Professor Wu Bingcai’s Clinical Experience In The Treatment Of Irregular Menstruation

Research objectives:This study collected and sorted out Professor Wu Bingcai’s clinical medical records on the treatment of irregular menstruation,combined with data analysis and daily clinical learning experience from teachers,to explore his syndrome and treatment patterns of irregular menstruation,and summarize Professor Wu Bingcai’s experience in distinguishing and treating irregular menstruation.Research methods:Through retrospective study,the original data of the cases with irregular menstruation as the chief complaint treated by Professor Wu Bingcai from January 2017 to December 2022 were collected and sorted out.According to the diagnostic criteria,inclusion criteria and exclusion criteria,and the target medical cases were selected.The patient’s name,age,date of treatment,frequency of treatment,symptoms,tongue image,pulse image,TCM diseases,prescriptions,and composition of TCM were arranged,input by Microsoft Office Excel and standardized processing,and electronic medical record database was established and input into the cloud platform of ancient and modern medical records(V2.3.5)to conduct statistical analysis of data;In addition,I read relevant academic papers published by Professor Wu Bingcai and his inheritance team,sorted out relevant video materials of TCM master Wu Bingcai’s inheritance studio,and summarized Professor Wu Bingcai’s academic experience in the differentiation and treatment of irregular menstruation,characteristics of syndrome differentiation and treatment,and clinical experience in combination with his learning experience in clinical consultation with doctors and prescription copying.Research results:1.Statistical analysis of frequency:There were 186 cases of irregular menstruation,378 times of diagnosis,the lowest age was 13 years old,the highest age was 48 years old,30 to39 years old was the most common age of irregular menstruation,followed by 20 to 29 years old.The symptoms with higher frequency are less menstrual flow,fatigue,dark red menstrual blood,menstrual blood mass,soreness of waist,dry mouth,delayed menstruation,premenstrual breast distension,menstrual abdominal distension,yellow urine,light sleep and easy to wake up,dreaminess,good sigh,bright red menstrual blood,chills,difficulty in falling asleep,menstrual abdominal distension and pain,easy to sweat,dizziness,etc.Tongue frequency is higher with red tongue,pale tongue,dark red tongue,pale red tongue,tongue edge tooth marks,pale dark tongue,sublingual vein thick;the higher frequency of tongue coating is thin yellow coating,thin white coating,yellow greasy coating,white greasy coating,yellow coating and white coating.The higher frequency of pulse is pulse string thin,pulse string,pulse deep thin string,pulse soft,pulse deep thin,pulse thin,pulse deep string,pulse deep.Traditional Chinese medicine with high frequency of use are licorice,angelica sinensis,white atractylodes rhizome,ginger,white peony root,poria cocos,bupleurum,peppermint,radix codonopsis,Moutan bark bark,etc.;the category frequency of traditional Chinese medicine is the most tonic medicine,followed by dampness medicine,qi medicine,heat-clearing medicine,interior-warming medicine,blood-activating and stasis-resolving medicine,etc.Among the tonic medicine,qi-reinforcing drugs and blood-supplementing drugs account for the largest proportion.The four properties of traditional Chinese medicine were mainly warm(31.54%),flat(25.30%),slightly cold(17.44%)and slightly warm(10.06%).The five flavors of traditional Chinese medicine were mainly sweet(34.94%),pungent(25.43%)and bitter(23.14%).The meridian tropism of traditional Chinese medicine is mainly liver meridian,spleen meridian and heart meridian.A total of 49 prescriptions were used,and the most frequently used ones were Xiaoyao Powder / Danzhi Xiaoyao Powder,Li ’s Qingshu Yiqi Decoction,Wenjing Decoction,Erzhi Pill,Ganmai Dazao Decoction,Guipi Decoction,Zisheng Decoction,Yueju Pill,Suanzaoren Decoction and Bazhen Decoction.2.Association rules analysis:Association rule analysis was carried out for all drugs,among which the top ten drug combinations with high association rule degree were licorice-angelica,white atractylodes rhizome-licorice,licorice-ginger,white atractylodes rhizome-angelica,angelica-ginger,angelica-white peony root,white peony root-licorice,poria cocos-licorice,white peony root-poria cocos,ginger-white peony root.3.Cluster analysis of traditional Chinese medicine:Four drug combinations were obtained by cluster analysis of drugs with more than or equal to 40 occurrences.The first category is white atractylodes rhizome,ginger,licorice,angelica;The second category is Moutan bark bark,scorched gardenia,bupleurum,peppermint,white peony root,poria cocos;The third category is motherwort,Ligusticum chuanxiong,Pinellia ternata,Colla Corii Asini,Polygonum multiflorum,placenta hominis,peach kernel,mistletoe,eucommia ulmoides,jujube kernel,stir-fried malt,fleeceflower stem,common yam;The fourth category is radix codonopsis,jujube,Astragalus membranaceus,dried tangerine peel,Alisma,Ophiopogon japonicus,medicated leaven,Phellodendron,Schisandra chinensis,Pueraria lobata,Atractylodes lancea,Cimicifuga,Green Tangerine Peel.Research conclusion:1.Professor Wu Bingcai ’s treatment of irregular menstruation often takes into account the five internal organs,but focuses on liver,spleen and kidney,and does not forget the heart and lung: treatment from the liver,liver and spleen;pay attention to the spleen and stomach,cultivate acquired;yigui homology,liver and kidney treatment.2.Professor Wu Bingcai attaches importance to Qi and blood and adjust activity of Qi: disorder of qi and blood is the basic etiology and pathogenesis of menstrual diseases.Regulating menstruation must focus on qi and blood.Women are prone to depression,and regulating menstruation must first regulate qi.3.Professor Wu Bingcai is expert in distinguishing dampness and evil,and treat it from dampness:dampness comes from a wide range of sources and tends to diffuse through the three jiao and penetrate deep into the blood channels.The course of disease is slow and lingering.To Regulate menstruation can also start with treating dampness.4.The four diagnostic methods are combined,and the pulse diagnosis is emphasized: none of the four diagnostic methods are indispensable,emphasizing the analysis of the pulse and the treatment of the pulse.5.Change sentiment and character,and perserve health: emotional and disorders and improper health preservation play an important role in the occurrence and development of irregular menstruation,so psychological treatment and health education can not be ignored.6.Medicine pay attention to light,medicine less powerful,and prescription pay attention to compatibility,good drug use.7.Professor Wu Bingcai ’s differentiation and treatment of irregular menstruation is not completely limited to the disease types,and emphasizes the same treatment of different diseases.The common types include liver depression and qi stagnation type,liver and kidney yin deficiency type,spleen deficiency type,qi and blood deficiency type,cold coagulation and blood stasis type,phlegm dampness block type.