The Retrospective Research On The Chronic Diarrhea Casestreating By Professor Zhou Zhongying Based On Data Mining

Objective:To summarize Professor Zhou Zhongying's academic idea and clinical experience in diagnosing and treating chronic diarrhea,in order to further guide the clinical.Method:All the clinical cases of chronic diarrhea which were diagnosed and treated by Prof.Zhou Zhongying during 1990 to 2014 have been recorded into Excel.According to include and exclude criteria,78 cases were picked up and recorded into Medcase V3.2 database.In order to find out the medical symptoms,pathogenesis,herbs,data mining technology like frequency method,logistic regression analysis and cluster analysis are used.The analysis results were analyzed,summarized combined with the Professor Zhou Zhongying's clinical experience.Results:All of the 178 cases,101 patients were male and 77 patients were female.The average age was 43.71 ± 15.67 years old.According to frequency analysis results,the pathogenesis higher includes hot and humid bow,spleen deficiency,accumulation of damp-heat,liver-wood exploiting the spleen,disorder of liver and spleen,deficiency of spleen and stomach,failure of the spleen in function,8910asthenia of both spleen and kidney,12.The disease location of chronic diarrhea includes spleen,liver,kidney and stomach,which of the frequency is more than 16%.Wet,heat,qi deficiency and stagnation are the nature syndrome elements,the frequency of them is higher than 45%.The herbs includes deep-fried Atractylodes,the rhizome of Chinese goldthread,radices paeoniae alba,baked licorice,dried tangerine peel,radix aucklandia,coke divine comedy,roasted ginger,charred hawthom,Dangshen,the frequency of which is more than 50%.Herbs of which are used more than 15 times can be divided into 10 categories,and the top six includes tonify deficiency herbs,qi regulating herbs,dampness-transforming herbs,heat-cleaning herbsdigestant herbs and interior-warming herbs,the full amplitude frequency of them runs at more than 66.47%.Conclusion:The location of chronic diarrhea is intestines,lesions involving organs are spleen,stomach,and may involve liverand kidney.Chronic diarrhea is offen solid for this empty sign,take spleen-qi deficiency as original cause,heat and damp is the superficial cause.In terms of treatment,It is often combinated of various ways and constituted a conposite prescription.It involved Invigorating qi and tonifying spleen,Clearing heat and transforming dampness,inhibiting liver combines with helping spleen,warming the kidney and the spleen.In addition,Activating blood circulation,supplementing qi and nourishing yin,appending astringing intestine to correct diarrhea that are involved.The most commonly used herbs are qi tonifying herbs,qi regulating herbs and dampness-transforming herbs,followed by nterior-warming herbs,heat-cleaning herbs,digestant herbs and dampness eliminating herbs.The property of a herb are mainly warm and ping,Yao Wei to bitter,sweet and Xin-based,owned by the spleen and stomach-based.Deep-fried Atractylodes,the rhizome of Chinese goldthread,radix paeoniae alba,liquorice,dried tangerine peel,radix aucklandia,coke divine comedy,baked ginger,charred hawthom,Dangshen,evodia rutaecarpa,rhizoma dioscoreae,mangnolia officinalis,parched atractylodes rhizome,Fangfeng are most commonly used.