The Retrospective Research On The Cases Of Insomnia Treating By Warming-kidney Based On Data Mining

Objective:According to mentor’s three years of diagnosis and treatment of insomnia medical record, using modern computer technology and data mining system, discussing mentor’s clinical experience of Insomnia treating by warming kidney, so can deepen the understanding of Chinese medicine about Fu Yang thought, and improve the clinical efficacy of insomnia.Methods:In the three years of learning with the teacher, I collect and straighten out the insomnia medical record treating by warming kidney, and sift thest records in accordance with the diagnostic criteria、inclusion criteria and exclusion criteria. With the help of Medcase V3.2 State Medical membership pulse pattern data mining system, I set up a database of insomnia with 113 cases、503 times of records, and organize the collection of the symptoms、pathogenesis and drugs. In the end, analysing the result.Results:There are 32 cases 143 times of male patients and 101 cases 360 times of female patients in 133 cases of insomnia patients. Age distribution status:there are 2 cases between 10 and 19 years old,7 cases between the ages of 20 and 29,33 cases between the ages of 30 and 39, 39 cases between the ages of 40 and 49,26 cases between the age of 50 and 59,22 cases between the ages of 60 and 69,4 cases between 70-79 years old. Pathogenesis:the probability of common pathogenesis are:zhen yang deficiency and Yin fire rise in 38.8%; Yang deficiency of spleen and kidney, cold and dampness resistance in 18.3%; cold and dampness inside,qi and blood blocks in 15.4%; the deficiency of yang and blood, the mind losing in 9.7%, accounting for 82.2% in all diagnosis times. Clinical manifestation:the occurrence frequency of 14 symptoms is more than 70 times, they are trouble falling asleep, easy to wake up, much dream, low back pain, tired weakness, cough up phlegm, stomach bilges, stiff neck pain, cold limbs, aversion to cold, dry mouth, loose stool, shallow sleeping and poor appetite. Tongue and veins:the tongue is reddish or dim,the coating is thin and white, or greasy. The vein is empty, tight, thready, smooth or float. Treatment:the common medicine is zhu fu shen, zhi fu pian, sha ren, sheng jiang, yin yang huo, chao zao ren, gui zhi, gan jiang and so on. Treatmeng method:the common treating method is "guizhi method","fuzi lizhong method","sini fengsui method","sini guipi method".Conclusion:the basic principle of treating about insomnia is "fu yang and restrain yin", the basic goal is "lead Yang into Yin"and "produce jing and blood", sticking to successively thought, claiming to dredge qi and blood, dredge the three-jiao, opening the door of yang, then warming kidney-yang. Specific on the treatment, according to the successively thought, puting forward the "guizhi method","fuzi lizhong method","sini fengsui method"and"sini guipi method".