| ObjectiveThis research through to the teacher to use the current prescriptions in the treatment of gynecopathy card case to conduct a comprehensive system of sorting and the teachers all cards treatment of before and after the menopause syndrome use rules indata mining,To summarize the tutor academic diagnosis and treatment of gynecopathy,Inherit and carry forward the old academic experience of traditional Chinese medicine,Provide reference for clinical treatment of gynecopathy legislative idea of differentiation.MethodsIn this study with teacher awareness in the process of learning,With clinical records,Teacher teaching materials,Mentor published papers,works and their successors tomentor clinical experience summary is given priority to,And refer to the related literature of Chinese and western medicine,Will mentor when treating gynecopathy basis to sortout before and after the menopause syndrome and treatment law to study the two parts as research content.The first part of the subject:Collect and collate the outpatient medical records of gynecologic diseases treated by Professor Chu Yuxia from June 2016 to May 2018 in Henan Province Hospital of Traditional Chinese Medicine,Through the form of medical records,the author makes an analysis and Research on the current case.Mentor dynamic differentiation,Party card fit,compatibility of flexible thinking method and treating gynecopathy commonly used current prescriptions,compatibility and the formulas and subtract experience.The second part of the subject:Collect and collate the outpatient medical records of menopausal disorders patients treated by Professor Chu Yuxia in Henan Hospital of Traditional Chinese Medicine from June 2016 to May 2018.Using the Traditional Chinese Medicine Inheritance Assistant Platform(V2.5 edition),to data preprocessing,entry and check to establish medical record database.Based on data mining,the medication rules of various syndromes menopausal disorders treated by tutors were studied.To analyze the medication experience,prescription rules and characteristics of mentors in treating menopausal disorders,network display of Associated Drug Combinations.ResultsThe first part of the subject: Collect 43 cases of current clinical certification(Including 18 cases of menstrual diseases,2 cases of hypodermic disease,12 cases of pregnancy disease,3 cases of Postpartum diseases,8 cases of gynecological miscellaneous diseases),36 the Current Prescriptions involved,22 sources of prescriptions.The second part of the subject:(1)Statistical analysis of 300 patients,the youngest 40 years old,the oldest 55 years old,the average age of 47.50±4.76 years old,45～50 years old,a total of 166 cases,accounting for 55.33% of all patients.(2)331 outpatient prescriptions were collected,a total of 170 traditional Chinese medicine were involved,the total frequency of use was 4454,thirty-two kinds of traditional Chinese medicines were used more than 50 times,accounting for 18.82% of all kinds of traditional Chinese medicines,71.98% of all Chinese herbal medicines were used frequently.(3)The top 20 Chinese medicines are Paeonia lactiflora,Lycium barbarum,Angelica sinensis,Astragalus membranaceus,Cuscuta chinensis,Dry lotus grass,roasted licorice,fried Atractylodes macrocephala,Chuanxiong,Rehmannia rehmanniae,Achyranthes bidentata,Xiangfu,Date,Cornus officinalis,Ligustrum lucidum,Epimedium,Deer horn Cream,Morinda Officinalis,Purple quartz and Ginger;The first 20 kinds of medicines include tonifying deficiency drugs,promoting blood circulation and removing blood stasis drugs,regulating qi drugs,astringent drugs and antiepileptic drugs,drugs for tonifying deficiency are mainly used,75.00% of the top 20 drugs.(4)Further analysis of the first 15 drugs for tonifying deficiency showed that:The usage frequency of Yang-tonifying drugs was 27.71%,Qi-tonifying drugs 26.34%,blood-tonifying drugs 24.45% and Yin-tonifying drugs 21.50%.(5)Statistics on the frequency of meridian attribution of the nature and taste of traditional Chinese medicine.The frequency of using warm drugs was 47.78%,cold drugs 27.47% and plain drugs 24.12%;Sweet medicine accounted for 40.22% of the five flavors,bitter medicine 22.78% and bitter medicine 22.35%;The frequencies of liver meridian,spleen and stomach meridian,kidney meridian,heart meridian and lung meridian were 25.05%,23.98%,18.76%,11.86% and 10.87% respectively;the total frequency of liver,kidney and spleen(stomach)was 67.79%.(6)Analysis of Drug Use Patterns and Association Rules,Set the number of support degrees to 100,Confidence is set to 0.999,a total of 37 groups of drug combinations with frequencies more than 100 were obtained,it contains 12 kinds of traditional Chinese medicine,thirteen related drug combinations were obtained,it mainly involves the drug combination between dodder,wolfberry,deer horn cream,paeony,chuanxiong,Xiangfu and Achyranthes bidentata.ConclusionIn the first part,the author sorted out the medical cases of gynecological diseases treated by the time-use prescription of the tutor.In the diagnosis and treatment of gynecological diseases,According to the "corresponding view of heaven and man",Pay attention to the physiological changes of women indifferent periods,Monitoring the pathological changes of the disease,Verification machine,She emphasis on treating the disease,But to measure the situation,Distinguish specimen urgent,urgent is the first treatment;Pay attention to "zang-fu differentiation",Kidney based,Regulating the liver and spleen,Mind and body together,To fill the air and blood,Yin and Yang balance The teacher makes good use of time,With evidence,With new knowledge,More than one party,The number of a disease,Rigorous organization has the system,The despatch applied more medicine to the king of peace,If with the medicine of war,Then the disease stops,Advocate firm protect gastric qi.Drug compatibility advocates "the combination of dynamic and static,with and duration",Make the medicine work.The tutor’s theory of law and prescription provides us with valuable academic theory and clinical experience.The second part is to Apply Chinese medicine inherited supporting system V2.5(V2.5 edition)Statistical analysis was made on the medication frequency of various syndromes and the medication law of prescription before and after menopause.Professor chu yuxia believes that kidney qi is gradually deficient,Kidney-decyl-chongren-uterine axis dysfunction,The incompatibility of Yin and Yang is the basic pathogenesis of the disease.Both the treatment and the specimens,Mainly to fill the deficiency,Verification machine,It contains methods such as activating blood circulation and removing blood stasis,soothing the liver and regulating qi,removing astringent and solid flush,and harmonizing Yin and Yang(harmonizing camp and health).On the premise of kidney deficiency,Regulate the five viscera to aid the kidney,not kidney specific,to seek a new balance between Yin and Yang. |
PDF Full Text Request