Clinical Experience And Regularity Of Medication In The Syndrome Diagnosis And Treatment Of Diarrhea Irritable Bowel By Chief Chinese Medicine Physician Xiang Fengmei

Objective:To collect 60 out-patient cases of diarrhoeal irritable bowel syndrome diagnosed and treated by tutors,statistical analysis of prescription and medication was carried out to discuss the clinic al experience and the rule of common prescription and medicine in the diagnosis and treatment of diarrhoeal irritable bowel syndrome by tu tors Xiang Fengmei chief Chinese medicine doctors.Methods: From October 2017 to December 2018,60 patients with dia rrhea irritable bowel syndrome were collected from the preventive tre atment centre of Jiangxi traditional Chinese Medicine Hospital and ou t-patient clinic of spleno-gastric&Hepatobiliary.The diagnosis basis,treatment method,prescription and medicine were arranged to discuss the clinical experience of tutor in the diagnosis and treatment of d iarrhoeal irritable bowel syndrome and the regularity of commonly use d prescriptions and medicines.Results: 1.Among the 60 patients,27(45.00%)were liver-qi syndr ome,14(23.33%)were spleen-kidney yang deficiency,11(18.33%)were spleen-stomach weakness,and 8(13.33%)were large intestine damp-he at syndrome.2.A total of 13 prescriptions were involved in the first visit o f 60 cases,including 7 types of prescriptions,and the frequency of use was 78 times.The top 5 prescriptions were Tongxie Yao Fang(33.33%),Sishen Pill(16.67%),Shenling Baizhu Powder(12.82%),Gegen Qin lian decoction(8.97%)and Xiaoyao San(7.69%).The use frequency of neutralizing agents in different types of prescriptions was the highe st,accounting for 44.87% of the total prescription.3.A total of 113 herbs were involved in the first visit of 60 ca ses,and the frequency of use was 943 times.Among them,50.80% of th e 12 most frequently used Chinese herbs were Codonopsis pilosula(5.73%),Radix Atractylodes(5.51%),Paeonia Alba(5.09%),Poria cocos(4.45%),and Citrus peel(4.24%).Astragalus membranaceus(4.03%),roast ed licorice(3.71%),woody aroma(3.39%),nutmeg(3.18%),psoralea(3.08%),Cuscuta chinensis(2.97%),Amomum villosum(2.76%).4.The use frequency of the medicines involved was 60.76% for spl een channel,45.07% for liver,43.58% for stomach,36.27% for lung,a nd 60.76% for spleen,liver,stomach and lung,respectively,and that of spleen,liver,stomach and lung were 60.76%,45.07%,43.58% and 36.27%,respectively.The frequency of kidney meridian medicine and ca rdiac meridian medicine was 28.10% and 18.45% respectively.5.The use frequency of the medicines involved is 41.04%,28.53%,16.97% and 8.70%,respectively,of the medicines involved in the fou r-qi medium temperature,the use frequency of the medicines is 28.53%,the use frequency of the cold medicines is 16.97%,and the frequency of the use of the medicines is 8.70%.The frequency of sexual heat m edicine use was 4.77%.6.Among the five kinds of medicines involved,43.80% were used w ith sweet medicines,38.49% with pungent medicines,22.38% with bitte r medicines and 20.04% with sour medicines.The use frequency of salt y,light and astringent medicines was 13.57%,4.88% and 3.29% respect ively.Conclusion: The tutor attached importance to the role of spleen,stomach,liver and kidney in the pathogenesis and development of IBSD,and believed that the basic principle of the treatment was spleen deficiency,and soothing the liver and regulating the spleen.Its cli nical experience includes paying attention to the whole idea in the t reatment of IBS-D,attaching importance to the relationship between t he patients’ emotional changes and the disease,classifying the order of differentiation of symptoms first,using the Chinese medicine of invigorating the spleen and invigorating qi through the whole course of the treatment,at the same time cooperating with the medicines of soothing the liver to help the spleen On the basis of medicine treatm ent with Chinese medicine health management auxiliary treatment.