A Literature Study On The Mode Of Diagnosis And Treatment Of Traditional Chinese Medicine

Objective:First, using the way of literature researching to study the Chinese medicine medical treatment model. Secondly, using the mathematical statistics to evaluate the clinical efficacy of traditional Chinese medicine combined with acupuncture to treat stroke depression, to explore suitable for promotion TCM appropriate technology community service model to provide a scientific basis for the inquiry TCM general medical treatment model.Method:First quarter:Using Literature Research Methods to explore the of model Chinese medicine medical treatment and the difference between general medical treatment model, than discuss the advantages and limitations of Western medicine.Second quarterAccording to the International Medical Center through disease/Cochrane Collaboration Handbook standards, using a computer to retrieve Wanfang (WF,1998-2016), Chinese Biomedical Literature Database (CBM,1979-2016), Chinese full-text periodical database HowNet (CNKI,1979-2016), VIP Chinese scientific and technical journals database (VIP,1989-2016). Inclusion of Chinese medicine combined with acupuncture treatment after stroke depression randomized controlled trials (RCT) literature, literature will be screened according to Cochrane Review Handbook5.0 quality evaluation standards, the RCT random method, application of blinding, allocation concealment implementation, sample size, treatment methods, statistical methods, follow-up and lost other content data extraction and quality assessment. Using RevMan 5.3 software Meta analysis and evaluation of traditional Chinese medicine combined with acupuncture method of PSD patients HAMD integral and efficient changes.Result:First quarter:Using Literature Research Methods to explore the of model Chinese medicine medical treatment,showed The three identified treatment model for disease and Chinese characteristics family bed service mode and "Disease setting technique "for TCM appropriate technology service model and TCM Intervention Community Mental Disorders model are suitable for community development..Through inquiry found that Chinese medicine general medicine clinic model has certain advantages compared to Western medicine, medical activities in the community to play an active role. In the general medical community to promote Chinese medicine treatment model is a basic way to improve the quality of national health, but also highlights the new socialism with Chinese characteristics medical career development.Second quarter:database were developed for different search strategies and were retrieved 1229 documents, to re-check to exclude 858 documents. By reading the catalog, the summaries canceled the requirements of 347 useless documents, the rest of 24 correlated documents had downloaded. excluded the words "randomized controlled" or non-compliance evaluate the diagnostic system,14 documents had found. and ultimately included 10 Chinese medicine combined with acupuncture treatment after stroke randomized controlled trials of the depression, for which 10 themes extract and quality assess. Risk of the bias assessment included in these study documents the methodological quality and reporting quality are generally low and also with the high risk. A total of 738 cases From 10 documents, including 369 cases of test group and control group 369 cases, through the included studies Mathematical statistics results are as follows:(1) HAMD integral change comparison:seven heterogeneity of literature, I2=100%, P<0.00001, studies show heterogeneous, select a random effects model, MD= 5.26,95% CI [2.07,8.45], Z=3.22 (P =0.001), explained medicine combined with acupuncture Western medicine treatment group and control group, statistically significant improvement in HAMD points, indicating that medicine combined with acupuncture method of treatment for HAMD score improvement than antidepressant medicine. (2) effective rate:9 literature heterogeneity of P=0.71,12= 0%, showing no heterogeneity between studies, choose a fixed effects model, OR=2.93,95% CI [1.87,4.61], Z=4.66 (P<0.00001), indicating the treatment group and the comparison group therapy PSD efficient statistically significant. Show in terms of efficiency, combined with traditional Chinese medicine acupuncture group was superior to antidepressant medicine for the treatment of PSD.Conclusion:1.The three identified treatment model for disease and Chinese characteristics family bed service mode and "Disease setting technique "for TCM appropriate technology service model and TCM Intervention Community Mental Disorders model are suitable for community development.2.The Chinese medicine combined with acupuncture therapy can be effective in treating post-stroke depression.