Study On Syndrome-treatment And Prescription-drugs Of Wang Xiangli In Treating Chronic Prostatitis Based On The Data Analysis

Objective:Through a serious of modern mediums of mathematical statistics and physics to Pedagog Wang Xiangli's treatments of chronic prostatitis clinical medication and mental activities carries on the preliminary induction,and then analyzes its "symptoms-syndromes-treatments-prescriptions-remedies system" of potential regularities.Further to investigate and summarize the empiric of diagnosis and treatments of Andrology diseases by my tutor.Full of receiving and developing the distinguished experiences and superiorities of the old Chinese medicine,which is applied to lay the rationalized and scientific foundations for the TCM precaution and therapy of chronic prostatitis.Methods:Utilizing the methods of prospective clinical observation,all outpatient medication which is collected from professor Wang Xiangli's cured and conformed the inclusion criteria 227 cases of patients with chronic prostatitis according(during 4weeks),ordinary communication,symptoms,tongue image,pulse situation and EPS inspects into Microsoft Excel 2007,framing a clinical databases.Exploiting SAS system for windows V9.3 to generalize the core prescriptions of chronic prostatitis,angle of drug,triplet medicine,dosages,and the compatibility of the law and by means of self-controlled methods,appraising its curative effect objective.Results:1.Statistical analysis revealed that professor Wang Xiangli governing syndrome type of the TCM for the therapy of chronic prostatitis are types of qi stagnation and blood stasis(40.97%),dampness-heat diffused downward syndrome(47.58%),liver-kidney Yin deficiency pattern(3.08%)and kidney-yang insufficient pattern(8.37%),whereas kidney deficiency and dampness-heat stagnancy type was accounted for more than 88.55% in all collected medical cases of illness.2.4 group of core syndromes main dialectical points: pattern of qi stagnation and blood stasis consists of loin and knee faintness,nocturnal enuresis repeatedly,urinating slim and premature ejaculation;pattern of dampness-heat pouring downward comprises pissing imminent,piss calcination,tongue yellow and greasy and urinating yellow;Liver and kidney Yin deficiency syndrome incorporates piss frequently,pissing painful,urinating drenching endlessly and pulse flimsy;kidney-yang insufficient pattern involves in scrotal dampness and cold,urinating asthenical and muddy,sleepless night and pulse weak.3.The application of frequency statistics methods for the relevant drugs on frequencies,the highest frequency of drug administration was found successively aurantii nobilis pericarpium,salvia miltrorrhiza,oriental waterplantain rhizome,beautiful sweetgum fruit,peach seed and safflower,etc.4.Statistical analysis showed that the basis prescription of chronic prostatitis was polygonum aviculare,semen coicis,salvia miltiorrhiza,rhizoma ligustici wallichii,semen persicae,safflower,liquidambar formosana hance,semen vaccariae,astragalus root,prepared rehmannia root,cornus officinalis sieb,rhizoma alismatis,moutan bark,the root of bidentate achyranthes,dried tangerine or orange peel and zhigancao,in addition,mathematical analysis illustrated that the recipe of liuwei dihuang decoction was made considered additions on the basis of the roborant,blood agent,energen-regulating drugs,antifebrile agents,softening and resolving hard mass drugs,damp-resolving drugs and so on.5.The efficacy results were compared before and after the treatment: 227 CP patients among TCM symptoms integral assessment full remission rate is 22.47%,cure-remarkable-effectiveness rate is 81.06%,the clinical total efficacy rate is 92.51%;among the disease curative effect control full remission rate is 25.11%,cure-remarkable-effectiveness rate is 79.73%,the total efficacy of rates is 83.25%.Among 227 cases the difference value involves in NIH-CPSI,EPS,and TCM symptoms integral score had marked effect(P<0.05);Before the therapy and after 1week,2 weeks and 4 weeks after treatment NIH-CPSI scoring before and after treatment differences statistical dissimilar((49)(27)0.05);After treatment 1 week,treatment course 2 weeks EPS scores and after treatment of 4 weeks than before treatment differences statistically significant((49)(27)0.05);After treatment 1 week,treatment 2weeks,treatment 4 weeks and treatment of TCM syndrome scores before and afterdifferences statistical remarkably((49)(27)0.05).Conclusion:1.In line with cluster analysis link together clinical wont,professor Wang Xiangli prone to TCM syndrome types of chronic prostatitis are classified into four types are more logical: syndrome of qi stagnation and blood stasis,syndrome of dampness-heat pouring downward,liver-kidney yin deficiency pattern and kidney-yang insufficient syndrome,as a matter of fact,renal deficiency and humid heat blocking deficiency was the core type of chronic prostatitis.2.The basal recipe of chronic prostatitis was polygonum aviculare,semen coicis,salvia miltiorrhiza,rhizoma ligustici wallichii,semen persicae,safflower,liquidambar formosana hance,semen vaccariae,astragalus root,prepared rehmannia root,cornus officinalis sieb,rhizoma alismatis,moutan bark,the root of bidentate achyranthes,dried tangerine or orange peel and zhigancao.3.Professor Wang Xiangli treatment of chronic prostatitis take kidney-nourishing and blood-recurrence and damp-heat-relieving theorem into account a foremost curing.4.The main drugs used commonly dosages: polygonum aviculare 15 g,semen coicis 15 g,salvia miltiorrhiza 20 g,rhizoma ligustici wallichii 10 g,semen persicae10 g,safflower 10 g,liquidambar formosana hance 15 g,semen vaccariae 20 g,astragalus root 20 g,prepared rehmannia root 20 g,cornus officinalis sieb 15 g,rhizoma alismatis 10 g,moutan bark 10 g,the root of bidentate achyranthes 12 g,dried tangerine or orange peel 6g and zhigancao 8g.5.By way of pass judgment chronic prostatitis NIH-CPSI scores,EPS scores and TCM syndrome scores objective,professor Wang Xiangli moisturizing "replenishing water and nourishing yin" academic ideology has engendered profound clinical practical signification,whose thoughts and medicating experiences are worthy of further popularization thoroughly.