| [Objective]To explore old Chinese Mi Yi Ying experiences on breast cancer treatment[Subjects and Method]Subjects:- Choose from Feb,2013to Mar,2014, received treating in the Ministry of Health, Beijing Hospital, after Mi Yi Ying, director of physician diagnosis and treatment of breast cancer patients, a total of102people. Of which102female patients, age range32-75years old. Of these patients, less than45years of age is between45to60years old15to63people, older than60years of age as24.Methods:A case of data collection:the use of "in the prevention and treatment of major diseases in clinical medicine individualized treatment information collection system " in the case acquisition and analysis techniques, collecting old Chinese Mi Yi Ying, director of the physician-patient cases of breast cancer treatment, the dynamic in the data collection process, multi-dimensional, structured in the prevention and treatment of major diseases. After the clinical data generated by the ETL software after a summary, and then enter the data warehouse Guang An Men Hospital, so that the information contained in medical records aggregated into the analysis of data, systematic analysis of mining Mi Yi Ying, MD, director of Clinical treatment of breast cancer experience(2) Data Analysis and Mining:The Grandmaster retrieve multidimensional analysis and display platform, use Statistie analysis software, SAS analysis software and tools such as IBM’s IntelligentMiner data will be aggregated descriptive analysis, contingency analysis, association rule analysis, principal component analysis, factor analysis, discriminant analysis, decision trees and neural network analysis3Comprehensive analysis:copy side is the traditional method of learning with the teacher years ago continues to this day. Experience in copy side and thinking Mi Yi Ying, director for individualized theory of governance, diagnosis and treatment of science, law, parties, drugs, including dialectical thinking and medication characteristics, combined with cases preclude the result set analysis obtained comprehensive analyze mutual authentication, come walk early conclusion to the MI Yi Ying, director consulted, to be recognized.[Results] The study can be obtained through data collection, the vast majority of breast cancer patients in this study to comprehensive treatment therapy, that Western medicine surgery, radiotherapy and the chemotherapy as primary treatment, combined with TCM. The patient’s syndrome, the most common deficiency to which types of the kidney patients (33.7%), liver yin deficiency type patients (23.7%), in the prevention and treatment of major diseases9.0%,8.3%in patients with the poisoning caused by type, qi12.0%of patients with type stagnation, blood stasis type of the patient is minimal, at1.4%. Cross syndromes, liver and in the prevention and treatment of major diseases45patients,21patients of both the kidney and spleen deficiency type,18patients with kidney poisoning caused by both types. Therefore, treatment with tonic-based. Among them, there are75cases of patients with kidney, liver tonic patients have42cases, patients had31cases of the replenishing spleen, Qi, nourishing patients are four cases. Followed by detoxi in the prevention and treatment of major diseases, the Endometriosis, the blood.21patients detoxification, dampness of25cases of patients, patients meridians of27cases, and in patients with liver qi of18cases,15cases of patients with endometriosis, the patient blood circulation to six cases. Selection of the treatment prescription, mostly by the parties, in which the vast majority of kidney and liver yin to Liuweidihuang Pill main square, therapy with Shigemi Han wood, Bushenyijing based. Patients with liverthe depression and spleen deficiency of both, therapy with liver qi based. Spleen and stomach by Therapeutic spleen qi, replenishing spleen based. Patients poisoning caused by card, therapy with dampness detoxification, diuretic Shenshi based. In this study, using the CPC162herbs, including tonic drugs accounted for32.2%, is the most frequently used and the dose of a drug. The second is the detoxification of drugs, the proportion was12.3%. Tonic drugs most used drug is yin, the ratio is36.3%, followed by qi drugs, the proportion was22.3%. Among the top20most frequently used herbs as the Poria, the Prunella, the wolfberry,the Polyporus, the gutta, the Amomum, the dogwood, the mistletoe, the fried dodder seed, the Alisma, the Curcuma, the Dan, the cardamom, the yam, the Ligustrum son, the astragalus,the habitat, the Huang Jing, the Agrimony, appeared in86prescriptions in their81,72,63,59,57,52,49,47,42,41,39,36,35,35,33,31,31,25,18times. Frequency of occurrence is low, there is Viola, soil Fuling, plaster, indigo and so on. From the analysis of the overall situation, m Yi Ying, director of physician medication more choices in the prevention and treatment of major diseases, gas consumption disability allowance or go channeling goods, rarely used precious herbs. Most of the dosage of prudence, the maximum amount of the drug units does not exceed30g, because too much can hurt considered attack the upright. Meridian drugs to the liver, kidney and two by the most common. [Conclusion]With the teacher through a period of temporary permits, request guidance, in the prevention and treatment of major diseases:Pathogenesis of breast cancer to liver qi stagnation, the liver and the kidney based. Meanwhile, the surgery in the prevention and treatment of major diseases, chemotherapy may have gastrointestinal the reactions, affect the liver and the kidney function, bone marrow the suppression and other side effects. Then focus on the treatment of in the prevention and treatment of major diseases. Medication calm, always pay attention to the support the healthy, nursing care Stomach, do not hurt being evil attack. Good medication right, according to the disease of the drug addition and the subtraction flexible. Plays an important role in the collaborative treatment of breast cancer after injury, reduce adverse reactions and side effects of radiotherapy and chemotherapy, etc., to improve all the patient outcomes, in the prevention and treatment of major diseases survival with the tumor stage... |
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