Summary And Analysis Of Clinical Experience Of Professor Yuanyong

Objective:To objectively and systematically sum up Professor Yuan’s thoughts regarding Pi Man treatment and the regularity of her medication, and to learn and inherit old Chinese medicine expert’s precious experiences.Method:Use clinical cases observation’ table to collect the first visit information of Pi Man patients from Sep 2013 to Feb 2015 in Professor Yuan’s special need clinic at Dongzhimen Hospital Beijing University of Chinese Medicine. The collected information mainly includes the patients’basic information, main description, symptoms and signs, syndrome differentiation, therapy, prescription medication and aftercare, etc. Use the statistical software SPSS system to do descriptive analysis of the general conditions and frequency of commonly used drugs in Pi Man and to chi-square test the relevance between various syndromes of Pi Man and the medication (P<0.05 is considered as of statistical significance of such relevance). Combine Professor Yuan’s oral information and the statistical results to objectively discuss Professor Yuan’s clinical experience in Pi Man treatment.Results:In 50 Pi Man patients, there are 28 cases of males, and females 22 cases, male: female-3:2. Maximum age 76 years, minimum age 22 years, average age 48.58±14.70 years. In the 50 newly diagnosed prescriptions collected, involving a total of 102 Chinese flavor, the frequency of raw licorice, fried malt, Codonopsis, Citrus aurantium, fried Guya and Angelica are higher(≥ 50.00%). Herbal medicine in the top 20, according to the effectiveness of classification statistics, the highest frequency of digestion occurs drugs (103), followed by qi drug (86); by the drug four classification statistics, the highest frequency of leveling agent (45%), followed by temperate drugs (40%).50 cases of Pi Man patients, a total appears four main card, respectively qi and yin deficiency syndrome 17 cases (34%), spleen and stomach deficiency of cold syndrome 14 cases (28%), stomach qi stasis syndrome 11 cases (22%) and spleen deficiency and damp abundance syndrome in 8 cases (16%). For the syndrome drug use statistics, higher frequency (≥ 50.00%) of the drug appears in qi and yin deficiency syndrome were as follows:fried Malt, fried Guya, raw licorice, Citrus aurantium, kudzu root, Codonopsis, Angelica, Gallus gallus domesticus, Astragalus; higher frequency (≥50.00%) of the drug appears in spleen and stomach deficiency of cold syndrome were as follows:Codonopsis, Piper longum, ginger, raw licorice, fried malt, fried Guya, Angelica, Poria, arrowroot; higher frequency (≥50.00%) of the drug appears in stomach qi stasis syndrome were as follows:Citrus aurantium, fried malt, Codonopsis, licorice raw, fried Guya, angelica, Suzi, The Divine Comedy, Inula flower, Fritillaria; higher frequency (≥50.00%) of the drug appears in spleen deficiency and damp abundance syndrome were as follows:Poria, raw licorice, Codonopsis, angelica, dandelion, Perrin, Citrus aurantium, Fritillaria. In qi and yin deficiency syndrome fried Guya, Gallus gallus, Astragalus, habitat were used more frequently than other syndrome, after analysis the difference was significant (P<0.05). In spleen and stomach deficiency of cold syndrome piper longum, ginger, cumin, cassia twig were used more frequently than other syndrome, after analysis the difference was significant (P<0.05).While citrus aurantium used less than other syndrome, after analysis the difference was significant (P<0.05). In stomach qi stasis syndrome citrus aurantium was used more frequently than other syndrome, after analysis the difference was significant (P<0.05). In spleen deficiency and damp abundance syndrome Perrin, Fangfeng, Agastache were used more frequently than other syndrome, after analysis the difference was significant (P<0.05). While fried Malt and fried Guya used less than other syndrome, after analysis the difference was significant (P<0.05).50 cases of Pi Man patients, with abdominal fullness discomfort as based disease, both loose stool in 17 cases, poor stool in 14 cases, belching in 27 cases, acid reflux in 14 cases, heartburn in 11 cases, anorexia in 10 cases, fatigue in 15 cases, dry mouth in 14 cases. Higher frequency (> 50.00%) of the drug appears in loose stool group were as follows:Codonopsis, Poria, raw licorice, fried malt, fried Guya, kudzu. Higher frequency (≥ 50.00%) of the drug appears in poor stool group were as follows:Angelica, Codonopsis, fried malt, raw licorice, peach, Citrus aurantium, fried Guya, almond, The Divine Comedy. Higher frequency (≥ 50.00%) of the drug appears in belching group were as follows:Codonopsis, raw licorice, Citrus aurantium, fried malt, fried Guya, Angelica, Fritillaria. Higher frequency (≥ 50.00%) of the drug appears in acid reflux group were as follows:Codonopsis, fried malt, Citrus aurantium, Fritillaria, fried Guya, arrowroot, cuttlebone, raw licorice, angelica. Higher frequency (≥ 50.00%) of the drug appears in heartburn group were as follows:Fritillaria, Codonopsis, Angelica, raw licorice, Citrus aurantium, white, and, fried malt, fried Guya, cuttlebone. Higher frequency (≥ 50.00%) of the drug appears in anorexia group were as follows:fried malt, fried Guya, Citrus aurantium, arrowroot, The Divine Comedy, angelica, Gallus gallus domesticus, fungus, raw licorice, Codonopsis, Suzi, sage, Fritillaria. Higher frequency (≥50.00%) of the drug appears in fatigue group were as follows:fried malt, Codonopsis, fried Guya, Angelica, raw licorice, Poria, kudzu root, Citrus aurantium. Higher frequency (≥50.00%) of the drug appears in dry mouth group were as follows:fried malt, fried Guya, Codonopsis, raw licorice, Citrus aurantium, angelica, arrowroot, Gallus gallus domesticus, Fritillaria. In loose stool group, poria was used more frequently than other group, after analysis the difference was significant (P<0.05). While citrus aurantium and Angelica used less than other group, after analysis the difference was significant (P<0.05). In poor stool group, Angelica, peach, almond were used more frequently than other group, after analysis the difference was significant (P<0.05). Through statistical and comparison, used frequency of no drugs between belching group and non-belching group were significantly different. In acid reflux group, fritillaria, cuttlebone, calcined corrugated were used more frequently than other group, after analysis the difference was significant (P<0.05). In heartburn group, Fritillaria, Baiji, cuttlebone, calcined corrugated were used more frequently than other group, after analysis the difference was significant (P<0.05). In anorexia group, Divine Comedy, Gallus gallus domesticus, Ganoderma lucidum were used more frequently than other group, after analysis the difference was significant (P<0.05). Through statistical and comparison, used frequency of no drugs between fatigue group and non- fatigue group were significantly different. In dry mouth group, Virgin was used more frequently than other group, after analysis the difference was significant (P<0.05).Conclusion:1. Professor Yuan believes that the TCM pathogenesis of Pi Man is spleen deficiency and qi stasis.2. Professor Yuan treatment Pi Man of the general idea is the basis of regulating qi-flowing for strengthening spleen, and further treatment according to syndrome differentiation.3. The basic side of Professor Yuan treatment Pi Man was presuming that aurantium 10g, fried malt 10g, fried Guya 10g, Codonopsis 10g, Angelica 10-20g, raw licorice 3g.4. In addition to basic drugs, the focus drugs in qi and yin deficiency syndrome were Astragalus, Pueraria, habitat and glehnia; the focus drugs in spleen and stomach deficiency of cold syndrome were Piper longum, ginger, cumin and cassia twig; the focus drugs in stomach qi stasis syndrome were Suzi and sage; the focus drugs in spleen deficiency and damp abundance syndrome were Perrin, Fangfeng, Agastache, Poria and dandelion.5. In addition to basic drugs, the focus drags in loose stool group was Poria; the focus drugs in poor stool group were Walnuts and almonds; the focus drugs in acid reflux group were Fritillaria, cuttlebone and calcined corrugated; the focus drugs in heartburn group were Fritillaria, Baiji, cuttlebone and calcined corrugated; the focus drugs in anorexia group were Divine Comedy, Gallus gallus domesticus and Ganoderma lucidum; the focus drugs in dry mouth group was Virgin.6. The common couple of drugs used by Professor Yuan in treating Pi Man were fried malt and fried Guya, Ginger and Piper longum, Suzi and sage, Agastache and Perrin, walnuts and almonds.7. Professor Yuan believes that Chinese patent drug and western medicine’s use, as well as aspects of nursing in the treatment of Pi Man also need to pay attention.