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Discussion On The Rule Of Traditional Chinese Medicine In The Treatment Of Diabetic Gastroparesis And Its Clinical Thinking

Posted on:2018-08-03Degree:MasterType:Thesis
Country:ChinaCandidate:X R CaiFull Text:PDF
GTID:2354330515991942Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Diabetic gastroparesis is one of the common complications of diabetes,and early clinical manifestations mainly for loss of appetite,full,on full bilge abdomen discomfort,chronic abdominal pain,nausea,vomiting,etc.At present,the domestic western medicine treatment of diabetic gastroparesis,mainly in the diet and lifestyle adjustment and control blood sugar,and on the basis of using Domperidone or mosapride to promote power.But the application will no doubt bring certain side effects of western medicine.So the western medicine treatment of visible DGP is very limited.This shows the advantage of TCM.In traditional Chinese medicine,it’s without the disease,but according to its clinical manifestations,it can be classified as "the disease of thirst" and "the full of ruffians",and be treated by syndrome differentiation.However,because of the diversity and complexity of syndrome differentiation,there is still lack of unified classification and sent the clinical syndrome differentiation standard,so through the research of TCM literature to explore the previous formula for the treatment of diabetic gastroparesis drug laws,provide certain thought and method for the future treatment of traditional Chinese medicine,it is necessary.Objective:using the data mining technology to collected into the standard of traditional Chinese medicine in the treatment of diabetic gastroparesis literature comprehensively and deeply,and summarizes the characteristics of the TCM therapy for diabetic gastroparesis medication regularly.Methods:CNKI China journal full-text database and ten thousand medical network database for retrieval tools and sources of literature,retrieval between January 2017 and January 2007 about the document of traditional Chinese medicine treatment of diabetic gastroparesis,according to include and exclude standards can be included in the literature,extract of prescriptions and drugs and recorded in the literature database is established.Using frequency and frequency analysis to find the treatment of diabetic gastroparesis the high frequency of drugs and drug classes,using cluster analysis to identify the core advantages of combination,and then discusses the treatment of diabetic gastroparesis and drug compatibility.Results:in conformity with the standards with a total of 285 references,including 181 kinds of prescriptions were applied,traditional Chinese medicine(TCM),a total of 164.Application frequency in more than five times nine kinds of prescriptions(according to the use of high and low frequency in the order:this decoction soup,sweet sand 6 gentleman soup four grinding,6 gentleman soup,soup,yiqi decoction,acid-insoluble ash in New Zealand,rise YangYi stomach soup,soup inula,code generation of ochre and soup soup),a total of 90 times,frequency of 31.6%.And used to treat stomach and Yin deficiency syndrome of only 6 kinds of prescriptions(according to the use of high and low frequency in the order:ophiopogon soup,consistent decoct,straight ladybell dwarf lilyturf soup,benefit stomach soup,herself frying),a total of 11 times,frequency of 3.86%.Chinese medicine application of total frequency of 1928 times,of which the application frequency 38 taste of traditional Chinese medicines in more than 10 times,a total of 1026 times,frequency of 53.2%,the use of frequency on the 10 times of 38 Chinese medicine classified drug that 10 kinds of medicine,on the basis of the general frequency height is arranged respectively:mend angry medicine,qi,wet,heat,xiaoshi drugs,phlegm,Yin medicines,invigorate the circulation of medicines in medicine and blood tonic medicine,temperature,relatively concentrated,the most for invigorating qi drugs,according to the use of high and low frequency in the order:atractylodes,dangshen,licorice,astragalus,Chinese yam,pseudostellaria root,ginseng,list the 7 taste traditional Chinese medicine was seen 276 times.In recent 10 years for DGP diagnosis and treatment of drug,ziyin medicine has 12,and nourishing the stomach Yin drugs only 97 times,frequency of 5.03%(table 4),a total of seven kinds,respectively:radix ophiopogonis,radix rehmanniae,caulis dendrobii,straight ladybell,puerarin,jade bamboo,lily.Conclusion:1.The current of diabetic gastroparesis syndrome classification and lack of unified standard formula use formula not only species dispersed,and appeared more from party and experience.But there are also some prescriptions are recognized,such as:this decoction soup,sweet sand six and six gentleman’s gentleman soup soup.2.The clinical doctor sent party drug each have emphasize particularly on,each has its own characteristics,but most of the modern Chinese family that its positioning in the stomach,is closely related to the spleen,liver,treatment is given priority to with yiqi spleen,with liver qi,heat,wet,benefit stomach xiaoshi guide lag,ziyin,etc.Main medicine,clinical medicine in class has a mend angry medicine,qi,wet,heat,xiaoshi drugs,phlegm,Yin medicines,invigorate the circulation of medicines,warm in medicine and blood tonic medicine.It is worth mentioning,many physicians have focused on DGP stomach Yin deficiency syndrome and clinical trials.3.Through the analysis of the literature data,it is concluded that frequency in more than 40 times for the treatment of diabetic gastroparesis medicine for 10,wet how to mend angry medicine and chemical medicine,phlegm,qi drug combinations,visible when the medicine in the treatment of DGP occupy the leading role.In the clinical treatment of DGP,if not fully grasp the type,the justification of patients using a combination of these drugs,though not completely conforms to the syndrome differentiation and treatment of patients,but it can improve symptoms have certain effect on the patients.
Keywords/Search Tags:Data mining, Diabetic gastroparesis, The literature, Traditional Chinese medicine treatment, Ziyinjiangwei Decoction
PDF Full Text Request
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