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The Research Of "Treating The Stomach Through Eight Tongjiang Method By Liver" In Treating Chronic Atrophic Gastritis With Intestinal Metaplasia Based On Data Mining

Posted on:2020-12-22Degree:MasterType:Thesis
Country:ChinaCandidate:W QuFull Text:PDF
GTID:2404330575455654Subject:Internal medicine of traditional Chinese medicine
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Purpose The clinic study is based on the theory of TCM,uses the " Chinese medicine experience collection/data mining system software" to collect information and mine data on the clinical case of professor Yan guangjun's diagnosis and treatment of chronic atrophic gastritis with intestinal metaplasia.Analysis of the relationship between treatment,symptoms and medication,summary and discussion of the clinical application law of the tutor's "treating the stomach through eight Tongjiang method by Liver",It is beneficial to enrich the traditional Chinese medicine for chronic atrophic gastritis with intestinal metaplasia.Method Collect and sort a part of professor Yan's medical records on chronic atrophic gastritis with intestinal metaplasia in the past three years,conduct strict screening according to the inclusion criteria and exclusion criteria,and standardize the clinic materials(mainly contain the term of symptoms,types of syndrome and medicine)of 236 medical records which meet the standard.Then set the corresponding template in the software of collecting on TCM experience and data mining,and entry the medicalrecords which have been dealt with.Apply the frequency and related operation method to mining effectively in the messages of the medical records,including the general materials,symptoms,the central medication of “treating the stomach through eight Tongjiang method by Liver” and so on,analyze the characteristic of professor Yan's treatment on Chronic atrophic gastritis with intestinal metaplasia with the 8 Tongjiang methods,summarize the law and experience of application.Result a.The analysis results:a.There are 79 symptoms,respec tively:hiccup,stomachache,gastrectasia,burp,Abdominal distens ion,Anti-acid heartburn,dry stool,epigastric upset,loose stoo l,poor sleep,chilly,poor appetite,abdominalgia,powerless,bitt er taste and so on;b.There are 129 kinds of Chinese medicine,In order of frequency,they are dried tangerine peel,perilla stem,Poria cocos,fructus aurantii,Chinese angelica,rhizoma cy peri,bupleurum,Dan-Shen Root,rhizome of Chuanxiong,Thunberg F ritillary Bulb,cuttlebone,radices paeoniae alba,bighead atrac tylodes rhizome,radices paeoniae rubra,Radix astragali,Rhizo ma Dioscoreae and so on.It mainly includes qi regulating dr ugs,Heat-clearing and antidote,blood circulation promoting an d blood stasis removing drugs,dampness eliminating drugs,defi ciency tonifying drugs,etc.Twelve Meridians to which Drugs M ainly Belong,they are Spleen,liver,stomach and lung and so on.B.“treating the stomach through eight Tongjiang method by Liver”:Ligan tongjiang method(23.73%)>Yigan tongjiang metho d(15.25%)>Nuangan tongjiang method(15.25%)>Rougan tongjiang method(13.98%)>Shugan tongjiang method(12.71%)>Xiegan tong jiang method(7.63%)>Sangan tongjiang method(7.20%)>Yanggantongjiang method(4.24%).C.Obtained the core prescription and the frequency average dosage of drugs in each treatment metho d.Result a.The analysis results:a.There are 79 symptoms,respec tively:hiccup,stomachache,gastrectasia,Abdominal distension,A nti-acid heartburn,dry stool,epigastric upset,loose stool,poo r sleep,chilly,poor appetite,abdominalgia,powerless,bitter ta ste and so on;b.There are 129 kinds of Chinese medicine,In o rder of frequency,they are dried tangerine peel,perilla stem,Poria cocos,fructus aurantii,Chinese angelica,rhizoma cyperi,bupleurum,Dan-Shen Root,rhizome of Chuanxiong,Thunberg Fritil lary Bulb,cuttlebone,radices paeoniae alba,bighead atractylod es rhizome,radices paeoniae rubra,Radix astragali,Rhizoma Di oscoreae and so on.It mainly includes qi regulating drugs,H eat-clearing and antidote,blood circulation promoting and blo od stasis removing drugs,dampness eliminating drugs,deficienc y tonifying drugs,etc.Twelve Meridians to which Drugs Mainly Belong,they are Spleen,liver,stomach and lung and so on.B.“treating the stomach through eight Tongjiang method by Live r”:Ligan tongjiang method(23.73%)>Yigan tongjiang method(15.25%)>Nuangan tongjiang method(15.25%)>Rougan tongjiang meth od(13.98%)>Shugan tongjiang method(12.71%)>Xiegan tongjiang method(7.63%)>Sangan tongjiang method(7.20%)>Yanggan tongj iang method(4.24%).C.Obtained the core prescription and the f requency average dosage of drugs in each treatment method.Conclusion a.Professor Yan Guangjun's common drugs for treat ing this disease are dried tangerine peel,perilla stem,Poria cocos,fructus aurantii,Chinese angelica,rhizoma cyperi,bupleurum,Dan-Shen Root,ect.Most of them are qi-regulating drugs.gi ve importance to regulating qi activity,emphasizing " tong" a s the basic therapeutic principle,especially to regulating l iver to treat spleen and stomach diseases.b.Professor Yan Gua ngjun believes that the key to the onset of this disease is s tomach disharmony and qi movement disharmony.The liver govern s dredging and regulating qi activity,and is closely related to the physiology and pathology of spleen and stomach.summed it up generally,“treating the stomach through eight Tongjia ng method by Liver”:Ligan tongjiang method?Yigan tongjiang method?Nuangan tongjiang method?Rougan tongjiang method?Shu gan tongjiang method?Xiegan tongjiang method?Sangan tongjian g method?Yanggan tongjiang method.c.The core prescription of each therapeutic method was obtained through data mining anal ysis,d.The results obtained are basically consistent with Pr ofessor Yan Guangjun's clinical practice,and the clinical ex perience can be effectively excavated by using the auxiliary software of traditional Chinese medicine inheritance.Using th e auxiliary software of traditional Chinese medicine inherita nce can effectively tap the hidden experience of famous and o ld traditional Chinese medicine in clinical practice.
Keywords/Search Tags:chronic atrophic gastritis with intestinal metaplasia, treatment of the TCM, Regulating liver, tongjiang, data mining
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