Summary Of Lin Caizhi’s Experience In The Treatment Of Functional Constipation And Study On The Rule Of Medicine Use

Objective: In order to systematically summarize the experience of chief physician Lin Caizhi in the treatment of functional constipation and its medication rules,to sort out,data mining and analyze his medical records in the treatment of functional constipation in recent years,to summarize the thinking,characteristics and medication rules of chief physician Lin Caizhi in the treatment of functional constipation,and to provide reference for the treatment of this disease by traditional Chinese medicine.Methods: A total of 190 prescriptions were collected from 60 cases of functional constipation treated by chief physician Lin Caizhi in the outpatient department of the First Affiliated Hospital of Guangxi University of Chinese Medicine from September 2018 to December 2020.The cases were screened according to the inclusion and exclusion criteria.With the help of statistical software,Frequency statistics,cluster analysis,association rules and other methods were used to conduct data mining and analysis on the symptoms,tongue and pulse conditions,drug efficacy,four qi,five flavors,and meridian return in the medical records,finally concluding and summarizing the tutor’s experience in the treatment of functional constipation and drug use rulesResults: A total of 60 patients with functional constipation were included in this study,including 15 males and 45 females,involving all ages,including children,adults and the elderly.In addition to the main symptoms of constipation(difficult defecation,poor defecation,etc.),the common symptoms include abdominal distension,poor sleep,dry mouth,accounting for about 13.07%,12.01%,9.19% of the total.In terms of tongue and pulse appearance,the tongue texture was mostly pale white,red and stasis,accounting for 22.63%,21.05% and 17.89%,respectively.The tongue coating was mainly yellow and white greasy,accounting for 23.68% and 21.05%,respectively.The tongue texture was mainly heavy,thin and stringy,accounting for 20.05%,17.68% and 13.19%,respectively.⑵ In terms of "medication",this study involved a total of 158 drugs.Look from the drugs,frequency,the most commonly used drug for radix glycyrrhizae,radix rehmanniae,The most commonly used drugs are licorice,rehmannia glutinosa,Radix Ophiopogonis,radix scrophulariae,Hemp seed,peach kernel,almond,Atractylodes,cistanche,etc;From the perspective of "four qi",the most medicinal properties used were cold(including slightly cold),warm(including slightly warm)and flat,accounting for 38.89%,30.89% and26.76%,respectively.From the perspective of "five flavors",the most medicinal properties used were sweet and bitter,accounting for 40.74% and32.33%,respectively,followed by spicy,accounting for 14.01%.From the perspective of "channeling channel",the distribution of channeling channel is relatively balanced and involves all channels.The top six channels are stomach channel(17.96%),lung channel(16.56%),spleen channel(15.28%),heart channel(13.03%),liver channel(11.99%)and kidney channel(10.05%).In terms of "drug efficacy",the drugs to tonify deficiency were mainly used,accounting for 30.36%,followed by heat-clearing drugs(17.53%),phlegm-reducing,cough-relieving and antiasthmatic drugs(11.15%),drugs to promote blood circulation and remove blood stasis(9.50%),qi-regulating drugs(6.24%),and purging drugs(5.24%).(3)from the "cluster analysis",can be concluded that a number of medicine on and combination: platycladi seed and polygala,lily and Caulis polygoni multiflori,“angelica dahurica,alisma,motherwort fruit”,gardenia and tempeh,salvia miltiorrhiza and Achyranthes bidentata Blume,Ligusticum chuanxiong hort and Radix Padoniae Rubrat,tuckahoe and pinellia,Hemp kernels and almond,“Cistanche,Aurantii Fructus,Hemp kernels”,radix scrophulariae and dwarf lilyturf,rhizoma atractylodis and the divine comedy.(4)From the "drug association relationship",can be made up of the commonly used prescription drugs: glutinous rehmannia,radix scrophulariae,dwarf lilyturf,Large-headed atractylodes,almond,peach kernel,desertliving cistanche,Aurantii Fructus,Hemp kernels,Cistanche,licorice.Conclusion:(1)In the treatment of FC,chief physician Lin Caizhi prefers to use sweet,cold and moist products,and seldom uses hot drugs.In the treatment,"moistening the lower part" is the method,often supplemented by the products to promote qi and remove stasis.(2)Lin Caizhi chief physician treatment of FC commonly used prescription drugs: glutinous rehmannia,radix scrophulariae,dwarf lilyturf,Large-headed atractylodes,almond,peach kernel,desertliving cistanche,Aurantii Fructus,Hemp kernels,Cistanche,licorice.(3)Chief physician Lin Caizhi FC advocates the combination of disease and syndrome differentiation for treatment,pay attention to the protection of the intestinal fluid,medication is often based on phase must be used,because of people,flexible adjustment of drug use,and in the drug intervention,cultivate think life also have important implications for the treatment of functional constipation.