Succeeding Professor Wang Shuchen’s Experience Of Chronic Cough And Experience Summary On Diagnosis And Treatment Of Idiopathic Pulmonary Fibrosis Based On Data Mining

Professor Wang Shuchen is a well-known Chinese medicine respiratory disease expert,is the fifth batch of the old Chinese medicine experts academic experience inheritance work instructor,is the Chinese Academy of Traditional Chinese Medicine Xiyuan Hospital lung disease science leader,Professor Wang engaged in respiratory clinical,teaching and research work More than 40 years,Jingqin tireless,Boji source,experienced,the author Fortunately,Professor Wang,through nearly three years of learning with the teacher,Professor Wang’s words and deeds,detailed records of Professor Wang treatment of various types of clinical experience,Under the guidance of Professor Wang,from the author’s understanding level,summed up Professor Wang from the strength of the treatment of lung disease deficiency and the academic thinking and from the "Leaky Kaiyu" on the lung disease standard academic thinking.And through the data mining method to sum up Professor Wang diagnosis and treatment of idiopathic pulmonary fibrosis specific clinical experience.Part I:Professor Wang Shuchen ’ s Academic Thought on the Treatment of Pulmonary DiseaseObjective:To summarize Professor Wang Shuchen ’ s academic thoughts,it is easy for us to comprehend the connotation of Professor Wang’ s thought of treating diseases,so that we can better inherit and apply Professor Wang ’ s experience.Methods:Through the clinical study with teachers,teachers and students Q&A,diagnosis and treatment,medical records analysis,combined with traditional Chinese medicine theory and literature research,from point to surface specific analysis,and then from the point to the point of the summary of the integration of an outline Professor Wang Shuchen diagnosis and treatment of lung disease ideas and the essence of medication,and the formation of academic thinking.result:1.Professor Wang Shuchen from the strength of lung disease on the academic thinking,including "warmth of the door,to stimulate vitality," "Pei Qi vitality,vitality," "dredge triple burner,deposited strength" of the specific ideas.The three methods complement each other,the same strain,to curculigo,fairy spleen,psoralen three flavor to the drug warm water dirty,the mission of the door of the fire was "dynamic" to stimulate and rise,which can endure the valley,transpiration,Fine on the lungs,to honor the internal organs;at the same time often compatibility Pueraria pack cloth strength,with its special focus on the spleen and stomach,under the Kai,under the life of vitality upstairs,to stimulate the spleen and stomach,Gas,Xin and not strong,sweet and not dry,cool and control curiosian,Xianling spleen dry and lively,so as not to disturb the liver and kidney phase of the fire guard;for lungs for a long time,vitality deficiency more,often with cents Mao,Xianling spleen,psoralen with a large number of Astragalus,cited Astragalus gas between the door,straight fill the door of the real element of the gas,and the common vitality of Astragalus and Pueraria on the Teng,line in the soil,promote Spleen and stomach of the fine to pour four Pong,held in the chest,to help the lungs fine to Ze cloth whole body.2.Professor Wang Shichen’ s theory of treating the lung disease from the study of the theory of "Jinyu Kaiyu" is based on the theory of "the Yellow Emperor’s Canon of Internal Medicine" and "Golden Relief".The meaning of " The use of lungs to promote the function of the development of "Jin Yu vent" theory of the use of the category,so as to form a "Leaky Kaiyu"academic thought,in clinical use,including "catharsis","vent" ","Catharsis "," catharsis "(including sparse lung depressive method and the method of qi and blood)," seepage"," catharsis "seven specific ideas.Conclusion:Professor Wang Shichen based on the classic theory of traditional Chinese medicine,after long-term study and clinical practice,Bocaizhongzhang,chase the source,the strength to seize the nature of the development of disease,and then from the overall grasp of the actual situation of yin and yang,and gradually formed from the strength of governance Deficiency of lung disease,from the "Leaky Kaiyu" on the study of lung disease empirical academic thinking.In the actual clinical,mostly for the virtual standard of the card,so the two ideas are often used at the same time,part of the specimen.Part II:Experience summary on diagnosis and treatment of idiopathic pulmonary fibrosis of Shuchen Professor Wang based on data miningObjective:To summarize the specific clinical experience of Professor Wang Shuchen in the diagnosis and treatment of IPF,to understand the specific application of Professor Wang ’ s academic thoughts,and to practice the methods and functions of data mining technology in the inheritance of old Chinese medicine.Subject:included in the study for the year February 2002-February 2017 during the period in the Chinese Academy of Traditional Chinese Medicine Xiyuan Hospital Respiratory clinic by Professor Wang Shuchen diagnosis and treatment of idiopathic pulmonary fibrosis cases,according to the inclusion criteria selected 107 cases meet the requirements of Case.Methods:The clinical symptoms,syndromes,treatment and frequency of patients with idiopathic pulmonary fibrosis were analyzed by using the platform of scientific research of Chinese Academy of Traditional Chinese Medicine.And so on;using Apriori algorithm,mining Professor Wang Shuchen diagnosis and treatment of IPF drug compatibility relationship and the law;through the double cluster analysis method,mining Professor Wang treatment of IPF drug characteristics.The use of man-machine combination of the way,a comprehensive and summed up Professor Wang Shuchen diagnosis and treatment of idiopathic pulmonary fibrosis clinical experience.result:The main clinical manifestations:After Professor Wang diagnosis and treatment of 107 cases of IPF patients,the results showed that the activities of shortness of breath,dry cough less sputum,wheezing,fatigue,fatigue,chest tightness,chest pain,progressive dyspnea,cough and phlegm mostly accompanied by auscultation Sounds,lips color dark,clubbing,etc.,other common symptoms associated with the whole body of heavy,anorexia,dry mouth,constipation,pharynx foreign body sensation,nocturia frequent,insomnia,dizziness,palpitations,chills Pain,dry eyes,sweating,Yaoxisuanruan and so on.Tongue:all the tongue and pulse in accordance with the tongue color,tongue,tongue,pulse in accordance with the ups and downs,the actual situation,late,wide and detailed records and statistics,and according to Professor Wang’s experience and guidance to confirm.The results show common tongue color for the tongue dark,tongue redness,tongue pale,red tongue;common tongue for the sublingual collaterals,old tongue,tender tongue,fat tongue,teeth tongue,thin tongue,Crack tongue,point tongue;common tongue for the moss less,thin yellow moss,yellow greasy moss,white greasy moss,thin white moss,peeling moss.The pulse is floating in the sunset:three points are different,the floating veins are 77.6%,the sinking veins are 13.1%,the arterial veins are 67.3%,the sinking veins are 16.8%,the veins are 2.8%and the sinking veins are 84.1%The pulse length was 12.2%,the number of veins was 54.2%,and the rest was 33.6%.The pulse length was 12.2%,the vein was 54.2%and the rest were 33.6%.TCM syndromes:common TCM syndromes followed by 89.7%of blood stasis,qi deficiency syndrome 69.20%,46.7%of the lung by heat and heat syndrome,rheumatoid arthralgia syndrome 44.9%,qi and yin deficiency syndrome 30.8%,Yin Jin deficiency syndrome 28%,Phlegm-dampness syndrome 24.3%,phlegm-heat obstruction syndrome 17.8%,Yang deficiency syndrome 10.3%,cold drink stop syndrome 6.5%.Rule:the rule of law is commonly used as follows:98.1%of vitality,blood circulation 92.5%,Qufeng Tongluo 94.4%,heat and diarrhea lung 43.9%,phlegm Sanjie 41.1%,Yin Yin Sheng 32.7%Cough and asthma 25.2%,expelling wind and evil through 17.8%,10.3%yang yang cold.For the deficiency,governance law to cultivate vitality,Yang Yin Sheng Jin,warm mainly;for the standard evidence to blood circulation,Qushi Tongluo,heat diarrhea lungs,phlegm Sanjie,Qufeng through evil,scattered Cold mainly.Which is called "catharsis”and "’catharsis";Qingre diarrhea method for the lungs of the wind-heat,Phlegm,hot and humid,heat can be used,are "through the vent" and "clear vent";phlegm Sanjie for phlegm,phlegm,cold sputum can be used,are "open vent";Qufeng Through the evil wind or wind through the wind,through the solution table cited evil out,are "catharsis" and "through the law."Chinese medicine:in 107 cases,a total of 93 species,the first 25 flavors of drugs were Sunburn Astragalus,Curculigo,Epimedium,Curcuma,leeches,network stone rattan,Clematis,ground dragon,piercing dragon,Ginger,etc.,the first sixteen drugs in the frequency of drug use More than 50%.According to the association of mining commonly used drugs for the Curculigo and Epimedium,Astragalus and Clematis,Astragalus and Curculigo,Epimedium,Astragalus and Curcuma,Astragalus and Leech,Curculigo and Clematis,Leeches,Clematis and Cyperus rotundus,leeches and earthworms,earthworms and piercing dragon,etc.,and Sunburn Astragalus,Curculigo,Epimedium,Curcuma,Leech,Associated support is up to 0.628125.Chinese medicine used to identify the abnormal point of digging Zao Ren,rushes grass,jasmine,Sophora,jujube and so on.And these commonly used drugs are reflected in the front of the common rule of law.in conclusion:1.The disease is the virtual standard of the card,the virtual to Qi deficiency,Qi and Yin Deficiency,the standard to the blood stasis,cold and wet resistance,lung heat,phlegm,phlegm,cold-based.2.Professor Wang to Astragalus,Epimedium,Curculigo,Pueraria and other drugs to fill,stimulate,lift,deposited strength,reflects the strength of the treatment of lung deficiency from the academic thinking.