| Objective: Professor Huang Jinming’s experience in treating eczema was studied,and the frequency of the commonly used internal medications,the common combinations of medications and the frequency of commonly used external medications were analyzed according to different types of evidence,and sorting out and summarizing Professor Huang Jinming’s experience in the treatment of eczema and the use of medications,in order to provide some clinical basis for the treatment of eczema.Methods: The case data of eczema patients treated at the outpatient clinic of Zhuang Medicine Department of Dongge Hospital,the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Guangxi International Zhuang Medicine Hospital Ethnic Speciality Treatment Center and the outpatient clinic of Professor Huang Jinming of Huang Jinming Chinese Medicine Studio from January 2017 to December 2021 were included as the study subjects,and the case data with complete basic information,perfect information of the four diagnoses of TCM,clear diagnosis and clear information of prescriptions and medicines were used.The case data that met the criteria of nadir were standardized,and a database was established.The age distribution,gender composition ratio,and evidence types of the case data were statistically analyzed by applying the TCM inheritance assistance platform(V3.0).We also analyzed the frequency and efficacy of topical medications and summarized the experience of Professor Huang Jinming in treating eczema.Results: A total of 173 cases of eczema patients who met the criteria for nadir were analyzed in this study by applying the TCM Heritage Assist Platform(V3.0),and the following results were obtained.1.The age of eczema patients included in this study was predominantly18-49 years(73.99%)and mostly female patients,with 97 cases(56.07%).2.The 2main types of evidence involved in this study were dampheat-embedded evidence(65.90%)and spleen-deficiency-damp-embedded evidence(34.10%).3.The common clinical symptoms of different types of evidence were counted,and the analysis showed that the symptoms of damp-heat-embedded skin evidence were common,such as flushing,itching,papular rash,poor sleep,etc.,and the tongue and pulse signs were mostly red,thin white fur,and fine pulse;the symptoms of spleen-deficiency-damp-embedded evidence were common,such as flushing,itching,papular rash,poor sleep,scratching and oozing,and pigmentation of some lesions,and the tongue and pulse signs were mostly light,thin white fur,and fine pulse.4.The four qi,five tastes and meridians of different types of internal medicine were counted,and the analysis showed that the two types of medicine were mainly used for clearing heat and tonifying deficiency,among which the main medicine for clearing heat was honeysuckle and the main medicine for tonifying deficiency was atractylodes;the four qi was mainly cold;the five tastes were mainly sweet;and the meridians were mostly liver,lung,spleen and heart meridians.5.The analysis showed that a total of 98 drugs were used in the damp-heat evidence,including Jin Yin Hua(113 times),Sheng Di Huang(110 times),Hong Hua(105 times),Hooked Vine(103 times)and Xi Cao(103 times);a total of 57 drugs were used in the spleen-damp evidence,including Bai Zhu(59times),Chen Pi(59 times),Gan Cao(58 times)and Radix Platycodon(57times).6.Ninety-two of the 173 patients in this study were also treated with topical medication,and the commonly used medications were counted and analyzed to show that a total of seven medications were used in the treatment,including goldenseal(92 times),dandelion(92 times),ginger(91 times),and hemipterocarpus(68 times).7.Data mining in the auxiliary platform showed that there were 16 drug combinations(support 101,confidence 0.9)involving 8 drugs commonly used by Prof.Huang Jinming for treating eczema with damp-heat-containing evidence and 11 drug combinations(support 57,confidence 0.85)involving 4drugs with spleen-deficiency-damp-containing evidence.Conclusion:1.Professor Huang Jinming’s internal medications for eczema are mainly heat-clearing and deficiency-supplementing;the four qi are mainly cold and the five sweet tastes;and the meridians are mostly found in the liver,lung,spleen and heart meridians.The commonly used drugs for damp-heat skin are honeysuckle,raw licorice,safflower,hooked vine,astragalus,celandine,antiphlogistic,atractylodes,tribulus terrestris,pelargonium,zizyphus,burdock(all of which are the main drugs of Zhuang’s Huang’s detoxification and skin care soup);the commonly used drugs for spleen deficiency and dampness are atractylodes,Chen Pi,licorice,orris,heliotrope,angelica,red ginseng,asclepias,bupleurum,astragalus.2.The eczema patients seen by Prof.Huang Jinming clinically are given topical medications to clear heat,and the commonly used drugs are honeysuckle,dandelion,ginger,and half-branch lotus(all of which are the main drugs in Zhuang’s Huang’s detox soup).3.According to Huang,the formula should be used flexibly in clinical use,such as poor appetite and loose stools can be treated with Shen Qu-malt-hawthorn,spontaneous sweating and night sweating can be treated with floating wheat-jujube,abdominal distension can be treated with Hou Pu-Yu Jin-Da Gui Pi,blood deficiency insomnia and palpitations can be treated with Wu Wei Zi-Bai Zi Ren-Sour Jujube.4.In the eczema cases treated by Professor Huang Jinming in the past five years,the common types of evidence are damp-heat and spleen deficiency.Damp-heat skin evidence is characterized by flushed,itchy lesions with papular rashes,and a red tongue with thin white fur and a fine pulse.Spleen deficiency with dampness is characterized by flushing of lesions,pigmentation of some lesions,and weakness.5.Professor Huang Jinming’s experience in treating eczema can be summarized as follows: the disease belongs to the category of Dragon Road and Fire Road disease in Zhuang medicine based on the lesion site;its pathogenesis is mainly due to dampness and heat toxins blocking the Dragon Road and Fire Road,causing blockage of the road,stagnation of qi and blood,and desynchronization of the three qi;treatment is based on identification of the disease and supplemented by dialectical evidence;emphasis is placed on the smooth flow of the road and the balance of qi and blood to synchronize the three qi;treatment is based on detoxification,elimination of blood stasis,regulation of qi,and supplementation of deficiency;combination of internal and external factors is advocated,making good use of external treatment. |
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