| Objective:To analyze the distribution characteristics of diseases and syndromes of the geriatric diseases in China;To explore the systematic and standardized classification methods of TCM;And to explore the characteristics of TCM state of the geriatric diseases by using this classification method.Methods:This research object is the metadata of the modern Chinese medicine clinical literature on geriatric diseases.Disease and syndrome terms in the subject headings and keywords were normative,and were systematically classified and coded.Analyze the characteristics of aging diseases,TCM syndromes and their relationship.According to the TCM state framework constructed in this study,the TCM syndrome name was converted into the TCM state name,and the characteristics of TCM state of geriatric diseases were systematically analyzed.1.Document metadata analysis method: Searched for the geriatric diseases literature researched by Chinese medicine on Sino Med,which published since the establishment of the library until April 2018.and the metadata of the literature was exported.and the literature bibliographic text is converted into a database format through the self-developed data conversion tool,and is imported into the Access database for management.The metadata included in the analysis is the subject or keyword containing the disease or syndrome content.2.Terminology standardization method: word segmentation,semantic disambiguation,and term classification mark on subject headings and keywords.Including:(1)TCM disease and syndrome terminology: refer to the "TCM syndrome classification and code" for disease and syndrome name specification and coding;(2)Western medical disease name specification: refer to ICD 10 for disease name specification and coding;(3)TCM State Standards and Coding: Under the guidance of the TCM State Classification Framework,the TCM syndrome name is converted to the TCM state name and encoded,and the TCM state is composed of the state base,which consists of the diseased element and the pathogenic and pathogenesis element.3.Statistical analysis method: using SAS 9.3 software programming statistics.Including:(1)Frequency statistics: frequency of literature citations of Chinese and Western medicine diseases,TCM syndromes,and TCM state;(2)Analysis of association rules: analysis of the relationship between disease and syndrome and disease and state and state.(3)The result is output in Word format using the proc report process.Results:A total of 8822 articles were retrieved,and the documents that did not meet the requirements were excluded.A total of 6652 articles were finally included in the literature.1.Classification of disease syndrome in geriatric diseases1.1 Frequency of geriatric diseasesA total of 898 kind of Western diseases were involved,circulatory diseases accounted for 27.58%,musculoskeletal system and connective tissue diseases accounted for 12.88%,and mental and behavioral disorders accounted for 10.29%.The main Western medical diseases were hypertension,dementia,coronary heart disease,diabetes and stroke,accounting for 11.00%,9.61%,4.80%,4.68% and 3.99%,respectively.There were 110 kinds of TCM diseases involved,84.88% of internal medicines,and 6.99% of orthopedic diseases.The most frequent medical diseases were cardiac diseases,accounting for 41.29%;followed by liver diseases and spleen diseases,accounting for 14.37% and 13.77%,respectively.The most frequent names of TCM were dementia,constipation,stroke,rickets and fractures,accounting for 27.04%,11.06%,7.57%,7.53% and 6.46%,respectively.1.2 Frequency of TCM Syndrome Classification of Geriatric DiseasesThe syndromes of geriatric diseases mainly include yin、yang 、qi 、 blood and sputum syndrome and viscera and meridian syndrome,which accounted for 47.32% and 38.32% respectively.The yin、yang 、qi 、 blood and sputum syndrome mainly consisted of phlegm syndrome,blood syndrome and gas syndrome,accounting for 22.02%,19.75% and 19.20% of TCM syndromes respectively.Visceral and meridian syndrome mainly consisted of kidney syndrome,liver syndrome and spleen syndrome,accounting for 27.84%,13.10% and 11.65%,respectively.Among the frequency of syndromes,the number of kidney deficiency syndromes was the highest,accounting for 9.42%;followed by blood stasis syndrome,accounting for 8.46%;again,the deficiency syndrome,accounting for 4.77%.1.3 Frequency of TCM syndromes of common geriatric diseases1.3.1 Frequency of TCM syndromes of common geriatric diseases(Western disease name)The highest weight of hypertension syndrome is blood stasis syndrome,the weight value is 22.13;the largest weight of dementia syndrome is kidney deficiency syndrome,weight value is 35.17;the largest weight of diabetes syndrome is kidney deficiency syndrome,weight value 30.45;the largest weight of coronary heart disease syndrome is kidney deficiency syndrome,the weight value is 40.6;the largest weight of stroke syndrome is blood stasis syndrome,and the weight value is 38.28.1.3.2 Frequency of TCM Syndrome in Common geriatric diseases(TCM disease Name)The largest weight of dementia syndrome is kidney deficiency syndrome,the weight value is 37.8;the largest weight of constipation syndrome is deficiency,the weight value is 54.56;the greatest weight of stroke syndrome is blood stasis The weight of the card is 43.17;the largest weight of rickets is the cold and dampness syndrome and the cold dampness syndrome,the weight value is 16.92;the syndrome with the highest weight of cancer is qi deficiency and dampness syndrome,qi and blood deficiency syndrome,Qiyin deficiency certificates have a weight value of 18.28.2 Systematic study of TCM state of geriatric diseases2.1 Frequency of TCM State of Geriatric DiseasesAmong the primary classification frequency statistics of the location of disease element in the geriatric diseases,the no specific disease accounting for 56.36%,the visceral disease position accounting for 41.68%.In the specific location of disease element were: kidney 17.91%,liver 6.73%,spleen 6.16%,lung 5.46%,heart 1.75%,and stomach 1.31%.Among the primary classification frequency statistics of the pathogenic and pathogenesis element in the geriatric diseases,the deficiency class accounting for 50.55%,the abnormal movement class accounting for 40.19%.In the abnormality movement,blockage accounting for 24.38%;the visceral meridians deficiency accounting for 19.66 in the decicincy.There wre also deficiency 19.76%,yin 11.07%,and qi deficiency 10.32%.The most frequency of is blood stasis and kidney deficiency,accounting for 11.40% and 10.00%,respectively in basic state.2.2 Frequency of traditional Chinese medicine in common geriatric diseases(western disease name)The basic state of hypertension is mainly blood stasis,the weight value is 26.19;the disease position is mainly without specific disease,the weight value is 66,the specific disease position is kidney and liver,and the weight values are 19.3 and 13.92 respectively;Mainly for impotence and yin deficiency,the weight values are 25.14 and 20.87,respectively.The basic state of dementia is mainly kidney.The deficiency and blood stasis,the weight values are 29.91 and 26.05 respectively;the disease position is mainly no specific disease,the weight value is 64.82,the specific disease is mainly in the kidney,and the weight value is 25.32;The pathogenic and pathogenesis element owners are fine and bloody,and the weights are 24.7 and 21.62 respectively.The basic state of TCM in coronary heart disease is mainly blood stasis and kidney.The weight loss is 37.47 and 23.13 respectively.The disease position is mainly no specific disease,the weight value is 85.04,the specific disease is mainly in the kidney,and the weight value is 12.86.The main pathogenic and pathogenesis elements are blood stasis and fine loss,and the weight values are 31.87 and 19.67,respectively.The basic state of Chinese medicine for diabetes is mainly blood stasis,yin deficiency and qi deficiency.The weight value is 19.21.The disease position is mainly based on no specific disease,the weight value is 70.3,the specific disease position is mainly in the kidney,and the weight value is 21.27.The pathogenic and pathogenesis element is qi deficiency and yin deficiency,and the weight values are 40.5 and 26.42.The basic state of stroke Chinese medicine is mainly blood stasis and qi deficiency,the weight values are 50.15 and 35.91 respectively;the disease position is mainly no specific disease,the weight value is 92.09;the specific disease is mainly in the kidney,the weight value is 6.38;the main pathogenic and pathogenesis element is blood stasis and qi deficiency,and the weight values are 45.92 and 39.13,respectively.2.3 Frequency of TCM disease name in Chinese medicineThe basic state of Chinese medicine for dementia is mainly kidney,fine loss and blood stasis,the weight values are 31.74 and 26.07;the disease position is mainly no specific disease,the weight value is 64.51,the specific disease is mainly in the kidney,and the weight value is 26.42;The main pathogenic and pathogenesis elements are fine losses and blood stasis,and the weight values are 26.72 and 22.08.The basic state of Chinese medicine for constipation is mainly imaginary and qi deficiency.The weights are 31.91 and 23.96.The disease position is mainly no specific disease,the weight value is 83.62,the specific disease is mainly in the kidney and spleen,and the weight values are 9.29 and 6.65.The main pathogenic and pathogenesis element is qi deficiency and deficiency,the weight value of 47.17 and 21.93.The basic state of stroke in Chinese medicine is mainly blood stasis and qi deficiency.The weights are 54.77 and 33.14.The disease position is mainly no specific disease,the weight value is 93.91,the specific disease is mainly in the kidney,and the weight value is 5;the main pathogenic and pathogenesis element is blood stasis and qi deficiency,and the weight values are 49.41 and 39.04.The basic state of Chinese medicine for rickets is mainly blood stasis,the weight value is 14.78;the disease position is mainly no specific disease,the weight value is 86,the specific disease position is mainly in the kidney,the weight value is 10.71;the main pathogenic and pathogenesis element is blood stasis,blood resistance,wet resistance,weight value are 12.88.The basic state of Chinese medicine for cancer is mainly qi deficiency,the weight value is 53.05;the disease position is mainly no specific disease,the weight value is 87.77,the specific disease position is mainly in the kidney,the weight value is 7.89;the main pathogenic and pathogenesis element is qi deficiency,weight The value is 58.39.Conclusion:1、The geriatric diseases and TCM syndrome terms in the modern Chinese medicine research literature concerning geriatric diseases were comprehensively collected and systematically organized.The characteristics of geriatric diseases and syndrome classification and their relationship were analyzed.The classification framework of TCM state was constructed with three levels of element,basic state and TCM state based on the research of the geriatric diseases and and TCM syndrome classification.And characteristics of TCM state of the geriatric diseases were analyzed.2、The research on the naming rules and classification and coding system of TCM state system for geriatric diseases is beneficial to the statistical analysis of the characteristics of TCM state of geriatric diseases,and can provide reference for the formulation of personalized health care programs for geriatric diseases. |
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