The Collation And Analysis Of Professor Liang Jianbo's Barrenness Experience Prescr Iptions And Medical Records

ObjectiveProfessor Liang Jianbo(1920-2001),a well-known veteran Chinese medicine doctor,is skilled in internal medicine,good at curing difficult and complicated diseases,and has accumulated rich experience in the treatment of infertility.It is beneficial to inherit and innovate the academic thought of Lingnan traditional Chinese medicine by digging out the experience prescription and medical records of infertility diagnosis and treatment,systematically arranging and studying,and giving full play to the academic characteristics of Lingnan traditional Chinese gynecology medicine.Method:By using the method of literature collection,this paper collects and studies the experience prescriptions and medical records of Liang Lao in the treatment of infertility before his death.1.Search the titles,abstracts,keywords and full texts of CNKI,VIP and SinoMed databases,and the titles,catalogues and contents of the books in the library of Sanyuanli Campus and University Town Campus of Guangzhou University of Traditional Chinese Medicine.2.Visit the Information Archives Department of Zhaoqing Hospital of Traditional Chinese Medicine,and find infertility medical records and experience from copies of medical records kept by Liang Jianbo family and medical records manuscripts before Liang Lao' s death.Medical records were established between 1970 and 2001.3.Collate all prescription data,enter Microsoft Excel spreadsheet,establish database to form Excel worksheet,and use SPSS 19.0 statistical software package for statistical processing.The statistical analysis methods used include frequency analysis,correlation analysis and cluster analysis.4.The four diagnostic information,TCM diagnosis,Western medicine diagnosis,TCM syndromes and prescriptions collected from medical records are input into Excel table to establish a preliminary information database,and the format and name of TCM are standardized in the process.After pretreatment,the data were input into the clinical information acquisition module of the Chinese Medicine Assisted Inheritance Platform(V2.5).From the data point of view,the methods and medication characteristics of Liang Lao' s syndrome differentiation and treatment were revealed.The sorted data were substituted into medical records and documents for theoretical analysis and concise analysis of traditional Chinese medicine,and the treatment methods and principles of Liang Lao were summarized by using the data.Result:A total of 500 medical records were collected by Professor Liang Jianbo,a famous veteran TCM doctor.35 medical records were collected by experienced doctors,involving 136 flavors of medicines.First,the majority of infertility patients are between 30 and 40 years old,which indicates that the disease mostly occurs in older women of childbearing age.At this stage,the pressure of women's work and the burden of family are relatively heavy,and the incidence of the disease increases accordingly.Second,ovulation disorder is the main cause of female infertility,mainly manifested in the different length of menstrual cycle,most of which are menstrual rarity or amenorrhea.Polycystic ovary syndrome accounted for 16.40%,and intermenstrual bleeding accounted for 15.80%.Therapeutic course and efficacy analysis:Interval hemorrhage treatment for one week has obvious effect,continuous treatment for three months,monthly medication for one week can achieve radical cure accounted for 90%.Polycystic ovary syndrome(PCOS)has a long course of treatment,usually more than 6 months,and its curative effect is significantly lower than other gynecological diseases,with less than 50%of the cases cured.Third,in terms of the frequency and frequency of single Chinese herbal medicine,13 of the 34 medicines that have been used more than 10 times in the treatment of infertility have been used more than 40%.Poria cocos,Atractylodes macrocephala,yam,Astragalus membranaceus,Codonopsis pilosula,Scutellaria baicalensis,Cuscuta chinensis,Angelica sinensis,Lycium barbarum,raspberry,plantain seed,mulberry parasitic,Chinese dumpling seed.Most of the above medicines are mainly for invigorating the spleen and kidney,which highlights Liang Lao' s medication thinking of emphasizing the spleen and kidney conditioning.Fourth,in terms of frequency and frequency of selection of various Chinese medicines,the most frequently used medicines are tonifying deficiency drugs(42.42%),Qi-regulating drugs(23.31%),and Blood-activating drugs(10.16%),warm-interior drugs(6.45%)and hemostatic drugs(3.31%).Further study found that among the four sub-categories of tonifying deficiency drugs,the most frequently used is tonifying yang drugs,followed by Tonifying Qi drugs.Fifth,from the frequency and frequency of flavor selection,the main flavors of drugs are sweet,bitter and salty,with frequencies of 40.22%,32.88%and 14.37%,respectively.Among them,the most frequently used medicines are sweet ones,which can be supplemented and relieved by Ganke,that is,they have the functions of tonifying deficiency,moderating medicinal properties,relieving pain and relieving urgency.However,other medicinal flavors are less used,which is an auxiliary compatibility of medicinal flavors.Sixth,27 commonly used medicines for infertility caused by menstrual diseases were divided into 9 categories.According to the frequency analysis table and the clinical practice of traditional Chinese medicine,Professor Liang Jianbo' s prescriptions for infertility caused by menstrual diseases are mostly about 14 flavors,which are Bupleurum,Purple Quartz,Cuscuta seed,Lycium barbarum,Dipsacus,Plantagonis,Codonopsis,Radix Angelicae sinensis,Longan meat,Yuanzhi,Dazao and Ginger.Seventh,experience can be divided into two categories:self-formulation and traditional addition and subtraction.From the analysis of the frequency and frequency of prescription use,it can be seen that Jiawei Guipi Decoction(48.16%)ranked first,followed by Female Pregnancy 1 and Female Pregnancy 2,followed by Jiawei Liujun Decoction,Zhengxin Ningshen Decoction,Anduo Shibu Decoction,Jiawei Yulin Decoction,Yougui Decoction and so on.Eighth,the characteristics of Liang Lao' s medication are concluded from the correlation analysis.1.Compatibility of drugs with similar effects to strengthen the therapeutic effect.2.Drug cooperation with the same therapeutic purpose plays a synergistic promoting role.3.Cooperative use of drugs for pathogenesis of specimens.Ninth,Professor Liang Jianbo often uses the following five methods to treat infertility:1.Jiawei Guipi Decoction,Female Pregnancy 1,Female Pregnancy 2,Zhengxin Ningshen Decoction,Yougui Decoction and Lizhong Decoction are commonly used.For example,late menstruation,metrorrhagia,endometriosis,hyposexual desire,habitual abortion,fetal disturbance,gestational fetus is not long can be treated by Invigorating the spleen and invigorating the kidney.2.Method of nourishing yin and protecting liver:Guben Zhibian Decoction,Yiyin Zhibian Decoction,Liuwei Dihuang Pill,Zishui Qinggan Decoction,Liangdi Decoction,Yiweisan,Zuogui Pill,etc.were used more frequently,and were added or subtracted according to the symptoms.Such as premenstrual menstruation,too little semen,decreased sexual desire,fetal agitation and so on can be treated by the method of nourishing yin and protecting liver.3.Clearing away heat and detoxification:It is the main method to treat intermenstrual bleeding,dysmenorrhea,less menstrual volume and amenorrhea.Qingre Gujing Decoction,Yiqi Guchong Decoction,Liangdi Decoction and Sanhuang Decoction are commonly used.4.Activating blood circulation and removing blood stasis:The commonly used prescriptions are Honghua Taoren Decoction and Pingchong Jiangni Decoction to treat dysmenorrhea,polycystic ovary syndrome,uterine fibroids,etc.5.Quhan Warm Palace Method:For example,dysmenorrhea,less menstrual volume,amenorrhea and other uses of female pregnant formula 1,female pregnant formula 2,Jiawei Yulin Tang,anpi Shibu Tang,etc.,but also more use Buyang Huanwu Tang,Wenjing Tang,add or subtract according to the symptoms.Conclusion:1.This subject adopts the method of retrospective research,and collects 35 experience prescriptions and 500 medical records of Professor Liang Jianbo.Through medical records collation and data mining,it is suggested that the main therapies of Liang Lao's diagnosis and treatment of infertility are:invigorating the spleen and kidney,nourishing yin and protecting the liver,clearing away heat and detoxification,activating blood circulation and removing blood stasis,and removing cold and warming the uterus.2.There are 11 self-made prescriptions for treating infertility:Zhengxin Ningshen Decoction,Qingre Gujing Decoction,Jiawei Guipi Decoction,Yiyin Zhidang Decoction,Female Pregnancy 1,Female Pregnancy 2,Yiqi Guchong Decoction,Anbo Shibu Decoction,Jiawei Jianpi Decoction,Jiawei Yulin Decoction and Jiawei Liujun Decoction.There are 10 traditional prescriptions:Yougui Decoction,Siwu Decoction,Liangdi Decoction,Lizhong Decoction,Qinlian Siwu Decoction,Zhenwu Decoction,Honghua Taoren Decoction,Zishui Qinggan Decoction,Pingchong Jiangni Decoction,Guben Zhidang Decoction,etc.These methods are the accumulated experience of Liang Lao for decades,hoping to help summarize his clinical experience comprehensively and provide reference for future generations,so as to better inherit and develop the academic essence of Liang' s medicine.