Discussion On The Rules Of Syndrome Differentiation And Treatment Of Vertigo Based On Medical Records Of Contemporary Famous TCM Physicians And Data Mining

Objective: This paper analyzes and studies the medical records of contemporary famous Traditional Chinese Medicine physicians in treating vertigo,explores the identification characteristics of vertigo symptom and pathogenesis,and the medication rules for treating vertigo of contemporary famous TCM physicians,in order to better inherit and develop the academic thoughts and medication experiences of them,and to provide references for the clinical prevention and treatment of vertigo.Methods: In order to explore the main points of symptom and syndrome differentiation of vertigo,the categories and channel tropisms of prescription herbs,the core herb pairs and the herbal prescription rules,the statistical analysis methods are as follows.First,collecting and sort out the medical records of contemporary famous TCM physicians in treating vertigo,among them,patients with clear diagnosis,complete information records and only Chinese herbal treatment were selected to study.Second,constructing the vertigo medical records database and preprocess the data after the standardized processing of the names of symptoms,syndrome types and Chinese herbs.Last,using Microsoft Excel 2007 to make statistics on the frequency of symptoms,syndrome types,Chinese herbs,herbs categories and the meridian tropisms of herbs in the database,using SPSS Statistics 24.0 to analyze high-frequency symptoms and high-frequency herbs by systematic cluster analysis method,using SPSS Modeler 18.0 to analyze high-frequency herbs by association rule analysis method and complex network analysis method.Results:1.Among 291 cases,69 symptoms appeared in total,with a total frequency of2174,and 21 high-frequency symptoms with the frequency is greater than 32,the cumulative frequency was 1642,accounting for 75.49% of the total frequency of all symptoms,with the dizziness,giddiness,nausea,loss of appetite,tinnitus,insomnia,vomiting,fatigue,chest tightness,palpitation,dry mouth and irritability among the top 12.Four significant symptom combinations were obtained by cluster analysis method of high-frequency symptom system.There were a total of 36 types of syndromes,the syndrome of hyperactivity of Yang due to Yin deficiency,syndrome of phlegm turbidity,syndrome of wind-phlegm invading upward,syndrome of stirring wind due to Yin deficiency,syndrome of intermin-gled phlegm and blood stasis,syndrome of water retention due to Yang deficiency,syndrome of Qi-Yin asthenia,syndrome of middle Qi deficiency,syndrome of wind-Yang invading and syndrome of Yin deficiency of liver and kidney upward among the top 10.2.295 Chinese herbs were used in 291 cases with a total frequency of 3590,and 63 high-frequency herbs with the frequency is greater than 17,the cumulative frequency was 2714,accounting for 76.31% of the total frequency of all herbs,with the Indian Bread,Liquorice,Largehead Atractylodes Rhizome,Tall Gaxtraodia Tuber,Tangerine Peel,Chrysanthemum Flower,White Peony Root,Gambir Vine,Oriental Waterplantain Rhizome and Pinellia Tuber among the top 10.There were 17 kinds of high-frequency herbs,and the top 6 were herbs for invigorating Qi,herbs for calming liver to stop endogenous wind,herbs for relieving exterior syndromes,diuretics for eliminating dampness,herb for invigorating blood circulation and eliminating stasis and heat-clearing herbs.In terms of meridian tropism of Chinese herbs,the top 5 herb categories with the largest number and highest frequency of use were herbs for liver meridian,herbs for spleen meridian,herbs for lung meridian,herbs for heart meridian and herbs for kidney meridian.21 significant herb combinations were obtained by cluster analysis method of high-frequency Chinese herb system.27 groups of herb combinations were obtained by association rule analysis method,including 1 group of binomial associated herb combination,5 groups of 3 associated herb combinations,and21 groups of 4 associated herb combinations,the strongest association combination was Liquorice,Largehead Atractylodes Rhizome,Tall Gaxtraodia Tuber and Tangerine Peel.The high-frequency complex network analysis method shows that the core herb combination for vertigo treatment is Indian Bread,Liquorice,Largehead Atractylodes Rhizome,Tall Gaxtraodia Tuber,Tangerine Peel,Gambir Vine,Oriental Waterplantain Rhizome and Pinellia Tuber.Conclusions:1.The occurrence of vertigo is the most closely related to liver,spleen and kidney,it has a wide variety of syndrome types,etiology and pathological.The nature of vertigo is asthenia in origin and asthenia in superficiality,deficiency and excess inclusion,the asthenia in superficiality includes wind,fire,phlegm,blood stasis,the asthenia in origin includes Yin deficiency,Yang deficiency,Qi deficiency,blood deficiency,the common syndromes include syndrome of hyperactivity of Yang due to Yin deficiency,syndrome of phlegm turbidity,syndrome of wind-phlegm invading upward,syndrome of intermin-gled phlegm and blood stasis,syndrome of stirring wind due to Yin deficiency,syndrome of water retention due to Yang deficiency,syndrome of middle Qi deficiency,syndrome of deficiency of both qi and blood.It reflects the syndrome differentiation thinking of contemporary famous TCM physicians in distinguishing Yin and Yang,separating deficiency and excess,and identifying their belonging.2.Contemporary famous TCM physicians believe that hyperactive Yang,phlegm turbidity and internal wind are the main pathological factors causing vertigo.They pay attention to reducing the excessive and replenish the deficient,and adjusting the balance between Yin and Yang,always start treating with the liver and spleen,the methods of suppressing Yang and eliminating wind,invigorating spleen and reduce phlegm are most frequently used.They make good use of classic prescriptions like Banxia Baizhu Tianma decoction,Zexie decoction,Wendan decoction and Tianma Gouteng decoction.The herbs for invigorating Qi and calming liver to stop endogenous wind are mainly used,commonly used herbs include Indian Bread,Largehead Atractylodes Rhizome,Tall Gaxtraodia Tuber,Tangerine Peel,Chrysanthemum Flower,White Peony Root,Gambir Vine,Oriental Waterplantain Rhizome and Pinellia Tuber.