The Study On TCM Syndrome And Treatment Regularity Of Functional Constipation And Professor Tang Xudong's Experience Summary

Functional constipation is characterized by the primary and sustainability constipation and caused by dysfunction of colon,rectum,and anus,which is the clinical common disease and frequently-occurring disease.The prevalence of constipation gradually rise,and as the growth of the age incidence increase significantly The constipation can effect appetite and the intestinal absorption of nutrients,lead to abdominal distension,abdominal pain,nausea,vomiting,loss of appetite,irritability,or even induce intestinal malignant tumor,or the disease of heart head blood-vessel.To sum up,we can find that constipation cause serious damage to people's health and quality of life.Modern TCM syndrome classification of constipation is mainly according to viscera syndrome differentiation or syndrome differentiation with eight principles,,but so far there is no unified conclusion in the TCM treatment of functional constipation.Due to different understanding of the etiology and pathogenesis of functional constipation,clinical diagnosis and treatment experience also to have certain difference,there is diversification method to treat constipation,and TCM doctors have their distinctive treatment characteristics,the treatment results are often different,which result in clinical and scientific research difficulties,makes it hard for clinical efficacy of repeat,it is difficult to promote scientific research achievements,to a certain extent constrained the development of traditional Chinese medicine.This study based on TCM syndrome differentiation treatment of functional constipation of literature collection and the analysis of the functional constipation type of syndromes,therapeutic principle and drug rules,scientific survey to explore the formation regularity of common content,help to unify understanding,facilitate communication,to promote the development of the field of clinical and scientific research.Collecting tutor professor Tang Xudong digestion in China academy of traditional Chinese medicine xiyuan hospital outpatient service functional constipation patients medical records,using data mining method to summarize professor Tang Xudong's treatment of functional constipation of the French experience medicine characteristics,making its clinical experience for promotion and application to benefit more patients with functional constipation.Studyl TCM syndrome characteristics and dialectical medication analysis based on the clinical literature of functional constipationObjective:Collect and organize the related literatures of TCM syndrome differentiation treatment functional constipation,analysis the related literatures using the method of data mining,and discussed the functional constipation of TCM syndrome types,characteristics,dialectical medication and prescription regularity to provide evidence for the clinical diagnosis and treatment of traditional Chinese medicine and the scientific research of the functional constipation.Methods:(1)retrieval strategy:adopt the mode of electronic retrieval system to retrieve database in Chinese.(2)data mining:the "famous doctor of traditional Chinese medicine basis analysis system" V 1.0 version for data analysis,will have to extract Excel2003 table data import basis management analysis module for data analysis.Covers drugs frequency statistics,association rules analysis,entropy clustering data mining methods,such as complex system.Results:(1)This study included 148 pieces of relevant literature,a total of 472 dialectical medication data,andl3 kinds of syndrome types:Intestinal and qi stagnation syndrome,Yin deficiency bowel dryness syndrome,lung spleen deficiency syndrome,spleen kidney Yang deficiency syndrome,less net loss of blood syndrome,intestinal real hot,and down syndrome,spleen and stomach,liver depression and qi stagnation syndrome,qi and Yin deficiency syndrome and gastrointestinal muggy syndrome,qi and blood deficiency,liver and kidney Yin deficiency syndrome,respectively based on the Shanghai mode can be attributed to the classic constipation type four points.Liver depression and qi stagnation syndrome,gastric estrangement drop as an independent type is selected.(2)By "famous doctor of traditional Chinese medicine basis analysis system" frequency is greater than 15 times of 54 kinds of high-frequency drugs,high-frequency drug compatibility groups:radix bupleuri,angelica sinensis,radix paeoniae alba,angelica,angelica,dangshen,Chinese angelica,astragalus,dried tangerine or orange peel,angelica,atractylodes,angelica,angelica,peach kernel,dried tangerine or orange peel,poria cocos,dwarf lilyturf,radix rehmanniae,radix paeoniae alba,acid-insoluble ash,angelica,astragalus,codonopsis,radix bupleuri-cohosh-Chinese angelica,angelica,radix rehmanniae radix ophiopogonis,radix bupleuri-extracted by angelica.Replenishing qi and nourish Yin,nourishing blood,moist,clear heat treatment is an important therapeutic principle of functional constipation.(3)Doses in line with conventional dosage,but individual difference big dose of drug,such as dangshen,astragalus,atractylodes,cassia seed,maximum dose differ with minimum dose more than 10 times.Conclusion:(1)type distribution in justification of functional constipation deficiency syndrome,qi deficiency of Yin deficiency>Qi deficiency>Yang deficiency>blood deficiency,followed by air and the secret card,treatment often focus on ziyin runchang,spleen yiqi,lukewarm embellish aperient,qi and blood.(2)liver depression and qi stagnation syndrome alone in intestinal and qi stagnation syndrome,reducing gastric estrangement certificate as a separate certificate type,prompt in the future should pay more attention in the research of functional constipation qi activity,may be able to develop proprietary Chinese medicine for the treatment of functional constipation curative effect better.Study 2 The experience of Tang Xudong professor in the differentiation and treatment of functional constipation and data miningObjective:Analysis and summary professor tang in clinical practice to the understanding of the etiology and pathogenesis of functional constipation and dialectical medication experience.Methods:(1)were retrospectively collected tutor professor Tang Xudong in January 2015 to June 2016 digestive department outpatient visits China academy of traditional Chinese medicine xiyuan hospital,led by treatment of constipation,clinical records,after strict selection,altogether collected outpatient medical records of 122.(2)data mining:the "famous doctor of traditional Chinese medicine basis analysis system" V1.0 version for data analysis,the acquisition of medical records,including records the general information of disease,disease of traditional Chinese medicine,western medicine,Chinese medicine syndrome,symptoms,tongue veins,drugs,such as data,into the "famous doctor of traditional Chinese medicine basis analysis system" of "the medical record management block",standardize,import in the "pool"data analysis for data analysis.Covers the analysis between drugs frequency statistics,association rules data mining methods.Results:(1)the study of 11 type intestines and qi stagnation syndrome,liver spleen deficiency,and qi stagnation syndrome,liver stomach pixu(spleen deficient)with syndrome,spleen and stomach wet and heat syndrome,liver and kidney Yin deficiency,qi and Yin deficiency syndrome and intestinal heat syndrome,Yin deficiency bowel dryness,qi and blood stasis,spleen lung deficiency syndrome.According to the type 4 points method will be the Shanghai induction,belong to empty the secret card are:pixu(spleen deficient)and qi stagnation syndrome,liver and kidney Yin deficiency syndrome,qi and Yin deficiency syndrome,Yin deficiency bowel dryness syndrome,lungs and spleen deficiency syndrome;Belong to heat the secret:the intestinal of excessive heat syndrome,spleen and stomach hot and humid;Gas the secret card are:intestinal and qi stagnation syndrome,liver depression syndrome,liver stomach with pixu(spleen deficient).(2)the "famous doctor of traditional Chinese medicine basis analysis system" that frequency is greater than 15 times the high frequency of 3 8.High frequency drug compatibility group:radix bupleuri,radix paeoniae alba,radix bupleuri,angelica,angelica,radix glycyrrhizae,radix bupleuri,acid-insoluble ash,snakegourd fruit peel,acid-insoluble ash,radix paeoniae alba,acid-insoluble ash,radix paeoniae alba,fructus skin,angelica,acid-insoluble ash,angelica-magnolia bark,angelica,fire maren,magnolia bark,acid-insoluble ash,etc.,more than three of the most common combinations of angelica radix paeoniae alba,radix glycyrrhizae,radix bupleuri,radix paeoniae alba,radix glycyrrhizae,radix paeoniae alba,fructus skin-acid-insoluble ash,angelica-dwarf lilyturf-raw land.Conclusion:Adjustable factors is paid attention to when professor tang treatment of functional constipation,four commonly used inverse adjustment of liver and spleen homology;In the treatment of functional constipation was good at using wet gas,chemical drugs.