The Clinicai Experience Summary Of Professor Xie Jingri's Treament Of Chronic Pancreatitis

Objectives:By collectingd and researching Professor Xie Jingri's outpatients medical records with Chronic Pancreatitis,summarize Professor Xie Jingri's about Chronic Pancreatitis etiology machinism understanding,clinical diagnosis and treatment thoughts and medicinal law.Methods:Collect and organize outpatients medical records with Chronic Pancreatitis from January 2006 to January 2016,according to the diagnostic criteria,inclusion criteria,exclusion criteria,build database of the 121patient records that meet the conditions,use Excel 2003 to analyze frequencies of Chronic Pancreatitis TCM disease name and syndrome differentiation,analyze frequencies of the whole medicine frequencies,property,flavor,efficacy(category)from Chronic Pancreatitis outpatients first prescriptions,and analyze traditional Chinese medicine by SPSS 19.0 whose frequency of utilization was more than or equal to 10%by hierarchical clustering.Results:TCM diagnosis of 121 cases of patients with Chronic Pancreatitis covered chest pain,abdominal pain,fullness,stomach pain,diarrhea,hiccup,sour regurgitation,their frequencies were 55,26,18,14,3,3,1,1.2.The syndrome differentiation of 121 cases of Chronic Pancreatitis patients covered stagnation of dampness-heat syndrome,liver qi depression to spleen-stomach syndrome,blood stasis.syndrome,syndrome of spleen deficiency with dampness,spleen-stomach deficiency cold syndrome,their frequencies were 55,43,15,5,3.3.There were 129 Chinese medicinal of the 121 cases Chronic Pancreatitis first prescriptions,the total medicinal use frequency was 2436,there were Radix Bupleuri,Perilla Seed,Herba Lysimachiae,Turmeric,Bergamot,Magnolia,White Cardamom,Coke,Amomum,Lindera whose frequency were greater than 50%.4.Analyze Chinese medicinal whose frequency of utilization was greater than or equal to 10%by hierarchical clustering in 121 cases ChronicPancreatitis first prescriptions,Chinese medicinal combination whose distance was less than or equal to 10 and greater than or equal to 5 included Bergamot and Amomum and Perilla Seed,Desmodium and Turmeric,White Cardamom and Grass Cardamom and Radix Linderae,Coix Seed and Atractylodes Rhizome,Zhishi and Areca,Jiang Huang and Angelica and Radix Clematidis,Scutellaria and Gardenia,Fried Malt and Hawthorn Coke and Coke Divine Comedy and Tangerine Peel,Fried Puhuang and Trogopterus Dung and Prepared Frankincense and Fried Myrrh,Polyporus and Alisma,Corydalis and Fried Nine Pest,Calcined Concha Arcae and Zhejiang Fritillaria and Sea Clam Powder and Cuttlebone,Reddle and Inulic,Dendrobium and Radix Glehniae and Trichosanthin,Angelica and Chuanxiong,Calcined Keel and Calcined Oyster and Magnetitum,Huomaren and Yu Li Ren.5.In 121 cases Chronic Pancreatitis first prescriptions,pungency medicinal appeared 903,bitterness medicinal appeared 771,sweetness medicine appeared 618,saltiness medicinal appeared 108,sourness medicinal appeared 36.6.In 121 cases Chronic Pancreatitis first prescriptions,warm medicine appeared 1238,cold medicine appeared 850,mild medicine appeared 340,hot medicine appeared 7,cool medicine appeared 1.7.In 121 cases Chronic Pancreatitis first prescriptions,the total medicine frequencies was 2436,dampness-resolving medicinal appeared 337,qi-regulating medicinal appeared 323,blood-activating andstasis-resolving medicinal appeared 290,tonifying andrepienishing medicinal appeared 267,dampness-draining diuretic medicinai appeared 233,heat-clearing medicinal appeared 198,phlegm-resolving and cough-suppressing and panting-calming medicinal appeared 163,exterior-relesing medicinal appeared 149,digestant medicinal appeared 140,purgative medicinal appeared 60,worm-expelling medicinal appeared 52,tranquillizing medicinal appeared 48,astringent medicinal appeared 47,wind-dampness-dispelling medicinal appeared 45,liver-pacifying and wind-extinguishing medicinal appeared 40 times,hemostatic medicinal appeared 26,blood-breaking mass-eliminating medicinal appeared 9,interior-warming medicinal appeared 7,detoxificating and dampness-drying and worms-killing to relieve itching medicinal appeared 2.Conclusions:1.Professor Xie Jingri's main clinical thought about Chronic Pancreatitis treatment is improving feebleness by clearing and regulating,whose principles are clearing and regulating.2.Professor Xie Jingri in treatment of Chronic Pancreatitis often chooses Bupleurum,Perilla,Desmodium,Turmeric,Bergamot,Magnolia,White Cardamom,Coke,Amomum,Lindera.3.Chinese medicinal combination Professor Xie Jingri in treatment of Chronic Pancreatitis included Bergamot and Amomum and Perilla Seed.Desmodium and Turmeric,White Cardamom and Grass Cardamom and Radix Linderae,Coix Seed and Atractylodes Rhizome,Zhishi and Areca,Jiang Huang and Angelica and Radix Clematidis,Scutellaria and Gardenia,Fried Malt and Hawthorn Coke and Coke Divine Comedy and Tangerine Peel,Fried Puhuang and Trogopterus Dung and Prepared Frankincense and Fried Myrrh,Polyporus and Alisma,Corydalis and Fried Nine Pest,Calcined Concha Arcae and Zhejiang Fritillaria and Sea Clam Powder and Cuttlebone,Reddle and Inulic,Dendrobium and Radix Glehniae and Trichosanthin.4.Professor Xie Jingri often chooses pungent medicine,bitter medicine,warm medicine,cold medicine in Chronic Pancreatitis treatment.