| Purpose: This study collects and sorts out the outpatient medical records of Professor Zhang Zhe's treatment of insomnia.Based on retrospective research,based on the Traditional Chinese Medicine Inheritance Support System,the data mining technology is used to analyze and summarize the rules,clinical experience and academic thoughts of Professor Zhang Zhe's diagnosis and treatment of insomnia?Method: According to the inclusion and exclusion criteria,the medical records of the outp--atient department of dry diagnosis in the affiliated hospital of Liaoning University of Traditi--onal Chinese Medicine were collected and sorted out according to the inclusion and exclusi--on criteria for the treatment of insomnia by professor Zhang Zhe from September 2016 to December 2019,and the medical records of 51 patients with insomnia were collected for 71 times.The contents of the medical records were written by Professor Zhang Zhe himself,and the records were compiled with the students.Establish a database through Microsoft Excel 2007 software," Traditional Chinese Medicine Inheritance Support System(V2.5)" software enters the medical record data,analyzes the data statistically,from the perspective of symp--toms,syndromes,frequency of medication,drug compatibility,etc.,and combines the experience with the teacher's teacher to preliminarily sum up the treatment of the teacher The experience of this disease?Results: 1.This study analyzed 71 insomnia prescriptions by Professor Zhang Zhe.A total of 167 Chinese medicines were used with a total frequency of 1199.Among them,there were 34 Chinese medicines in high-frequency Chinese medicines: Bupleuri Radix,Poria,Paeoniae Radix Alba,Glycyrrhizae Radix Et Rhizoma,Angelica Sinensis Radix,Ziziphi Spinosae Semen,Scutellariae Radix,Polygalae Radix,Ostreae Concha,Draconis Os.According to the classification statistics,the number and frequency of tonic medicines are the most used,and the number and frequency of qi tonics are the highest,Followed by sedatives,antipyretics,and antipyretics.In the statistics of four properties,cold,warm and flat medicine are the main factors.Among the five flavors,the emphasis is on sweetness,bitterness and spicy taste.In the division of the meridians of the five zang-organs,the meridians of the five zang-organs lay particular stress on the meridians of the six fu-organs.Among the meridians of the five zang-organs,the liver meridian is the most popular medicine,followed by the spleen and heart meridians.Among the meridians of the six fu-organs,the stomach meridian is the most popular?2.In the analysis of the prescription rules,the two drugs in the drug combination for the first five groups are: Angelica Sinensis Radix,Paeoniae Radix Alba;Paeoniae Radix Alba,Buple--uri Radix;Bupleuri Radix,Poria;Glycyrrhizae Radix Et Rhizoma,Poria;Angelica Sinensis,Bupleuri Radix;The first five groups of three Chinese herbs are: Angelica Sinensis Radix,Paeoniae Radix Alba,Bupleuri Radix;Glycyrrhizae Radix Et Rhizoma,Bupleuri Radix,Poria;Glycyrrhizae Radix Et Rhizoma,Poria,Ziziphi Spinosae Semen;Paeoniae Radix Alba,Drac--onis Os,Ostreae Concha;Glycyrrhizae Radix Et Rhizoma,Poria,Polygalae Radix;The first five groups of four traditional Chinese medicine combinations are: Angelica Sinensis Radix,Paeoniae Radix Alba,Draconis Os,Ostreae Concha;Angelica Sinensis Radix,Paeoniae Radix Alba,Bupleuri Radix,Poria;Paeoniae Radix Alba,Bupleuri Radix,Draconis Os,Ostreae Concha;Glycyrrhizae Radix Et Rhizoma,Bupleuri Radix,Poria,Ziziphi Spinosae Semen;Glycyrrhizae Radix Et Rhizoma,Bupleuri Radix,Draconis Os,Ostreae Concha.The new recipe analysis evolved 18 drug core combinations and 7 new prescriptions,new prescri--ptions:(1)Bambusae Caulis in Taenias;Ziziphi Spinosae Semen;Citri Reticulatae Pericarp--ium;Atractylodis Macrocephalae Rhizoma;(2)Aucklandiae Radix;Longan Arillus;Lablab Semen Album;Cynomorii Herba;(3)Draconis Os;Trichosan--this Fructus;Ostreae Concha;Platycodonis Radix;Draconis Os;(4)Codonpsis Radix;Albiziae Cortex;Margaritifera Conc--ha;Pinelliae Rhizoma;(5)Rehmanniae Radix Praeparata;Polygalae Radix;Corni Fructus;Schisandrae Chinensis Fructus;Cinnamomi Ramulus;(6)Uncariae Ramulus Cum Uncis;Gastrodiae Rhizoma;Pheretima;Toosendan Fructus;(7)Scutellariae Radix;Atracty--lodis Macrocephalae Rhizoma;Citri Reticulatae Pericarpium;Ginseng Radix Et Rhizoma?Conclusion:1.On the medication,in view of the pathogenesis,professor zhang zhe in the treatment of insomnia in the dispatch side with the medication precision and focus on the quantity effect,Cold and temperature with slightly more cold and cool,and put emphasis on the benefit of both,in addition,also more than the use of both loose collection,collection and drug compati--bility principle;On this basis,add sedative medicine to increase the curative effect;The drug of choice is more gentle,the sexual taste is often selected sweet,bitter,spicy and cold,warm,flat taste,mainly to the liver,spleen,stomach?2.Professor Zhang Zhe follows the meaning of "the formula of harmony and its discord," and flexibly uses the characteristics of the "harmony" method and combines the physical charact--eristics of modern middle-aged and elderly people,and has achieved good results in the treatment of insomnia among middle-aged and elderly people Clinical efficacy.The cause of insomnia is always exuberance of yang with decline of yin,yin-yang disharmony.Therefore,the traditional Chinese medicine treatment adopted by Professor Zhang includes reconciliati--on of Shaoyang,reconciliation of liver and spleen,reconciliation of heart and spleen,sparse liver and stomach,Tonghe of heart and kidney,spleen and stomach,etc.Clinical prescriptions are mostly based on Jingyao powder,Chaihu plus keel oyster soup,Banxia Xiexin decoction,Wendan decoction and other prescriptions,and can be added or subtracted as appropriate according to the condition to achieve yin and yang in equilibrium,and improve poor sleep of patients status?... |
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