Objective: This subject systematically collects and arranges outpatients who have been treated for cough for 3 years after infection by a tutor,and uses data mining as a means to analyze the relevant factors such as syndrome differentiation,treatment options,and prescription medication rules of the tutor in treating post-infection cough.Sum up the experience of clinical drug use.According to the results of data mining,combined with the basic theory of traditional Chinese medicine,we further analyzed the clinical medication experience and academic thinking of the tutor in the treatment of post-infection cough,so as to better learn and inherit the academic knowledge of the tutor.Method: The cases of post-infection cough diagnosed and treated by Professor Gong Xiaoyan during the period from January 2014 to December2016 were collected and the standard case data were entered one by one and a basic database was established.First of all,the information of the syndrome type,treatment method,and traditional Chinese medicine were preprocessed,and then the data such as syndrome type,treatment method,and medicine were recorded as specific databases according to actual needs.Then use frequency analysis,association rules and cluster analysis to conduct data mining analysis and discussion on the syndrome,treatment,and drug law content,and summarize the clinical drug experience and academic thoughts of the tutor on the treatment of the disease.Results:(1)Frequency analysis:(1)Type of syndromes: 19 types of syndromes involved in 234 cases,9 types of deficiency syndromes,cumulative frequency of 26.2%,10 types of empirical evidence,cumulative frequency of 73.8%,The type of evidence is empirical,a The frequency of syndrome related to "wind" was 16.2%.The frequency of syndrome related to "phlegm" was 27.8%.The frequency of syndrome related to "pathogenicfactor" was 18.8%,and the frequency of syndrome related to "heat" was24.4%.(2)Therapy: This data mining involves 36 kinds of treatments,940 cumulative frequencies,and a frequency of more than 50% of the treatments,which in turn coughs,spreads lungs,and collapses.(3)Drug frequency: 169 Chinese herbs involved in 234 medical cases,a total of 4523 frequency,an average of 19.3 tastes per prescription medication,the frequency of more than 90% of the drugs are Swallowwort Rhizome(SRh),Angelica decursiva,Radix Asteris,Flos Farfaraes.(4)Drug efficacy classification:169 Chinese herbs are involved in 17 categories,among which antitussive and phlegm-preventive anti-asthmatic drugs are the most common,accounting for 46.6% of the total drug taste times;followed by heat-clearing drugs,anti-emetic drugs,tonic drugs,and drugs for calming liver to stop endogenous wind.(5)Drug properties: it has the trend of non-obvious heat & cold;and be quite mild.(6)flavour of a drug: pungency and bitterness as main taste while sweetness secondary,which takes up32%,32.3% and 18.6% in its frequency respectively.(7)Comparing to:Mainly to the lungs,accounting for 51.7% of the total frequency of return;followed by the liver and stomach,the frequency was 12.9% and 12.4%,respectively.(2)Association Rules:(1)Therapy: Among 36 kinds of governing methods,there are 15 sets of association rule item sets,among which phlegm,Xuanfei,heatclearing,defecation,dispelling wind,spleen and other methods of treatment and cough relieving Confidence is very high.There is a strong correlation between evil spirits,phlegm,cough,and Xuanfei.(2)Drugs: The 169 drugs involved in this study received a 32-item set of association rule items.Among them,Radix Asteris,Flos Farfaraes,Swallowwort Rhizome(SRh),Angelica decursiva had high confidence and support among each other.Houttuynia has a strong association with the four herbs.(3)Cluster analysis: Using systematic clustering methods,21 clusters were identified in the copolymerization class,of which the most common drug pairs were clinical use,and there were 1 or more clusters of 10 or more.Conclusion: The tutor’s experience in the use of post-infectious cough is Basic theory of traditional Chinese Medicine and combined with clinical practice:(1)Based on the syndrome differentiation of the viscera,the six meridians are supplemented by the syndrome differentiation: According to the analysis of syndrome type and drug return,the location of post-infection cough is in the lung,which is the result of upward invasion of the lung qi,and easily affects the liver and stomach.The clinic often combined with Xiao Chaihu Tang for the treatment of the disease,we know that the tutor combined with the syndrome differentiation of six meridians,that the disease is mostly in Shaoyang,semi-exterior-interior,and the hub of gas engine.(2)symptomatic treatment is the main treatment,and based on different causes,Giving consideration to deficiency syndrome and demonstration: Coughing is the only or the main symptom of this disease.The tutor pays attention to the symptomatic treatment in the treatment of the disease,in order to solve the main demands of the patient and improve the quality of life.Therefore,the antitussive and expectorant antiasthmatic medicine is the first choice in the treatment.And at the same time,we also pay attention to the influence of different factors on the disease;with wind,phlegm,evil,heat and deficiency,it is the main cause of the disease.(3)the treatment of pulmonary diseases should pay attention to the temperature drugs: Tutors attach importance to the use of warm drugs in the treatment of pulmonary diseases.Warm drugs can assist in the operation of gas,so that the function of lung qi can be eliminated.This is also true in the treatment of post infectious cough.(5)Use bitter and bitter medicines to treat lung diseases,and use sweet drugs to recuperate them.In the treatment of post-infection cough,if the invisible evil mostly uses the scattered goods of the mind and those who are in the form of evil,more use of the medicine of the bitter.Clinical medication,distinguish tangible and intangible,which is more or less,and whether it is virtual,regulating the taste of medicine.So as to achieve the effect of clearing,dispersing,penetrating and reducing the cough. |