Theoretical Study On Syndrome Differentiation And Treatment Of Visceral Accumulation Based On Zhongjing’s Thought Of "Spleen Flourishing"

Research objective:The treatment of malignant tumors by traditional Chinese medicine has attracted more and more attention.How to make good use of treatment methods and prescriptions is the focus of continuous attention in the industry.Through the combination of theoretical research and data mining,this paper discusses the connotation of the thought of spleen prosperity and its application in the treatment of accumulated diseases,so as to provide a basis for the treatment of accumulated diseases from the thought of spleen prosperity.Research methods:Using the method of literature research and based on the relevant literature of ancient and modern times,this paper combs the origin and inheritance of the thought of spleen prosperity in the treatment of accumulated diseases.The theoretical research part discusses the basic connotation of Zhang Zhongjing’s academic thought of spleen prosperity,and systematically expounds the ideas and methods of the treatment of five zang organs accumulation from the thought of spleen prosperity.In the data mining part,taking lung cancer,liver cancer and gastric cancer as examples,SPSS 23.0 software and celementine 12 are used for cluster analysis and association rule analysis,and the results are summarized and analyzed to explore the syndrome and treatment rules related to spleen deficiency in the treatment of clinical tumor diseases.Research results:1.The thought of invigorating the spleen originates from the internal classic and is fully reflected in the theory,method,prescription and medicine of treating miscellaneous diseases and accumulated diseases in the treatise on Febrile and miscellaneous diseases.2.The thought of invigorating the spleen in Treatise on typhoid and miscellaneous diseases is broad and generalized,mainly including: the spleen and stomach is the foundation of the day after tomorrow,the source of Qi and blood,and the great pivot of the human body,which has the function of transforming Qi and blood and regulating qi mechanism;Zhongjing regulates the spleen and stomach in the treatment of different accumulation diseases.The specific treatment methods include tonifying the spleen,resolving phlegm,promoting Qi,dredging the viscera,reducing Qi,clearing and so on.The idea of not hurting the spleen runs through the treatment.3.Malignant tumor is a disease with multiple occurrence,difficult treatment and poor prognosis.The thought of spleen invigorating in traditional Chinese medicine is mainly reflected in: improving cachexia and quality of life;The thought of invigorating the spleen in the treatment of pulmonary accumulation is reflected in strengthening the spleen to dissipate phlegm,cultivating soil to generate gold,dredging the intestine to lower the lung;In the treatment of liver accumulation,it is reflected in strengthening the spleen and Qi to cultivate and supplement the middle Jiao,soothing the liver and strengthening the spleen to prevent riding insult,and transporting the spleen to dredge the middle Jiao;In the treatment of gastrocele and enterocele,the emphasis is to mediate the Qi mechanism and restore the rise and fall of the middle coke.4.Data analysis a total of 920 medical records were collected,including 459 cases of pulmonary accumulation,281 cases of hepatic accumulation and 180 cases of gastric accumulation.Lung accumulation syndrome can be divided into five categories: kidney deficiency and blood stasis,phlegm and drink stopping syndrome;Stomach disharmony and depression,deficiency of Qi and Yin;Deficiency of Qi and Yin,phlegm turbidity block syndrome;Phlegm turbid stagnant lung,blood collateral damage syndrome;Lung loss,spleen deficiency and internal heat syndrome.Liver accumulation syndrome can be divided into four categories: spleen deficiency and dampness syndrome;Damp heat stagnation and blood stasis syndrome;Spleen deficiency,dampness excess,dampness depression and heat syndrome;Liver depression and spleen deficiency syndrome.Stomach accumulation syndrome can be divided into five categories:phlegm dampness and blood stasis syndrome and kidney essence deficiency syndrome;Deficiency of Qi and blood;Stomach qi goes up and down,qi depression turns into heat syndrome;Spleen deficiency damp heat syndrome;Spleen deficiency and qi stagnation syndrome.The results suggest that the syndrome of pleurosis is complex and often suffers from a variety of pathological products.5.After studying the medication law of pulmonary accumulation,liver accumulation and stomach accumulation,it is found that the commonly used drug combinations of pulmonary accumulation can be roughly summarized into Jianpi Daozhi group,Jianpi Yiqi,dampness and phlegm group,Yin Runzao group,Jianpi anticancer group and Yiqi Yangyin group;The commonly used drug combinations of Ganji can be roughly divided into Xingxiao Kaidao group,Jianpi Yiqi,dryness dampness and diuresis group,Lishi Tuhuang group and Shugan Xingqi group;The commonly used drug combinations of gastrocele can be roughly summarized into Jianpi dryness and dampness group,Jianpi Xingqi group and Jianpi anticancer group.Among them,Sijunzi decoction is a commonly used prescription for three kinds of gastrocele.Research conclusion:1.Zhang Zhongjing’s thought of invigorating the spleen is embodied in physiology.The spleen and stomach is the source of Qi and blood,the human body is a big pivot,the five zang organs of the human body take the spleen and stomach as the core,and the spleen is prosperous,the four Zang organs are safe;In terms of treatment,it is reflected in the concept of preventing diseases from spreading to the spleen and protecting the spleen and stomach in the whole process of treatment.The methods of invigorating the spleen include directly regulating and tonifying the spleen and stomach and regulating and tonifying the spleen and stomach to calm the four Zang organs.2.The thought of invigorating the spleen is of great significance in the treatment of accumulation disease,which is embodied in that the onset of accumulation disease is closely related to the spleen and stomach,and spleen deficiency is the basic pathogenesis of accumulation disease;Invigorating the spleen is an important treatment for accumulation disease.Invigorating the spleen can regenerate Qi and blood,and invigorating the spleen can calm the five internal organs;In the whole process of treatment,we should pay attention to protecting the spleen and stomach from time to time.3.The idea of invigorating the spleen has been used in the treatment of accumulation disease until now.The core components of lung accumulation,liver accumulation and stomach accumulation are the addition and subtraction of Sijunzi Decoction.And auxiliary western medicine treatment to prevent spleen injury;Medicine and food are of the same origin,and care for the middle Qi;Conduct elimination and guidance,and benefit the expansion and extension of Zhongjiao.4.Through data mining,we can draw the conclusion that the modern treatment of common visceral accumulation commonly uses the addition and subtraction combination of Atractylodes macrocephala,Codonopsis pilosula,Poria cocos and roasted licorice,the addition and subtraction combination of orange peel,Pinellia ternata and roasted licorice,and the addition and subtraction combination of Xiaodao products such as Jiao Shenqu,Jiao malt,Jiao hawthorn and chicken inner gold.