Professor Feng Xinghua 's Experience And Data Analysis Of Treating Postpartum Rheumatism

Objective:Summarizes the origin and development of the etiology and pathogenesis of postpartum rheumatism, uses the data to mine the platform, and analyzes Director’s diagnosis and treatment and his regular pattern of using prescription drug, the thesis can sum up the experience and guide clinical.Methods:(1) Literature review:Consults the related books, searches CNKI in 30 years, this thesis reviews and summarizes the discuss about etiology and pathogenesis and treatm ent of each generation of the acknowledgement.(2)The data mining:it collects 90 prescriptions of 63 patients, records and keeps in the files of patients’ treatment condition, predisposing factors,diagnosis, TCM syndro me, prescription and specific drugs. It establishes an electronic database by using Epid ate3.1 software and analyzes the frequency by SPSS20.0 and excel software, also the WEKA3.7.5 helps to analyze the association rule data mining.Results:(1) Literature review:the name of the disease is various,gynecology of tr aditional Chinese medicine call it postpartum body pain,Chinese medicine rheumatism world widely call it postpartum bi,now clinical doctor usually call it Postpartum rheum atism.The main joints’ symptoms of the disease are the stabbing pain、the cold sore、t he cramp pain、the ache and so on.The body symptoms are the bad cold and the hea dache. The reason of causing this disease is dual deficiency of qi and blood, kidney qi deficiency, attack of exogenous evils, blood stasis. More and more doctors realize t he importance of emotional factors. So it must distinguish the degree and pay attentio n of reinforcing qi and blood, tonifying liver and kidney, promoting blood circulation and removing blood stasis, soothe the liver and rectify qi when treated.(2)The data mi ning:descriptive show that all cases of patients with primary syndrome have cold evil 42 (46.7%), qi stagnation 40 (44.4%), wind evil 37 (41.1%), qi deficiency 27 (30%), blood deficiency,25 (27.8%), kidney deficiency 23 (25.6%), blood stasis 22 (24.4%), damp obstruction 15 (16.7%).The main syndrome are binding depression of liver qi 36 (40.0%), wind-cold invation 29 (32.2%), dual deficiency of qi and blood 24 (26.7%), kidney deficiency and evil invasion 19 (21.1%).The main prescriptions of supervisor ar e Dan Zhi xiaoyao powder 25 (27.8%), Bazhen Tang 21 (23.3%), Duhuo Jisheng Tan g 14 (15.6%),Fangji huangqi Tang 12 (13.3%), Bupleurum plus Longgu Oyster soup 1 0(11.1%). The mainmedicines are Tonic 26 (20.1%), drug for invigorating blood circul ation and eliminating stasis 14 (10.8%), Diaphoretics 13 (10%), herbs for expelling wi nd and dampness 11 (8.4%). Based on the "support-confidence", binding depression of liver qi has a close relationship with Dan Zhi xiaoyao powder, the confidence level is 0.69. Closely related to dual deficiency of qi and blood and eight Jane soup, conf idence is 0.83; Kidney deficiency and evils invasion closely relates to Duhuo Jisheng Tang, the confidence level is 0.69 Wind-cold invasion closely relates to chaihuguizhi d ecoction, the confidence level is 0.68.Conclusion:(1) Literature review showed that each period of physicians think pue rperal women in special physiological period. Dficiency of healthy qi and wind-cold e vil invasion is the key to postpartum rheumatism, dampness and blood stasis are the main pathological factors.(2)The data mining show that the main factors according to t he disease are wind evil, cold evil, and qi stagnation, qi deficiency, blood deficiency, kidney deficiency, blood stasis and damp obstruction. The main syndrome types are bi nding depression of liver qi syndrome, wind-cold invasion, dual deficiency of qi and blood syndrome, kidney deficiency and evil invasion.Syndrome differentiation in treatm ent,drug use be Wen Gan of peace,both pay attention to reinforcing qi and blood, also attaches great importance to soothing the liver and rectifying qi.