| Objective:Analysis of Mi Yiying's treatment of lung cancer and characteristics of using drugs about, who is the old well-known traditional Chinese medical doctor, based on the information collection and analysis of technical.Method:Taking the method of the traditional clinical cases copied and combination of acquisition.1. Copy the prescription:Copy the prescription is traditional method of studying with the teacher with a millennium history, during the course of coping prescription, Comprehend Mi Yiying's treatment of lung cancer and characteristics of using drugs.2. Acquisition data:Case acquisition and analysis is a "major disease prevention and treatment of clinical medicine individualized treatment information collection system," admitted the old meters Yi-ying were out-patient Chinese medicine treatment of lung cancer cases, to realize the old meters prescription cases of clinical information dynamic, multidimensional, structured collection. Then we followed by cases in structured clinical data through the ETL software to import Guang An Men Hospital, China Academy of Traditional Chinese Medicine Research Group's data warehouse, making the information into medical records that can analyze data, to facilitate analysis of m-Yi-ying, director of physician mining experience.3. Data analysis and mining:multi-dimensional search using Chinese medicine hospital of Guang An Men and display platform, using Statistic analysis software, SAS analysis software, and IBM's Intelligent Miner tools such as descriptive analysis of data, column joint analysis, association rules analysis, principal component analysis, factor analysis, discriminant analysis, decision tree and neural network analysis.4. Combination and analysis:will be copied to and analysis of cases collected combined and analyzed of the experience of coping prescription and the result of analysis, mutual authentication, to draw a final conclusion, finally get Mi's Recognition.Basic Information:select treatment in the Ministry of Health Beijing Hospital, Yi-ying, director of meters of lung cancer patients, a total of 52 people, the longest history of more than ten years, the shortest 10 days.35 were males and 17 females.Results:The results of the analysis of cases collected:A total of 124 patient entry times, including squamou cell carcinoma 23 times, adenocarcinoma 67 times, small cell carcinoma 10 times, large cell carcinoma 2 times, unknown type 22 times.33 patients treated by surgery, radiotherapy,14 patients, chemotherapy in 22 chemotherapy interval 18 times, targeting the treatment of patients four times, pure Chinese medicine treatment in patients with stage 31 times. Name of disease accounted for 62%of cough, pulmonary rock accounted for 20%, consumption for 8%, and other diagnosis (including diarrhea, fever, stuffiness, hiccups, chest pain) accounted for 10%. A total of 186 systematic inputs of the symptoms, the highest frequency of positive symptoms and signs as a cough, fatigue, thin pulse, string pulse, red tongue and so on. In TCM syndrome, deficiency of lung yin is 25.9%, phlegm is 21.0%, lung heat is 14.1%, deficiency of lung qi is 9.3%, deficiency of spleen qi is 9.3%, deficiency of kidney yin is 4.9%, and blood stasis is 3.9%. In governing law, relieving cough are 61 times,accounting for 16.4%; expectorant are 60 times, accounting for 16.1%; nourishing yin are 45 times, accounting for 12.1%; clear lung heat are44 times, accounting for 11.8%; nourishing Spleen are 38 times, accounting for 10.2%; nourishing qi are 26 times, accounting for 7.0%; promoting blood circulation are 8 times, accounting for 2.2%. In which patients diagnosed with cough use relieving cough 20.7%, expectorant 17.7%, clear lung heat 13.7%, nourishing yin 12.5%; diagnosed with lung-rock nourishing spleen 15.9%, nourishing kidney 12.2%, expectorant 12.2%, nourishing qi 9.8%; diagnosed with consumption use nourishing spleen 23.7%, nourishing kidney 21.1%, nourishing qi 13.2%, expectorant 7.9%; diagnosis of fever in patients with clear lung heat 25.0%, nourishing yin 25.0%, dispersing lung 16.7%, relieving cough 16.7%, expectorant 8.3%. In Commonly used prescription, the Kesoufang use 48 times, nourishing yin and clear heat, expectorant; the Feiaifang use 29 times, nourishing qi and yin, clear heat; the Bupiyishenfang use 3 times, nourishing spleen, kidney, qi; use Shenlingbaizhusan 9 times; Baihegujintang used 3 times; Qinghaobiejiatang use 3 times; Feibujiejiefang using 2 times to promoting blood circulation and expectorant. Commonly used drugs are tonic medicine, clear heat medicine, resolving phlegm drugs, including tonic medicines accounted for 20.1%, clear heat medicine accounted for 17.6%, resolving phlegm drugs accounted for 12.6%. Promoting Blood circulation drugs have a higher frequency than other else, but only 5.7%. In all tonic medicine, tonic qi medicine is 34%, tonic yin is 37%. The main clear heat medicine is heat-clearing and detoxicating herbs, for 53%of the main. Three kinds of clinical evaluation show that doctor Mi has an effective treatment of lung cancer, the effect stability, and can alleviate symptoms in patients, improve patient quality of life.Conclusion:copy side of clinical experience with the systematic analysis of the results collected mutual authentication, combined with analysis, please meters Yi-ying, director of physician verified the following conclusions:1. Rely on western medicine imaging, pathology means a clear diagnosis;2. Chinese and Western combined, comprehensive treatment, a reasonable choice of treatment means;3. Weakness, phlegm, heat, blood stasis, toxin in five areas;4. Generous use of complex law, nourishing, clears phlegm and heat mainly, with promoting blood circulation, detoxification;5. Hold pathogenesis, draft prescriptions by herself, Differential Treatment;6. Using pairs of drugs, drawing on modern pharmacology, addition and subtraction of drugs. |