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Research On Diagnosisand Treatment Of Diabetic Peripheral Neuropathy Under The Combination Of Disease And Syndrome Basedon The Diabetes Structured TCM Hospital Records

Posted on:2014-09-22Degree:MasterType:Thesis
Country:ChinaCandidate:M M SunFull Text:PDF
GTID:2254330401955538Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Background:Diabetic peripheral neuropathy, featured as chronic disease, is one of the most serious complications of diabetes mellitus. It can induce chronic complications of multiple serious systems, being a primary cause of mutilation and mortality. The Integrative Medicine DPN becoming a trend. Disease and syndrome is currently Traditional Chinese Medicine used treatment model. With the development of information technology, Chinese medicine digitized process is carried out gradually. Therefore, this study aimed to sum up the cases of treatment of diabetic peripheral neuropathy with Chinese medicine using retrospective analysis, in order to promote the treatment of DPN with Chinese medicine and lay the foundation for the in-depth study.Object:To collect information of diabetic peripheral neuropathy informational by using the structurally clinic informational gathering system designed for data mining to analyze symptoms, prescriptions, types of Chinese medicine of diabetic peripheral neuropathy. Disease and syndrome research DPN evolution of the development of Chinese medicine and the corresponding disease-syndrome-prescription-drug laws, to study the influencing factors and related indicators DPN syndromes related.Method:Research Method:This study by the Israeli side measurement card "to get all of the syndrome, the use of Bayesian networks do syndromes and physical and chemical indicators, the study of the relationship between the symptoms, the use of scale-free networks do the relationship between the symptoms and the traditional Chinese medicine, the use of associated rules do association studies between traditional Chinese medicine. In order to tap the DPN development of Chinese medicine evolution and the corresponding "disease-Shanghai-square-drug law.Result:1. According to the test results of quantitative sensory testing and EMG, DPN is divided into mild, moderate, severe three.2.Syndrome:"The Israeli side measurement card" three up to three syndromes, By diabetic peripheral neuropathy physical and chemical detection light, moderate and severe gradual process can be found DPN TCM syndromes Qi Deficiency context stasis gradually evolved into a alpine block card, both yin and yang deficiency, blood stasis throughout The DPN always.3.Symptoms:Bayesian network analysis of three of the main symptoms of the syndrome. Different stages of Qi Deficiency substantially dry mouth, fatigue, insomnia, dry stool, nocturia and other symptoms; the mild neuropathy context stasis dry mouth, fatigue, frequent urination at night, numbness and other symptoms, moderate neuropathy gradually diabetic retinopathy, such as blurred vision, severe neuropathy gradual emergence of adverse physical activity seriously affect the patient’s quality of life; the mild neuropathy phlegm closed resistance syndrome dry mouth, fatigue, frequent urination at night, numbness, dizziness, palpitations and other symptoms, moderate neuropathy gradual emergence of chest tightness, limb edema, coronary heart disease and other complications of diabetic neuropathy, severe limb pain and other symptoms gradually. Severe neuropathy in both yin and yang deficiency mainly fatigue, swollen limbs, weak acid and cold symptoms.4.Chinese medicine:Chinese medicine study is divided into three parts. The first part of modern pharmacology research by improving the blood vessels to treat DPN Chinese medicine:Sal via, Angelica, Pueraria, safflower, Chuanxiong, Acanthopanax, Dengzhanhua, Gui; treatment of DPN traditional Chinese medicine by improving metabolic factors:quercetin, skullcap, milk thistle. The second part of scale-free networks to analyze the link between the traditional Chinese medicine symptoms, physical and chemical indicators:chest tightness, sandalwood, Amomum, Salvia Salvia decoction; blurred vision Guizhi, peach kernel, safflower blood circulation drugs; limb pain more Corydalis pain; proteinuria more Astragalus, Chinese yam, Alisma, Poria. The third part is the association rules three main drug and associated traditional Chinese medicine:patients with mild neuropathy common Yiqiyangyin, a blood dampness Chinese medicine Relevance:dogwood+ Rehmanniae+Poria, Astragalus+Rehmanniae the+Poria, Rehmanniae+Angelica+Poria; commonly used in patients with moderate neuropathy Yiqiyangyin blood dampness Chinese medicine associations:heterophylla+Chuanxiong+angelica, Radix+heterophylla+angelica, Schisandra+Radix+Poria. The severe neuropathy commonly used in traditional dampness of Chinese medicine Relevance:peach+safflower+Angelica, heterophylla+Chuanxiong+angelica, safflower+Chuanxiong+Angelica.5.Prescription:the square measuring card Qiyinliangxu card, choroid stasis, cold stasis syndrome, yin and yang deficiency of both four different syndromes behalf of prescription were:Shenqidihuang decoction, pink Modified Decoction, four rattan cents the Tang and beans Puxia Ling decoction, Shenqiwan addition and subtraction.Conclusion:Preliminary Study on the epidemiological characteristics of the DPN-related factors distribution, development and evolution of the traditional Chinese medicine diagnosis and treatment of law.
Keywords/Search Tags:diabetic peripheral neuropathy, disease and syndrome, structured cases
PDF Full Text Request
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