Summary Of Professor Wan Liling’s Clinical Experience In Treating Wind-cold Cough

Objective:Through data analysis,this paper analyzes and summarizes Professor Wan Liling’s experience in the treatment of wind-cold cough and the rules of syndrome differentiation and prescription selection.It is expected to provide ideas and references for the clinical diagnosis and treatment of wind-cold cough.Method:According to the diagnostic criteria and exclusion criteria,we collected the cases of wind-cold cough from January 2019 to December 2022,and entered194 cases that met the criteria into Microsoft Excel tables,and standardized the data.Gender,age,season of onset,course of disease,history of onset,history of medication,inducement of cough,characteristics of cough duration,frequency of traditional Chinese medicine,four qi and five tastes,syndrome types of traditional Chinese medicine and symptoms of each syndrome type were analyzed by Excel.IBM SPSS Statistics 26.0 was used to cluster analysis the prescriptions of each syndrome type.IBM SPSS Modeler 18.0 was used to analyze association rules of simple wind cold syndrome.Result:1.General information: Among the 194 cases in this study,there were 65 male patients,accounting for 33.51%,and 129 female patients,accounting for66.49%;From the age distribution,patients between 40 and 50 years old accounted for 20.10% at most,followed by patients between 30 and 40 years old accounted for 18.56%.2.Onset season: The season in which wind-cold cough appeared the most was winter,with a frequency of 60 times,accounting for 30.93%.3.Types of cough: Among the 194 cases of wind-cold cough studied,acute cough was the most common,102 cases,accounting for 52.58%;Followed by chronic cough,64 cases,accounting for 32.99%,subacute cough had the least,28 cases,accounting for 14.43%.4.Onset history and medication history: According to the onset history of patients,the top two causes of wind-cold cough were after catching cold,then after external sensation;The proportions were 39.69% and 16.49%,respectively;From the medication history of patients,the most commonly used treatment for wind-cold cough patients was antibiotics,74 cases,accounting for 25.78%;Followed by intravenous antibiotics,34 cases,accounting for 11.85%;The third place was the application of heat-clearing drugs,with 29 cases,accounting for10.10%.5.Cough characteristics: the most common cause of wind-cold cough was pharyngeal itch,with 120 cases,accounting for 45.98%;In the second place,there were 21 cases,accounting for 8.05%;In the combination distribution,single factor was still the majority,and pharyngeal itch was still the most important cause,accounting for 39.18%.There were relatively few multiple factors,and the most common cause was the combination of pharyngeal itch and qi reverse upthrust,with 7 cases,accounting for 3.61%.Secondly for the pharyngeal itch,the combination of phlegm stagnation in the pharynx.The time distribution characteristics of wind-cold cough were as follows: the double time period was more than the single time period,and the first was light in day and heavy at night,with 54 cases,accounting for 21.09%.The second was awake by cough at night,with 46 cases,accounting for 17.97%.6.Holistic drug use: Among the 194 prescriptions included in the study,a total of 76 TCMs(Traditional Chinese medicines)were involved,and the top 15 drugs were in order: almond,glycyrrhiza,platycodon platycodon,Ginger,white precursors,magnolia officinalis,convolvulus,tangerine peel,Perilla leaf,coltsfoot,ephedra,aster,cicadas decidua,poria cocos and pinellia japonica.The first three were warm(42.91%),mild(26.60%)and flat(17.03%).The five flavors were octyl(43.88%),bitter(31.78%)and sweet(12.10%).The top four channels were lung channel,spleen channel,stomach channel and large intestine channel,accounting for 39.16%,19.24%,16.45% and 8.57%,respectively.7.Distribution of syndrome types: Among 194 cases of wind-cold cough in this study,TCM syndrome types were divided into 9 categories,among which the top 5 were: There were 80 cases(41.24%)of wind-cold syndrome,26 cases(13.40%)of syndrome of wind-cold combined with phlegm-dampness,24 cases(12.37%)of wind-cold syndrome combined with heat depression,24 cases(12.37%)of windevil lingering syndrome,and 20 cases(10.31%)of wind-cold and Qi-deficiency syndromes.Furthermore,the symptoms,drug frequency and drug cluster of each syndrome type were analyzed.Conclusion:Professor Wan Liling has a relatively systematic understanding of the syndrome characteristics of each syndrome type and the selection of prescription and medication.She is good at grasping the degree of severity of wind-cold and selecting the prescription and medication according to the combination of symptoms.