text:PDF
GTID:2504306317963819Subject:TCM clinical basis
Abstract/Summary:PDF Full Text Request
Objective: Half-summer laxative heart soup from the "typhoid theory",is Zhang Zhongjing created to treat the error of xiaochai Hu evidence and called "heart-to-heart" a thousand-year-old famous square.In the process of using this side,doctors of all generations,mostly used for "cold and hot miscellaneous" digestive system diseases,in the case of keeping the disease machine,dialectically correct clinical efficacy is very significant.By collecting and sorting out the addition and subtraction compatibility patterns of Banxia Xiexin Decoction used by Professor Men Jiuzhang in the treatment of various diseases,and analyzing the medical records of organic gastric lesions that are highly correlated with them,to summarize The law of use,indications of adaptation,and the law of compatibility of addition and subtraction.Methods: Collected 170 clinical cases of professor Men Jiuzhang using semi-summer laxative heart soup of treating stomach-based lesions,entered clinical data into Excel2019 forms,and Age,consultation month,symptoms,tongue image,pulse image,medication,prescription and other content to organize,and And use entropy clustering and other statistical methods to explore the application law of Banxia Xiexin DecoctionResults:1.Half-summer heart soup basic situation: through the analysis of data,it was found that:(1)81 men,accounting for 47.65 percent,89 women,accounting for 52.35percent;(2)the oldest person is 84 years old,the youngest is 22 years old,the average age is 55 years old.(3)The largest number of patients were treated in March and January,accounting for 17.06% and 14.71% respectively,followed by patients in April,June and May.2.Distribution of symptoms of Chinese medicine in semi-summer laxative heart soup: In the 170 case data entered,mainly in the digestive system and nervous system symptoms.And mostly concentrated in discomfort,acid,bloating and other gastrointestinal symptoms,the top ten symptom frequency totaled 391,accounting for82.66 percent.Patients with semi-summer laxative heart soup also have common symptoms of oral pain,which can account for 32.35% of the total number of patients.Patients who reported poor sleep accounted for 20% of the total number of patients.3.Half-summer laxative heart soup Western medicine disease distribution: can be clearly diagnosed western medicine disease recorded 104 cases.Of these,89 cases,accounting for 85.58 percent,were gastrointestinal diseases,while the remaining 15 cases were lung cancer,dry syndrome,hepatitis B,diabetes,lymphocytic leukemia,coronary heart disease,cervical cancer,and cirrhosis of the liver.Undiagnosed Western medical diseases have been reviewed,mainly for gastrointestinal 脘 such as gastrointestinal discomfort.4.Semi-summer diarrhea heart soup tongue and Pulse condition: 170 patients a total of 157 patients recorded detailed pulse image,through the descending analysis of pulse frequency can be known string,string fine veins,fine veins,string number pulse as the main pulse,the total proportion of about 82.16%.157 patients recorded detailed tongue quality,and descending analysis revealed the top five tongue signs in frequency: dark red tongue 37(23.57%),dim tongue 28(17.7%)83%),light tongue21(13.38%),light fat tongue(12.10%),light red tongue(11.46%),the total share is about 78.34 percent.157 patients recorded detailed tongue quality,through descending analysis found that the top four tongue moss signs are: white moss 53(34.19%),white moss 41(26.45%),thick white moss 21(13.55%),thin white moss20(12.90%),accounting for a total of about 87.09%.5.Half-summer laxative heart soup medication situation: 170 cases,56 cases of the use of semi-summer laxative heart soup,accounting for 32.94% of the proportion and drug addition or decrease generally does not exceed 3 odors;The drugs that match the semi-summer laxative heart soup have a total of 21 flavors.Among them,the frequency of more than 10 times of the drug has heron,cuttlebone,Zisuzi,Chaihu,Zisuzi.Among them,herons,Yanhuso,cuttlebone and taste more used.Symptoms of half-summer laxative heart soup with herons greater than 10 are: stomach discomfort,stomach pain,mouth pain,anti-acid,bloating,poor sleep,poor digestion;For:stomach discomfort,stomach pain,bloating,mouth bitterness,anti-acid,including Yanhuso’s semi-summer laxative heart soup frequency of more than 10(including 10)symptoms are: stomach pain,acid,bloating,bitter mouth,stomach discomfort.6.Half-summer laxative heart soup joint party application: half-summer laxative heart soup 35 cases of joint use of cases,gastric device texture lesions combined with11 cases,half-summer laxative heart soup and incense sand six gentleman soup joint use 6 cases,with self-preparation,rational soup,wheat gate winter soup,four reverse dispersal,remote dispersal each used once.Only 1 case of the disease type is chronic superficial gastritis,and the remaining 10 cases are those with severe stomach-related lesions such as: 7 cases related to stomach cancer;Non-gastric device-like lesions were used in 24 cases,and 1 case was combined with 3 parties,for a total of 25 parties.Among them,with the incense sand six gentleman soup joint use 6 cases,with small Chaihu soup joint use 2 cases,with the remote loose use of 2 cases,with the kidney gas soup joint use 2 cases,with the filling yang also five soups joint use 2cases,with the golden-poor kidney gas pills used 2 cases,With men’s cultured soup,raw pulse drinking jade screen scattered,raw pulse drink oral liquid,yellow particles,shot-dried ephedrite soup,licorice soup,big Chaihu soup,Chaihu Li Zhong soup,ginseng white art scattered with 1 case.Conclusion:By collecting and sorting out the medical records of Professor Men Jiuzhang using Banxia Xiexin Decoction,and using statistical methods such as frequency statistics,association rule analysis,entropy hierarchical clustering,etc.to conduct data mining,the following conclusions are drawn:1.The indications for the application of Banxia Xiexin Decoction are: gastric swelling with full qi,dark red pulse and tongue,white greasy coating.Xuan Mai is the core pulse condition of Banxia Xiexin Decoction.Depending on the patient’s physical and functional status and other pulse conditions,it can be Xuan Xi,Xuan Shuo,and Xuan Xi Shuo.Dark red tongue and light dark tongue should be the typical tongue signs of Banxia Xiexin Decoction.Patients with indications are mostly middle-aged and elderly people.2.The spleen caused by typhoid fever or the spleen that has not been captured are mostly due to cold and greasy products,and over-eating can damage the spleen and stomach,coupled with improper eating and mental factors,can cause Pinellia Symptoms of Xiexin Decoction: Banxia Xiexin Decoction is used to dispel damp-heat and regulate qi.The related symptoms of this prescription are mostly gastrointestinal symptoms such as gastric discomfort,acid reflux,abdominal distension,poor digestion,hiccups,stomach pain,bloating,heartburn,etc.3.When Professor Men Jiuzhang used Banxia Xiexin Decoction,the most commonly compatible drugs were Atractylodes,Corydalis(Yuanhu),and Cuttlefish.When the patient sees dampness,he can use Atractylodes spp.to remove dampness and promote the spleen;stomach pain,reaction When the acid is obvious or accompanied by local erosions and ulcers,it is compatible with Corydalis(Yuanhu)and sea cuttlebone.It is more common to combine three drugs in twos.The other additions and subtractions are based on the structure of the prescription and the symptom is compatible with the symptoms.Form the compatibility of prescriptions and medicines,and increase or decrease the dose of drugs according to different functional states and cold and heat manifestations of different patients.4.In the application of Banxia Xiexin Decoction,the patients in the combined prescription group are mostly patients with more complicated conditions,and most of the patients with organic gastric disease have more serious conditions.The synergistic effect between the combined prescription and the group can be targeted for treatment,which is helpful for the doctor to clarify the treatment thinking and observe the healing effect.Banxia Xiexin Decoction,the prescription is based on the legislation of "invigorating,bitter,reducing sweetness and soothing",to treat the symptoms of dysfunction of the middle Jiao and spleen and stomach dysfunction.The effect is like a drum.The above research shows that Banxia Xiexin Decoction is used in traditional Chinese and Western medicine for spleen and stomach diseases.The clinical application provides a theoretical basis.
Keywords/Search Tags:Banxia Xiexin Soup, Spleen and stomach diseases, Combination formula, Men Jiuzhang
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