Study On Diagnosis And Treatment Regularity Of Ankylosing Spondylitis Based On Analysis Of Ancient And Modern Medical Records Data

BackgroundAnkylosing spondylitis is an autoimmune disease, the lesions long time, often involving the central axis joints, causing stiffness, patients with spinal deformities, life can not take care of themselves, impose a heavy burden to families and society. Western medicine treatment more clutter and no specific treatment, Chinese medicine in treatment of this disease in recent years has made great progress with the overall conditioning, individual therapeutic advantage. In this paper, literature research, trying to tap the experience of the ancient physicians and contemporary name of the old TCM treatment of ankylosing spondylitis of, in order to better Doctors later inherit and carry forward.Object ivesUse of the method of literature Analysis of ancient and modern physicians to treat ankylosing spondylitis ancient cases, attempt to analyze the characteristics of experts in academic thinking, and dig out the treatment of ankylosing spondylitis "experience in order to better guide clinical treatment. improve the outcome.MethodFirst, using the methods of philology, the collection of ancient literature, ancient Chinese medicine with AS finishing comb AS nonaggressive origins of the corresponding Chinese disease (back hunchback, a large hunchback, Du disease, the bone is very, back pain, Yaokua pain, lumbar pain, heel pain, waist rump pain, spinal pain, and pain, spinal, kidney weakness, waist hunchback, bamboo wind, the Turtle wind, Turtle sputum) to retrieve words, screening Select the class literature of Chinese medicine case, medical case, the original method of content analysis and encode three coding method based on grounded theory in ancient Chinese medicine. Secondly, through the inspection of500old Chinese list (first, two, three, four batches), and mentor Ho Yi Ting recommended, mainly selected contemporary significant effect in the treatment of rheumatology diseases of the three old Chinese Jiaoshu De Zhu Liangchun Professor Lou multiple peaks, through access to their works, select the treatment of ankylosing spondylitis ancient cases. Finally, all aspects of the etiology and pathogenesis, and ancient and modern medical case records dialectical theory of governance, Li-fa, prescription, acupuncture therapy, external therapy, therapeutic, rehabilitation prognosis can guide elements of TCM clinical diagnosis and treatment information to carry out extraction, classification, analyze, summarize, and trying to analyze the characteristics of the academic thinking of the ancient physicians, and dig out the experience of treating ankylosing spondylitis.Result1. according to the symptomsof words retrieved8053ancient document sprovisions, class literature of Chinesemedicine case of aotalof271cases (3.4%).2. Exclusion criteria and at least AS three main symptoms (low back pain, spinal mobility is limited, spinal deformation) one of the principle to filterthe medical case for a total of113cases.3. Score of113medical case into a score greater than or greater than4points, ancient medical case for a total of26cases.4. access to17books of old coke, Zhulao, Lou old, were included in the contemporary medical case for a total of21cases.5. past and present medical records of47cases of etiology and pathogenesis:deals with exogenous cause of32cases, accounting for68.1%of the etiology and pathogenesis, which Dampness the frequency ofthe highest, accounting for the invasion of exogenous pathogenspathogenesis43.8%, suggesting Dampness occupy a pivotal position;address the lack of righteousness medical case, there were32cases, accounting for68.1%of the etiology and pathogenesis, including17cases of kidney, the Governor has existed in16cases, indicating the importanceof disease based on the renal Governor deficiency internal; deals withphlegm and blood stasis pathogenicity of eight cases, accounting for17.0%.6. Treatment, mainly with Chinese Herbs (decoction, pills, powders, creams and oral administration) of treatment, the main therapeutic principle:get rid of the evils, replenishing organs Zhuangdu the Huoxue Tongluo7.47cases of medical records, a total of102prescriptions and finally65intothe prescription drug statistics, including178kinds of drugs, a total of665drugs per Prescription10.23, greater than or equal to3times drug Statistics:A total of78kinds.8. After statistical analysis, the most common medication for licorice, angelica, white peony root, cassia twig, Achyranthes, papaya, Poria, Cyperus rotundus, independent living, Notopterygium dried rehmannia root, rehmannia, antlers, Psoralea, Salvia, Coix Seed, Loranthaceae, aconite. The most commonly used class of drugs is a divergent cold medicine, rheumatism medicine, diuresis Shenshi drug, temperature inside medicine, Traditional medicine, qi medicine, Yang drug the hematinic and yin tonic.9. Licorice In the treatment of the most frequently used.ConclusionFinishing on the basis of ancient and modern AS Medical Records in the system, the depth study of disease medical records of47cases of water and gas and mining, using frequency analysis to investigate the etiology and pathogenesis of AS, Diagnosis and Treatment of law, drug law, focusing on miningAS Treating law, summed up the lack of righteousness, particularly in the kidney Governor deficiency-based incidence of the fundamental evils invasion, in particular, mainly in the cold wet evil heat evil invasion is an important factor in the pathogenesis of, and Phlegm Blockage of orderThe pathogenesis is more mixed. The therapeutic principle to pay more attention to replenishing the organs (especially kidney Zhuangdu) and get rid of the evils in the treatment of treatment of Chinese Herbs-based, emphasis on the use of external treatment.Drug administration:the most common medication, licorice, angelica, white peony root, cassia twig, Achyranthes, papaya, Poria, Cyperus rotundus, independent living Notopterygium, dried rehmannia root, Rehmannia, antlers, Psoralea, Salvia, Coix seed, Loranthaceae, aconite, licorice use, especially widely. Pills, powders, creams in the drug treatment is also very important. The most commonly used class of drugs is a divergent cold medicine, rheumatism medicine, diuresis Shenshi drug, temperature inside medicine, Traditional medicine, qi medicine, Yang drug the hematinic and yin tonic.After finishing analysis can initially see Professor Jiao Shude, Zhu Liangchun, and the Lou multi-peak on the knowledge of ankylosing spondylitis and ideological characteristics of similarities and differences. Coke old that the disease kidney, Governor Yang and oriented, exogenous evil as the standard, at the same time a long illness evil Ikuhisa of heat, the dialectic can be divided into kidney Governor cold syndrome, heat syndrome of evil Yu, the Blockage limb card, evil and the hepatopulmonary card, and the creation of in kidney Zhuangdu on the basis of strong kidney Governor Tang series. Zhulao that the nature of the disease is kidney Governor deficiency, the kidney can be divided into the kidney yang deficiency kidney yin deficiency; dialectic into Governor Yang and kidney, alpine Blockage of the kidney Governor Yin, hot and humid addiction stagnation, to promote kidney and insect drugs and blood circulation point of view, the creation of a kidney bracelet paralysis pill. Old Lou Lou veteran cause of induction of AS is positive imaginary, evil invasion, bleeding in three aspects, referred to as "imaginary, evil, blood stasis, from the imaginary in terms of divided into congenital and acquired the other, and the creation of legislation virtual evil stasis, evil stasis syndrome differentiation "create virtual","OK miscellaneous together to cure the" point of view.