Chief Physician Lin Caizhi Treating Functional Diarrhea Summary Of Experience And Study On Medication Patterns

Objective: To systematically summarize the clinical experience and medication patterns of Chief Physician Lin Caizhi in the treatment of functional diarrhea(FDr),provide objective basis and reference for clinical follow-up treatment of this disease,and have important significance for the academic inheritance and innovation of traditional Chinese medicine.Method: 75 first-visit medical records of FDr treated by Chief Physician Lin Caizhi were included.Traditional Chinese Medicine Inheritance Computing Platform(V3.0),IBM SPSS Statistics 26.0,and IBM Modeler 18.0 software were used to analyze the medication frequency,efficacy,taste,meridian tropism,and compatibility patterns in the prescription,in order to explore their medication patterns and analyze their medication experience.Result:(1)75 FDr patients were included in this study,including 40 males and 35 females;(2)There are a total of 81 types of drugs involved,and the frequency of drug use is 1264 times.The top three traditional Chinese medicines used are Poria cocos(74 times),Pinellia ternata(74 times),and Glycyrrhiza uralensis(70 times);(3)The drug efficacy is divided into 16 categories,with the main ones being tonifying deficiency(26.76%),digesting food(15.18%),clearing heat(10.72%),and transforming dampness(9.58%),accounting for 62.24% of the total frequency.(4)The top three most frequently used drugs for the four gases are warm drugs(36.53%),mild drugs(33.78%),and cold drugs(22.68%),with relatively few being hot and cold.(5)The frequency of use of the five flavors of the drug is highest,with sweet(38.65%),bitter(30.22%),and spicy(24.06%)accounting for the highest proportion,while sour and salty flavors account for relatively few.(6)The total frequency of drug menstruation is 3148 times.The spleen meridian(24.97%)is the most common,followed by the stomach meridian(18.58%),lung meridian(14.26%),heart meridian(9.75%),liver meridian(8.51%),kidney meridian(8.13%),and large intestine meridian(5.37%).(7)Using SPSS Statistics 26.0 software,a systematic cluster analysis was conducted on37 traditional Chinese medicines(excluding licorice)with a frequency of use greater than 7.A total of 10 commonly used drug compatibility combinations were found,including: Guyangteng Patrinia villosa,Dendrobium Magnolia,Chuanzhizi Calcined Corrugated Fructus Perilla,Malt Shenqu,Shichangpu Baizhi Guizhi,Light Douchi Zhizi,Lily Shouwu Teng,Poria cocos Ginger Pinellia,Atractylodes macrocephala and Chicken Neijin Attachment-Dried ginger-Sanguisorba officinalis-Scutellaria baicalensis.(8)Using IBM Modeler 18.0 software to mine drug symptom association rules,we analyzed and found that "irritability and insomnia" were related to "light fermented soybeans,gardenia,lilies,Polygonum multiflorum vine,and Fushen","dry mouth and bitter mouth" were related to "Scutellaria baicalensis,Coptis chinensis,ancient sheep vine,and Patrinia villosa","Nadai" was related to"Shenqu,hawthorn,malt,and chicken inner gold","heavy head and body fatigue" was related to "Guizhi,Baizhi,and Shichangpu","Wanfu Xiwen Xizhi" was related to "Wanfu," Ganjiang ",There is a close relationship between "chest and hypochondriac distension and tightness" and "perilla stem,Sichuan azalea seed".Conclusion: Director Lin Caizhi’s treatment of FDr mainly focuses on calming down cold and heat,strengthening the spleen and Qi,warming yang to dissipate cold,and soothing the liver and strengthening the spleen.Emphasize the concept of integrating the five viscera and harmonize the balance of yin and yang in the five viscera and six fu organs.Prescriptions are good at medication,and should be used in combination or as an adjunct;Medication should be used in combination with cold and warm,with warm as the main treatment;Attack and supplement at the same time,mainly supplementing deficiency;In addition to medication intervention,attention should be paid to the regulation of diet,emotions,and lifestyle.