The Explore Of Li-Chengnian’s Clinical Experience In The Chest Pain And Heartache Based On Data Analysis

Objective:Excavate Professor Li Chengnian’s experience in the treatment of chest palsy and heartache and the rules of medication,and provide some TCM reference ideas and medication experience for the treatment of chest palsy and heartache in the clinic.Methods:From December 2018 to December 2021,Professor Li Chengnian was diagnosed as "chest palsy chest pain disease" in Hanchuan People’s Hospital and met the criteria for inclusion and exclusion,established a database,and used Excel,SPSS Modeler18,SPSS Statistics26 and other data analysis platforms to mine the prescribed medication rules and general conditions of patients in the treatment of chest palsy and heartache disease of Professor Li Chengnian,mainly including frequency analysis,association analysis,and cluster analysis.Results:1、In this study,the prevalence of male patients was higher than that of female patients,and the age level of coronary heart disease was mainly distributed among middle-aged and elderly people over 46 years old,and 4 people in the age group of 0-30 years old were also affected;2、Professor Li Chengnian’s top 9 flavors in the treatment of chest palsy heartache were licorice,citrus aurantium,white art,tangerine peel,banxia,bamboo ru,xuebai,cholin star,and salvia,and their application frequency was higher than 200 times;3、In terms of drug classification,it can be divided into 13 categories,namely tonic drugs,sputum chemicals,rational gas drugs,blood activating and stasis drugs,anti-table drugs,water-soaking wet drugs,heat-clearing and cooling blood drugs,heat-clearing and drying drugs,blood tonic drugs,hepatic and yang drugs,rheumatic drugs,opening medicines,and heart-nourishing and tranquilizing drugs,of which tonic drugs account for 25.9%,phlegm drugs account for 23.7%,rational gas drugs account for 18.7%,and blood-activating stasis drugs 10.1%;4、In terms of drug dose,the minimum dose of Baishu is 8g,the maximum dose is 180 g,and the most commonly used dose is 50g;the minimum dose of astragalus is 10 g,the maximum dose is 80 g,and the most commonly used dose is 30g;the minimum dose of Zhuru is 10 g,the maximum dose is 80 g,and the most commonly used dose is 30g;the minimum dose of salvia is 20 g,the maximum dose is 60 g,and the most commonly used dose is 30g;the minimum dose of sandalwood is1 g,the maximum dose is 10 g,and the most commonly used dose is 10 g The minimum dose of guizhi is 6g,the maximum dose is 50 g,and the most commonly used dose is 20g;the minimum dose of Sichuan root is 15 g,the maximum dose is 60 g,and the most commonly used dose is 15g;the minimum dose of kudzu is 20 g,the maximum dose is 140 g,and the most commonly used dose is 80g;5、According to the strength of the links between the drugs,it can be concluded that the core drugs of Professor Li Chengnian in the treatment of chest palsy heartache are Banxia,Danshen,Tangerine Peel,Xuebai,Chonanxing,Zhuru,Baishu,Citrus aurantium,followed by Astragalus,Dang Ginseng,Red Ginseng,Melon Peel,Gua Puzi,Kudzu Root,Qiang Huo,Poria,Poria,And then Peach Kernel,Safflower,Raw Ground Yellow,Red Peony,Angelica,Sichuan Root,Chai Hu,Sichuan Beef Knee,Orange Stem,Huang Lian,Bitter Ginseng,Sandalwood,Guizhi,Oyster;6、Based on two correlation analyses,combined with Professor Li Chengnian’s medication habits,the commonly used drug combinations in the treatment of chest palsy heartache are（Baishu-Tangerine Peel-Banxia）,（Danshen-Yuanzhi）,（Citrus aurantium-Melon Peel）,（Danshen-Sandalwood）,（Banxia-Guaru peel）,（Xuebai-Melon Peel）,（Dang Ginseng-Astragalus）;7、According to the two basic formulas for the treatment of chest palsy and heartache disease by Professor Li Chengnian,Fang 1: Bai Shu,Tangerine Peel,Ban Xia,Zhu Ru,Cho Nan Xing,Xue Bai,Red Ginseng,Poria Poria,Melon Seed,Licorice Root,Fang 2: Peach Kernel,Safflower,Raw Ground Yellow,Red Peony,Angelica,Sichuan Root,Chai Hu,Sichuan Beef Knee,Platycodon,Licorice.Conclusion:1 、 From the current data ratio can not explain that the prevalence of coronary heart disease in men is greater than that of women,as far as the current research status is concerned,the prevalence of coronary heart disease between men and women has a large regional difference,in terms of age of disease,mainly concentrated in the elderly over 46 years old,but young people also have a certain risk of disease;2 、 Professor Li Chengnian’s treatment of chest palsy and heartache mainly starts from "deficiency","qi","sputum" and "stasis",and mainly focuses on tonic drugs,rational qi medicines,phlegm drugs,and blood-activating stasis drugs in terms of medication;3、In terms of drug dosage,Professor Li Chengnian is ingenious,simple and powerful,not limited to routine,and has achieved obvious efficacy in clinical practice;4、Professor Li Chengnian believes that chest palsy heartache disease is the evidence of this false standard,based on the deficiency of the heart’s qi and blood yin and yang deficiency,to the stagnation,phlegm obstruction,blood stasis as the standard,the disease position involves the heart,spleen,liver,Professor Li believes that the early stage of chest palsy heartache disease is mainly chest yang,phlegm evil endogenous,in the treatment of professor Li Chengnian to warm bile soup,polyester phlegm soup,melon soup white liquor soup plus and subtraction to form the basic formula for the treatment of chest palsy heartache 1,its main composition is tangerine peel,half summer,bamboo ru,cholin,melon seed,white,red ginseng,white art,poria,licorice,Gong gong healthy spleen and qi,tongyang to reduce turbidity,rational gasification phlegm and remove the effect of chest pain;chest palsy heartache in the later stage is mainly sputum stasis inter-knot,paralysis obstructs the heart pulse,mainly stasis,Professor Li Chengnian in the clinical treatment is mainly to blood house stasis soup plus and subtraction formula 2,its main drug composition is the main drugs are peach kernel,safflower,angelica,raw ground yellow,red peony,Sichuan root,chai hu,orange stem,Sichuan beef knee,licorice,in order to achieve the effect of activating blood stasis,rational qi communication and stop paralysis pain;in terms of drug addition and subtraction,accompanied by back pain discomfort plus kudzu,Qiang huo,Qi deficiency plus ginseng,astragalus,accompanied by panic plus thorn five plus,bitter ginseng,do not sleep to add poria gods,oysters,chest tightness and discomfort plus melon skin,citrus shell,accompanied by chest pain plus sandalwood,salvia,chest heat plus yellow lian.