Questionnaire Survey On The Correlation Between Spleen And Stomach Function And Chronic Pruritic Skin Disease And Literature Excavation

Purpose:This study intends to explore the correlation between spleen and stomach function and chronic pruritic dermatosis through clinical questionnaire survey and data mining to guide clinical treatment.Method:1.Questionnaire survey: The Department of Dermatology of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine was selected from January 2017 to January 2018.The diagnosis was chronic pruritic dermatosis(chronic eczema,chronic urticaria,neurodermatitis,and pruritus Patients).A detailed investigation of the diagnosis,history and habits of daily life,etc.,and a systematic evaluation of the pruritus and spleen and stomach function were conducted to investigate the relationship between itchiness characteristics and spleen and stomach function and the causes of spleen and stomach function impairment.2.Literature research: Search Chinese Academic Journal Full-text Database(CNKI),VIP “Chinese Sci-tech Periodical Database”(CQVIP),Wanfang China Academic Journal Database(CSPD),select documents that meet the inclusion criteria,read through the full text and organize the required The data,through frequency analysis,systematically analyzes the data obtained from the selected documents and draws conclusions.Result:1.Questionnaire survey(1)150 patients were enrolled in a questionnaire survey.Among them,84 patients(56%)had previous digestive system diseases.Compared with normal adults,their spleen and stomach function results were significantly higher(P<0.05),and the degree of pruritus was The spleen and stomach function scores were positively correlated,and the spleen and stomach function of patients with different degrees of itch was significantly different(P<0.05).Seventy-four percent of patients consumed frank and sweet flavor more than once a week.Sixty-eight percent of the patients consumed cold and cold food more than once a week,while conscious daily pressure accounted for 70% and patients with sleep problems accounted for 78% of the total.2.Literature research The volume of clinical research literature published in the treatment of chronic pruritic skin diseases(chronic eczema,chronic urticaria,neurodermatitis,and pruritus)was gradually increasing year by year.Included in the literature were a total of 109 prescriptions,of which 46 were related to conditioning the spleen and stomach,accounting for 42.20%.The 46 prescriptions for treating spleen and stomach can be divided into 8 different types: Spleen dampness,heart and spleen deficiency,spleen deficiency and blood stasis,spleen and stomach dampness,spleen and kidney yang deficiency,spleen and stomach weakness,liver and stomach disharmony,and stomach.Intestinal heat and dampness;The use of prescriptions,including stomach soup,spleen dehumidification soup,Jianpi Yangxue Tang,Bazhen Decoction and other 20 prescription drugs,involving Chinese medicine 111 flavor,the use of the frequency of the first 15 herbs followed by: wolfberry,Atractylodes,licorice,white Fresh skin,habitat,Angelica,Coix seed,windbreak,dried tangerine peel,Radix Astragali,Kochia scoparia,Codonopsis,Atractylodes Rhizome,White Peony,Alisma.In conclusion:1.Patients with chronic pruritic dermatitis are often accompanied by abnormal digestive tract diseases and spleen and stomach function.The degree of pruritus is roughly related to the degree of spleen and stomach function damage,and spleen and stomach dysfunction is related to the occurrence of chronic pruritic dermatosis.2.The chronic pruritic skin disease patients often have poor dietary habits,combined with larger daily pressure,irregular work schedules and insomnia,etc.These factors may be the main reason affecting the spleen and stomach dysfunction.3.The volume of the literature concerning the treatment of chronic pruritic skin diseases involving the treatment of spleen and stomach was increasing year by year,suggesting that the spleen and stomach function of patients with chronic pruritic skin diseases has been paid more and more attention by clinicians.4.Treatment of spleen-stomach treatment of chronic pruritus dermatosis with symptoms of spleen dampness Sheng,heart and spleen deficiency,spleen deficiency and blood dryness,the use of side,including stomach soup,spleen dehumidification soup,Jianpi Yangxue Tang,Bazhen Soup,etc.,to spleen dehumidification,Qi and Yin,Qufeng itching as the main method.