| Objective:Information on migraine sufferers and four consultations were collected and researched using evidence-based discriminatory theory as a guide.Generalizing the common vulnerability variables of migraine,The characteristics of Chinese medical evidence of migraine and the pattern of evidence types distribution were investigated.To generate novel concepts for migraine diagnosis and therapy that are more clinically standardized.Methods:Deriving common indications and symptoms of migraine by assessing and interpreting migraine literature.We devised the "Migraine Evidence Observation Chart" using the symptoms and indicators described in Professor Zhu Wenfeng’s book "Evidence Identification." A total of 120 migraine patients were chosen from the Shandong Provincial Hospital’s Department of Neurology,Department of Traditional Chinese Medicine,and outpatient clinic.The basic information and four diagnostic data of the patients were entered into an Excel sheet and a database was established.The symptom and symptom evidence scores of each patient were calculated according to the symptom and symptom evidence scale in the "Evidence and Evidence Recognition" and graded according to the scores:The diagnosis can be made when the evidence score is ≥20 points;Grade I is given when the evidence score is 14 points and the score is 20 points;Grade II is given when the evidence score is 21 points and the score is 30 points.When the evidence receives a score of 30 points,it is graded as Grade III.A descriptive analysis of clinical data was used to evaluate the distribution patterns of pathological and situational evidence among different groups of migraine patients,as well as the distribution patterns of symptoms and indicators.The statistical analysis was carried out using the SPSS26.0 operating system.To summarize the common evidence patterns of migraine patients,the resulting illness location and pathological data were clustered using the systematic clustering method.Results:1.Distribution of gender composition : Among 120 migraine patients,88 were female,accounting for 73.3 %,and 32 were male,accounting for 26.7 %.The difference was statistically significant(P < 0.01).2.Age distribution :The age of migraine patients in this study ranged from 14 to 82 years old,with an average age of 38.92 ± 14.78 years old.The 31-40 age group(upper limit in this group,the same below)accounted for the largest proportion of all age groups,a total of 41 people,accounting for 34.2 %;the second was the 41–50-year-old group,28 people,accounting for 23.3 %;again for the 21-30 age group,a total of 16 people,accounting for 13.3 %,the difference was statistically significant(P < 0.01).3.Disease situational evidence:the liver was the greatest common disease situational component,taking account for 92.5 percent of all cases with 111 instances.This has been followed by the spleen,with 66 cases,or 55% of the cases.Thirdly,it was renal evidence,with 28 cases(23.3%).After that,the heart and soul,with a total of 16 cases,a ratio of about 13.3%;Finally,there is the cardiac evidence aspect,which has 8 cases and a ratio of roughly 6.7 percent.A total of 7 ways of combining pathogenic evidence elements were detected in 120 cases,with the greatest combinations using 2 pathogenic evidence elements reported in 105 cases,with an 87.5 percent composition ratio.Two cases,or 1.7 percent of the total,were accounted for by a portfolio containing three pathological evidence items.In two cases,packages containing three aspects of pathological evidence were found,accounting for 1.7 percent of the total.In terms of disease combinations,the liver and spleen combination had the most instances(64),accounting for 53.3 percent of the total.The liver and kidney combination comes in second with 23 cases,accounting for 19.2 percent of the total.4.Pathogenic syndromes: the total number of patients with pathogenic syndromes was 78,accounting for 65%.Blood stasis was second only to qi stagnation in 44 cases(36.7%).Again phlegm and wetness,42 cases each,accounted for 35%.Yin deficiency was found in 40 cases(33.3%).Hyperthyroidism occurred 37 times(about 31%).Blood deficiency occurred 26 times,or about 21.7%.Finally,the deficiency of qi occurred22 times,or about 18.3%.There were 7 combinations of pathogenic syndromes in 120 cases,of which 4 combinations of pathogenic syndromes appeared most frequently in 45 cases(37.5%).Next was the combination of two pathogenic syndromes,which accounted for 37 cases,or about 30.8%.Next was the combination of 3 syndromes,with a total of 20 cases(16.7%).Finally,single pathogenic syndromes accounted for 17 cases,or about 14.2%.Of these,the combination of qi stagnation,sputum,dampness and blood stasis was 40 cases,accounting for the highest proportion(33.3%).Secondly,the combination of yin deficiency and hyperthyroidism was 37 cases,accounting for about30.8%.Again,the combination of qi deficiency,blood deficiency and qi stagnation(20 cases,or 16.7%);Gas retardation(14 cases,11.7%);Blood stasis,qi stagnation,sputum and dampness(4 cases,3.3%);Yin deficiency(3 cases,2.5%);Qi deficiency,blood deficiency,sputum and dampness(2cases,1.7%).5.Excessive liver yang,liver depression,spleen dampness,spleen deficiency and dampness,The most common types of migraine were identified to include phlegm and blood stasis,kidney yin deficit,heart qi and blood insufficiency,and heart and mind inadequacy.Conclusion:31-40 years old,young and middle-aged women are prone to migraine.sum up the data aspects and come to the conclusion that the liver,spleen,kidney,heart,and heart-soul are all closely linked to migraine.Qi stagnation,blood stasis,phlegm-dampness,yin insufficiency,yang hyperactivity,blood deficiency,and qi deficiency are all linked to etiological causes.Hyperactivity of the liver and yang,spleen and dampness of the liver,spleen deficiency and dampness,phlegm and stagnation of phlegm,shortage of kidney yin,lack of heart energy and blood,and loss of nourishment of the heart and mind are all common migraine symptoms.Migraine is a basic deficiency process from the standpoint of illness origin and pathogenesis,and it has a novel and distinctive pattern of evidence in the context of the modern era. |
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