Analysis On The Medication Of Cough Disease In Wumen Medical School In Ming And Qing Dynasties And The Clinical Study Of Flavored Yeshi Yangwei Decoction In The Treatment Of Chronic Bronchitis Due To Yin Deficiency

Objective:This article summarizes and analyzes the characteristics of Women Medical School’s diagnosis and treatment of cough through the frequency sorting,factor analysis,network graph analysis,and association rule analysis of the commonly used drugs in the diagnosis and treatment of cough disease in some books of the Wumen Medical School in the Ming and Qing Dynasties.On this basis,Jiawei Yeshi Yangwei Decoction was used to treat patients with acute bronchitis in the form of deficiency of lung yin deficiency.By observing its clinical efficacy,Wumen Medical School’s treatment of cough and its characteristics were discussed,as well as its reference to the treatment of chronic bronchitis guiding role.Methods:1.Screen the representative doctors of Wu TCM doctors,which contain the relevant content of diagnosis and treatment of cough disease,determine the type,title and number of medical works to be combed and studied,and use SPSS25.0 statistical software to treat the selected cough syndromes The medical records are subjected to statistical processing such as drug frequency analysis,factor analysis,network graph analysis,association rule analysis,etc.,in order to discover the compatibility laws and characteristics of Wumen Medical School’s diagnosis and treatment of cough diseases.2.A total of 60 patients with chronic bronchitis in the acute episode of lung yin deficiency syndrome who were treated in the outpatient department and inpatient department of the Respiratory Department of Suzhou Traditional Chinese Medicine Hospital from September 2019 to December 2019 were divided into two groups by random drawing method.The group received oral administration of Chinese medicine Jiawei Ye’s Yangwei Decoction,and the control group received oral oral roxithromycin capsules.The changes of cough symptom score,LCQ score,TCM syndrome score and treatment efficiency of the two groups of patients before and after treatment were observed.Results:1.Literature compilation:There are 462 cases of cough medical records including wind-cold attack lung syndrome,wind-heat offending lung syndrome,dry evil injury lung syndrome,wind-shock syndrome,phlegm-dampness lung syndrome,phlegm-heat lung syndrome,stomach gas There are 11 syndromes of adverse syndrome,liver-fire-related lung syndrome,lung-yin deficiency syndrome,summer fever-related lung syndrome,and lung-qi deficiency syndrome.A total of 369 drugs are used.The top 20 drugs with a frequency of more than 10%are ranked from high to bottom.Raw licorice,Poria,ginseng,almond,Atractylodes,Angelica,Rehmannia glutinosa,ginger,astragalus,tangerine peel,jujube,Chinese yam,peony bark,schisandra,dogwood,white peony root,licorice root,platycodon grandiflorum,Ophiopogon japonicus,Pinellia ternate.Factor analysis,association rules and other analysis of the drugs with high frequency can be obtained,and 10 drug combinations can be drawn,which are always "medication is gentle,dispelling evil and balancing,qi and blood yin and yang are coordinated,supplementing diarrhea is common,all organs are treated together"Features for the party.2.Clinical research:(1)Cough score:the day score,night score,and total score of the treatment group were significantly improved after treatment compared with before treatment(P<0.05);all three scores were better than the control group after treatment(P<0.05);the day and total scores of the control group improved significantly after treatment(P<0.05),and there was no statistically significant difference in the night improvement scores(P>0.05).(2)LCQ score:The physiological score,psychological score,social score,and total score of the treatment group tended to rise after treatment,and the improvement was very significant compared with before treatment(P<0.05);all four scores were better than the control group after treatment(P<0.05);The improvement of physiological score and total score in the control group after treatment was statistically significant(P<0.05),and there was no statistically significant difference in psychological score and social score(P>0.05).(3)TCM syndrome scores:The improvement of the main symptoms,secondary symptoms,and total scores of the treatment group and the control group after treatment are statistically significant(P<0.05).Compared with the two groups after treatment,the main symptoms and secondary symptoms No significant difference was found in the total points(P>0.05).(4)Effectiveness:The total effective rate of the treatment group was 93.33%,and the total effective rate of the control group was 80.00%.There was a statistical difference between the two groups(P<0.05).Conclusion:1.In the Ming and Qing Dynasties,Wumen doctors sent to diagnose and treat cough syndrome.The external symptoms were more common with wind and heat to invade the lungs.Internal cough was more common with phlegm and dampness,phlegm and heat stagnation of the lungs,and lung deficiency.2.The cough prescription of Wumen Medical School in the Ming and Qing Dynasties has the characteristics of medication,slowing down,eliminating evils and conditioning,coordinating qi and blood,yin and yang,sharing of relieving and diarrhea,and treating various organs.3.Jiawei Ye’s Yangwei Decoction can effectively relieve cough symptoms and significantly improve the quality of cough life in patients with chronic bronchitis with acute deficiency of lung yin deficiency.