| Objective: Retrospective study of diagnosis and treatment of chronichepatitis b in traditional Chinese medicine clinical medicine research rulesof the real world, discusses the relationship between drug and clinicalsymptoms distribution for clinical provides the reference on the drugtreatment of chronic hepatitis b.Methods: Based on people-centered, data oriented, drive for the question tomedical practice and scientific computing, alternately from clinical came tothe real world of clinical scientific research paradigm, based on thetraditional Chinese medicine clinical scientific research and informationcollection system (outpatient) acquisition of shandong university hospitalof traditional Chinese medicine liver disease outpatient service in August2012to October2013, a total of104patients diagnosed with chronic hepatitisb patients with clinical data, using cluster analysis method, research onmedicine and TCM symptoms of chronic hepatitis b and the relationship betweendrug distribution.Results:1.Symptoms distribution: effective cases for a total of104cases,468clinical time, with204cases, a pain, lack of power94cases, the diagnosis is not (including acid reflux, heartburn, etc.)78cases,65cases under threata lump in the abdomen, jaundice27cases.2. Various symptoms drug use cluster analysis results are as follows:(1）A pain: The first category: nutmeg, rhizoma coptidis, radix bupleuri,hu main licorice, wormwood, rhizoma corydalis, radix curcumae； The secondcategory: rhizoma atractylodis, magnolia bark, herba lophatheri, sauce,chicken’s gizzard-membrane, radix paeoniae alba, radix isatidis, rice bean,fry zizyphus jujube kernel, fructus lycii, rhizoma imperatae, white hyacinthbean, bamboo shavings, bergamot, liquorice, Sue terrier, radix scutellariae；Third class: cortex moutan, radix polygoni multiflori cane, gardenia,plantain, coke hawthorn, radix aucklandiae, buffalo horn, coix seed, antelopehorn powder, angelica dahurica, coastal glehnia root, Fried radish seed,rhizoma coptidis, amomum villosum, zhejiang.(2)The lack of power: the first category: turmeric, rhizoma coptidis hu,chicken’s gizzard-membrane, nutmeg, main licorice, radix bupleuri, yanhusuo,green husk； The second category: radix polygoni multiflori rattan, magnoliabark, dried tangerine or orange peel, liquorice, radix paeoniae alba,acid-insoluble ash, fructus lycii, rhizoma atractylodis； Third class: radixisatidis, herba artemisiae, Sue terriers, combination, chrysanthemum,motherwort fruit, rice bean, Fried zizyphus jujube kernel, cardamom, polygala,fructus schisandrae, radix glycyrrhizae, turmeric, grass, rhizoma ligusticiwallichii, coastal glehnia root, dissolving platycladi seed.(3)The diagnosis is not: the first category: nutmeg, magnolia bark,rhizoma atractylodis, Fried radish seed, chicken’s gizzard-membrane,turmeric, zhejiang bay； The second category: evodia rutaecarpa, radixpolygoni multiflori cane, basil, rhizoma coptidis, radix aucklandiae, radixglycyrrhizae, radix isatidis, white hyacinth bean. Third class: radixbupleuri, Fried hovenia dulcis, caramel malt, coke divine comedy, green husk, Fried Fried atractylodes, yam, coke hawthorn, yanhusuo, plantain, liquorice,rhizoma polygonati, dandelion, acid-insoluble ash, bamboo shavings a lump inthe abdomen.(4)The Reins:The first category: radix bupleuri, rhizoma atractylodis,rhizoma coptidis hu；The second category: radix scutellariae, cardamom, herbalophatheri, rice bean, rhizoma coptidis, buffalo horn, capillary artemisia,cardamom, radix paeoniae alba, radix isatidis, motherwort fruit, bergamot,magnolia bark； Third class: antelope horn powder, bean root, evodiarutaecarpa, turmeric, gardenia, main licorice, lentils, angelica dahurica,defeated sauce grass in vain, coastal glehnia root, magnet, liquorice, feathercockscomb seed, selfheal, yanhusuo, zhejiang.Jaundice.(5)The first category: herba lophatheri, fructus gardeniae, herbaartemisiae, grass, plantain； The second category: nutmeg, cogongrass rhizome,buffalo horn, fructus ligustri lucidi, antelope horn powder, ink dry lotus,wolfberry fruit, rice bean, rhizoma atractylodis, chicken’s gizzard-membrane,Third class: white lentils, dittany skin, yanhusuo, amomum villosum,notoginseng powder, rhubarb, money grass, talc, magnolia bark, liquorice,grass, radix paeoniae rubra, dissolving Bian storage.Conclusion:1.The clinical research of TCM should be used more in line with the lawof development of traditional Chinese medicine clinical research based on thereal world, the integration of clinical scientific research paradigm, namelypeople-centric, data oriented, is driven with problems, medical practice andscientific computing, alternately from clinical to clinical.2.Chronic hepatitis b in the core of the threats for complained of painmedicine are: nutmeg, rhizoma coptidis, radix bupleuri, hu main licorice,wormwood, rhizoma corydalis, radix curcumae, rhizoma atractylodis, magnoliabark, herba lophatheri, sauce, chicken’s gizzard-membrane, radix paeoniae alba, radix isatidis, rice bean, fry zizyphus jujube kernel, medlar for weakcomplained of chronic hepatitis b3.The core of drug use are: turmeric, rhizoma coptidis hu, chicken’sgizzard-membrane, nutmeg, main licorice, radix bupleuri, radix polygonimultiflori, rhizoma corydalis, green husk cane, magnolia bark, driedtangerine or orange peel, liquorice, radix paeoniae alba, acid-insoluble ash,fructus lycii, rhizoma atractylodis, radix isatidis.4.In the diagnosis of chronic hepatitis b is not complain at the core ofdrug use are: nutmeg, magnolia bark, rhizoma atractylodis, Fried radish seed,chicken’s gizzard-membrane, turmeric, zhejiang bei, evodia rutaecarpa, cane,basil, rhizoma coptidis, radix aucklandiae, radix polygoni multiflori mainlicorice, radix isatidis, white hyacinth bean, radix bupleuri, Fried hoveniadulcis, caramel malt and the divine comedy, green husk.5.A lump in the abdomen is complained of chronic hepatitis b with REINSat the core of drug use are: radix bupleuri, radix scutellariae, rhizomacoptidis, rhizoma atractylodis, hu cardamom, herba lophatheri, rice bean,rhizoma coptidis, white buffalo horn, wormwood, Chloe, radix paeoniae alba,radix isatidis, motherwort fruit, bergamot, magnolia bark, antelope hornpowder, bean root, evodia rutaecarpa, turmeric, gardenia, main licorice.6.The core of the chronic hepatitis b with jaundice is complained of druguse are: herba lophatheri, fructus gardeniae, herba artemisiae, pride,plantain, cardamom, cogongrass rhizome, buffalo horn, fructus ligustri lucidi,antelope horn powder, ink dry lotus, medlar, rice bean, rhizoma atractylodis. |
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