Experience Of Chief Physician Xu Jianqin In Treating Damp-Heat Disease And Exploration Of Medication Rules Of Damp-Heat Type Diabetes

Objective: 1 Using the traditional philological research method of “ academic differentiation and textual research ” to systematically collate the literature related to damp-heat,and to sort out the pathogenesis and treatment principles of damp-heat-related diseases caused by internal injuries by physicians in past dynasties;2 To collate and summarize the academic thoughts and clinical experience of chief physician Xu Jianqin in the treatment of internal injuries with damp-heat;3 Based on data mining tutor Xu Jianqin chief physician treatment of damp-heat type diabetes medication rules.Methods:1 Literature research:With the help of《中华医典》(V5),the ancient physicians’literature on the diagnosis and treatment of damp-heat due to internal injury was retrieved,and the development of the theory of damp-heat due to internal injury in TCM from the pre-Qin Dynasty to the Ming and Qing dynasties and the rich clinical records of damp-heat diseases were traced.Retrieval from 1999 to 2020,China Journal Network Database(CNKI)included in nearly 10 years of all the’damp-heat syndrome’(internal injuries damp-heat)research literature,from the etiology,pathogenesis,syndrome differentiation,treatment,prescriptions and other aspects of damp-heat type diabetes to analyze the current clinical situation;(2)Arrangement of tutor’s academic experience:Collect and collate the medical records of Professor Xu Jianqin in the treatment of damp-heat caused by internal injuries,prescriptions,papers published in various public journals,personal feelings and reading notes not published publicly,or lectures,slides,videos,or records of students following the teacher;Through outpatient follow-up,collection of patients with tongue coating photos,master-apprentice dialogue mode form.From the clinical point of view of damp heat medical records.The tutor has a significant effect in the treatment of damp-heat disease and is recognized by patients.The main damp-heat diseases in endocrine clinic such as diabetes,obesity,asthenia,coronary heart disease,sweating syndrome,insomnia,arthralgia,headache,spermatorrhea,infertility,and frigidity are collected to preliminarily explore the identification and treatment rules of tutors for damp-heat diseases caused by internal injuries.3 Data mining research:The medical records of chief physician Xu Jianqin in the treatment of damp-heat type diabetes were collected.The basic information of patients(four diagnostic methods and medication)was established,and the database was input into the TCM inheritance support platform(V2.5).The data were analyzed from the aspects of four qi and five tastes,meridian attribution and efficacy.The statistical plate was used to analyze the correlation between high-frequency traditional Chinese medicine and summarize the prescription and medication rules of the tutor in the treatment of damp-heat type diabetes,and analyze the correlation between the nature,taste and meridian attribution of the tutor in the treatment of damp-heat type diabetes.Results:1 Literature research suggests that the word’damp-heat first appeared in《素问·六元正纪大论》.The research on damp-heat syndrome of traditional Chinese medicine has been developed in《伤寒杂病论》since《内经》,supplemented in the Song and Yuan dynasties,and improved in the Ming and Qing dynasties.It has been gradually divided into‘internal injury damp-heat’and‘warm disease damp-heat’,but both belong to the category of‘damp-heat syndrome’.Since modern times,there are two concepts of damp-heat syndrome in narrow sense and broad sense.2 In the long-term clinical practice,chief physician Xu Jianqin gradually formed a unique academic thought and clinical experience from the perspective of internal injury of damp-heat,including starting from the triple energizer syndrome differentiation,identifying the location and etiology of the disease,distinguishing the severity of damp-heat according to the tongue image and color,and paying attention to both damp-heat and syndrome;Rule of treatment,to remove dampness and heat and use,summarized not to remove dampness three methods:Xuanshang to wet,smooth to dry wet,infiltration to wet.Treatment of insomnia,vertigo,headache,stomachache,thirst,urinary tract infection,impotence,gout,eczema and other cases to support.3 According to the‘data analysis’and‘statistical report’modules of TCM inheritance support platform V2.5,the contents of four-qi,five-flavor,meridian-tropism,frequency and drug rules of all the input prescriptions were analyzed prescriptions were analyzed,among which the Chinese herbs with the frequency of drug use>20 times were as follows:Pericarpium Citri Reticulatae,Pinellia ternata,Poria,Amomum villosum,Rhizoma Atractylodis Macrocephalae,Rhizoma Dioscoreae and Rhizoma Coptidis;46.82%warm medicine,27.15%flat medicine;Five flavor statistics found that the utilization rate of bitter medicine accounted for 32.56%,sweet medicine 33.06%,pungent medicine 27.91%;In terms of meridian attribution,spleen,stomach,lung,liver and kidney are the main types.Drug rules to licorice->dried tangerine peel,Poria->dried tangerine peel,dried tangerine peel->Poria,bran fried atractylodes->dried tangerine peel,ghost arrow feather->dried tangerine peel,dried tangerine peel->Pinellia.Reflects the tutor Xu Jianqin chief physician treatment of internal injuries damp heat medication experience.Conclusion:1 Since the beginning of《内经》,"doctors understanding of the symptoms,etiology,symptoms,treatment and prevention of damp-heat has been progressing.Until the Song,Jin,Yuan and Ming Dynasties,the dialectical framework of’damp-heat caused by internal injuries’has basically formed.Although there are two development trends of’damp-heat caused by internal injuries’and’exogenous’in the Qing Dynasty,they have gradually improved in theory,treatment principles,treatment methods and prescriptions.In the past 10 years,the damp-heat syndrome of internal injury has been deeply and systematically studied,especially in the diagnosis and treatment of chronic diseases.A breakthrough has been made in the theory,method and prescription,and a new theory of damp-heat syndrome of internal injury has been formed.2 Based on clinical practice,chief physician Xu Jianqin accumulated rich experience in the diagnosis and treatment of damp-heat due to internal injuries.He made good use of the time and reflected the three methods of dispelling dampness,namely,dispersing dampness to remove dampness,smoothing dampness to dry dampness,and infiltrating dampness to promote dampness.Further research can play the advantages of famous doctors,promote the diagnosis and treatment of chronic diseases,benefit patients with chronic diseases,and promote the inheritance and innovation of traditional Chinese medicine.3 Data mining research suggests that Professor Xu Jianqin,based on the middle energizer,has rich experience in the treatment of damp-heat type diabetes with flexible application of invigorating the spleen,eliminating dampness,and resolving phlegm and cutting based on the three methods of dispelling dampness(dispersing dampness in Xuanshang,smoothing dampness in middle,and promoting dampness in infiltration).