Excavation And Research On Classical Prescriptions Of Spleen And Stomach Diseases Of Pain And Distension In Ancient Medical Books

Objective To collect and sort out the medical records of treating pain and distension spleen and stomach diseases with classical prescriptions in ancient medical books,summarize the main treatment methods,analyze the characteristics of treating pain and distension spleen and stomach diseases with classical prescriptions by famous doctors,and carry out data mining,combined with the relevant theoretical knowledge of traditional Chinese medicine,analyze the rules of prescription use,so as to provide more ideas for modern clinical treatment of pain and distension spleen and stomach diseases.Method 1.On the basis of consulting and investigating the relevant literature of classical prescriptions for spleen and stomach diseases of pain and distension recorded in ancient medical books,taking the books collected in the library of Zhejiang Chinese Medical University and Zhejiang Academy of traditional Chinese medicine as the data source,we extensively collected the works on Classical Prescriptions for spleen and stomach diseases of pain and distension written by famous scholars before the end of Qing Dynasty(1911),and referred to the large-scale literature book "Collection of Ancient Medical Case Records".This paper selects the classical prescriptions medical records with symptoms of "epigastric pain","fullness","abdominal pain" and "abdominal distension" as the key research objects,through traditional literature sorting method,studying ancient medical records,analyzing and commenting on typical cases,and summarizing the characteristics of treatment and application of classical prescriptions.2.Standardize the data of classical prescriptions of spleen and stomach diseases of pain and distension,input them into the traditional Chinese medicine inheritance support system(v2.5)system,establish the database of classical prescriptions of spleen and stomach diseases of pain and distension,and use the data mining methods of frequency statistics and rule analysis integrated by the software to count high-frequency drugs,four properties and five tastes,meridian tropism and so on,with the the help of data mining results to analyze and explore the treatment of pain and distension of spleen and stomach disease medication rules and prescription ideas.Results 1.The classical prescriptions in ancient medical books can be summarized as six kinds of treatment methods,such as reconciliation method,warming and tonifying method,Xiaodao method,Tongxia method,tonifying method and Qingxuan method.Doctors have their own characteristics in the selection of prescriptions based on syndrome differentiation and the compatibility of classical prescriptions.2.323 cases of pain and distension type of spleen and stomach disease were included in the standard of medical records,with 360 prescriptions,involving 192 kinds of traditional Chinese medicine.3.Statistics show that in the database of classic prescriptions for spleen and stomach diseases of pain and distension,the top seven drugs are more than 100 times,which are licorice,Poria cocos,ginseng,Pinellia ternata,Cinnamon Twig,dried ginger and Atractylodes macrocephala.According to the classification of drug efficacy,tonic drugs are the most,followed by Wenli drugs,Liqi drugs,Lishui drugs,Jiebiao drugs.4.Dominant factor in the four properties of drugs is mainly warm,less cold.The five flavors are mainly pungent,sweet and bitter.The main meridian tropism of drugs is spleen and stomach,which is closely related to lung.5.The most frequent drug pair is licorice ginseng.Among the 12 core drugs,Lizhong pill,Guizhi Decoction,Wuling powder,Banxia Xiexin Decoction,Linggui Zhugan Decoction and Erchen decoction,Liujunzi Decoction can be composed.Conclusion The classical prescriptions used by famous experts in the past dynasties for the treatment of spleen and stomach diseases with pain and distension have various therapeutic methods.Lizhong pill,Banxia Xiexin Decoction,Guizhi Decoction,Wuling powder and so on are commonly used in the selected prescriptions.The drugs have their own characteristics,including retaining the original prescription and reducing the dosage.At the same time,there are some differences in the treatment of epigastric and abdominal distension by ancient famous doctors,which is worthy of modern clinical learning.