| Objective: Through the method of real world research,this paper discusses the medication characteristics and compatibility rules of Professor Hu Yueqiang in the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,summarizes his experience and ideological characteristics in the treatment of vertigo,and provides correct,objective and practical application reference evidence for the future clinical treatment of vertigo.Methods: From January 2019 to December 2021,the medical records of vertigo patients who were treated by Professor Hu Yueqiang in the outpatient department of the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine were collected,and the medical records with clear diagnosis,perfect basic information and clear prescriptions were selected.In strict accordance with the inclusion criteria,the medical record data were standardized and a database was established.The traditional Chinese medicine inheritance calculation platform(V3.0)was used to perform patient age distribution statistics,male and female composition ratio statistics,four-qi and five-flavor meridian tropism statistics,traditional Chinese medicine efficacy categories,traditional Chinese medicine use frequency statistics and medication mode statistics,traditional Chinese medicine association rules statistics and traditional Chinese medicine cluster analysis statistics on the medical record data,so as to analyze its prescription rules,excavate core drug pairs,summarize and refine Professor Hu Yueqiang ’s experience and ideological characteristics in the treatment of vertigo.Results:(1)In this study,376 prescriptions for the first diagnosis were screened from the medical records of 369 patients treated with vertigo by Professor Hu Yueqiang who met the inclusion criteria.The four properties,five flavors and meridian tropism of the traditional Chinese medicine were statistically analyzed.Five flavors are mostly sweet medicine,bitter medicine,pungent medicine;channel tropism is mostly liver meridian,spleen meridian,heart meridian,lung meridian and stomach meridian.(2)In the statistical analysis of the efficacy categories of the traditional Chinese medicine used,a total of 18 efficacy categories of traditional Chinese medicine were included.Among them,the frequency of use of the top 10 efficacy categories of traditional Chinese medicine from high to low was tonic medicine,promoting blood circulation and removing blood stasis,relieving exterior syndrome,clearing heat,resolving phlegm and relieving cough and asthma,regulating qi,promoting diuresis and dampness,calming liver and calming wind,resolving dampness,digestion and so on.(3)The frequency of traditional Chinese medicine used by the tutor in clinical practice was counted,and 127 kinds of traditional Chinese medicine were found to be involved.The top 15 traditional Chinese medicine with the highest frequency of medication were : licorice(363 times),bupleurum(268times),chuanxiong(251 times),angelica(237 times),safflower(235 times),achyranthes bidentata(235 times),platycodon grandiflorum(233 times),peach kernel(232 times),rehmannia(230 times),fructus aurantii(230 times),red peony root(228 times),codonopsis(202 times),astragalus(188 times),pinellia(130 times)and cassia twig(116 times).(4)Through association rule analysis,33 commonly used drug combinations(support number 94,confidence 0.9)were obtained,such as Chuanxiong-Radix Paeoniae Rubra,Safflower-Peach Kernel,Angelica-Dangshen,Pinellia-Cinnamomi Ramulus,etc.(5)Through cluster analysis,6 core drug combinations(cluster number is 6)were obtained : a.Angelica sinensis,Achyranthes bidentata,Aurantii Fructus,Rehmanniae Radix,Glycyrrhizae Radix et Rhizoma,Carthamus tinctorius,Platycodonis Radix,Peach Kernel;b.Oyster,keel,licorice,bupleurum,pinellia,ginger,fushen,shichangpu;c.Pinellia,licorice,ginger,tangerine peel,Gastrodia,Guizhi,Hawthorn,Atractylodes;d.Glycyrrhiza,Chuanxiong,Astragalus,Codonopsis,Angelica,Aconite,Bupleuri,Tangerine peel;e.Aconite,dried ginger,licorice,Epimedium,Phellodendron,Codonopsis,Chuanxiong,Astragalus;f.Zanthoxylum bungeanum,Rhizoma Coptidis,Rhizoma Zingiberis,Asari Radix et Rhizoma,Fructus Mume,Ramulus Cinnamomi,Cortex Phellodendri,Radix Aconiti Lateralis Preparata.Conclusion(s):(1)The age group with the highest incidence of vertigo is 41-70 years old,and female vertigo patients are significantly more than male vertigo patients.With the increase of age,the human body Yang Qi began to decline,is the key to vertigo.(2)Professor Hu Yueqiang commonly used four properties of traditional Chinese medicine to warm and flat taste,five flavors of traditional Chinese medicine is mainly sweet,bitter and pungent;channel tropism mainly into the liver,spleen,heart,lung and stomach.Commonly used drugs are Guizhi,Banxia,Chaihu,Dangshen,Huangqi,Chuanxiong,Danggui,Honghua,Niuxi,Jiegeng,Taoren,Shengdihuang and so on.The drug can not only strengthen the heart,warm the lung and benefit the stomach,dispel evil and eliminate stagnation,but also promote the exterior and interior,and communicate up and down.(3)In the treatment of vertigo,Professor Hu Yueqiang firmly grasped the two passes of Taiyang Shaoyin.In view of the three yang diseases of yang qi depression and poor operation,’ Guizhi method ’ was selected to maintain yang qi diffusion.In view of the deficiency of yang qi and the loss of warm and strong three yin diseases,the ’ four inverse method ’ is selected to disperse the cold and warm yang qi. |
