Analysis Of The Diagnosis And Treatment Of Internal Injuries And Fever Based On Modern Clinical Literature

Purpose: Summarizing the common syndrome types,the key points of syndrome differentiation and the rule of prescription to the diagnosis and therapy of internal injury fever in TCM clinical practice by analyzing the cases information in the modern clinical literature,to provide reference to clinical treatment of the disease.Materials and methods: By searching from CNKI(China National Knowledge Infrastructure),Chinese medicine database retrieval system,Wanfang data knowledge service platform,Chinese journal service platform,respectively with the search term "internal injury fever","internal injury fever" related journal literature was obtained.Screen out the literature containing detailed clinical cases in the journal literature through manual,and the standardcompliant journal literature of clinical case information was entered into Excel 2016.The symptoms in clinical cases,the names of Chinese medicine and other information were standardized,according to the Specification of The Terminology specification of common clinical symptoms in TCM,the Pharmacopoeia of the People's Republic of China(2015 Edition)and other materials.Using software such as Co-Occurrence(1.7),UCINET(6.660)and the traditional Chinese medicine combination analysis module in Ancient and Modern Medical Record Cloud Platform(V2.0),information such as clinical symptoms,type of syndrome of traditional Chinese medicine,prescription,Chinese medicine composition and so on in internal injury diseases was analyzed with frequency,established with co-present matrix and dealt with visualization.Results: A total number of 936 journal literature which is standard-compliant was obtained,and 1469 clinical cases were extracted from it.A total number of 1450 cases with patients' gender were recorded,of which 657 were male and 793 were female;A total number of 1443 cases with patients' age were recorded,and the average age was 41 years old;526 kinds of clinical symptoms of traditional Chinese medicine were recorded,with a frequency of 14502 times,including 181 kinds of conscious symptoms,168 kind s of overt symptoms,38 kinds of tongue images,139 kinds of pulse manifestations;A total of 1094 cases of type of syndrome of traditional Chinese medicine are recorded,including 19 types of traditional Chinese medicine certificate;436 cases by Western medicine diagnosis were recorded,including 70 western medical diseases;Record 195 traditional Chinese medicine prescriptions;Record 425 types of traditional Chinese medicine.In the case of fever syndrome of Qi deficiency,there are 211 cases of patients with gender recorded;A total of 209 patients were aged;238 clinical symptoms were recorded;31 traditional Chinese medicine prescriptions were recorded;Record 171 types of traditional Chinese medicine;High-frequency traditional Chinese medicine mainly belongs to two channels of the spleen and lung;the combined traditional Chinese medicine used with high frequency are “white atractylodes rhizome-astragalus membranaceus” “ rhizoma cohosh-radix bupleuri” “dried tangerine peel-white atractylodes rhizome” and so forth.In the case of fever syndrome of Yin deficiency,there are 160 cases of patients with gender recorded;A total of 159 patients were aged;209 clinical symptoms were recorded;41 traditional Chinese medicine prescriptions were recorded;Record 226 types of traditional Chinese medicine;High-frequency traditional Chinese medicine mainly belongs to two channels of the liver and kidney;the combined traditional Chinese medicine used with high frequency are “cortex moutan-rehmannia root” “turtle shell-artemisia annua” “anemarrhena-rehmannia root” and so forth.In the case of phlegmatic hygrosis fever,there are 149 cases of patients with gender recorded;A total of 148 patients were aged;239 clinical symptoms were recorded;37 traditional Chinese medicine prescriptions were recorded;Record 235 types of traditional Chinese medicine;Highfrequency traditional Chinese medicine mainly belongs to three channels of the lung,spleen and stomach;the combined traditional Chinese medicine used with high frequency are “almond-coix seed” “radix bupleuri-baikal skullcap” “cardamom-coix seed” and so forth.Conclusion: The population with high incidence of internal injury fever is young adults group.Fatigue,no desire to eat,spiritual fatigue,etc.are common clinical symptoms;Qi-deficiency fever,Yindeficency fever,phlegmatic hygrosis fever and things like that are common clinical symptoms; Diseases in western medicine,such as postoperative fevering,carcinogenic fevering,postnatal fevering,adult Steele's disease are mostly internal injury fever;Clinical treatments of internal injury fever medicine are mainly reinforcing deficiency and clearing away fever medicine,and the characteristic of treatment is control the balance between deficiency and excess,and pay attention to dredge the digestive tract;Buzhong Yiqi decoction,Xiao Chaihu decoction,Xuefu Zhuyu decoction are common used clinical traditional Chinese medicine prescriptions.The population with high incidence of Qi-deficiency fever is young and middle-aged female group;The common combination of symptoms is “pale tongue-fatigue” “no desire to eat – fatigue” “fatigue – short breath” and so forth;The most commonly used traditional Chinese medicine prescription is Buzhong Yiqi decoction;The theory of therapy is clearing fever with sweet and warm traditional Chinese Medicine;The key traditional Chinese medicine are white atractylodes rhizome,radix bupleuri,rhizoma cohosh and so forth;Commonly used combination of traditional Chinese Medicine is “white atractylodes rhizome-astragalus membranaceus” “ rhizoma cohosh-radix bupleuri” “dried tangerine peel-white atractylodes rhizome” and so forth.The population with high incidence of Yin-deficiency fever is middle-aged female group;The common combination of symptoms is “red tongue-thready rapid pulse” “red tongue – dry mouth” “thready rapid pulse – fever of feet and hands” and so forth;The theory of therapy is nourishing blood and clearing the fever;The most commonly used traditional Chinese medicine prescriptions are Artemisia annua Turtle shell decoction and Qinggu San decoction;The key traditional Chinese medicine are anemarrhena,cortex moutan,cortex lycii and so forth;Commonly used combination of traditional Chinese Medicine is “cortex moutan-rehmannia root” “turtle shell-artemisia annua” “anemarrhena-Rehmannia root” and so forth.The population with high incidence of phlegmatic hygrosis fever is young and middle-aged group;The common combination of symptoms is “red tongue-yellow tongue coating” “bitter taste – yellow tongue coating” “fatigue – no desire to eat” and so forth;The theory of therapy is clearing fever and wet,regulating Qi;The most commonly used traditional Chinese medicine prescriptions are Sanren decoction and Haoqin Qingdan decoction;The key traditional Chinese medicine are coix seed,licorice,talc and so forth;Commonly used combination of traditional Chinese Medicine is “almond-coix seed” “radix bupleuri-baikal skullcap” “cardamom-coix seed” and so forth.