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Research On The Clinical Experience Of Professor Xixing Wang In Differentiation And Treatment For Cervical Carcinoma Base On Date Analyzing And Mining

Posted on:2022-03-10Degree:MasterType:Thesis
Country:ChinaCandidate:Y C LiFull Text:PDF
GTID:2504306494470594Subject:Traditional Chinese Medicine
Abstract/Summary:PDF Full Text Request
Objective Through the data mining analysis of outpatient medical records,the syndrome differentiation,treatment and medication rules of Professor Wang Xixing in the clinical treatment of cervical cancer.In addition,Professor Wang’s clinical experience in the diagnosis and treatment of cervical cancer was summarized so as to provide an objective basis for further guiding clinical differentiation and treatment and carrying out clinical research.MethodsThe complete medical records of cervical cancer patients treated by Professor Wang Xixing from December 2017 to December 2020 were selected according to the inclusion criteria of medical records.In addition,the unified standardization of medical record data was completed with reference to the relevant standards.The method of frequency analysis was used to summarize the general information of patients,high-frequency symptom information and high-frequency drug information in the medical record data of this study.K-means clustering method was used to summarize the main syndrome differentiation of cervical cancer in the medical record data of this study.Besides,the corresponding treatment methods and main side information of each syndrome type were found compared with the original data.FP-Growth association rules were used to summarize and sort out the commonly used drug combination information.Results1.Syndrome regularity: The main syndrome types of cervical cancer in this study were analyzed by K-means clustering method: liver and kidney Yin deficiency(17%),liver Qi stagnation(31%),downward flow of damp-heat(26%),deficiency of both Qi and Yin(25%).2.Main symptoms of syndrome types: The main symptoms and tongue and pulse information corresponding to the main syndrome types of cervical cancer in this study were summarized according to the results of K-means clustering.Deficiency syndrome of both liver and kidney Yin: waist trapped,hot flashes,five upset hot,baking hot sweat out,dry mouth,tinnitus,insomnia,red tongue,moss thin yellow,pulse heavy fine.The stagnation of liver-Qi syndrome :modern depressed,upset,irritability,bilges,small abdominal distension,stay,small abdominal pain,tongue reddish,moss thin white,pulse string.Syndrome of downward diffusion of damp-heat:Aginal discharge capacity is much,grasps the color yellow,grasps the smelly gas,swelling in the vulva,urine yellow,urination,tongue reddish,moss thin yellow,pulse string.Deficiency syndrome of both Qi and Yin:Tired,leg soft,mental fatigue,shortness of breath,stomach drop,dizziness,stay,nausea,loose stool,tongue reddish,moss thin white,pulse.3.Therapeutic principle and prescription:Liver and kidney Yin deficiency,treat with method nourishing yin of liver and kidney,use Zishui Qinggan Decoction as the main prescription treatment.liver Qi stagnation,treat with method liver-clearing and qi-regulating,use Xiaoyao Powder as a main treatment prescriptions.Downward flow of damp-heat,treat with method heat-clearing and damp-drying,use Simiao Pill as main prescription treatment.Deficiency of both Qi and Yin,treat with method benefiting Qi and nourishing Yin,use Buzhong Yiqi Decoction as main prescription treatment.4.Rule of drug use: 85 kinds of commonly used drugs(frequency ≥ 40)were obtained.According to medicine efficacy classification,heat-clearing drugs,beneficial medicine,drugs used to activate blood flow accounted for more than.According to medicine properties classification,cold medicine,warm medicine,peaceful medicine accounted for more than.According to medicine flavor classification,acridity,amara and sweetness accounted for more than.According to medicine Gui Jing classification,medicine for liver channel,spleen channel,lung channel,kidney channel,stomach channel accounted for more than.13 groups of two commonly used medicine combination were obtained: herba ecliptae and fructus ligustri,rhizoma anemarrhenae and golden cypress,nightshade and lilium browmii,bamboo shavings and pinellia ternata,achyranthes root and cyathula root,rhizoma cyperi and the root of three nerved spicebush,rhizoma atractylodis and rhizoma smilacis glabrae,rhizoma zingibrris and coptis chinensis,woodlouse and centipede,radix angelicae pubescentis and fructus chaenomelis lagenariae,rhizoma alismatis and semen plantaginis,rhizoma currcumae longae and rhizoma corydalis,the root of three nerved spicebush and lilium browmii.4groups of three commonly used medicine combination were obtained: concha ostreae and fructus tritici levis and schisandra chinensis,radix rehmanniae recen and fructus gardeniae and moutan bark,radix pseudostellariae and radix ophiopogonis and schisandra chinensis,angelica sinensis and radix sophorae flavescentis and thunberg fritillary bulb.ConclusionAccording to the analysis of the law of drug use of Professor Wang Xixing’s clinical prescription,it is concluded that Professor Wang attaches great importance to the rule of treatment of supporting healthy energy and eliminate pathogenic factors in the treatment of cervical cancer.Wang Xixing professor believed that the pathogenesis of cervical cancer including the deficiency of liver,spleen and kidney,disorder of Chong pulse and Ren pulse,the lump in the cervical is composed by dampness,heat,phlegm,blood stasis and cancerous toxin.He attaches great importance to invigorate the liver,the kidney and the spleen.In his opinion,the main TCM differentiation of cervical cancer after surgical treatment is Deficiency syndrome of both liver and kidney Yin,treating with method nourishing yin of liver and kidney.The main TCM differentiation of cervical cancer after chemotherapy is deficiency of both Qi and Yin,treating with method benefiting spleen-Qi and nourishing liver-Yin.He focuses on clearing heat,resolving dampness and removing toxicity.The main TCM differentiation of cervical cancer before surgery is Syndrome of downward diffusion of damp-heat,treating mainly use heat-clearing and damp-drying drugs and antipyretic-detoxicate drugs,use phlegm-reducing and stasis removing drugs and attack poison and disperse kont drugs.
Keywords/Search Tags:cervical cancer, Wang Xixing, clinical experience, data mining
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