The Clinical Experience Of Famous Old Chinese Medicine Treating Fatty Liver Based On Data Mining

Objective: Based on data mining,this study summarizes and analyzes the medical records of famous old Chinese medicine practitioners in treating fatty liver,and sums up their experience in syndrome differentiation and medication rules,so as to provide more reference for clinical accurate dialectics,perfect medication and improve curative effect.Methods: Collect medical records of famous old Chinese medicine practitioners treating fatty liver,Extract the information of patients’ four diagnosis data,TCM disease names,syndrome differentiation,treatment prescriptions and so on,The extracted data were systematically analyzed by using the software V3.0 of Traditional Chinese Medicine Inheritance Auxiliary Platform,and the medication rules,treatment principles,syndrome differentiation and classification of fatty liver were analyzed by means of frequency statistics and association rules,so as to summarize the clinical experience of famous old Chinese medicine practitioners in treating fatty liver.Results:1.General data: A total of 111 medical records meeting the requirements were collected in this study,including 84 male patients(76%)and 27 female patients(24%).According to the age of the patients,the group with the largest number of cases was 40-59 years old,with a total of 66 patients(60%).The next group was < 40 years old,36(32%);At least 9 people(8%)were in the group ≥60 years old.2.Disease name: There were 10 TCM diseases in this study,which were liver feticosis,hypochondriac pain,abdominal pain,accumulation,fat-qi disease,liver turbidness,liver accumulation,liver deficiency,liver malnutrition and Tanyin.3.Syndrome: In this study,the five common syndrome types of fatty liver were liver depression and spleen deficiency(30.63%),phlegm-dampness intrinsic syndrome(20.72%),phlegm-stasis interjunction syndrome(17.12%),liver-qi stagnation syndrome(17.12%),damp-heat intrinsic syndrome(13.51%).4.Treatment methods: The five commonly used treatment methods in this study were respectively soothing the liver and strengthening the spleen(27.02%),eliminating phlegm and removing blood stasis(17.11%),clearing heat and dampness(11.71%),soothing the liver and regulating Qi(11.71%),and strengthening the spleen and removing dampness(8.10%).5.Pulse: the common tongue quality in this study was red tongue,fat tongue,dark red tongue,light red tongue,tooth marks,dark purple tongue,etc.;Common tongue coating is: white and greasy,yellow and greasy,thin white,white,wet,thin and greasy,etc.;The common pulse signs are string,smooth,thin,sink,slow,etc.6.Symptoms: The top 10 symptoms in this study were: hypochondriac pain,hypochondriac distension,fatigue,abdominal distension,poor appetite,yellow urine,poor sleep,dry mouth,bitter mouth,loose stool.7.Drug use: Among the drugs used in the medical case of this study:(1)the ten commonly used Chinese medicines were: Salviorrhiza miltiorrhiza,alisma alisma,bupleurum,poria,hawthorn,turmeric,cassia seed,tangerine peel,licorice and atractylodes atractylodes.(2)The ten commonly used medicine pairs were: Salvia miltiorrhiza and alisma,bupleurum and curcuma,alisma serrata and hawthorn,salvia miltiorrhiza and curcuma,alisma serrata and curcuma,salvia miltiorrhiza and curcuma,bupleurum and alisma serrata.(3)In the statistics of five tastes,the frequency from high to low is bitter,sweet,sweet,sour and salty.(4)According to the four qi statistics,the frequency from high to low is cold,warm,flat,cool and hot.(5)The frequency from high to low in the meridian statistics were liver,spleen,lung,stomach,heart,kidney,gallbladder,large intestine,bladder,small intestine,three coke and pericardium in order.(6)The frequency of drug efficacy statistics from high to low were tonifying deficiency,promoting blood circulation and removing blood stasis,improving water and dampness,clearing heat,regulating qi,dispelling surface,eating,dispelling dampness,dispelling phlegm and relieving cough and asthma,dispelling rheumatism,retracting astringent,warming li,calming liver and calming wind,opening the body,calming the mind,stopping bleeding,purging and deworming.Conclusion(s):1.Famous traditional Chinese medicine practitioners believe that fatty liver belongs to the category of "liver fettiness" in traditional Chinese medicine,with the three viscera of liver,spleen and kidney as the core.The disease location is in the liver,the disease is mixed with deficiency and insufficiency,and its basic pathogenesis is liver depression,spleen deficiency,dampness and heat,phlegm turbidness and blood stasis.2.In the differentiation and treatment of fatty liver,the syndromes of famous traditional Chinese medicine are mainly liver-depression and spleen-deficiency,phlegm-dampness intrinsic syndrome,phlegm-stasis mutual syndrome,liver-depression and Qi-stagnation syndrome,and damp-heat intrinsic syndrome.The treatment methods mainly include soothing the liver and invigorating the spleen,dispelling phlegm and removing blood stasis,clearing heat and dampness,soothing the liver and regulating Qi,and invigorating the spleen and removing dampness.3.In the treatment of fatty liver,famous traditional Chinese medicine practitioners commonly use bitter,sweet,and xin drugs,the drugs used are mostly liver and spleen channels,according to the disease of patients with different deficiency and substance,substance to promote blood circulation and remove blood stasis,water and moisture-oozing,and deficiency to supplement deficiency.Commonly used drugs are salviorrhiza,alisma,bupleurum,poria,hawthorn,turniflora,cassia seed,tangerine peel,licorice,atractylodes.Common drug pairs were: Salvia miltiorrhiza and alisma,bupleurum and curcuma,alisma serrata and Hawthorn,Salvia miltiorrhiza and curcuma,alisma serrata and curcuma,salvia miltiorrhiza and Hawthorn,bupleurum and alisma serrata.