Aim:The explicit knowledge of Traditional Chiese Medicine(TCM)of one’s own is easy to get,but the implicit knowledge which is hard to imitate on the other way,is becoming an important property to be compatetive.This thesis explores Dr.Wang Qing Guo’s experience of using Buplerum Analogous Formulas by adopting several data mining methods.Through quantifying Dr.Wang’s thought of zheng differentiation based on the law between Formula and Syndrome as well as the combination of diseases and zheng,this thesis provides a clear and objective way of the regular pattern of Buplerum Analogous Formulas.Besides,by data mining Dr.Wang’s experience,it can increase Dr.Wang’s explicit knowledge by making the implicit knowledge explicit,so that his diagnosis and treatment skills can be exchanged easier and carry on.Method:1 Resource of clinical data:The clinical cases are Dr.Wang’s outpatients during 2013-2017.Select the recipes which belong to Buplerum Analogous Formulas,and all the information should be recorded completely.2 Data processing:Unify the diagnose、clinical status.TCM of the selected cases,and putting the unified data into Traditional Chinese Medicine Inheritance support system.In order to keep the data qualified,the data should be recorded comprehensively by a special-assigned person;no one can revise the data unless he/she is authorized.3 Statistical approaches:The main data mining approach contains frequency analysis,clustering analysis,and relational analysis.Result:1 Xiao Chai Hu Tang:The digestive system disease is the majority disease included chronic gastritis and functional dyspepsia,followed by sleep disorders and postoperative recuperation.The TCM main zheng is shaoyang dysfunction and disharmony between stomach and liver.The main symptoms of digestive tract contain epigastria fullness,anorexia,hiccups,stomachache,pantothenic acid,nausea;emotional disorders contains insomnia,upset and insomnia;an others such as bitter taste,dry throat,dry stool.The commonly used TCM are bupleurum,scutellaria,pinellia,licorice,rhizoma coptidis,radix codonopsis,jujube,calcined oyster,dried ginger,poria,angelica,astragalus,dried tangerine peel,2 Chai Hu Gui Zhi Tang:The disease spectrum is dominated by a series of disease edge states,such as sub-health state and postoperative recuperation,and next is the digestive diseases such as chronic gastritis and gynecologic diseases such as climacteric syndrome.Thereare two main TCM zhengs,one is disharmony between Taiyang and Shaoyang,and the other is liver stagnation and spleen deficiency.The main symptoms contains dry mouth,tinnitus,sweating,chills,sneezing,runny nose,cold extremities,joint pain,weakness,palpitation,epigastria fullness,insomnia,and upset.The commonly used TCM are bupleurum,sutellaria,ramulus cinnamomi,radix paeoniae alba,radix glycyrrhizae,radix codonopsis,jujube,astragalus,angelica,radix aconiti,and calcined oyster.3 Chai Hu Gui Zhi Gan Jiang Tang:The disease spectrum is mainly digestive system diseases,such as chronic gastritis,ulcerative colitis and irritable bowel syndrome,followed by hepatitis,cirrhosis and sub-health conditioning.The main zheng is hot-liver and cold-spleen zeng.The main symptoms include abdominal distension,loose stool,chills,cold feet,dry mouth.The commonly used TCM are bupleurum,scutellaria,cassia,ginger,pinellia,calcined oyster,radix glycyrrhizae,radix codonopsis,radix paeoniae alba,radix astragali,and rhizoma coptidis.4 Da Chai Hu Tang:The disease spectrum is dominated by digestive system disease like chronic cholecystitis,gallstone and chronic constipation.The main zheng is Shaoyang dysfunction with Yangming excessiveness.The main syndrome included bitter taste,hypochondriac pain,anorexia,dry mouth,and constipation.The commonly used TCM are bupleurum,scutellaria,radix paeoniae alba,radix astragali,pinellia,citrus,artemisia,cooked rhubarb,radix glycyrrhizae,and radix curcumae.5 Chai Hu Jia Long Gu Mu Li Tang:The disease spectrum is dominated by mental diseases such as anxiety and depression.The main zheng is Shaoyang dysfunction with qi-difficiency of heart and gallbladder.The main symptoms include heart palpitations,insomnia,anxiety,depression,fear,chest tightness,dizziness,and anorexia.The commonly used TCM are bupleurum,scutellaria,calcined keel,calcined oyster,iron flake,cinnamon branch,poria,and pinellia ternata.Conclusion:Dr.Wang’s characteristics of using Buplerum Analogous Formulas can be summarized to the following points:1 Obey Zhang Zhongjing’s willing,and follow Pr.Liu Duzhou’s path:Dr.Wang’s use of the Buplerum Analogous Formulas not only obeys Zhang Zhongjing willing,but also inheriting the experience of Pr.Liu Duzhou,and then develops his own characteristic.Dr.Wang believes that shaoyang disease has syndrome and viscera syndrome.In clinic,it is mainly caused by deficiency of the viscera,which is stagnation of liver and gallbladder Qi.2 Combination of disease and zheng:Dr.Wang diagnoses diseases by means of western medicine,and then identifies TCM zheng,trying to combine disease with zheng.3 The importance of catching the main symptom:Dr.Wang believes that the way to catch the the core disease machine is to catch the main symptom(s).Therefore,he emphasizes the importance of catching the main symptom(s).4 Combing with other prescription:When using Buplerum Analogous Formulas,Dr.Wang not only combines it with Zhongjing’s prescription,but also with other prescription.Through the combination of prescription,it produces new curative effect,so as to expand the main categories of Chai hu Decoction. |