| Objective:In order to find out the proportion of traditional Chinese medicine and the rule of adding and subtracting prescription in the treatment of insomnia,this paper summarizes and studies Professor Li Yanyi’s clinical thinking and treatment concept in the treatment of insomnia.It can be better applied to clinical syndrome differentiation and experience inheritance.Method:By collecting the data of 412 insomnia patients first diagnosed by Professor Li Yanyi in the famous TCM studio clinic of Gansu Hospital of Traditional Chinese Medicine on January 1,2017 and December 31,2020,a complete database of "insomnia" as traditional Chinese medicine diagnosis and "insomnia" as western medicine diagnosis was established with the help of the TCM inheritance assistant platform(V2.5).This paper analyzed the prescription data of insomnia and summarized Professor Li Yanyi’s experience in the treatment of insomnia.Result:In this study,a total of 412 outpatient prescriptions for insomnia were screened,and the results were obtained as follows through data analysis:(1)In this study,female insomnia patients were the main body,accounting for66% of the total number of people.The age of insomnia patients ranged from 31 to 40 years old and from 51 to 60 years old,accounting for 24% and 27.9% of the total number of insomnia patients,respectively.(2)Through the statistics of syndrome types,7 common witness types were obtained,such as Yin deficiency syndrome of fire,blood stasis,blood deficiency,heart Yin deficiency,heart and spleen deficiency,heart-kidney failure,and liver stagnation and blood deficiency.(3)According to the statistical findings of the main symptoms in this study,the frequency of easy waking due to difficulty in falling asleep,multiple dreams and catnap was ≥200;The frequency of upset as concomitant symptom was 218,more than half of the total population in this study.(4)Through the analysis of the frequency of drug use,nine drugs with frequency≥200 were obtained,such as processed licorice,polygalaxia,rehmannia glutinosa,poria,salvia miltiorrhiza,schizandrae chinensis,floating wheat,chuanxiong chuanxiong and angelica,etc.(5)Through the analysis of taste channeling,this study found that cold and sweet drugs entering the heart and liver meridians were the most widely used,followed by flat drugs,warm drugs,bitter drugs,acid-taste drugs,drugs returning to the kidney meridians,etc.(6)Through association rules among drugs,446 commonly used drug combinations were obtained in this study,the first 4 groups were Rehmannia glutinosa and Poria cocos;Rehmannia glutinosa,Polygala;Suncooked licorice,raw rehmannia;Broiled licorice,polygala.(7)Based on the entropy clustering analysis of complex systems,eight potential new solutions were obtained.Conclusion:1.Professor Li Yanyi has rich clinical experience in the treatment of insomnia,and her main academic thoughts can be summarized as follows: Yin and Yang as the key link for discernibility and sleep,Zang-Fu syndrome differentiation and deficiency and solid,blood stasis disease differentiation and new long,Qi stagnation and unsmooth emotion,and the combination of Chinese and Western treatment of insomnia;2.By analyzing the frequency of drugs,the meridian of sexual taste and the core drug pairs through data mining technology,it is further confirmed that Professor Li Yanyi’s academic thought of treating insomnia attaches great importance to the harmony of Qi,blood,Yin and Yang,and focuses on the treatment from the heart,liver and kidney in the differentiation of zang-fu syndrome is consistent. |
