An Empirical Study On The Treatment Of Post - Traumatic Osteoporosis With Ni Kangyu Based On Data Mining

Objective:With the application of data mining, Analyze the cases of post-traumatic Disuse osteoporosis (PTDOP) collected from Mr. Ni Kangyu’s clinical practice, explores his medication characteristics, utilizes as well as develops his academic views and clinical experiences in my independent practice. This research will provide new ideas and better methods for the treatment on Post-traumatic Disuse osteoporosis by using Traditional Chinese Medicine.Method:1 SourceThrough the study of literature of Mr. Ni Kangyu’s treatments of PTDOP, expert visiting, organizing notes of my reflection on his experience, this study gathering 196 typically traditional Chinese medical case of PTDOP treated by Mr.倪康裕.Details of the four diagnostic methods meting inclusion criteria and Chinese traditional medicine are logged in Excel.2 Study of Chinese medical syndromeStudy of the four diagnostic methods and Chinese medical syndrome based on frequency distribution, combined with Mr. Ni Kangyu’s guide and my reflection on his experience, the etiology and pathogenesis, therapy characteristics, herbal prescription are respectively analyzed, and then his mode of TCM syndrome differentiation of PTDOP are summarized.3 Study on rule in using medicineFrequency and cluster analysis were used by SPSS 16.0 for windows statistical software. Association rules analysis was used by Waikato environment for knowledge analysis to study the rule of Mr. Ni Kangyu in Using Medicine in treating PTDOP.4 Traditional Chinese medical case analysisMr. Ni Kangyu’s specialized therapy for PTDOP are summarized, by traditional Chinese medical case analysis.ResultsPart One:the academic point of view of Mr. Ni Kangyu for treatment of orthopedics diseasesMr. Ni Kangyu’s prescription for orthopedics diseases always be gentle and simple, forming such academic viewpoints of treatment principle primarily as prevention oriented, emphasizes that the disease staging and typing according to syndrome differentiation, the combination of internal and external, TCM drugs on Regulating Qi and blood, advocating the combination of dynamic and static to dynamic, and make good use of classical prescriptions and drugs on, pay attention to Qi and blood care of the spleen and stomach, drug characteristics.Part Two:Study on the Mr. Ni Kangyu’s clinical experience in the treatment of PTDOP based on data mining1 PTDOP was treated in a way combining partial with the whole differentiation by Mr. Ni Kangyu. There are 7 main local Signs and Symptoms in wounded limb, Both pain and tenderness of incidence rates are 100%, others local singe and symptoms arranged to become a descending range sequence, Went from swelling to stiff joints and then down to muscle wastage and finally to numbness. Most skin changes are poor elasticity, brittleness nail, skin temperature increment, etc. The top 10 frequency of symptoms of the patients are back pain, not thirsty, soreness and weakness of waist and knees, anepithymia, clear urine in large amounts, astricton, aversion to cold, exhausted, emaciation, sallow complexion. There are 7 common tongue, carmoisine, mauve pale, dull-red, tongue tender, petechia, light in color and red, coat of the tongue as follows mainly thin and whitish fur and white fur; Frequencies above 10 times of pulse mani-festation are deep thready, slow and sunken, wiry, small and wiry, moisten thin and wiry and rolling. Installment and syndrome-classification:PTDOP is divided into arthralgia-synadrome stage and flaccidity syndrome of injured xtremity according to clinical manifestation; The most common syndrome-classification are asdthenic splenonephro-yang, Cold accumulation-caused blood stasis,qi-stagnancy and blood stasis, deficiency of spleen-QI and stomach-QI, Efficiency of liver and kidney, and deficiency of kidney-yang.2 There are 578 prescriptions of traditional Chinese medicine summed and 115 traditional Chinese medicine, Total frequency is 9211, The most frequently used TCM are:Angelica sinensis, Astragalus mongholicus, cornua cervi degelatinatum, radix achyranthis bidentatae, prepared rehmannia root, Stephania tetrandra, bighead atractylodes rhizome, teasel root, Aceranthus sagittatus S. et Z, Poria cocos and Ligusticum wallichii etc. The most frequently used couplet medicines are Astragalus mongholicus and Angelica sinensis; cornua cervi degelatinatum and Angelica sinensis; radix achyranthis bidentatae and Angelica sinensis; Stephania tetrandra and Astragalus mongholicus; bighead atractylodes rhizome and Astragalus mongholicus; tu-chung and cortex acanthopanacis radicis; lignum millettiae and pawpaw; lycopodium clavatum and tuberculate speranskia herb; Boswellia carterii and myrrh; scorpio and centipede. The most frequently used combination of medicines are antanemic and drug for invigorating blood circulation and eliminating stasis and yang-tonifying prescription; tonifying Qi and lifting yang and yang-tonifying prescription and medicine for rheumatism; antanemic and drugs for calming liver to stop endogenous wind etc.3 Case files results. The therapeutic principle and method for Mr. Ni Kangyu to treat PTDOP include:The main is treating diseases of the sinews in arthralgia-synadrome stage, treating osteopathy concurrently. Treating diseases of the sinews focuses on liver-regulating. Chief therapeutic is:Regulation of qi and blood, keep ying and weiqi in balance, treating exogenous evil, stimulate the circulation of the blood and cause the muscles and joints to relax. On the contrary, the main is treating osteopathy in arthralgia-synadrome stage, treating osteopathy focuses on kidney, liver-regulating and spleen rule concurrently in flaccidity syndrome of injured xtremity. Mr. Ni Kangyu making the best use of external treatment: Combining manipulation with herbal fumigation. And he stress on functional exercise, Combine dynamic and static methods, put movement first. Conclusion:Mr. Ni Kangyu has rich experience in treating PTDOP, There are distinctive characteristics in principle-method-recipe-medicines, and the theoretical system is perfect and helpful to the clinical treating. His academic views embody the following principles:combining disease staging with syndrome differentiation, put movement first, prevention first as well as address both the symptoms and root cause, treating the root mainly.