Systematic Study Of Traditional Chinese Medicine State Of Type 2 Diabetes Mellitus Based On Syndrome Standard

The evaluation of TCM state is an important part of TCM health management.Accurate TCM state assessment is conducive to the individualized and precise implementation of TCM health care methods.TCM regimen has a good effect in the prevention and treatment of diabetes,which can effectively improve the clinical symptoms of patients,prevent the occurrence of complications,and improve the quality of life of patients.To this end,the study conducted an in-depth discussion and analysis on the systematic classification and identification of TCM state in type 2 diabetes:Objective:To explore the systematic classification method and standardized naming rules of TCM state in type 2 diabetes mellitus,and to analyze the relationship between TCM state and symptoms and tongue and pulse in type 2 diabetes mellitus and to propose the identification method of TCM state in type 2 diabetes mellitus.The research results can provide state identification for the TCM health management and health care in type 2 diabetes mellitus,and provide reference for the informationization and intelligent treatment of type 2 diabetes mellitus Chinese medicine.Methods:Based on the TCM syndrome standard of Type 2 Diabetes Mellitus,the systematic classification system of TCM state was constructed by deconstructing the standard syndrome name and connotation.On this basis,the naming rules and state connotation of TCM state of Type 2 Diabetes Mellitus were studied.Specific research methods include:1.Literature research method: Searching for self-built libraries from cnki Wanfang,and Weipu databases to the literature on Type 2 Diabetes state recognition of Chinese medicine during the period of June 2018 Data sets;review the TCM syndrome standards of Type 2 Diabetes cited in the research papers one by one,extract the reference information of TCM syndrome standards of hypertension.According to the source information of syndrome standards,obtain the standard texts of TCM syndromes of Type 2 Diabetes from the academic search of superstars,the collection of books in schools,etc.2.Database method: According to the characteristics of the literature information,the Access2010 database management tool is used to construct the data table,and the modern document metadata,the syndrome standard text and other data are marked by text and then imported into the data table by special tools to form a research database.3.Terminology standardization methods:(1)Symptoms,tongue and pulse terminology: through text segmentation,semantic disambiguation,and then refer to the International Basic Medical Classification(ICPC)for classification and coding;(2)Syndrome name specification and coding: According to TCM syndrome classification and code(1995 edition national standard),the name of the syndrome is standardized,and coded,there is no corresponding syndrome name in the standard,then the standard naming and coding rules are standardized,and a new code is given.(3)Classification and specification of TCM state names: The TCM syndrome name is converted into the TCM state name and is uniformly coded.The TCM state is composed of the state base,and the state base consists of the location of disease element and pathogen and pathomechanism element.4.Statistical analysis method: According to the research purpose,SAS9.4 software is used for programming analysis.The specific methods include: 1)Frequency statistics: including literature sources,standard sources,syndrome classification,symptom frequency statistics,and element of state,basis state,and TCM State for progressive frequency statistics;2)Analysis of weighted association rules : Calculate the relationship between element of state,basis state and symptoms.3)Use the proc report process to output the analysis results to the word document.Results :1.Modern literature search results and TCM syndrome standard resultsA total of 4,339 articles were retrieved,and the remaining 2,807 articles were collected.After reading one by one,537 articles with citations were obtained,and 90 syndrome standards were cited.Except for the standard that could not obtain the full text,49 standard texts were obtained,406 types of type 2 diabetes related syndromes were extracted,covering 522 documents citing evidence,the document coverage rate is 91.1%.2.The statistical results of the classification frequency of type 2 diabetes syndrome are as follows(In the frequency statistics results,only the top 3 are listed in the sub-category with more than 3 sub-categories,and all within 3 are listed).(1)Pre-diabetes mellitus: etiology and syndrome,1,yin and yang,blood,fluid,fluid,phlegm and syndrome,21,viscera and meridian syndrome,11.The etiology of the syndromes include a wet syndrome class 1,yin and yang qi and blood sputum syndromes include gas syndrome,9,yin syndrome,8,blood syndrome,2,viscera and meridian syndrome include spleen syndrome,6,liver syndrome,2,lung Certificate class 1.(2)Diabetes mellitus: etiology and syndrome,39,yin and yang,blood,fluid,fluid,phlegm and syndrome,151,viscera and meridian syndrome,120.The etiology of syndromes include heat syndrome class 12,cold syndrome class 9,wet syndrome class 9,yin and yang qi and blood sputum syndromes include yin syndrome class 55,gas syndrome class 37,blood syndrome class 30,viscera and meridian syndromes include spleen Syndrome 45,pulmonary syndrome 23,liver syndrome class 19.(3)Diabetic complications: viscera and meridian syndrome,7,yin and yang qi and blood sputum syndrome,5.Visceral meridians and syndromes include liver syndrome class 5,spleen syndrome class 2,yin and yang qi and blood fluid sputum syndromes include yin syndrome class 5.3.TCM state classification frequency statistics results(In the frequency statistics results,more than 3 instances under each category,only the first 3,and all within 3 are listed).3.1.statistical results of the element of disease location:(1)Pre-diabetes: no disease class 34,viscera class 19.The viscera has spleen 11,liver 4,and lung 1.(2)Diabetes: no disease class 275,viscera class 161,upper and lower class 10,meridian class 9,wei-qi-ying-blood class 2.The viscera has stomach 47,lung 29,and spleen 22.The upper and lower classes have upper 5 and lower 5.The meridians have meridians 4,liver measles 1,eye meridians 1,and wei-qi-ying-blood has blood scores 2.(3)Complication period: Viscera class 14,no disease position 10.Viscera in the kidney 7,liver 5,spleen 2.3.2 the statistics of the element of pathogen and pathomechanism:(1)Pre-diabetes: sports abnormal class 25,insufficient class 24,transformation abnormal class 4.There are qi stagnation 8,stagnation 4,and dampness(fluid stop)4;the lack of yin deficiency 9,imaginary 8,qi deficiency 5;the abnormal transformation type has damp heat 2,virtual heat(yin deficiency)2.(2)Diabetes: insufficiency class 224,abnormal transformation class 157,and move abnormality class 76.Insufficient types include yin deficiency 103,qi deficiency 49,yang deficiency 43;transformation abnormalities include heat(fire,Yang exuberance)59,excess heat(accumulated heat)19,constraint heat(fire,qi stagnation)15;abnormal movements have blood stasis 18,phlegm10,qi stagnation 9.(3)Complication period: Yin deficiency 15,yang deficiency 9.3.3 Statistical results of the basis state:In the early stage of diabetes,there are yin deficiency 9,qi stagnation 7,qi deficiency 5;diabetes stage has yin deficiency 76,yang deficiency 34,qi deficiency 32;complication period is yang deficiency 5,yin deficiency 5,liver and yin deficiency 5.Conclusion :1.To systematically collect and sort out the standard content of TCM syndromes of type 2 diabetes,and construct a TCM state classification system of type 2 diabetes,state base and state,and analyze the characteristics of TCM state of type 2 diabetes.The classification system is beneficial to the system naming and classification coding of TCM status in type 2 diabetes,and is beneficial to the statistical analysis of the characteristics of diabetic TCM.2.The research obtained the characteristics of the traditional Chinese medicine status of type 2 diabetes covered by the current diabetes syndrome of traditional Chinese medicine.The pre-diabetes disease was mainly spleen,involving the liver,the pathogenesis was mainly qi stagnation and yin deficiency;The disease in the diabetic stage is mainly in the stomach,involving the lungs and spleen,the pathogenesis is mainly yin deficiency and heat;The diabetic mellitus complication period is mainly kidney,and the pathogenesis is mainly yin deficiency and yang deficiency.3.The research proposes a systematic identification method for the state of TCM in type 2 diabetes,which can provide reference for the personalized implementation of TCM TCM health care methods.