The The Professor Wei Zaixiao Experience Of Treatment Of Type 2 Diabetes And Coronary Heart Disease

Objective:Applying the data mining technology, to summarize the clinical ideas and experiences on diagnosis and treatment of type2diabetes with coronary heart disease of Professor Wei Zixiao, practising the use of data mining technology in inheriting the experiences of famous TCM doctors.Methods:Use the research case acquisition system designed by Xiyuan Hospital of China Academy of Chinese Medical Sciences, screening the medical records of a total of55cases (69visits) of Professor Wei Zixiao diagnosis and treatment of type2diabetes with coronary heart disease, establish structured medical record templates, undertake unity entry, re-use SQL Server-based data mining system, through the descriptive statistics, cluster analysis, correlation analysis and other methods, designate the main symptoms, TCM therapeutic principle, drugs law, Syndrome-drug relationship excavation analysis, make a comprehensive summary of the academic experience in diagnosis and treatment of type2diabetic patients with coronary heart disease by Professor Wei.Results:According to the data mining results, included in the study of55cases (69visits) of type2diabetes with coronary heart disease, there are50female person-times(72.5%),19male person-times(27.5%).Overall suffocating chest tightness, shortness of breath, palpitation, fatigue, weakness, dizziness, chest discomfort are the main symptoms, the constituent ratio are85.5%,56.5%,53.6%,53.6%,46.4%,39.1%. Abnormal tongue picture of cases mainly appeared enlarged and tooth-marked tongue, dark red tongue, sublingual context stasis, account for82.6%,59.4%,29.0%;abnormal pulses are string pulse, thready pulse, deep pulse, the constituent ratio are33.3%,29.0%,23.2%.TCM diagnosis:diabetes Chest are37visits (53.6%), palpitations are15visits (21.7%),heartburn are10visits (14.4%),phlegm are7visits (10.1%).The main TCM syndromes are blood stasis, qi stagnation, qi deficiency, yin deficiency, phlegm, spleen deficiency, kidney deficiency, the composition ratios are81.2%,49.3%,47.8%,40.6%,34.8%,23.2%,21.7%.Main therapeutic principle and methods are activating blood circulation, dredging collaterals, elimination of blood stasis, promoting qi circulation, benefit qi, nourishing Yin, invigorating spleen, dissipating phlegm, invigorating kidney, theconstituent ratio are78.3%,75.4%,72.5%,49.3%,47.8%,43.5%,26.1%,24.6%,23.2%.There are151Chinese herbs to be used,18kinds medicine's frequency>=14times:red peony root, Chuan Xiong, red sage root, white peony root, turmeric, Bupleurum, Citrus aurantium, Poria, Angelica, safflower, Shichangpu, Atractylodes, Pseudostellaria heterophylla, kudzu root, orange peel, Achyranthes bidentata, suberect spatholobus stem.The common drug pairs were:Chuanxiong and Radix Salviae Miltiorrhizae, White peony root and Chuanxiong, Bupleuri and Citrus aurantium, Bupleuri and Radix Salviae Miltiorrhizae, Radix Salviae Miltiorrhizae and Citrus aurantium, Chuanxiong and turmeric, Chuanxiong and Safflower, Chuanxiong and Citrus aurantium, White peony root and Radix Salviae Miltiorrhizae, Bupleuri and Chuanxiong, Bupleuri and turmeric, Bupleuri and Radix Salviae Miltiorrhizae, Citrus aurantium..The core prescription are Chuanxiong, Radix Salviae Miltiorrhizae, white peony root, Bupleurum, Citrus aurantium, turmeric, Safflower, mainly are qi and blood circulation drugs.Rhizome of Swordlike Atractylodes and Largehead Atractylodes Rhizome, turmeric and Bupleurum, Chuanxiong and Bupleurum, Chuanxiong and Citrus aurantium, Bupleurum and Citrus aurantium often the same amount, the amount used for12g;Dan participate and Bupleurum, Dan participate and turmeric compatibility volume relationship often20g:12g;turmeric and Shichangpu, bupleurum and red peony compatibility amount the relationship often12g:15g;Chuanxiong and safflower compatibility relations for12g:10g; red peony root and Salvia compatibility relations for15g:20g; and another three drugs compatibility are red peony root, Chuan Xiong, safflower compatibility relations for12g:10g:15g, red peony, Chuanxiong, Salvia compatibility between20g:15g:12g; Chuanxiong,sage root, turmeric compatibility relations for12g:20g:12g.The last man-machine combination to keep crude refined, discriminating, and improve the Wei teacher diagnosis and treatment of type2diabetes with coronary heart disease experience.Conclusion:Wei teachers believe that the advantages of Chinese medicine to treat the disease is individualized treatment, start from grasping the main symptoms, to establish the diagnosis of Chinese medicine; to distinguish between specimens of the actual situation, diagnosis and treatment, to determine the basis of party; drug addition and subtraction, to form a clinical prescription.That the main symptoms of the disease in order to hold your breath chest tightness, shortness of breath, palpitation, heartache, languid, pathogenesis-based virtual (qi deficiency, blood deficiency, yin deficiency, spleen, kidney, etc.), the standard real (gas stagnation, blood stasis, phlegm, etc.), blood stasis and phlegm throughout the always, often to use the Sini San with Guan Xin Ⅱ prescription eliminate blood stasis and tongbi, use the Gualou Pinellia scallion soup with broad heart pills to Xuan Yang Tong paralysis.The above results are consistent with the diagnosis and treatment of the Wei teacher's ideas.