Professor Zhou Zhongying Pathogenesis Differentiation Of Coronary Heart Disease Clinical Experience And Academic Thoughts

[Objective]Based on the clinical experience and theoretical work of Professor Zhou Zhongying,a doctor of traditional Chinese medicine,this paper uses computer data mining technology to study the relatively complete and consistent medical records of Zhou's old years as the research object.Coronary heart disease(coronary heart disease,CHD)clinical experience,a comprehensive summary,finishing and refining the old Zhou treatment of CHD academic thinking.[Methods]All the data were obtained from the medical records and postgraduate students to follow the investigation of the records of Professor Zhou Zhongying's clinical examination,and collected the relatively complete CHD cases accumulated by Zhou Lao from February 2002 to February 2015,Collated,in strict accordance with the diagnostic criteria,included in the standard,excluding the standard screening,will meet the conditions of 211 cases of the first clinical diagnosis of clinical data using SPSS 19.0 statistical software for frequency analysis,the case of patients,the basic situation of patients,disease,clinical Syndromes,pathogenesis,treatment,prescription medication,etc.,using frequency method,factor analysis,association rules,cluster analysis and other statistical methods to analyze the mining results,summarized and summarized.[result](1)the general situation:211 cases of coronary heart disease patients,92 males and 119 females,the average age of 64.87 years old.(2)syndromes distribution:involving 267 kinds of symptoms,the analysis,which appeared more than 10 times the frequency of the symptoms were(126),chest pain(99),dry mouth(81),palpitation(80),dizziness(71),palpation(81),palpitation(80),dizziness(71),palpitation(80),dizziness(71)(21),cold(21),sputum(21),fatigue(28),shortness of breath(28),limb(23),sweat(22),back pain(21)(13),asthma(16),shoulder pain(15),upset(14),anorexia(13),belching(20),cough(20),dry stool(18)12),fatigue(12),bloating(12),poor breathing(11),low back pain(11),less stool(10),backache(10),for drinking water(10),limb cold(10).Pathogenesis:the first diagnosis of medical records,involving 117 kinds of pathogenesis description,which appears more than 10 times the frequency is:poor heart(90)Qi and Yin Deficiency(82)liver and kidney deficiency(60)phlegm Resistance(46)chestnut open(26)heart heat(19)kidney deficiency(17)heart and stomach(17).Pathological factors are the most common stasis,phlegm,heat,wet,Yu,wind,disease pathogen frequency greater than 4%,determined,God,blood stasis,liver,sputum,heat,chest Yang.(3)commonly used prescription distribution:211 cases of medical records,involving a total of 253 kinds of drugs,which use the highest frequency of the top 20 drugs are:Salvia(175)Chuanxiong(119)Ophiopogon japonicus(116)Taizi Sen(108)(57)Pinellia ternata(71)Corydalis(61)Radix Rehmannia(61)Ziziphus jujuba(59)Trichosanthes(57)Sang Sen(55)Codonopsis(52)Pueraria(49)Suanzaoren(49))Anemarrhena(49)Millettia(46)Turmeric(46)Safflower(43)Shichangpu(40).(4)Results of association analysis:The drugs related to Qi and Yin Deficiency were Zhigancao,Radix Ginseng,Ophiopogon japonicus,Salvia miltiorrhiza,Radix,Chuanxiong,safflower,Anemarrhena,Codonopsis Liver and kidney deficiency related drugs for the Dendrobium,Sunburn silkworm,mulberry parasite,Rehmannia glutinosa;and heart heat and heat-related drugs for the Coptis,Shaluozi,Ophiopogon japonicus,Ophiopogon japonicus,Ophiopogon japonicus,The drugs related to the kidney deficiency and liver deficiency are tribulus terrestris,Chuanxiong,Salvia,Gastrodia elata,Rehmannia glutinosa,Radix Rehmanniae,Radix Rehmanniae,Radix Salviae Miltiorrhizae Blue;and phlegm intrinsic intrinsic drugs for the seaweed,Sunburn silkworm;hot and humid in the resistance,plus Atractylodes,Poria,Pinellia,Coptis,Magnolia.(5)Based on the above research results,to carry out the depth of the typical medical records and doctoral interviews,Professor Zhou Zhongying from the common pathogenesis of coronary heart disease,medication experience and pathogenesis of addition and subtraction.[result](1)Zhou old treatment of coronary heart disease,each and more,such as high blood pressure,chronic bronchitis,pulmonary heart disease,diabetes,reflux esophagitis and other diseases,showing a variety of sick state.(2)from the disease in terms of coronary heart disease,although the heart of the heart,but with the liver,kidney,lung,gallbladder,spleen and stomach and other organs are closely related.Coronary heart disease pathology factors are stasis,sputum,heat,wet,Yu,wind,cold,often and folder compound for suffering,can also involve phlegm,stasis,phlegm,phlegm,wind phlegm,cold phlegm,Rheumatism,cold and so on.(3)Professor Zhou Zhongying treatment of coronary heart disease is the basic pathogenesis of"Qi and Yin Deficiency,poor heart camp," "phlegm and blood stasis resistance,chest and sun loss," commonly used pathogenesis terms,often involving poor heart,Chest and sun loss,blood disorders,mental dystrophy,kidney deficiency,yin and yang disorders are positive pathogenesis,and stasis,sputum,heat,wet,Yu,wind,fire,poison,cold,dry and other pathogenic pathogenesis.(4)Zhou old treatment of coronary heart disease often used Huoxuetongmai,Quyu new,Qi and Yin,Tong Yang Yin turbidity,phlegm Sanjie,qi pain,liver and kidney tonic,detoxification drugs based.Chrysanthemum,turmeric,turmeric,safflower,curcuma,Guizhi,raw hawthorn meat,Zeeland,ghost arrow feathers,angelica,peach kernel,turmeric,turmeric,Dendrobium,leeches,leeches and other drugs;Yiqi Yangyin often selected Ophiopogon japonicus,heterophylla,anemarrhena,red peony,jade bamboo,North Sha ginseng,Dendrobium,lily,Adenophora,etc.;Tongyang emptiness,phlegm Sanjie often Chrysanthemum,pine nuts,fragrant fragrance,Citrus aurantium,dried tangerine peel,etc.;tonic Liver and kidney often selected Rehmannia,Sang Sen spleen,medlar,cornus,the system Shouwu,Huang Jing,etc.;Qingrejiedu often selected berberine,fertile leaves,Scrophulariaceae,Baiwei,cassia seed,Sophora,soil Fuling,Lotus heart and so on.(5)Zhou old treatment of coronary heart disease in two basic categories:? Qi and Yin Deficiency,poor heart camp Basic side:Prince Edward,barley winter,Lu Codonopsis,Salvia,Chuanxiong,safflower,Shoreko,Anemarrhena,Zhigancao.? phlegm and blood stasis resistance,chestnut loss of the basic side:the whole Trichosanthes,Allium macrostab,Pinellia,Chuanxiong,Salvia,Amomum,Gan Song,white sandalwood.(6)Zhou old treatment of coronary heart disease common pathogenesis and treatment:? "Qi and Yin Deficiency,poor heart,heart heat Yu" pathogenesis,when the Qi and Yin,warm heart pulse,clear heat And commonly used prescription for heterophylla,barley winter,Schisandra,Zhigancao,Chuanxiong,Salvia,Coptis,big habitat,raw Puhuang,Pueraria,fried Yuzhu,whirling child.? "Qi and Yin two injuries,heart qi stagnation,blood disorders," pathogenesis,Zhou often in the Qi and Yin on the basis of the blood,plus blood circulation of the goods.Commonly used prescription such as heterophylla,barley winter,fried jade bamboo,salvia,Chuanxiong,Pueraria,slices of turmeric,road pass,nine insects,artillery A,Millettia,fried Citrus aurantium,? "phlegm and blood stasis resistance,heart by heat,Qi and Yin Deficiency"pathogenesis,Zhou Lao treatment to phlegm Yuyu,heat Ziyin mainly,commonly used prescription such as Gualou Xiebai Banxia Tang,Soup,Danshen drink and other side,plus Health Puhuang,Coptis,Shichangpu,Alisma,Sauluozi and so on.? "liver and kidney yin and yang,phlegm and blood stasis,heat and blood stasis" pathogenesis,governance to nourish liver and kidney,blood circulation or cooling blood stasis collaterals,often prescription such as Trichosanthes,Salvia,Rehmanniae,,Dendrobium,Chuanxiong,Zeeland,Millettia sputum Huoxue,Qi Yang Yin Tongmai,plus to resist the soup together to the dragon,silkworm,to enhance the cooling blood stasis Tongluo Gong,Alisma,Polyporus,Poria and other light osmotic dampness expectorant,mulberry parasitic liver and kidney qi,stasis heat-based plus durian,red peony,fried gardenia and other common habitat yellow blood stasis collaterals.? "phlegm and blood stasis resistance,chest and sun loss,Qi and Yin Deficiency,poor heart camp" pathogenesis,treatment when the separation of the virtual and the standard has primary and secondary,to phlegm syndrome for a long time,In order to Qi and Yin Deficiency Syndrome for a long time to Astragalus,Codonopsis,Prince Edward combination Ophiopogon japonicus,Lily,Ligustrum lucidum,Suanzaoren,Anemarrhena replenishing Qi and Yin,Yang Xin Anshen mainly.? "hot and humid in the resistance,heart and stomach disease,phlegm stasis,lack of chest"pathogenesis,the type of stomach to hot and humid in the resistance,liver and stomach and heart,heart disease to phlegm stasis,the Lord.Treatment should be treated with heart and stomach Tongzhi,cold and heat into the virtual reality and tone.Often with prescription drugs such as six gentleman soup,Gualou Xiebai Banxia Tang and Danshen drink governance,plus white sandalwood,Shaoluozi,Gan Song and other Xinxiang qi Tongluo,or can add Astragalus,Sang Parasitic Spleen kidney.