Analysis Of The Rules Of Medication In The Treatment Of Chest Pain And Heartache In Ancient Medical Records

Purpose:In this study,through sorting out a large number of ancient Chinese medicine literature on the treatment of chest palsy and heartache,the Chinese medicine prescriptions for the treatment of chest palsy and heartache were statistically sorted out,and the drug use regularity of traditional Chinese medicine for chest palsy and heartache were preliminarily analyzed.The common medicines,core medicines,drug taste,meridian tropism and category used by ancient doctors for the treatment of chest palsy and heartache were summarized,which lays a foundation for scholars to study the related contents of chest palsy and heartache in the future,and can better assist clinical work.Material and method : Based on the fifth version of the Chinese Medical Code software and the existing ancient books of Chinese Medicine collected in the library of Liaoning University of Traditional Chinese Medicine,the medical records and documents on the treatment of chest palsy and heartache from the Pre-Qin period to the late Qing Dynasty were screened.The traditional Chinese medicine compound prescriptions for treating chest palsy and heartache were sorted out by ancient physicians.The origin and composition of prescriptions were recorded in excel tables,statistics of frequency number and frequency of drug use,classified and counted taste,meridian tropism and efficacy of drugs according to the textbooks.The data were clustered by SPSS 22.0 statistical software,and the results were analyzed.Results:1.According to the inclusion criteria and exclusion criteria,medical records were collected and screened.A total of 208 Chinese herbal compound prescriptions were collected,and 147 medicines were obtained.The total frequency of drug use was 1252.Among them,79 medicines were used more than three times,accounting for 92.57% of the total medicines.They were commonly used in this study.There are 32 medicines with frequency > 5%,which are used as high frequency medicines.2.The commonly used medicines are mainly warm medicines,followed by heat medicines andplacid medicines,and cold medicines are less.The top three common medicines are spicy,bitter,sweet,accounting for 93.25% of the total frequency.The most common meridians are the spleen meridian,the others are the heart meridian,stomach meridian,lung meridian,kidney meridian and liver meridian in turn,and the large intestine,gall bladder,small intestine and pericardium meridian are seldom used.According to the efficacy classification,the most frequently used drugs are warming the internal,followed by tonifying deficiency medicine,qi-regulating medicine,phlegm-resolving cough and Asthma-relieving medicine,and blood-activating and stasis-removing medicine,with a cumulative frequency of 75.41%,which plays a major role.3.Six clustering formulas can be obtained by cluster analysis of high frequency drugs.Conclusion:1.Ancient physicians treated chest palsy and heartache mainly by warming and tonifying deficiency,replenishing qi and invigorating spleen,drying dampness and resolving phlegm,supplemented by activating blood circulation and removing blood stasis,which accorded with the pathogenesis theory of deficiency and excess of chest palsy and heartache.2.It can be seen from the meridian of sexual taste that ancient physicians were good at using warm medicines to keep warm,using spicy medicines to promote qi and blood circulation,bitter medicines to eliminate dampness,sweet medicines to tonify and neutralize,relieve pain and urgency.On meridian tropism,ancient physicians were good at treating chest palsy and heartache from the heart,spleen,stomach and lung meridians,and at the same time,they paid attention to the regulation of liver and kidney meridians.From the perspective of drug efficacy,drugs warming the internal and tonifying deficiency medicine occupy the dominant position in the treatment,followed by qi medicine,phlegm-resolving cough and Asthma-relieving medicine,and blood-activating and stasis-removing medicine,which are the first choice for ancient physicians to treat chest palsy and heartache.3.Cluster analysis showed that the main types of treatment of chest palsy and heartache by ancient physicians were cold coagulation,stagnation of Qi and turbid phlegm.Drugs were added or reduceed according to the symptoms of patients.