| Purpose: Based on the collection of prescriptions for urticaria cases of yin deficiency and internal heat type in the dermatology ward of Fengtian Traditional Chinese Medicine Hospital,a systematic and comprehensive statistical analysis of the prescriptions of the patient's medication was carried out,and Professor Han Shouzhang's medication rules for the treatment of yin deficiency and internal heat type urticaria were summarized,and Han Shouzhang The professor's core thoughts and prescriptions for the treatment of this disease are summarized and summarized for your colleagues' reference.Methods: Collect the detailed course data of 126 hospitalized patients with urticaria of Yin deficiency and internal heat type from December 2015 to May 2019 from December 2015 to May 2019 in the Dermatology Ward of Fengtian Hospital of Traditional Chinese Medicine,and preprocess and standardize the collected case data.Establish a database through Excel2016,summarize commonly used drugs,and statistically analyze the frequency and frequency of their properties and flavors,four qi and five flavors,and then use the IBM SPSS Modeler18.0 software system to perform frequency analysis and association rule analysis on the data.Using IBM SPSS Statistics 25.0 software system to perform cluster analysis,the commonly used drugs and commonly used drug pairs for the diagnosis and treatment of this type of urticaria by Professor Han Shouzhang are obtained.Combined with the results of the systematic analysis of the drugs,Professor Han Shouzhang's prescription compatibility rules and medication ideas for the treatment of urticaria due to Yin deficiency and internal heat were summarized.Result:1.In this study,the male to female ratio was 1:2.07,with most female patients.The average course of disease was 12.04±6.182 days.The average age was 46.65±12.45 years old,and the number of patients in the young group and middle-aged group was the majority.2.This study collected 126 case information and used oral Chinese medicine decoctions(the basic prescriptions are Polygonatum,yam,Ligustrum lucidum,Eclipta prostrata,Artemisia annua L Jin,Danshen)treatment,combined with acupuncture treatment(Fengchi,Xuehai,Hegu,Quchi,Baihui,Zhongwan,Zusanli,Sanyinjiao,Yinlingquan),oral cetirizine,intravenous injection of compound licorice Acid glycoside injection,vitamin C injection,calcium gluconate injection,etc.3.In this study,19 people(15.07%)were cured,102 people(80.95%)were markedly effective,5 people(3.96%)were improved,and 0 people were ineffective.4.In this study,the number of concomitant symptoms was red tongue,less fur,and fine pulse.It can provide certain help for the diagnosis of urticaria of yin deficiency and internal heat type.5.In the first prescription of 126 hospitalized patients with urticaria due to yin deficiency and internal heat,a total of 184 Chinese medicines were used,and the frequency of use was 2731 times.A total of 42 medicines were used more than 20 times.The cumulative frequency of occurrence is 2010 times,accounting for 73.59% of the total,of which there are 19 medicines with a frequency of more than 50 times,and the total number of appearances is 1208 times,accounting for 44.23%.6.In the collected 126 cases of urticaria patients with yin deficiency and internal heat type urticaria,the number of times tonic drugs were used for the first time.Among them,there are35 traditional Chinese medicines,which have been used 819 times,and the frequency of use is 29.99%(of which yin drugs are used The most frequently used medicine is 59.58% of tonic medicines),and the second most frequently used medicine is clearing away heat.There are 34 medicines in total,650 times used,accounting for 23.80%(of which,clearing away heat is the most common medicine,accounting for 30.15 of clearing away heat.%),the remaining drugs are ranked in descending order of promoting blood circulation and removing blood stasis drugs,antiseptic drugs,and qi regulating drugs.The frequency of use is 10.11%,9.15%,and7.80%,respectively.7.According to statistics,the most common flavor of the drugs used is cold(big cold,slightly cold),accounting for 46.06%,followed by warm(slightly warm),accounting for 28.23%,and flat,accounting for 20.94%.The least used are hot and cold.8.Among the five flavors,the sweetness is the most,the bitterness is the second,and the pungent is the third,accounting for 39.14%,25.51%,and 22.80%,respectively.9.The meridian of the medicine belongs to the liver meridian,lung meridian and kidney meridian as the top three.10.Through systematic cluster analysis,10 groups of drug pairs and 4 groups of commonly used drugs are obtained.After the analysis of Apriori association rules,the association rules composed of two medicines,three medicines,four medicines and five medicines are summarized.Conclusion:1.Polygonatum,Radix Rehmanniae,Rhizoma Chuanxiong,Cyperus rotundus,Digu Bark,Silver Bupleurum,Chinese Yam,Eclipta prostrata,Ligustrum lucidum,Salvia Miltiorrhiza,Artemisia annua,Turtle Jia,and Turmeric are the first professors of Han to treat Yin deficiency and internal heat type urticaria.Of commonly used drugs.2.Yin tonics,heat-clearing medicines,and blood-activating medicines for removing blood stasis are the core medicines of Professor Han Shouzhang for the treatment of urticaria with internal heat of yin deficiency.3.Coldness;sweetness,bitterness;liver meridian,lung meridian and kidney meridian are the main properties and meridians of Professor Han Shouzhang's medicine for treating urticaria with yin deficiency and internal heat.4.The basic principle of treating urticaria with Yin deficiency and internal heat is the method of Shaozuoxin San,which is based on nourishing the acquired nature,combined with nourishing yin and nourishing kidney and diathermy,and activating blood and regulating qi.5.After all patients were treated according to the medication rules of Professor Han Shouzhang,the rash and accompanying symptoms were significantly improved compared to before treatment. |
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