The Traditional Chinese Medicine Literature Study Of Periodic Therapy For Menstruation

ObjectiveBased on the literature study,with data mining on Chinese medicine literature of periodic therapy for irregular menstruation(including PCOS,amenorrhea,infertility,metrorrhagia and metrostaxis),this essay analyzed the regularities of drug use for each phase,and summarized the basic ruls of treatment and prescription for each phase with TCM periodic therapy.Based on the related theories of TianGui,discussed the key point to the mechanism of action for TCM periodic therapy,and provided effective instructions for further theoretical and clinical research on the treatment of irregular menstruation.Methods1.Sorted out the ancient literature concerned with menstruation and monthly period by traditional research approach.2.Established a database with Excel,exploited the statistical software of SPSS Clementine 12.0 and applied the methods of frequency analysis,correlation analysis to analyze the regularities of drug use on the TCM periodic therapy for irregular menstruation from 1980-2016.Results1.Established a preliminary common irregular menstruation database.176 articles were selected.There were total 145 herbs,7872 frequencies.2.Concluded the general regularities of drug use.The chief function of all the top 10 herbs was tonifying kidney,and these herbs appeared for more than three times.The result preliminary proved that "tonifying kidney" is used throughout the TCM periodic therapy.3.Analyzed the regularities of drug use of periodic therapy for common irregular menstruation,and summarized the basic ruls of treatment and prescription for each phase with TCM periodic therapy.Postmenstrual phase:Enriching the blood and nourishing the essence.Dodder,prepared rhizome of rehmannia,angelica,Yam,Dogwood,Fruit of Chinese wolfberry,radix paeoniae alba,liquorice.Intermenstrum phase:Promoting blood circulation for removing blood stasis,regulating blood vessels,also paying attention to warm yang.Salvia miltiorrhiza,eupatorium,rhizoma cyperi,angelica,prepared rhizome of Rehmannia,dodder,epimedium.Premenstrual phase:Warming kidney and activating yang,also paying attention to nourish yin.Dodder,epimedium,angelica,prepared rhizome of rehmannia,Fruit of Chinese wolfberry,yam,radix paeoniae alba.Menstruation phase:Promoting blood circulation and removing blood stasis for promoting tissue regeneration.Angelica,prepared rhizome of rehmannia,peachseed,flos carthami,radix paeoniae rubra,rhizome of chuanxiong,achyranthes,motherwort,rhizoma cyperi,eupatorium,salvia miltiorrhiza,radix paeoniae alba.4.Summarized the current problems.Staging standard was not established.Most documents lacked deep discussion about the action mechanism of TCM periodic therapy.Conclusion1."Tonifying kidney" was used throughout the TCM periodic therapy.Summarized the characteristics of prescription for each phase with TCM periodic therapy:herbs with the function of "tonifying kidney" were used in all the four phases.2."Regulating Tiangui in the kidney" was the basis to regulate menstruation of TCM periodic therapy.Based on the above-mentioned study,combining the theory of Tiangui,the action mechanism of periodic therapy was that "Regulating Tiangui in the kidney from tonifying kidney".3.Summarized the basic ruls of treatment and prescription for each phase with TCM periodic therapy to provide effective instructions for clinical treatment of irregular menstruation.