Research On The Rule Of Medicine Of Perimenopausal Syndrome By Professor Han Fengjuan

Objective:Through the collection and analysis of Professor Han fengjuan’s outpatient treatment of perimenopausal syndrome patients with the first diagnosis of prescription drugs,to explore the characteristics of Professor Han fengjuan’s treatment of perimenopausal syndrome medication,and to summarize the clinical treatment of perimenopausal syndrome TCM dialectical thinking.Method :The first prescription of traditional Chinese medicine for patients with perimenopausal syndrome treated by Professor Han fengjuan in the outpatient department of Gynecology,the First Affiliated Hospital of Heilongjiang University of traditional Chinese medicine from October 2018 to December 2020 was collected.Record and sort out the medical records,and input the four Qi and five flavor characteristics,meridian tropism and efficacy of all traditional Chinese medicine and each traditional Chinese medicine into Microsoft Office Excel 2007 system,establish relevant data tables,analyze the frequency and frequency of relevant data,and apply IBM SPSS 22.0 By cluster analysis,the common drugs and high-frequency core drugs were summarized.All the medical records were put into the medical record template and imported into the ancient and modern medical record cloud platform for the correlation analysis between drugs and the symptoms obtained from the collection of drugs and medical history.Combined with clinical practice,the medication rules of Professor Han fengjuan in the treatment of perimenopausal syndrome were analyzed.Consequence:A total of 104 traditional Chinese medicines were involved in 152 prescriptions for the treatment of perimenopausal syndrome.Among them,the commonly used traditional Chinese medicines for the treatment of this disease were 29(except Gancao,which was mixed with other herbs)with a frequency of more than 21 times(the average frequency of each Chinese medicine was 20.76 times).The cumulative frequency of 29 commonly used traditional Chinese medicines was 84.16%.Among them,the ratio of the frequency of use of each unit of traditional Chinese medicine to the total number of traditional Chinese medicine prescriptions(frequency 1)≥ 60%was determined as the high-frequency core traditional Chinese medicine for the treatment of this disease.There were 10 traditional Chinese medicines in this group,with a total frequency of 1035,accounting for 56.93% of 29 commonly used traditional Chinese medicines,and the cumulative frequency was 47.91%.According to the statistical analysis of the frequency of the four Qi characteristics of traditional Chinese medicine,it can be concluded that the proportion of mild,warm,slightly cold and slightly warm traditional Chinese medicine is larger,accounting for 91.53%of the total taste frequency.After that,the less frequently used traditional Chinese medicine are cold,hot and cool.According to the statistics of the frequency of taste characteristics of traditional Chinese medicine,it is concluded that sweet(slightly sweet),bitter(slightly bitter)and pungent(slightly bitter)herbs are the main herbs in the treatment of perimenopausal syndrome,with a cumulative frequency of 83.36%.The less frequently used herbs are astringent,salty,light and sour.According to the statistics of TCM belonging to different meridians,the utilization rate of zujueyin liver meridian,shoushaoyin heart meridian and Zushaoyin kidney meridian is the highest.Foot Taiyin spleen meridian,hand Taiyin lung meridian and hand Taiyang small intestine meridian are the least used.According to the statistics of the efficacy of traditional Chinese medicine,it can be concluded that the traditional Chinese medicine for tonifying deficiency,promoting blood circulation and removing blood stasis,tranquilizing the nerves and treating muscle surface are more commonly used.The frequency statistics of perimenopausal syndrome symptoms collected from clinical history can be obtained.Insomnia,hot sweat,menstrual abnormality,hot face,hand and foot,dizziness,fatigue,irritability,depression anxiety,palpitation and chest depression are more common.Based on the above results and combined with Professor Han fengjuan’s clinical medication habits,six groups of commonly used drug pairs,one group of drug combinations and two groups of clustering prescriptions were summarized.Conclusions:1.Professor Han fengjuan’s medication rule in the treatment of perimenopausal syndrome(1)Professor Han fengjuan used 10 high-frequency core drugs in the treatment of perimenopausal syndrome: bupleurum,Salvia miltiorrhiza,Cyperus,oyster,Albizia bark,Cinnamon Twig,baiziren,shouwuteng,Longgu,Fushen.(2)Professor Han fengjuan’s traditional Chinese medicine used in the treatment of perimenopausal syndrome mainly includes: mild,warm(including mild)and slightly cold;sweet(including slight sweet taste),bitter(including slight bitter taste);the main channels of traditional Chinese medicine are liver meridian of foot Jueyin,heart meridian of hand Shaoyin and kidney meridian of foot Shaoyin Jing.(3)Professor hanfengjuan has the main effects of traditional Chinese medicine in the treatment of perimenopausal syndrome,including tonifying deficiency,relieving the mind,activating blood and removing blood stasis and treating the muscle surface.(4)Professor Han fengjuan used six groups of traditional Chinese medicine in the treatment of perimenopausal syndrome:(1)oyster and keel;(2)Bupleurum and Ramulus Cinnamomi;(3)Salvia miltiorrhiza and Xiangfu;(4)Eucommia ulmoides and Cornus officinalis;(5)Angelica sinensis and Rehmannia glutinosa;(6)epimedium and dodder;Antler cream,Yizhiren,raspberry,Fuling and Xianmao as the main drug combination;cluster formula had two groups:(1)Salvia miltiorrhiza,Xiangfu There are10 kinds of cortex Albiziae,Caulis Polygoni Multiflori,oyster,dragon bone,bupleurum,cassia twig,Fu Shen and Baizi Ren.(2)there are 11 kinds of Cortex Eucommiae,Cornus officinalis,Morinda officinalis,Angelica sinensis,Rehmannia glutinosa,Ligusticum chuanxiong,Chinese yam,epimedium,dodder seed,Eupatorium adenophorum and Caulis Spatholobi.2.Professor Han fengjuan’s experience in treating perimenopausal syndrome(1)Treatment of perimenopausal syndrome with "regulating" and "harmonizing"(2)From the overall treatment,tonifying the kidney and regulating the liver,taking care of the spleen and stomach.(3)Prevent the disease from developing and pay attention to psychological nursing...