The Research Of Professor Zhou Zhongying's Clinical Experience In Differentiation And Treatment Of Common Digestive System Diseases Base On The Viscera Pathogenesis Theory

Professor Zhou Zhongying is proficient in the flexibility of syndrome differentiation and treatment,advocating dialect should be the first serious pathogenesis,the pathogenesis is the link between the theory and practice,realize that "trial and answer machine,discrimination machine governance" is the flexible use of syndrome differentiation and important thinking method Put forward the "pathogenesis of thirteen",advocated to pathogen syndrome for the dialectical treatment of the core,to build a "new pathogenesis of Chinese medicine pathogenesis." Among them,Professor Zhou proposed "sickness as the core","viscera theory as the basis",indicating the importance of organs and pathogenesis.Professor Zhou from the overall point of view,that"internal organs as a whole",organs related organs,dirty disease needs internal organs,organ disease should also be dirty,in clinical applications when the "organs Tongzhi" thinking treatment of disease.Research purposes:Professor Zhou Zhongying's clinical medical record as the research object,through data mining analysis and the study of typical medical records,Professor Zhou based on the "five internal organs",advocate " the Method of Simultaneous Treatment of Zang and Fu " rule digestive system common four diseases(Cirrhosis of the liver,Cholelithiasis,Chronic gastritis,chronic colitis).Research methods:Based on the data of Zhou Ziying's studio database,the screening and cleaning of common cases of digestive diseases were carried out.In accordance with the diagnostic and exclusion criteria,600 cases of medical records were included in the study and a new database was established,including cirrhosis,Cholelithiasis,chronic gastritis,chronic colitis four Western medicine diseases.With the help of statistical analysis software,the paper analyzes the pathogenesis,the condition of organs,prescription drugs,drug administration and prescription compatibility.The frequency statistics,complex network core component analysis,association rules and so on,man-machine combination,expert interview,Multi-level,all-round objective summary of Professor Zhou Zhongying in the treatment of common digestive diseases in clinical experience.Research result:(1)General situation:four diseases of 150 patients,the average age(46.90 ± 12.83)years old,cholelithiasis or male in 58 cases,the average age of 46 patients with cirrhosis,Female age in 92 cases,the average age(49.92 ± 13.75)years old,chronic gastritis in 60 males and 90 females,the average age(47.14 ± 14.13)years,80 cases of male patients with chronic colitis,70 females,the average age(40.27 ±13.51)years old.(2)Pathogenesis:600 cases of medical records involved in the pathogenesis of 261 species,the more common organs of the pathogenesis are:liver and stomach and(103 times),liver and spleen injury(79 times),liver and gallbladder loss of the Secretary(72 times)Liver and gallbladder dampness(56 times),bowel disorders(49 times),liver and spleen deficiency(31 times),liver and spleen irregular(30 times)and so on.(3)Drug distribution:600 cases of drugs were a total of 331 kinds of drugs,including cirrhosis of the main treatment of liver and spleen,cholelithiasis treatment mainly in the liver,gallstones,chronic gastritis Of the main treatment of the spleen,stomach-based,chronic colitis treatment in the main liver,spleen,stomach,intestinal-based.(4)Commonly used core prescription:The treatment of Cirrhosis of the liver often used Yin Chen Hao Decoction,Bie Jia Jian Pills,Xi Jiao Di Huang Decoction,Yin Chen Si lin Decoction,Yi Guan Jian,Liu Wei Di Huang Pills,Ji Jiao Li Huang Pills,etc.;The treatment of gallstone disease Often use Si Jin Powder,Da Chaihu Decoction,Chaihu Shugan Powder,Xiaoyao Powder,Banxia Houpu Decoction,Zuojin Pills,etc.;Treatment of chronic gastritis,commonly used Si Jun Zi Decoction,(Xiang Sha)Liu Junzi Decoction,Zuojin Pill,Er Chen Decoction,Shashen Maidong Decoction,Jupi Zhuru Decoction,(Huanglian)Wendan Decoction,etc.;T reatment of chronic colitis,commonly used Wumei Pills,Chishizhi Yuyuliang Pills,Shen Ling Bai Shi Powder,Er Miao pills,Jiao Tai pills,Muxiang Binglang Pills,Tong Xie Yao Fang and so on.(5)Association rules results:Through the association rules analysis of common organs and the relationship between the pathogenesis of drugs,such as liver and kidney deficiency with the pathogenesis of drugs are Ligustrum lucidum,Eclipta,Medlar and so on.Analysis conclusion:(1)Professor Zhou from the overall view,the complex pathogenesis,to "five internal organs" as the core,attention to organs related pathogenesis,combined with pathological factors,from the organs of Tongzhi treatment of common digestive diseases.(2)Professor Zhou treatment of liver cirrhosis,seize the liver and spleen as the core,attention Tongfu,often with the gallbladder,and stomach,intestines and other treatment ideas.Treatment of gallstones,Professor Zhou Shu liver and gallbladder row of stone,with four gold scattered and large Bupleurum soup as the core,accompanied by conditioning the spleen and stomach function.Treatment of chronic gastritis,Professor Zhou from the gas point of view,attention to the regulation of liver qi,election rich,flexible combination.Treatment of chronic colitis,Professor Zhou liver and kidney Tongzhi,taking into account other organs.(3)In the description of Zang Fu pathogenesis,Professor Zhou often adopts the form of combination of pathological and pathological factors,such as liver and gallbladder damp heat,etc.the prescription is based on the consideration of the viscera and the meridian,and aims at the pathological factors.(4)Professor Zhou attention to care of spleen and stomach function,are reflected in different diseases.