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Professor Ding Shuwen's Clinical Experience In The Treatment Of Premature Beat And Anxiety State Of Yin Deficiency And Fire

Posted on:2019-08-17Degree:MasterType:Thesis
Country:ChinaCandidate:X MengFull Text:PDF
GTID:2404330572467949Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Objective: through the clinical data collection,classification,sorting,using computer and statistical methods,summarized clinical summary of Professor Ding Su Wen treatment of yinxuhuowang beats with anxiety thinking characteristics,medication experience,prescription law etc..Methods: from October 2015 to September 2017 in the Affiliated Hospital of Shandong University of Traditional Chinese Medicine and Shandong hospital outpatient diagnosis,Professor Ding Su Wen beats,accompanied by anxiety state,syndrome of Yin Huo Wang,the number of visits of more than 2 of patients with a total of 120 medical records.A database of Excel was established based on first visit,second visit and name,gender,age,course of disease,ambulatory electrocardiogram,diagnosis and prescription input.The use of SPSS22.0 statistical software for data analysis data,measurement data with standard deviation(x + s)indicated that the statistical description constituent ratio,classification data expressed by frequency frequency;observe the application effect of paired t test analysis,P > 0.05,said there are statistically significant differences.By analysis;clustering analysis and exploratory factor on the compatibility of drug laws;and the regression analysis of the relationship between the forward Wald method for analysis of commonly used drugs and related diseases by two multivariate classification logistic.Results:(1)in the 120 medical records collected,there were 51 males(42.5%)and 69 females(57.5%),the age P value was >0.05,which accords with the normal distribution,and the duration P value is <0.05,which does not accord with the normal distribution.(2)57 cases of ventricular premature beat(47.5%),atrial premature beats in 43 cases(35.8%),premature atrial complicated with premature ventricular 20 cases(25%),premature ventricular with ventricular premature beat in 2 cases,1 cases of premature atrial and ventricular premature beat,8 cases with paroxysmal atrial tachycardia,4 cases associated with ventricular tachycardia;patients with coronary heart disease in 32 cases(26.7%),hypertension in 27 cases(22.5%),10 cases of insomnia(8.3%),9 cases of atrial fibrillation(7.5%),6 cases of myocardial strain(5%),6 cases of hyperlipidemia(5%),6 cases(5%),4 cases of gastritis diabetes(3.3%),4 cases of old cerebral infarction(3.3%),3 cases of cardiac insufficiency(1.7%).(3): according to statistics the curative effect score of TCM symptom score,57 cases(47.5%),54(45%),invalid in 9 cases(7.5%),the total efficiency of 92.5%;according to the HAMA score,53 cases(44.2%),54(45%),13 cases were invalid,the total efficiency(10.8%)89.2%;according to the results of dynamic electrocardiogram,79 cases(65.8%),effective in 31 cases(25.8%),invalid in 10 cases(8.3%),the total efficiency of 89.2%.(4)the frequency of frequency statistics,medicine Professor Ding Shuwen practical high frequency for Coptis,phellodendron,Radix Astragali,oyster,rehmannia,Schisandra,semen Ziziphi Spinosae,Ophiopogon japonicus,Ge Gen,Polygonum multiflorum,liquorice,Rhizoma Corydalis,radix salviae miltiorrhizae,Rhizoma Chuanxiong,Herba Epimedii,Radix Scutellariae,Radix Angelicae Sinensis,Radix Glycyrrhizae,Radix Aucklandiae,Artemisia annua,Hirudo,Radix Sophorae Flavescentis,uncaria,amethyst,Tinglizi,Magnolia etc..(5)based on the cluster analysis,the former 45 kinds of practical medicine of the highest frequency is divided into 11 categories: Qingre Xiehuo detoxification: Gardenia,Coptis,Scutellaria,phellodendron,Artemisia,nourishing blood,nourishing Runchang: Angelica and Yiqi Yangxin: Schisandra chinensis,licorice,astragalus,nourishing Yin,pure heart Chufan heat 5: Ophiopogon japonicus Jin: students,Ge Gen and xingqizhitong: Rhizoma Chuanxiong,Rhizoma Corydalis,Radix Aucklandiae,blood stasis,Chufan sedative: Salvia miltiorrhiza,Paeonol and Yangxinanshen: Polygonum multiflorum,Albizia julibrissin,fried Zaoren liver and liver 9,astringing Yin antiperspirant: oyster,Radix Paeoniae Alba the Qi and spleen,dampness deodorant: Atractylodes other: wind,Tribulus,epimedium,psoralea fruit,amomum fruit,licorice,amethyst,dogwood,Tinglizi,37 powder,leech,Magnolia,notopterygium,Poria,Alisma,borneol,uncaria,Anemarrhena,chrysanthemum,bitter Ginseng,public English,forsythia forsythia.(6)based on the factor analysis,get the high frequency medicine combination:-Coptis chinensis;Astragalus Radix Rehmannia-Schisandra;Coptis-Pueraria;Phellodendron Rehmannia-Coptis and Phellodendron;Astragalus-fried Zaoren;rehmannia-Coptis and Phellodendron;semen Ziziphi Spinosae-Salvia Chuanxiong rhizoma corydalis tuber fleeceflower stem;-Salvia miltiorrhiza;oyster-Epimedium;Astragalus----Coptis phellodendron,Radix Scutellariae;----Scutellaria Coptis sinensis and Astragalus Rehmannia-Phellodendron;Cornus officinalis;gardenia-paeonol;Uncaria-Alisma;paeonol-Alisma Rhizoma Chuanxiong;Radix Puerariae Radix--leech;Magnolia officinalis;semen Ziziphi Spinosae-Night-flowers;coptis-Forsythia;oyster-Rehmannia-Radix Paeoniae Alba;Astragalus-Angelica phellodendron.(7)by Logistic regression analysis of high frequency drugs and disease found: leech application more complicated with coronary heart disease;hypertension first consider the use of Uncaria Xianlingpi and myocardial strain;treatment.Conclusion: Professor Ding Su Wen in the treatment of yinxuhuowang beats with anxiety from clearing heat and nourishing liquid,Yiqi Yangxin Anshen Dingji,and blood in many aspects of treatment,prescription and medication,a multi-purpose,exquisite.
Keywords/Search Tags:Ding Shuwen, Yin deficiency and fire prosperity, premature beat, anxiety, empirical study
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