Literature And Clinical Research On He Diagnosis And Treatment Of Gastric Pimple Based On The Theory Of "Cold-temperature Communication"

Purpose:Stomach rash is one of the common clinical symptoms of traditional Chinese medicine,and fullness,swelling,swelling,stuffiness,and blocking of the stomach(under the heart)are the main symptoms of a large number of patients with gastric precancerous lesions.The disease can not be cured for a long time,lasting for several years,and it can continue to aggravate and even become malignant,which seriously affects the quality of life of patients.At present,traditional Chinese medicine believes that the disease can be caused by the invagination of the superficial evil.There are a large number of theories and cases in the diagnosis and treatment of the disease in typhoid and febrile disease;it can also be caused by improper diet,phlegm-dampness block,and emotional disorder.Caused by weakness of the spleen and stomach,it has the characteristics of internal injuries and miscellaneous diseases.Spleen and stomach dysfunction,ascending and descending insufficiency,and gastric congestion are the main pathogenesis,and presents the pathogenesis characteristics of deficiency and excess,and cold and heat.Therefore,based on the academic experience of ancient sages and modern Chinese medicine in the treatment of gastric pimple,Discuss the syndrome classification of gastric rash from the perspective of cold and warm communication,integrate typhoid and febrile diseases,and communicate exogenous infections and internal injuries and miscellaneous diseases to lay the foundation for further improving the clinical efficacy of the disease.Method:1.Use the methods of literature collation and research,such as "Treatise onFebrile Diseases","Golden Chamber Synopsis","Clinical Syndrome Guidelines and Medical Records","Differentiation of Febrile Diseases","Medicine Zong Jinjian","Miscellaneous Disease Origin and Rhino Candle",etc.TCM works as the research object,sort out the provisions on “stigma”,and clearly mark the cause(or both the cause of the disease),the pathogenesis,and the disease indicated in the above provisions in the form of picking up cards,and combine the six meridians with eight outlines and disease Because of the main,the syndrome classification framework formed by the integration of Sanjiao,Meridian,Weiqiyingxue,Qixue and body fluid,summarizes the main syndrome types of gastric pimple(including direct cause,key pathogenesis,crux of the disease)and its clinical Performance,treatment methods and corresponding prescription medications.2.Using the method of clinical research,according to the inclusion and exclusion criteria,based on the outpatient department of Chinese medicine in the Yao Hesheng laboratory of Jiangxi University of Traditional Chinese Medicine,the outpatient department of Qihuang Chinese Medicine,Shenzhen Mingde Chinese Medicine Museum,Shenzhen Dexin Chinese Medicine Museum from January 2011 to November 2020 The electronic medical records in,take the selected 90 cases of gastric tuberculosis cases of Professor *** and Associate Professor *** as the research object.Use the method of extracting documents to sort out and record their clinical symptoms,and mark their etiology,pathogenesis,and disease.According to the "Syndrome Classification Framework" of "Documentation Research",the main syndrome types of gastric pimple are summarized.Based on this,the results of literature research and clinical research are compared and mutually verified.Based on the theory of "cold temperature communication",the common syndrome classification,treatment methods,and prescriptions and medication rules of gastric tuberculosis are sorted out,so as to improve clinical efficacy.Result:1 Literature research results(1)Clinical manifestations of gastric tuberculosis:(1)The main symptom,the gastric cavity(under the heart)is full of discomfort,or it is hard,stuffy,stuffy,stuffy,full stuffy,and the heart is soft or pressed.(2)Symptoms,or anorexia,nausea and vomiting,hiccups,belching,loose stools,etc.(spleen and gastric system);or not wanting to eat,vomiting,bitter mouth,dry throat,cold and heat exchanges,etc.(Shaoyang Triple Jiao);Or cough,wheezing,chest tightness,excessive phlegm,etc.(pulmonary system);or emotional depression or irritability,fullness of the flanks,dizziness and headache,irregular menstruation in women,etc.(liver system).(2)The etiology of gastric tuberculosis: original etiology,mistreatment of manifestations,improper diet,feeling of exogenous pathogens,emotional disorders;direct etiology,drinking water,phlegm dampness,damp heat,blood stasis,etc.(3)The disease(location)of gastric puffiness: mainly in the spleen(Taiyin),stomach(Yangming),Sanjiao(Shaoyang),and involves the liver(Jueyin)and lungs(hand Taiyin).(4)The pathogenesis of gastric tuberculosis: It is mainly composed of the mixture of deficiency and excess,cold and heat.The spleen and stomach(medium Jiao)are often formed on the basis of the weakness of the spleen and stomach.(5)The treatment of gastric tuberculosis: more use of warming and clearing,both offensive and tonic,and regulating Qi.(6)The main syndrome types of gastric puffiness:(1)Shaoyang(Zhongjiao)fusion of water and fire(2)Shaoyang hot and depressed in the heart(3)Shaoyang of hands,depression of phase and fire,insufficient Weiyang(4)Shaoyang water drink,Restriction in the heart(5)Shaoyang Yangming qi deficiency clamps phlegm drink,qi upheavy(6)Taiyin spleen deficiency clamps the table,both the outside and the inside(7)Shaoyang drink evil depresses heat,blocks Qi machine(8)Yangming water drink depression block,Qi upsides(9)Stagnation of damp-heat and phlegm in Yangming,block Zhongjiaoqi machine(10)Taiyin and dampness of hands,stagnation of qi machine(11)Foot yin,cold and dampness to suppress Zhongyang(12)Fooyangming(gastric)diet stagnation(13)Stomach and collateral stasis(14)Jueyin(liver)Taiyin(spleen)stagnation of Qi2 Clinical research resultsA total of 90 cases of gastric tuberculosis were screened out:(1)It is more common in female patients(61.11%);the majority is chronic gastritis(77.78%);it is more common in middle-aged and young people(71.12%),and there is a trend toward younger age(<20 years old,accounting for 10%,among which the youngest Those are less than 10 years old).(2)Disease location(position): Shaoyang(50%),Yangming(44.44%),Taiyin(37.78%),Jueyin(5.56%),Taiyang(5.56%)(classified by six meridians);Dampness,phlegm,drinking and other reasons are related.(3)Common syndrome types of gastric tuberculosis:(1)Shaoyang(hand meridian)combined with Yangming water and fire(heavier)diarrhea(2)Shaoyang water drinking stagnant heat,obstructing the middle and lower coke,involving the sun(3)Footyang Ming feet Taiyin damp-heat phlegm stagnation(4)Shaoyang Yangming(foot meridian)qi deficiency clamps phlegm drink,rushes the qi upside down(5)Shaoyang Yangming is hot and stagnant under the heart(6)Deficiency of spleen yang in the body,foot is too yin,cold and dampness to suppress Zhongyang(7)Yangming water drink is stagnant,the Qi machine is unfavorable(8)Foo Yangming(Stomach)Eating stagnation,lack of gastric qi reduction(9)Shaoyang Taiyin(hand meridian)wind-cold depression and heat,poor qi machine,both outside and inside(10)Jueyin liver stagnation and qi stagnation,involving Yangming(stomach),and stasis and heat(4)Most of the drugs used to treat gastric rash are bitter cold to clear away heat,pungent warming to dispel cold,promoting qi to eliminate fullness,and invigorating the spleen.Conclusion:1.Although traditional Chinese medicine can differentiate and treat gastric ulcers through a variety of syndrome differentiation methods,the syndrome classification framework formed by combining the six meridians with the eight outlines and the main cause of the disease,combining the three energizers,meridians,Weiqiyingxue,and qi,blood and body fluid,can be derived from From the perspective of communicating cold and temperature,the syndrome classification of gastric tuberculosis is carried out,and to a certain extent,it integrates typhoid and febrile diseases,exogenous diseases and internal injuries and miscellaneous diseases.There are many types of syndromes in gastric puffiness,but the main syndromes are empirical evidence or mixed syndromes of deficiency and excess,and there are few pure deficiency syndromes.2.The incidence of gastric tuberculosis is mostly related to yin evils(dampness,phlegm,drinking),and the diseases are mostly in Shaoyang,Yangming,and Taiyin;the clinical manifestations of its syndromes are also different due to different diseases(locations).3.The classification of syndromes in literature research and clinical research is basically the same.