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The Discussion About The Method Of Treatment Based On Drug Compatibility Features And Syndrome Differentiation In The Process Of Professor Ding Shuwen Curing Premature Beat

Posted on:2014-03-29Degree:MasterType:Thesis
Country:ChinaCandidate:N JiangFull Text:PDF
GTID:2254330425457881Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Objective:Through nearly two years of clinical data collection, statistical analysis,data mining, and a summary of the implementation of the steps, to explore the drugcompatibility characteristics and clinical syndrome law based on syndrome differentiationof Professor Ding Shuwen. Analysis of old TCM clinical experience bears new uses, newmethods, in order to further improve the ability and level of clinical diagnosis andtreatment.Methods: Through the collection of Professor Ding Shuwen’s electronic patientmedical records, choosing200complete case files of premature patients from March2011to January2013.(1) Analyze the frequency of premature syndromes, clinical symptomsassociated disease.(2) Premature drugs commonly used in the treatment process throughdata mining, frequency and higher utilization rate of traditional Chinese medicine areclassified according to their different functions.(3) Throgh Logistic regression analysismethod, study the treatment of premature compatibility between the characteristics ofcommonly used Chinese medicine.(4) Research on correlation between premature Chinesemedicine and clinical data.Results:1、the TCM syndrome type can be divided into14categories from high tolow according to frequency of occurrence: qi-yin deficiency(59%), Heart Yindeficiency(18.5%), blood stasis(14.5%), Heart and gallbladder guilty(13%), phlegm-firedisturbing heart(12.5%), liver-kidney(8.5%), yin deficiency and fire hyperactivity(6.5%),Heart and kidney deficiency(5.5%), spleen and kidney deficiency(5%), Phlegmcollaterals(2.5%), Heart Yang weak(1.5%), stagnation of liver-qi(1.5%), hot and humid scrambling heart(1%), water attacking the heart(0.5%).2、 The10drugs with the highest frequency were huangqi(192,96%),maidong(188,94.0%), shengdi(186,93.0%), wuweizi(165,82.0%), shanyurou(157,78.5%),huanglian(140,70.0%), shenggancao(129,64.5%), qinghao(120,60.0%),yuanhu(107,53.5%),chuanqiong(97,48.5%).3、Chinese Herbal Pieces are divided into15types according to their differentfunctions:(1). supplementing qi and nourishing yin,(2). heat-clearing and detoxifying,(3). Blood circulation,(4). Calming nerves,(5). Huatan Xiezhuo,(6). tonify theliver and kidney,(7).Qufengjiebiao,(8). Qi analgesic,(9). Keep blood increase,(10). nourishing yin and clearing heat,(11). Wenyangtongmai,(12). Qingrepinggan,(13). clearing heat of deficiency type,(14). Expelling blood stasis,(15). Sputum cutmalaria elimination.4、 the medicine pair huangqi, maidong and wuweizi is mostcommonly used in premature, as well as shengdi, shanyurou aiming at nourish Yin andcooling heat, also yuanhu and sanqifen aiming at activating blood and regulating qi.5、Logistic regression analysis revealed: use of the method clearing away heat, toxic materialsand cooling blood was positively correlated with patients with symptoms of chest tightness,vexation, poor sleep and history of hypertension or diabetes, which is another newdiscovery of the treatment of premature.Conclusion: Huangqi, maidong, wuweizi and shengdi-shanzhuyu were mostcommonly used in premature, especially with syndrome of deficiency of both qi and yin.Gouteng, tianma, gegen, zexie,juhua, shijueming, caojueming, sangjisheng and kuncaowere often used accompanied with hypertension. Huangqi, maidong, shengdi, gegen,shanyao and xunshen were used accompanied with glycuresis, caojueming, huanglian,zexie, juhua, shuizhi and shanzha accompanied with hyperlipemia, and huanglian, kushen,gancao, wuweizi and xiyangshen accompanied with myocarditis.
Keywords/Search Tags:professor Ding Shuwen, premature beat drug compatibility, clinicalsyndrome
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