Professor Liu Yingfeng’s Experience In Treating Chronic Fatigue Syndrome By TCM

Objective: Research purpose: This study is based on the clinical experience accumulated by Professor Liu Yingfeng,a renowned traditional Chinese medicine practitioner in Jiangxi Province,and uses modern information technology to analyze relevant data.Combining with the personal experience of experts,this study explores the corresponding and comprehensive theoretical system of chronic fatigue syndrome(CFS)in Western medicine from the perspective of traditional Chinese medicine,and forms a relatively standardized classification framework for syndrome and treatment.On the one hand,the results of this study will provide a reference thinking program for traditional Chinese medicine practitioners in clinical diagnosis and treatment of this disease,thereby improving clinical efficacy;On the other hand,through the combination of theoretical interpretation and clinical practical data,explore feasible methods for standardizing the communication between Chinese and Western medical syndrome.Methods: The original data of the research data selected Professor Liu Yingfeng’s out-patient medical records.The clinical records of chronic fatigue syndrome diagnosed and treated by Professor Liu Yingfeng from January 2011 to January 2022 were comprehensively collected and sorted,and screened according to the diagnostic criteria,inclusion criteria,and exclusion criteria.Among them,217 cases met the criteria.After the standardization of terminology and syndrome conclusion,according to the patient’s basic information,four diagnosis information,and treatment information based on syndrome differentiation,Standardize the format of information,use the EXECL table to establish the material database,and then carry out frequency statistics on the epidemiological characteristics(gender,age,initial etiology),three elements of pathology(etiology,location,pathogenesis),symptoms,syndromes,prescriptions and other diagnosis and treatment information in the database,and use Apriori algorithm for association rule analysis,IBM SPSS26.0 software for cluster analysis,Referring to Professor Liu’s previous academic thoughts,this article attempts to summarize and summarize Professor Liu Yingfeng’s experience in treating this disease.Result: Analysis of database data found that: 1.Frequency statistics: Epidemiological characteristics: women accounted for 54.84%,and men accounted for 45.16%,,and the age of onset is mainly 30-49 years old.The most common Triggering factors is high psychological pressure,overwork,staying up late,thinking more… Pathological elements:Jueyin,Taiyin,Shaoyang and Yangming were the main disease sites;Blood deficiency,qi stagnation and heat stagnation,qi deficiency,damp-heat and phlegm-heat are the main causes and pathogenesis.Symptoms: Common self-conscious symptoms include chilliness,easy to wake up from sleep,fatigue relief after rest,difficulty in falling asleep,anorexia;The physical signs are usually hyperhidrosis,loose stool and yellow urine;The inspection features are yellow face,sluggish face,thin shape,red tongue,dark tongue, yellow fur and white fur;Pulse features are usually stringy,thin,smooth and slow.The syndrome types show that: the solid syndrome is commonly characterized by stagnation of liver qi and heat,phlegm and heat in Shaoyang,stagnation of qi and heat in Shaoyang,dampness in spleen;The deficiency syndrome is commonly characterized by common liver blood deficiency and spleen deficiency.Common formulas:Xiaochaihu Decoction,Wendan Decoction,Ganlu Disinfection Pill,Xiaoyao Powder,Danggui Shaoyao Powder,Danzhi Xiaoyao Powder… 2.Correlation analysis: The common combination of disease location: Taiyin-Jueyin,Shaoyang-Jueyin,Shaoyang-Taiyin,Taiyin-Shaoyang-Jueyin.The common combinations of syndromes: qi deficiency of the spleen-blood deficiency of the liver,stagnation of liver qi leading to stagnation of heat-liver blood deficiency,spleen dampness-liver blood deficiency,liver qi depression-liver blood deficiency,liver qi depression-spleen deficiency… 3.Cluster analysis: Common 11 kinds of combination of the two: Chaihu Shengqing Decoction-Erchen Decoction,Sanren Decoction-Erchen Decoction,Sini Powder-Wendan Decoction,Shangjiao Xuanbi Decoction-Wendan Decoction,Xiaochaihu Decoction-Simiao Powder.Common 3 kinds of combination of the three: Chaihu Shengqing Decoction-Erchen Decoction-Sanren Decoction,Xiaochaihu Decoction-Wendan Decoction-Ganlu Disinfection Pill,Sini Powder-Wendan Decoction-Shangjiao Xuanbi Decoction.Conclusion: Based on the relevant discussions of the supervisor and the data results,the characteristic experience of distinguishing and treating this disease can be concluded as follows: 59% of patients have obvious triggering factors,so it is necessary to "clarify the triggering factors and include them in the prevention and treatment goals";The frequency of occurrence of real causes is more than twice that of virtual causes,so the drift of syndrome types of "real causes fatigue" is in line with clinical objective facts;The total frequency of the symptoms of "fatigue relief after rest" and "fatigue relief after activity" is 45.1%,so it is necessary to use them as important distinguishing points for the main symptoms to determine the nature of deficiency and excess diseases;87.5% of the common syndromes are mixed syndromes of deficiency and excess,so it is necessary to distinguish the differences in the nature of deficiency and excess diseases in detail;The probability of using a combination formula in treatment is 82.49%,so "combining tonifying and tonifying,and being good at combining formulas" is necessary to meet the complex clinical situation.Medication should ensure the smooth flow of qi.