The Retrospective Research And Clinical Experience On The Postpartum Rheumatism Cases Treating By National Medical Master Professor Zhou Zhongying

Objective:To analyze and summarize Professor Zhou Zhongying s clinical thinking and experience in using medicine,in order to better guide the application of traditional Chinese medicine in the clinical treatment of postpartum rheumatism on the basis of his clinical practice for a long time and combined with multivariate statistical methods.Methods:All postpartum rheumatism cases from Professor Zhou Zhongying clinic in recent thirty years were collected.According to inclusion and exclusion criteria,59 cases with 188 visits were picked up and established a postpartum rheumatism database.In order to find out the rules of clinical symptoms,pathogenesis and herbs,statistical methods like frequencies,association analysis and cluster analysis were used.The statistical results were further analyzed,combined with Professor Zhou Zhongying s clinical experience of treating postpartum rheumatism.Results:A total of 59 patients are included in the study,the age is from 25 to 40,the average age is 30.98 years old.According to the results of frequencies,the frequency of symptoms appearing higher with joint pain,limb cold,muscle sour,severe sweating,fear of wind,menoxenia and loose stools respectively accounts for 73.94%,63.83%,63.83%,44.15%,37.23%,22.87%,17.02%.Pathogenesis such as deficiency of Qi and blood,instability of surface guard,blockage of wind-damp,deficiency of liver and kidney,conflict between Ying and Wei takes up a higher percentage and respectively accounts for 82.98%,56.38%,54.79%,46.28%,14.36%.In regard to the herbs that are used to treat postpartum rheumatism,162 kinds of herbs were used in all of the 188 visits.According to the frequency of usage,the top ten herbs are Chaobaishao,Zhiguizhi,Shenghuangqi,Danggui,Jixueteng,Zhigancao,Sangjisheng,Luxiancao,Fangfeng,Xianlingpi,which take up 90.96%,88.83%,88.30%,86.17%,77.66%,65.96%,52.13%,51.06%,47.87%,44.68%respectively.Conclusion:The symptom of joint pain,sweat and fear of wind is the main manifestation of postpartum rheumatism according to the analysis of data.Meanwhile,deficiency of Qi and blood,instability of surface guard,blockage of wind-damp,deficiency of liver and kidney are the most common pathogenesis.In addition,the mian herbs that are used to treat postpartum rheumatism include 19 kinds of herbs,such as herbs that can tonify Qi,supplement blood,remove wind-cold,reinforce Yang,dispel wind-damp and strengthen the bones etc.Combined with all postpartum rheumatism cases from Professor Zhou Zhongying for induction and analysis,we conclude that the basic pathogenesis are deficiency of Qi and blood,instability of surface guard,blockage of wind-damp,deficiency of liver and kidney.The locations of postpartum rheumatism are liver,spleen and kidney,meanwhile,the pathological nature is deficiency in origin and excess in symptom,and mainly based on deficiency syndrome.Professor Zhou Zhongying divides postpartum rheumatism into four types of syndrome,syndrome of deficiency of Qi and blood can use Huangqiguizhiwuwu Tang,syndrome of instability of surface guard can use Yupingfeng San,syndrome of blockage of wind-damp can use Juanbi Tang,syndrome of deficiency of liver and kidney can use Duhuojisheng Tang.