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Analysis On Medication Rules Of Ancient Traditional Chinese Medicines In Treating Phlegm Turbidity Resistance Syndrome Based On Traditional Chinese Medicine Inheritance Support System

Posted on:2018-11-08Degree:MasterType:Thesis
Country:ChinaCandidate:Z X SunFull Text:PDF
GTID:2334330518997868Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Objectives To explore the academic origins of the ancient physicians in the treatment of thoracic and phlegm-dampness syndrome,summarizing the pathogenesis of the disease in different historical periods.sorting out the more complete ancient medicine for the treatment of chest pain and phlegmPrescription use and prescription rules,with a view to better guidance of clinical and scientific research.Methods 1.The method of literature analysis was used to analyze the origin of chest pain and its ancient related disease name.Based on the knowledge of the physician's understanding of the pathogenesis of chest pain and phlegm-dampness syndrome,it was divided into Qin and Han Dynasties,Song and Jin Dynasties,Ming and Qing Dynasties Period,the different historical period of treatment of chest disease,phlegm and blood stasis of the etiology and pathogenesis of the classification.2."Chinese Medical Code"(fifth edition)as a search tool to "chest","heartache","chest pain","heart paralysis","true heartache" as a search term,according to the inclusion criteria And the exclusion criteria,screening up to the Qin and Han Dynasties,from the end of the Qing Dynasty and the Republic of China on the treatment of chest turbid phlegm internal resistance card literature,finishing a total of 575 prescriptions,and according to the book of the book,drug taste and other content to establish Related party drug database.3.According to the usage and distribution characteristics of the collected prescriptions,the contents of the database are divided into the Qin and Han Dynasties,Song,Jin and Yuan Dynasties,Ming and Qing Dynasties,and the information of each prescription in each historical period is entered into the auxiliary platform software of TCM.Information method,complex system entropy clustering and other data mining methods,statistical drug use frequency,sexual taste by the situation,analysis of its rules and medication experience,deduce the core combination and new prescription.Results 1.Chest and its related disease name for the study,found that accurate expression of coronary heart disease angina ancient disease name "heartache","chest","chest pain",the relevant disease name "heart Bi","really heartache "," Juxie pain " and so on,and according to its disease name development process,divided into the beginning of the disease name,meaning full period,the content of the controversial period of three important periods.2.TCM phlegm theory originated in the Qin and Han Dynasties,to the Eastern Han Dynasty Zhang Zhongjing advocated "Yang micro-string" theory was clear phlegm as an important cause of heart attack.Song Jinyuan period,doctors advocate all diseases and phlegm,phlegm and blood stasis for each disease,treatment to spleen qi and other theories.Ming and Qing Dynasties,the first doctor sentiment caused by phlegm pain,rich phlegm and blood stasis theory,attention to the regulation of spleen and kidney and other treatment.3.Characteristics of medication in different historical periods3.1 Qin and Han DynastiesDuring the period,the frequency of medication was higher than that of ginseng,licorice,Pinellia,cinnamon,ginger,tulip,ginger,dried tangerine peel,white peony root and platycodon grandiflorum.Medicine(20%),qi medicine(15%),Huatan cough and asthma drugs and the like(15%),the use of temperature medicine for the most.Drugs to the main temperature,accounting for 50% of the total proportion.The drug taste of the drug to the main flavor,accounting for 36.96%,followed by bitter(28.70%),Gan(28.26%).This period of medication by the concentrated in the spleen,lung,stomach,heart by.(7 times),licorice(5 times),Pinellia ternata(5 times),cinnamon(5 times),Poria(5 times),and so on.1 time).Through the core combination of three new party,can be used in modern Chinese medicine clinical reference.3.2 Song Jinyuan periodsheen(40%),bitter(30%),sweet(22.5%),the drug taste is still used in the treatment of chest pain,For the clinical commonly used,Xin to Tongyang,bitter to dampness,sweet and in,indicating the continuation of the Qin and Han Dynasties during the period of the pathogenesis of the disease awareness,and on the basis of the development.This period the doctor from the spleen,stomach,lung,heart to treat the disease,began to pay attention to the spleen and stomach in the etiology of the importance of this card,advocate the health of the spleen and stomach,The Through the analysis of the core drug combination rules,it was found that the core drug used in this period was dried tangerine peel,ginseng,poria,cinnamon,Atractylodes macrocephala,licorice,Pinellia,woody and found that the core drug status was dried tangerine peel,cinnamon,Ginseng,licorice,poria,atractylodes.Based on the clustering analysis,seven new parties were deduced on the basis of mining the core combination,and the new methods were carried out by using qi and promoting blood circulation,reducing phlegm,spleen and phlegm,phlegm and stasis,Prescription governance,for the development of contemporary clinical thinking to provide a reference.3.3 Ming and Qing DynastiesThe current application of the frequency of the top ten Chinese medicine were cinnamon,dried tangerine peel,ginseng,licorice,Pinellia,woody,Poria,Atractylodes,betel nut,dried ginger.(16%),Huatan cough and asthma drugs(16%),to play a synergistic role in the treatment of this card.The temperature of the drug still 57.9% of the absolute advantage to occupy the first place,the drug taste is still Xin,bitter,Gan three main,indicating that Xin Wen Tong Yang is indeed the best choice for the treatment of this medicine.This period from the spleen,stomach,lung treatment on the treatment of chest stasis phlegm internal resistance card,and began to attach importance to the liver,kidney two drugs use,began to pay attention to emotional internal injuries,kidney deficiency and other causes in this card The role of treatment on the use of Diaogan Shugan,Bushen Peiyuan the goods.Based on the association rules,the core drugs were excavated and the core drugs were Pinellia ternata,Poria,Citrus,Licorice and Atractylodes,and their status in the core drug was explored.Based on the hierarchical clustering analysis,16 groups of core drug combinations were excavated,and 8 new prescriptions were applied to the clinical prescriptions.The patients were treated with spleen and phlegm,digestion and stomach,Qi and expectorant,Drink,phlegm Tongzhi,aromatic Wentong and other treatment to treat this card,can learn from.Conclusion 1.Han and Tang Dynasties outside the cold in the sun caused by the lack of yang,phlegm Yin Yu on the guilty of the main pathogenesis,reuse Warming the goods.2.Song Jinyuan period in the succession of predecessors on the basis of the combination of clinical observation and experience to sum up the phlegm caused by the pathogenesis of chest paralysis have a new understanding of the cause of the cold in the cold cause of doubt,Wen Li The proportion of the use of drugs began to decline;began to pay attention to eating disorders,spleen deficiency phlegm in the role of the formation of sputum stagnation as the cause of this syndrome have a deeper understanding of phlegm and stem theory theory began to rise.3.The Ming and Qing Dynasties phlegm and blood stasis theory has been rapid Development,Wu Fang medication is not only emphasis on phlegm,but also blood circulation,as a major drug characteristics of this period.At the same time pay attention to emotional disorders,spleen and kidney deficiency,food and alcohol disruption,Qingyang trapped in the role of the disease,treatment often accompanied by liver qi,spleen and kidney,digestion stomach,lift the Qing Yang of the goods.
Keywords/Search Tags:Chest syndrome, phlegm internal resistance card, ancient literature, etiology and pathogenesis, prescription law
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