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Study On The Feature Extraction And Quantification Of Four-diagnostics Combined With Moxibustion For Primary Dysmenorrhea

Posted on:2015-12-17Degree:MasterType:Thesis
Country:ChinaCandidate:T HanFull Text:PDF
GTID:2434330491451907Subject:Integrative Medicine Foundation
Abstract/Summary:PDF Full Text Request
Primary dysmenorrhea refers to women's genital no organic disease in the late premenstrual,interphase,cycle in the lower abdomen pain,typically occur in the day before or after the first day of the,lumbosacral pain,severe pain even syncope,and appeared pale and cold sweat dripping wet with symptoms such as nausea and diarrhea and vomiting.According to the survey in our country,the incidence of period pain accounted for 50%of young women in our country,with 25%of the women's quality of life for its severely affected.General rules of Chinese medicine treatment of dysmenorrhea is based on the"no pain,no glory," the pathogenesis of syndrome differentiation and treatment.The moxibustion treatment of primary dysmenorrhea is a classic effective treatment method,traditional wormwood has a temperature the vein,remove blood stasis,cold visceral sun be the spirit of encouraging function,for and qi stagnation,blood stasis,haemorrheological nature causes such as dysmenorrhea has obvious clinical efficacy.But for clinical degree of dysmenorrhea,menstrual cramps frequency,intervene in the way of quantitative clinical effect contrast,sensitivity and specificity of lack of quantitative moxibustion acupuncture points digitized and evaluation standard.This study attempts to four diagnostic medical instrument system for dysmenorrhea efficacy evaluation system,with digital quantitative investigation dysmenorrhea in four diagnosis in traditional Chinese medicine pulse-taking,tongue diagnosis,listening and smelling,inquiring,infrared temperature,PWV,photoelectric finger tip volume before and after treatment of physiological parameters,such as comparative as well as the relationship between them,establish dysmenorrhea model reference standard and clinical curative effect evaluation index system,provide valuable clinical data for treatment of dysmenorrhea and references.PurposeBy extracting dysmenorrhea patients before and after Chinese medicine digital parameters and the quantitative indicators,establishing predict dysmenorrhea model identification;Expect to provide objective basis for curative effect before and after moxibustion treatment of dysmenorrhea;For clinical diagnosis of dysmenorrhea and sent for its drugs provide a solid theoretical foundation;In addition,the use of human subjective scale assignment method of the gold standard in the diagnosis and treatment,four quantitative diagnosis as a new standard to avoid eliminating human subjectivity and error point.MethodExtensive solicitation of primary dysmenorrhea patients,according to the Chinese medicine clinical research guiding principle for the new diagnostic criteria to eliminate screening of subjects crowd,and according to the Chinese medicine colleges and standardized textbooks and "four close and interrogation module of digital library" of traditional Chinese medicine,is divided into 16 qi and blood stasis and dampness resistance of 16,32 patients.This experiment mainly adopts four auxiliary ZhenLiaoYi refs,supplemented by medical non-contact infrared detector of pulse-taking on 32 patients with dysmenorrhea,tongue diagnosis,listening and smelling and specific information extraction and analysis,finally to syndrome differentiation and treatment in the form of four close and medication with dispatch.Jointly by two TCM doctor of 32 subjects for moxibustion treatment,in patients with CV 8 point domain apply to ginger,then six Kong Yi moxibustion box on the light in,insert the article 6 such as long ai hole,make its full combustion,moxibustion treatment time for 30 minutes.After moxibustion treatment,again using four and four diagnostic information extraction and auxiliary diagnosis instrument,and then compared before and after the information,statistical analysis method the application of statistical software SPSS 17.3 processing,normal inspection before moxibustion,accord with normal distribution for the independent t test,nonparametric test does not conform to the normal inspection.After moxibustion moxibustion effect before and after comparison matching T test,the quantitative data with x+s,expressed as a percentage of the number of cases and qualitative data.Results1 Before moxibustion,and with cold dampness group pulse frequency has obvious differences,P value is 0.028,less than 0.05.Cold dampness group averages 82.01 a pulse frequency,oximetry group and mean value of 77.46.2 Before moxibustion,and with cold dampness group in the pulse string tightness and fluency also has the profound research significance,and dampness group is the highest percentage of tight pulse occupied 12.5%,and astringent pulse ratio is 37.5%,smooth and flat in the group of occupied the highest percentage of arteries and veins,fluency in flat pulse ratio of 21.88%,and string tightness of flat pulse ratio is 15.62%.Fully illustrates the string of group and tightness,fluency than cold dampness pain to a lesser degree,strength is weak.3 With cold dampness group of pulse wave propagation speed also have change,P value is 0.002.Averages 5.8.A cold dampness group,and group average of 4.68.That cold dampness group patients blood vessel elasticity is poorer,pulse wave velocity as a whole is on the high side.4 Mouth and dampness in the experimental group pulse of mean temperature,maximum were lower than group and qi stagnation.And range than cold dampness group range is big.And group with cold dampness of the minimum value of 24.6 and 24.8 respectively,the variance of qi,using T test P value is 0.00.Both have obvious difference,the experimental data shows that cunkou pulse temperature below group and qi stagnation.This experiment proved that the cunkou also has a good feel heat and heat conduction change the height of the temperature sensitivity and sensitivity.5 Dysmenorrhea of the systolic blood pressure is lower than systolic blood pressure and sexual dysmenorrhoea,there is no obvious difference between two diastolic blood pressure.6 Experimental results,see vagina dysmenorrhea subjects main tongue color is pale white,accounted for 56.24%,and qi and dysmenorrhea dysmenorrhea subjects as the main tongue color is pink,compared with 43.73%,while only 25%light white tongue.And dark red tongue in cold dampness group(25%),and dark red tongue was 31.25%in the group.7 Cold dampness group five lines of physique monitoring only wooden people occupied the highest percentage is 21.87%,the second for pedestrian 12.5%water,and water and group occupy 25%,9.37%,followed by soil of the wood and gold each 2,proportion is 6.25%.8 Primary dysmenorrhea basic prescriptions have radix bupleuri liver,therapeutic.Agent of radix bupleuri liver 13,lower abdomen by three stasis soup.Basic formula and dampness of primary dysmenorrhea with lower abdomen stasis soup and temperature on the soup,12 cases of warm soup,4 cases of lower abdomen by stasis soup.9 Moxibustion treatment,pulse string tightness,and 47.82%of the total,the highest vein total,the fluent degree is 30.43%,the tongue qualitative overall the recovery was 27.72%.ConclusionThis study using four diagnostic instrument collection four diagnostic information and auxiliary diagnosis and treatment,moxibustion treatment of primary dysmenorrhea and sex is obviously better than the effect of cold dampness sex dysmenorrhea,wood pedestrian's physique and primary dysmenorrhea constitution have great alignment.Once again proved that moxibustion to treat primary dysmenorrhea,really cold dampness pain and dysmenorrhea and sex of four parameters have obvious difference,including sp dysmenorrhea in strength and degree of dysmenorrhea and sex.Four close and auxiliary can serve as a physiological reason research for basic research of dysmenorrhea and dysmenorrhea syndrome differentiation of traditional Chinese medicine and the degree of dysmenorrhea,and quantitative evaluation of strength or give treatment dysmenorrhea evaluating curative effect before and after the change.This experiment is in the process of human-computer interaction intelligent diagnosis mode,opens the subjective and objective united medical era of dialectics,with the introduction of modern science and technology and the combination,on the basis of TCM theory,development and extension of the traditional connotation of it,to integrate all kinds of available human diagnostic information for TCM four diagnosis based on in the form of data expression,to obtain more comprehensive information detection,identification and classification of the formation of multiple information fusion of open platform for Chinese medicine diagnosis and treatment.
Keywords/Search Tags:moxibustion, primary dysmenorrhea, Four clinical comprehensive diagnosis, effect evaluation, qi stagnation and dampness
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