Exploring The Medication Patterns Of Professor Xie Jingri’s Treatment Of Functional Abdominal Distension Based On Data Mining

Objectives:To conduct a retrospective study,analysis,and summary of Professor Xie Jingri’s traditional Chinese medicine(TCM)diagnosis and treatment cases for functional abdominal distension using the TCM inheritance computing platform.The aim is to discover the medication patterns in treating functional abdominal distension and provide reference experience for its clinical treatment.Methods:Clinical cases were collected from Professor Xie Jingri’s outpatient records at the First Affiliated Hospital of Heilongjiang University of Chinese Medicine from September 2016 to September 2022.Cases with clear diagnoses,complete records,and meeting the inclusion and exclusion criteria for this study were selected for standardized treatment,data collection and normalization.The database was established,and the data was statistically analyzed using the Chinese medicine inheritance computing platform(V3.0).Finally,we summarized the medication patterns used in Professor Xie Jingri’s treatment of functional abdominal distension.Results:1.A total of 13 9 clinical symptoms of FB patients were collected,with the top ten in frequency being abdominal distension,sleep disorders,belching,dry mouth,poor appetite,bitter taste in the mouth,fatigue,tenesmus,bowel sounds,and irritability.The tongue color was mostly pale red or red,the tongue shape was mostly with tooth marks or swollen,and the tongue coating was mostly thin and white,white and greasy,or yellow and greasy.The distribution of Chinese medical syndromes was mainly liver-qi stagnation.2.Professor Xie Jingri mainly used warm-natured drugs in the treatment of this disease,accounting for 51.94%.The second and third most commonly used were cold-natured and neutral drugs,accounting for 2 6.67%and 17.52%,respectively.The five flavors were mainly pungent,bitter,and sweet.The most commonly used meridians were the spleen,lung,stomach,and liver meridians.3.A total of 110 Chinese herbs were used in the prescriptions,with the highest frequency of use being for qi-regulating herbs,dampness-dissipating herbs,and tonifying herbs.Among them,the top 15 most frequently used Chinese herbs were Chai Hu,Wu Yao,Hou Po,Jiao Shen Qu,Chen Pi,Dou Kou,Cao Dou Kou,Xiang Yuan,Xiang Fu,Jiao Bai Zhu,Zi Su,Fo Shou,Zhi Huang Qi,Jiao Shan Zha,and Jiao Mai Ya,which were commonly used by Professor Xie Jingri in the treatment of FB.4.Through the analysis of medication patterns,58 data sets of medication patterns and 18 rules were obtained.Six core combinations were identified through cluster analysis.Conclusion:1.When treating functional abdominal distension,Professor Xie Jingri primarily uses warm-natured herbs,with pungent,bitter,and sweet tastes.The herbs mainly target the spleen,lung,stomach,and liver meridians.Commonly used herbs include Chai Hu,Wu Yao,Hou Po,Jiao Shen Qu,Chen Pi,Dou Kou,Cao Dou Kou,Xiang Yuan,Xiang Fu,Jiao Bai Zhu,Zi Su,Fo Shou,Zhi Huang Qi,Jiao Shan Zha,and Jiao Mai Ya.2.Professor Xie Jingri believes that functional abdominal distension is closely related to the liver and spleen.Emotional factors and improper diet are important etiological factors in the formation of this condition.Disharmony in the ascending and descending movement of qi and obstruction in the intake and outflow are the main pathogenic mechanisms of this condition.3.In the treatment of this condition,Professor Xie Jingri focuses on regulating the liver and spleen,prioritizing the smooth flow of qi.The treatment approach involves soothing the liver,regulating qi,promoting the movement of the spleen and stomach,and combining the understanding of etiology and pathogenesis to differentiate patterns and apply appropriate methods,including tonifying qi and invigorating the spleen,resolving food stagnation,promoting the movement of qi through the intestines,aromatic and dampness-transforming methods,and warming the middle burner and promoting the movement of qi.