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Based On Clinical Data And Scientific Statistics, Professor Fusi's Experience In Treating Constipation Was Analyzed

Posted on:2019-04-10Degree:MasterType:Thesis
Country:ChinaCandidate:T F CuiFull Text:PDF
GTID:2354330548452692Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Research purposes:Using scientific compatibility to summarize and analyze the clinical thinking and medical treatment of Professor FU si,who has using traditional Chinese medicine to treat functional constipation(FC)for more than 30 years.Research methods:Through ancient books reading and literature research,to analyse the cause and pathogenesis of constipation from both Chinese and Western medicines,meanwhile to summarize the treatment methods and medication laws of constipation.The study collected the first consultation prescription for constipation patients in the outpatient department of Professor Fu,2017-1 to 2018-1,also included the name,gender,and age of the patients,based on the inclusion criteria for functional constipation in Rome ? and referring to certain discharge criteria.Analyzing the gender and age epidemiological results about FC patient via descriptive statistics.Through cluster analysis,induction,analysis,and conclusion treatment experience and clinical thinking about Professor Fu.Research result:1.The total prevalence of FC is approximately 10.9%;the total prevalence of males is approximately 2.9%,and the total prevalence of females is approximately 8.0%;the incidence among males is 6.6%and the incidence among females is 14.1%;males The OR was 7.1%and the female OR was 16.4%.The total OR of the population was 12.2%.2.A total of minor 1,young 89,middle-aged 19 and elderly 16 were collected,accounting for 0.8%,71.2%,15.2%,and 12.8%of the affected groups.The male total population morbidity rates were 0%,20%,3.2%,3.2%,and the female total population morbidity rates were 0.8%,51.2%,12%,9.6%.The incidence rates of male for the four groups were 0%,75.8%,12.1%,and 12.1%.The incidence rates of the female population in the four age groups were 1.1%,69.6%,16.3%,and 13.0%.3.The proportion of each certificate is 0-37.6%,1-24%,2-7.2%,3-21.6%,4-2.4%,5-1.84%,6-1.6%.4.A total of 125 prescriptions were collected,accumulatively 118 herbs were used,and the cumulative frequency of use was 2216.The high-frequency herbs(used>10 times)was 47,and the cumulative use frequency was 2020.High-frequency herbs can be roughly divided into 12 categories.According to the frequency of use to rank them,li qi herbs,bu qi herbs,bu yin herbs,detoxification herbs,digestion herbs,antitussive and phlegm-preventive herbs,evacuation herbs,heat-clearing herbs,wen li herbs,tranquilizers,astringent medicines,water diuretic herbs.After clustering,17 pairs of common drugs and 7 core combinations were obtained.Analysis conclusion:1.The gender prevalence of FC is roughly:females>males,females have a greater risk of functional constipation than men.2.The incidence rate of youth-aged in FC is 71.2%,the highest among all age groups,the middle and old ages are roughly the same and the youngest is the lowest.Besides young males(75.8%)>young females(69.6%),the incidence of gender in all age groups was female>male.3.It can be seen that the patients with no significant evidence are the most,followed by indigestion,bloating,acid reflux,stomach pain,abdominal pain,and insomnia.Due to the limited sample size and outpatient limitations in this study,data collection may be biased.Therefore,the above three epidemiological investigations still need to be further explored.4.The overall treatment of FC about Professor Fu is summarized as follows:the first and foremost is xu and shi,faible is replenished,and hyperfunction need to attack.The dialectical treatment method is based on dialectical combination of the eight dialects.Combining the data obtained in this study,summed up the therapeutic experience of Prof.Fu:?The spleen and stomach are the basis of the acquired nature,and they conditioned to make up for the rest of the day.?To strengthen gastrointestinal motility,through bu qi herbs,nourishing gastrointestinal,improve gastrointestinal motility,so that gastrointestinal function section,treatment of spleen Qi deficiency to promote weakness is preferred;through li qi herbs,promote gastrointestinal motility.?Running intestines,soften the feces to increase cacation,especially acquired for yin deficiency.?Using cathartic method in necessity.5.The secondary symptoms treatment experience:?indigestion and abdominal distension:more use of Jiao Sanxian plus shi hu,mai dong;?dietary stagnation and sour regurgitation:chao gu ya,chao mai ya,gan jiang,fa ban xia,yang deficiency with rou gui;?insomnia:Zizhi with bai he;?acid reflux stomach pain:commonly used wu zei gu,duan wa leng zi,dan cao,huang lian.?Humidity caused by abdominal distention:shan yao,fu ling,cang zhu,sheng yi mi.In addition,Professor Fu was good at using modern pharmacological research results,combined with Chinese and Western participation,to increase clinical choices,and enhance prescription efficacy.
Keywords/Search Tags:Functional constipation, Epidemiology, Etiology and pathogenesis, Cluster analysis, Common herb pairs, Core combination
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