Discussion Cassia Twig Recipe Of Professor Guo Lizhong "Prevailing Circumstances" Therapeutically Ideology Based On Medical Record Study

[Objective] Based on cassia twig recipe treatment medical records which Professor Lizhong Guo used in the past three years,the application of computer data processing method,focused on the therapeutic applications of cassia twig recipe.summarized the potential factors cassia twig recipe prevailing circumstances,used model comparison method to explore the potential difference between the factors and changes in the drug addition and subtraction contact,in order to deepen the theoretical basis of cassia twig recipe prevailing circumstances,to grasp the application of law of cassia twig recipe.[Methods] Using Medcase V3.2 medical case data recording system.collecting medical records of application treatment of cassia twig recipe in nearly three years. In strict accordance with the inclusion criteria,exclusion criteria were selected from 719 clinics (people) in patients with newly diagnosed secondary information establishing medical records database; data analysis using the R language and WPS data processing system,in terms of disease,interpretation of the cause,symptoms,tongue and pulse,drugs for treatment information for statistical analysis,take keyword search mode,combined with clinical experience tutor potential factors summarized. And select from evil,disease location,disease three potential factors typical "Cold","Surface", "Menstruation",the overall symptom frequency and distribution of the drug control model, using trend curves comparative study, their clinical symptoms,difference,between the drug and the data results are analyzed and summarized.[Results] Patients Gender More women than men;age of onset and more concentrated in 18-65 years (young adult) stage;course of disease more than 1 year;the treatment of various dermatological diseases appear the most frequency,followed by cancer,chronic gastritis,insomnia,sub-health,chronic kidney disease,irregular menstruation,diabetes,hypertension,chronic cholecystitis,lumbar disc disease,cerebral infarction,headaches,rheumatoid arthritis,cervical spondylosis; in symptoms be afraid of cold and abnormal distribution of sweat appeared most frequently,followed by back pain,poor sleep soundly at night,dry mouth,neck stiffness,fatigue,stomach pain,shoulder pain,cold limbs, Shenpi, like hot drinks, irregular menstruation, dizziness; tongue highest frequency of occurrence hostages pink, thin white fur, big fat with scalloped edges. Pink and dark red tongue to the forefront, accounting for 78% of the sample size, thin white and thin greasy occupy 74% of the sample size; pulse appears before the four kinds of frequency were Jin,Xi, Hua, and Fu pulse. Wherein the Jin pulse frequency to 524 accounted for 72%; cassia twig recipe discourse pathogenesis involves Evils, Six Classics, Qi and blood, surface and inside,pulse, Zangfu, etc., are arranged before the three were cold dampness stagnation, poor blood, veins tight like; drug distribution, the frequency before the 22 were Cassia twig, Ginger, Licorice, Zhu Fushen, Rhizoma atractylodis, Rhizoma pinellinae praeparata, Acorus gramineus Soland, Angelica, Hawthorn, Patchouli, Dried tangerine peel, Herba, Amomun kravanh, Fennel, Fraxetin, Fructus amomi, Magnolia, Raw white atractylodes rhizome, Lignum pini nodi, Ligusticum wallichii, Gastrodia tuer.By analyzing potential factors, cassia twig recipe consequent potential can be divided into the evil, Qi and blood, Zang and Fu, surface and inside, Six Classics, yin and yang, sequence, pulse and menstrual nine categories. In illness evil, a single pathological factors in six evils to wind, cold, wet, fire is more common endogenous pathological factors to phlegm, blood stasis, heat, drugs common. Pathological factors in alpine and folders most, accounting for 37%, respectively, followed by phlegm, phlegm wind, cold, phlegm.Special focus on clinical symptoms of identification, such as acids, pain, cold, dryness, swelling, stiffness, cold, itching and hemp. Bit list of potential illness, on the "surface and inside" discussion in accordance with the frequency, there have been 107,open the surface for the first highest frequency. Because of the situation by the characteristics of the six Classics, the Taiyang Classics occupies 72%, Yangming and Taiyin on second and third, the two together accounted for 26%. Because of potential physiological characteristics of the Zang and Fu, theinterpretation of the cause and drug records owned by consistent are the liver, lungs, spleen mainly; Because of potential physiological characteristics of the pulse, Jin pulse, Xi pulse, Hua pulse, Fu pulse for the first four the pulse; because of the potential sequence mostly has been described as make through by warm first, get rid of wind first, reconcile Qi and blood first,first feint and second origin, sequential treatment, and so make the best on prevailing circumstances. Because of the potential of the yin and yang balance emphasize increase the function of Yang and get rid of cold. Due to the potential of menstruation, irregular menstruation performance 115 frequency, The clinical manifestations for hypomenorrhea, dark color, blood clots, dysmenorrhea, menstrual colds.For "cold" of the situation of 389 cases of medical records, the symptom frequency the top eight are cold, abnormal sweating, stiff neck, back pain, poor sleep, fatigue, shoulder pain, dry mouth. Fluctuations in the whole of the curve, abnormal sweating, cold, stiff neck, shoulder pain and joint pain, numbness and other emerging frequency was significantly higher than other symptoms in the model frequencies. The first ten of the pathogenesis were cold stagnate, cold coagulation in Tai yang, within cold filled, cold-volt solar, wind and cold made the table, cold in the resistance, carrying typhoid, Yang deficiency and cold coagulation, exogenous cold, so broad nature of the treatment of visible cold evil. The use of medication is consistent with the overall contrast, but amomum, raw typha pollen, angelica are lower than the overall rate.Herb, Shi Changpu, orange peel, cardamom, cumin, angelica and other drugs than the overall frequency of administration. Because in 107 cases of medical records Symptoms of "due to the potential of the table", the frequency of abnormal sweating was 60%,which was higher than the cold of 41%. The frequency of abnormal sweating, itching and cough was significantly higher than the overall model. At the same time, cold, stomach pain, abdominal pain, acid reflux, constipation, dizziness, headache and joint pain were lower compared to the frequency of other symptoms. The disease machine to open the table as the first among the forefront. More than 50% of the drug were cassia twig ginger, licorice, Zhu Fu Shen, herb, Angelica, Shichangpu, France Breit. Zhu Fu Shen, Shichangpu, Angelica, Citrus, fruit, Kochia scoparia, Cnidium and other drugs were more frequently used than the model level.The use of Epimedium, cardamom, cumin, peel, Amomum, Magnolia, Eucommia, raw Puhuang and other drugs was frequency lower than the overall level; in 29 patients due to the potential of menstruation, the first 55 types of cold symptoms, menstrual symptoms during the frequency has been outstanding, ranking second in irregular menstruation, such as menstruation, menstrual volume, more gore, dark, breast tenderness, back pain, fatigue, dysmenorrheal and so on. Compared with the frequence of model, irregular menstruation, dry mouth, fatigue, cold limbs, headache, constipation, abdominal pain, impatient, joint pain and others were higher than the overall level. Pathogenesis discussion was dominated by menstruation should be unobstructed. In Therapeutic use, the frequency of ennel, raw Puhuang, angelica, peel, Chuanxiong, Evodia, aster and leaves has increased. The frequency of orance Breit, Shichangpu South hawthorn, rugosa, dried tangerine peel and cardamom has frequency decreased; Magnolia, Amomum, Atractylodes, Tianma, fruit, belvedere fruit and other drugs were not used.[Conclusion]1, Cassia twig square has a wide range of applications;2, The main pathological factors is cold and wet, multi-use XinWen drugs;3,The order concept of rule of application of cassia twig recipe is prior to exterior syndrome and demonstration, after treatment in interior syndrome and deficiency syndrome.4, Abnormal sweating, cold, stiff neck, shoulder pain, numbness, itching, cold limbs, irregular menstruation, fatigue, stomach pain and other indications as a sign of dialectical application, which involves six meridians, organs, blood triple burner and so on;5, The factors of prevailing circumstances include Evils, QI and blood, Zang and Fu, exterior and interior, the six channels, yin and yang, sequence, pulse and menstrual;6, Cold, stiff neck, shoulder pain, joint pain and numbness in the pathogenesis of the "cold" to determine the greater probability.7, When abnormal sweating, symptoms of itching and coughing in the pathogenesis of judgment was "table", which was more informative. Sweating normal or abnormal was a specific clinical indications of "exterior syndrome". At the same time, it can extend the means of "table". Abnormal sweating, qi unusual, incoordination between nutrient QI and defensive QI, stagnation of QI and blood and other "real evil and Yang depression" states, which were all belong to "table" category. The treatment idea of "dispelling exogenous evils for first" provides a new idea for the treatment of difficult diseases.8, Cold, irregular menstruation,impatient,breast pain and other symptoms of the disease when the machine is determined by "menstruation" is more informative. In the medication of medication choice,the key point is resuming normal menstruation or promoting drainage,which reflects the momentum and profit guidance.