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Study On The Rules Of Symptoms And Treatments Of Psychosomatic Phenomena In Ancient Emotion-related Medical Records

Posted on:2009-10-29Degree:DoctorType:Dissertation
Country:ChinaCandidate:B WangFull Text:PDF
GTID:1114360245950040Subject:Basic Theory of TCM
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With the progress and development of society,people have an increasingly fast pace of life and stronger sense of competition,and more attention has been drawn on psychosomatic phenomena.Today,with the gradual transformation of medical mode,the internal mechanism of Chinese medicinal emotional theories,and the psychological physiology of the pathogenesis of modern psychosomatic phenomena,has reached the same goal by different routes.The emotion-cause-disease theory and its treatment have an in-estimable significance and great clinical value to today's psychosomatic phenomena' treatment.The ancient medical records of traditional Chinese medicine(TCM)is the importanct part of the literatures of TCM,and makes great function in spreading to accept and guiding clinic etc.And to our today's teaching, research and clinic have guidance and enlightenment function.It's no time to delay to carry out qualitative breakthrough on development of TCM,with building up the database of Chinese medical records,in allusion to concrete problems,choosing suitable mathematical analyses and data mining research approaches to analyzing and mining real worthy knowledges.This research focuses on the psychosomatic phenomena of ancient medical emotion-related records,starting the main symotoms and common herbal medicines, emphasizes on the mathematical analyses of "disease-symptom-medicine" to the relevant information,studies and researches the characteristics and relationships of "disease-syndrome-sympton-treatment",analyzing and mining the rules of "sympton-treatment" of psychosomatic phenomena.And enrich and sciently explain Chinese medicinal emotional theories,accordingly provide important datas for the research of Chinese medicine psychosomatic phenomena. 1.ObjectivesMathematical analyses and data research approaches are used in analyzing the rules of "sympton-treatment" of psychosomatic phenomena in ancient emotion-related medical records.2.MethodsThe research objects are the psychosomatic phenomena in the ancient emotionrelated medical records.In order to collect relevant psychosomatic phenomena medical records taking body symptom as main symptom from the original ancient medical records,and to set up a new database,we based on "Zhong Hua Yi Dian" and the documents of "Zhongguo Yi Ji Kao",supplement some important records to "Zhong Hua Yi Dian",using the "seven modes of emotion" of Chinese pathogeny internal injury and other synonyms and parasynonyms. 1,332 entries are collected from 115 copies of medical dictionaries and books. Analyses have been done on different aspects,like symptom,gender,age, inducement,therapy and medicine,etc.,that quoted from the original medical records.By the SAS8.0 software programming,the text data is converted to the digital variable as 1 and 0 respectively.And finally complete the frequency analysis,the factor analysis,the canonical correlation analysis,the connection analysis,the link analysis.3.ResultsThis research draws the conclusion by mathematical and data analyses of 1,332 entries of ancient medical records of psychophysiolofical disorder, matches the basic Chinese Medicinal theories:A.General discussion1)Gender and age range:Female incidence of the disease is higher than the male,no obvious difference in age distribution.2)The onset emergency of the incidence:slow causes from worries and hones, a paroxysm of disease is more from anger,grief and terrify.3)The pathogeny and influencing factors of emotional syndrome:From general respect and sigle-pathogeny,anger is the most often causes,yearn,worries and terrify take the second place;From the respect of compound pathogeny of emotional syndrome,worries,terrifies and angry-thinking are the most often. Overstrain and constitutions are the common causes in developing the emotional diseases. 4)Symptoms of the medical document and records:Higher frequency on internal organs like spleen and stomach,secondarily,some gynaecological and windstroke disease,and some symptoms both the name of symptoms and the disease have higher frequency.5)Medication:Common herbal medicines are Liquorice,Poria and Angelica,etc.. From the medicinal assoeted analyses of the medical records,common herbal medicines are used for the purposeof activing vital energy,supplementing qi and blood,quickening and cooling the blood,involves the spleen,liver, gallbladder and other internal organs.6)Place and diagnosis on the basis of an overall analysis of the illness: no special analysis,see the references of other symptoms and medications.B.Research on symptoms and medication regulation of emotional syndrome in medical records1)Single-pathogeny disease:Commmon symptoms are similar to the general study of the situation.Most pathogenesises are stagnant liver qi transforming into fire,qi-deficiency of spleen types etc..Common herbal medicines are Liquorice, Angelica and Macrocephalae,etc.Common decoctions are Guipi Tang, Liuwei Dihuang Wan,etc.,medication is used to invigorating qi and spleen, dispersing stagnated heaptoqi.The basic prescription is Ginseng,Macrocephalae, Poria,Liquorice,Reticulatae,Pinellia,Bupleuri,White peony,Astragali, Angelica,Polygala,Cotex moutan,Gardenia.2)Compound-pathogeny disease:common symptoms of diet-abstinency,cough and vomit,etc.Most pathogenesises are the stasis of hepatic qi,and the hepatic qi attackt spleen type.Similar medications with single-pathogeny disease are used.Common decoctions are Shenqi Wan,Guipi Tang etc.,medication is used to tonify Qi of the kidney and strengthen qi and the spleen.The basic prescription is Ginseng,Macrocephalae,Poria,Liquorice,Reticulatae,Pinellia,White peony,Astragali,Angelica,Gardenia.C.Research on symptoms and medication regulation of psychosomatic phenomena in the medical recordsCommmon symptoms are similar to the general study of the situation.Most pathogenesises are deficiency of heart and spleen and stasis of hepatic qi types etc..Similar medications with the general study are used.Common herbal medicines are similar to the general study of the situation.Common decoctions are Guipi Tang,Liujunzi Tang etc,medication is used to invigorate vital energy and strengthen the spleen,dispersing stagnated heaptoqi and promoting flow of qi.The basic prescription is Ginger,Ginseng,Macrocephalae,White peony,Poria,istragali,Liquorice,Angelica,Cotex moutan,Gardenia, Reticulatae,Bupleuri,Pinellia.D.Research on symptoms and medication regulation of symptoms of the same kind in medical records1)Splenic and Gastric Kind:Commmon symptoms are poor diet,vomiting,and bellyache etc...Most pathogenesises are qi-deficiency of spleen and asthenic spleenonephro-yang types etc..Common herbal medicines are Liquorice,Poria, Reticulatae etc..Common decoctions are Guipi Tang,Shenqi Wan,etc., medication is used to invigorating qi and spleen,nourishing yin and blood. The basic prescription is,Angelica,Ginseng,Macrocephalae,Pinellia,White peony,Gardenia,Bupleuri,Ginger.2)Hepatic Kind:Commmon symptoms are hypoxhondrium pain,distention of hypoxhondrium and poor diet etc...Most pathogenesises are the stasis of hepatic qi and stagnant liver qi transforming into fire types etc..Common herbal medicines are Liquorice,Poria,Angelica etc..Common decoctions are Guipi Tang,Liujunzi Tang,etc.,medication is used to invigorating qi and spleen,nourishing yin and blood.The basic prescription is Liquorice,Poria, Angelica,Bupteuri,Ginseng,White peony,Macrocephalae,Pinellia,Ginger, Reticulatae,Gardenia,Cotex moutan.3)Pulmonary Kind:Commmon symptoms are cough,poor diet distention of chest etco..Most pathogenesises are qi-deficiency of spleen and asthenia pulmonary qi types etc..Common herbal medicines are Liquorice,Poria,Angelica etc.. Common decoctions are Guipi Tang,Liujunzi Tang,etc.,medication is used to invigorating qi and spleen,nourishing yin and blood.The basic prescription is,Reticulatae,Ginseng,Macrocephalae,White peony,Gardenia,Pinellia, Ginger,Bupleuri,Cotex moutan.4)Renal Kind:Commmon symptoms are oliguresis,edema and pain while urinating etc..Most pathogenesises are qi-deficiency of spleen and asthenic spleenonephro-yang types etc.Common herbal medicines are Poria,Angelica, Liquorice etc.Common decoctions are Guipi Tang,Shenqi Wan,etco., medication is used to invigorating qi and spleen,nourishing liver and kidney. The basic prescription is Poria,Angelica,Liquorice,Macrocephalae,Ginseng, Gardenia,Reticulatae,Bupleuri,Cotex moutan,Ginger,White peony,rehmanniae vaporata,Astragali.5)Windstroke Kind:Commmon symptoms are vertigo,convulsion and poor diet etc.. Most pathogenesises are hepatic and renal yin deficiency and upward disturbance of liver yang types etc..Common herbal medicines are Liquorice, Poria,Angelica etc..Common decoctions are Liujunzi Tang,Guipi Tang,etc., medication is used to invigorating qi and spleen,nourishing yin and blood. The basic prescription is Liquorice,Poria,Angelica,Macrocephalae,Ginseng, White peony,Bupleuri,Cotex moutan,Reticulatae,Ginger.6)Mass and Lingual nodule Kind:Commmon symptoms are abdominal mass,lingual nodule andpoor diet etc..Most pathogenesises are hepatic and renal yin deficiency and upward disturbance of liver yang types etc..Common herbal medicines are Angelica,Poria,Liquorice etc..Common decoctions are Liujunzi Tang,Danzhi Xiaoyao San,etc.,medication is used to invigorating qi and spleen,nourishing yin and blood.The basic prescription is Angelica,Poria, Liquorice,White peony,Bupleuri,Macrocephalae,Reticulatae,Ginseng,Ginger, Gardenia.7)Gynecologic Kind:Commmon symptoms are menstrual disorder,poor diet and netrorrhagia etc..Most pathogenesises are the stasis of hepatic qi and stagnant liver qi transforming into fire types etc..Common herbal medicines are Liquorice,Angelica,Poria etc.Common decoctions are Guipi Tang, Liujunzi Tang,etc.,medication is used to invigorating qi and spleen, nourishing yin and blood.The basic prescription is,Bupleuri,Macrocephalae, Ginseng,White peony,Ginger,Cotex moutan.Based on the "symptom-medicine" analyses in common symptons of medical records,complex combinations of "symptom-medicine" relationship are obtained.4.Conclusions1)Psychophysiolofical disorders are more often seen in female patients,with anger pathogeny,and grief and terrify in the second place,worries and hones often slow onset.2)Most onsets of single-pathogeny diseases of psychophysiolofical disorders are because of angry feelings,second,hones and worries;compound-pathogeny diseases of psychophysiolofical disorders are becauses of hones,second with terrify and angry-thinking. The condition of the function and activeities of the viscera is an important factor which causes an outbreak in the process of emotion with the result that disease.3)Seven modes of emotion belong to the five viscera separately,hones belongs to emotion of liver and yearn to spleen are higher prorer.4)Most pathogenesises of psychosomatic phenomena ducing sigle-pathogeny and sigle-pathogeny are the stasis of hepatic qi and stagnant liver qi transforming into fire,and the basic theatments are dispersing stagnated heaptoqi and cooling liver and purging fire.The place of the illness the sigle-pathogeny involves are simple and the commons are liver and spleen; but the compound pathogeny is complexer and offen involves liver,spleen,lung and kidney etc..5)Spleen,liver,gallbladder and other internal organs are the most visceras psychosomatic phenomena involves.Most pathogenesises are stagnant liver qi transforming into fire,qi-deficiency of spleen types etc.,and the basic theatments are invigorate vital energy and fostering blood,dispersing stagnated heaptoqi and cooling liver and purging fire.6)Preventing and curing psychosomatic phenomena must focus on providing physical and mental relaxation,treating liver and spleen in common,and recuperating with medical and adjusting emotional syndrome after recover.7)Although in the psychosomatic phenomena-related medicine records,the the same kind symptoms have respective characteristics,as a whole take the stasis of hepatic qi and stagnant liver qi transforming into fire as the main pathogenesises,in the meantime all have qi-deficiency of spleen,deficiency of heart and spleen and hepatic and renal yin deficiency.|Combine to the analysis for the results of canonical correlation analysis,Combine the disease,syptom and kind of syptoms of differentiation and treatment is useful for the clinic in treating psychosomatic phenomena.8)Mathematical analysis is useful in research of medical records of psychosomatic phenomena,common syptoms and kinds of syptoms And deduced the basic pathogenesis by the basic prescriptions.It matchs the existing TCM theory and prove the theory.9)Using Mathematical analysis support the value of some medicine and classical prescription,and mine the effectual medicine,medicine pair in common use and the basic prescriptions,find the existence of special combination.It provides the clues for clinic and the method for further clinic and experiment research.
Keywords/Search Tags:ancient medical record, emotion, psychosomatic phenomena, rules of Symptoms and Treatments
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