A Study Of Professor Zhang Xuexin’s Experience In The Treatment Of Palpitations (Tachyarrhythmias) Based On Data Mining

Objective: To observe the clinical efficacy of Professor Zhang Xuexin in treating palpitations(tachyarrhythmias);Relying on the the software data of the " Chinese medicine inheritance aid platform(V3.0)",to extract and analyze the data,to dig out the pattern of the instructor’s use of Chinese medicine in treating palpitations(tachyarrhythmias),and to analyze the frequency of drugs in prescriptions,the types of drugs used,the four qi and five flavors,the Drug’s Attribution,the common drug pairs,etc based on the prescription content;to summarize her clinical experience in using Chinese medicine in treating palpitations(tachyarrhythmias)to provide more ideas for clinical treatment.Methods: From June 2021 to December 2022,200 patients with palpitations(tachyarrhythmias)were collected from Professor Zhang Xuexin’s outpatient department of Qinhuangdao Traditional Chinese Medicine Hospital,and selected according to the inclusion and exclusion criteria.The diagnosis and treatment process of the mentor was recorded in detail.After treatment,the efficacy of TCM syndromes was evaluated;Input the first diagnosis medical record into the "Chinese medicine inheritance aid platform(V3.0)" software,establish a database.Data analysis was conducted,including frequency statistics,formula pattern analysis,cluster analysis,and other data mining methods,and the results obtained from data analysis were presented in the form of frequency tables and networked display charts from different perspectives;the clinical experience of the instructor in treating palpitations(tachyarrhythmias)was summarized by combining his ideas of evidence identification and drug use.Results: 1.After a period of treatment,the total effective rate of patients’ dynamic electrocardiographic efficacy reached 96.00%,and the total effective rate of TCM syndromes reached 93.00%.During the treatment period,no adverse reactions occurred;In this study,there were138 female patients and 62 male patients;The age distribution is mainly between 50 and 59 years old,with a total of 51 people,followed by 60 to69 years old,with a total of 47 people,with the majority of middle-aged and elderly groups;Among the common symptoms of patients,in addition to the main symptoms of palpitations,the accompanying symptoms with higher frequency rankings are insomnia,fatigue,dry mouth,chest tightness,shortness of breath,upset,constipation,abdominal distension,etc;4.The instructor divided the evidence of palpitations(tachyarrhythmia)into 12types;5.the instructor used 14 common treatments for palpitations(tachyarrhythmia).6.The top 10 drugs with the highest frequency were:Atractylodes macrocephala,Fu Shen,Licorice,Yuan Zhi,Chai Hu,Mu Xiang,Ginseng,Fu Ling,Chuan Xiong,and Huang Qi;the drugs with frequency ≥ 20 times were counted by category.The frequency of drug categories in descending order was: tonic for deficiency,tranquilizer,purgative for heat,diuretic for dampness,rationalizer for qi,an activator of blood circulation and blood stasis,diaphoretic,phlegm,cough and asthma,astringent,and calming liver wind.7.Among all the herbal medicines,the pharmacological properties of herbal medicines commonly used by instructors were flat,warm,and cold,accounting for 97.44% of the total;the pharmacological tastes of commonly used herbal medicines were sweet,bitter,and pungent,accounting for 77.02% of the total;the common meridians of herbal medicines were lung meridian,spleen meridian,heart meridian,kidney meridian,and liver meridian,accounting for 75.17% of the total;8.the prescriptions of herbal medicines were analyzed based on association rules for all 28 groups of herbal medicine combinations,among which Atractylodes macrocephala and Yuan Zhi appeared the most frequently,accounting for 64 times.Among them,Bai Zhu and Yuan Zhi appeared the most frequently with a total of 64 times,followed by Yuan Zhi and Huang Qi with a total of 55 times;four new prescriptions were obtained after cluster analysis.Conclusion: The instructor treated palpitations(tachyarrhythmia)with heart and spleen deficiency,liver depression and qi stagnation,qi and yin deficiency,phlegm and heat internal disturbance,and yin deficiency and fire,accounting for 82.50% of the cases;the treatment method was to strengthen the spleen and nourish the heart,benefit qi and nourish yin,clear liver and heat,clear liver and qi,clear heat and phlegm,nourish yin and clear heat,strengthen spleen and promote clear yang,and clear liver and spleen,accounting for 88.23% of the cases.The medicinal properties of herbal medicines used in the treatment of palpitations(tachyarrhythmias)were most common in flat medicines,followed by warm and cold medicines;the five tastes of herbal medicines were most common in sweet medicines,followed by bitter and pungent medicines;and the meridians of herbal medicines were mainly lung meridians,followed by spleen and heart meridians.The tutor believes that the disease is located in the heart and can be related to the five internal organs.Due to the deficiency of heart qi,heart yin,heart blood,and heart yang,it is most closely related to spleen deficiency;The main pathogenesis is deficiency of yin and yang in the heart’s qi and blood,and loss of mental health.It also involves phlegm and dampness,water consumption,blood stasis,qi stagnation,and fire evil that disturb the mental health.In terms of treatment,we should inherit and carry forward the academic thought of the Yi Shui School,attach importance to tonifying the heart and spleen first,and use the combination of sweet and tonifying drugs and qi regulating drugs to promote the development of the spleen and clear yang;From the statistical results of the drug combination association rule analysis,core combination,new prescription 1,2,3,4,etc.,all reflect Li Dongyuan’s goal of strengthening the spleen and replenishing qi,and promoting the development of spleen yang to achieve the goal of replenishing the middle,replenishing qi,and regulating the heart qi.According to the statistics of the meridian tropism of drugs,most of them enter the lung and spleen meridians,that is,greatly replenish the vital energy."The heart is the official of the monarch,and restlessness is the key link in the onset of heart palpitations.In clinical practice,attention is paid to the urgency of the specimen.It is believed that the urgency of tachyarrhythmia lies in heart palpitations,and the treatment of heart palpitations should first reassure the mind.The frequency of use of tranquilizing drugs is relatively high.".Start from four aspects: peace of mind,peace of mind,peace of mind,and peace of mind.