A Literature Review Of The Symptoms Of Abdominal And Phlegm In "Treatise On Febrile Diseases" And "The Golden Chamber"

Abdominal agitation is also a clinically common type of symptom,which is mostly one of the subjective symptoms,and it has some serious effects on the life quality of the patients.A part of the abdomen with symptoms of abdominal cramps can get appropriate signs through an abdominal examination.According to the source of agitation,it can be divided into two categories:cardiac and non-cardiogenic.However,many literatures have unclear understanding of these two types of symptoms and have not made a clear distinction.Many scholars still confuse the two types of symptoms.The study performs data collection and statistical analysis,using the ancient and modern medical cases cloud platform PC client software,in order to research the regular syndrome differentiation pattern of the serial symptoms of abdominal throbbing,in order to provide certain theoretical support for further clarification of these two types of symptoms.Objective:? Through the analytical medical cases,classification and analysis of abdominal throbbing,identify the conception and types of abdominal throbbing symptoms.Preliminarily distinguish the cardiac and non-cardiac agitation.? Through the statistics and induction of all kinds of diseases which abdominal throbbing symptoms involving,analysis the correlation between abdominal throbbing symptoms and those diseases.? Through the methods like clustering analysis and so on,sum up the TCM syndrome types abdominal throbbing symptoms involved,and the characteristics of related symptoms of those syndrome types,and summarize the syndrome performances.? Based on the analysis of symptoms and syndrome patterns,analysis the formula compositions,and explore the experience of each subject in the treatment of abdominal throbbing symptoms,and then discuss the rule of treatment based on syndrome differentiation.Methods:Firstly,through a large number of literature reading and book review,define a clear criteria to judge abdominal throbbing symptoms.Based on that,determine the inclusion and exclusion criteria of the medical cases,and then collect and screen the related medical cases.Number the selected medical cases with ordinal numbers,and use these numbers as the unique identifier of the specific medical cases.Then,establish a database of the medical cases and input the information of each medical case in accordance with the requirements for each field,which will be as the basis data of the analysis and study.Import the improved medical cases information of the database into the ancient and modern medical cloud platform computer client,establish the medical cases database and conduct the data standardization process.After modifications and exclusion of the data which do not conform to the requirements of the software analysis,determine the final selected data and batch to join analysis pool.Finally,use the platform professional analysis modules to carry out relevant analysis of selected medical cases on basic information,the four examinations,prescriptions,herbs usage,multidimensional analysis,etc.and obtain the statistical analysis results.Results:According to the statistics of the 112 medical cases,104 cases were diagnosed with TCM diseases,and 31 cases were diagnosed with Western medicine.A total of 45 kinds of TCM diseases are involved,including accumulation lump,abdominal pain,heart palpitations,Qi Chong,deficiency-consumption,running piglet and insomnia(?4 cases),besides post-partum abdominal pain,water-related throbbing,asthma,hiccups and so on.There are 24 kinds of Western medical diseases,including insomnia,myocardial and pericardial diseases,neurosis,coronary artery disease,atrial fibrillation,arrhythmia,pulmonary heart disease,asthma,abdominal muscles spasm and so on.The main types of abdominal throbbing symptoms include upward turbulence,abdominal throbbing,subtle cardiac agitation,block attacks on lower abdomen,epigastric agitation,block attacks in the abdomen,and throbbing above the umbilical,etc.The main diagnosed syndromes are liver depression syndrome,water-rheum collecting internally syndrome,qi stagnation and blood stasis syndrome,qi and blood deficiency syndrome,heart-yang deficiency syndrome,syndrome of upper heat and lower cold,kidney-yang deficiency syndrome,yang deficiency syndrome,liver-exuberance and spleen deficiency syndrome etc.Commonly used prescriptions include Erchen Tang,Chaihu Jia Longgu Muli Tang,Guizhi Jia Gui Tang,Dachengqi Tang,Shengmai San,Xiaojianzhong Tang,Jinlingzi San,Liujunzi Tang and so on.The herbs with higher frequency of occurrence include Poria,Pinellia,Guizhi,Baishao,Codonopsis Root,Tangerine Peel,Chinese Angelica,Licorice Root,Jujube,Rhizoma Atractylodis,Ginseng Radix,Cinnamomi Cortex,Ginger,Scutellaria Root,Bupleurum,Oyster Shell,Corydalis,Evodia,Alisma,Keel and so on.Conclusion:Abdominal agitation symptoms are not a simple isolated symptom but a group of rhythmic beating or twitching or a similar type of symptoms,which are present in the part below the xiphoid region and the rib arches,and above the pubic symphysis(ie,the entire abdomen),manifesting as paroxysmal or persistent throbbing or agitation of abdominal tissue.Sometimes the patient only has conscious local beats or twitching discomfort,may be accompanied by a change in heart beat or local pain,and may sometimes be seen or touched pulsation,throb,peristalsis or other objective signs.Symptoms of abdominal agitation are often accompanied by the performance of qi rushing up or heart palpitation,and liver qi stagnation,water-rheum collecting internally,qi stagnation and blood stasis,qi-blood vacuity,and heart yang deficiency are all important pathogenesis.The diagnosis of TCM is mainly based on accumulation,abdominal pain,heart palpitations and qi surging up.Western medicine diagnoses mainly include insomnia,cardiovascular diseases and neurosis.According to the pathogenesis and the western medicine diagnoses,it can be divided into two categories:cardiac and non-cardiogenic.The former is related to the cardiovascular system,and the latter is related to the digestive system,the nervous system and the endocrine system.As to the treatment,the methods of warming yang and transforming rheum as well as invigorating spleen for diuresis can be applied based on the idea of guidance of Shanghan Lun and Jingui Yaolue.What's more,combined with resolving phlegm and expelling fluid retention,coursing the liver and rectifying qi,fortifying the spleen and drying dampness,quickening blood and transforming stasis or other methods can also make sense.Treatment methods include prescriptions of Erchen-like Decoction,Zhigancao Decoction,Decoctions including Poria and Cinnamon Twig as main herbs,Xiaojianzhong Decoction,etc.The herbs include Poria,Pinellia,Cinnamon Twig,Radix Paeoniae Alba,Codonopsis pilosula,and Citrus,etc.All the treatment methods are symptomatic and flexible,providing a wealth of ideas and methods for clinical treatment of such symptoms and diseases.