Clinical Experience Of Liu Chunli’s Tutor In Treating Uterine Bleeding

Objective : The authors analyzed 300 prescriptions of Liu Chunli for treatment of uterine bleeding,discussed Liu Chunli’s understanding of the etiology and pathogenesis of the disease,the characteristics of drug use in the treatment and the train of thought of prescription,and provided some references for the clinical treatment of uterine bleeding with traditional Chinese medicine.Method:A retrospective analysis of November 15,2016-November 15,2017 in mentor Liu Chunli director of clinic patients,analysis of data mining and will conform to the standard of diagnosis of Western medicine and Chinese medicine diagnosis standard uterine bleeding in 300 cases of patients with clinical prescription.After collecting that age,season and the relationship between leakage and collapse,the frequency of use,from the classification of drugs,four properties,the five flavours,meridian and association of Teacher Liu Chunli treatment of uterine bleeding medication characteristics.Results:1.Age distribution characteristics of uterine bleeding:The age of 300 patients was counted.The youngest one was 14 years old,the oldest one was 45 years old.The age of onset was mainly in the 28-34 year old age group,and the number of visits was 81,accounting for 27.000%..2.Seasonal2.distribution of uterine bleeding:Statistical analysis of the seasonal distribution of patients with insipidus: there was no significant difference between the four groups(P > 0.05),which indicated that the incidence of insipidus in the four seasons of spring,summer,autumn and winter was basically the same.3.Treatment and medication of uterine bleeding:The 300 prescriptions contain 112 kinds of traditional Chinese medicine.The total frequency of traditional Chinese medicine is 4156 times.The prescription contains the medicine of tonifying deficiency(28.393%)> hemostatic medicine(23.340%)>clearing away heat medicine(20.019%)> collecting astringent medicine(9.52%)>regulating qi medicine(3.778%)> regulating water and infiltrating dampness medicine(3.633%)> activating blood circulation and removing stasis medicine(3.393%)>calming liver wind medicine(2.093%)> calming liver wind medicine(2.093%)>calming liver wind medicine(2.093%)> dispelling wind medicine 1.468)> dispelling wind and dampness medicine(1.203%)> dissolving table.Chinese medicine(0.602%)>expectoration and cough antiasthmatic medicine(0.265%)>purgating drug(0.072%).There are 14 categories.According to the frequency of the drug appearing from high to low,The order from high to low of the top 15 Chinese herbs was: Cuttlebone > alizarin > Crane Herba >Radix Paeoniae Alba > Rehmannia root > Scutellaria baicalensis > Portulaca oleracea >Atractylodes macrocephala > Angelica sinensis > Chinese yam > small thistle >incense > peony > dodder.According to the frequency of these 112 herbs,the order of occurrence frequency was liver meridian > spleen meridian > kidney meridian > lung meridian > heart meridian > stomach meridian > gallbladder channel > pericardial meridian > tricoke meridian > large intestine meridian > bladder meridian > small intestine meridian.According to the four qi of traditional Chinese medicine,the cold medicine is the most,accounting for 45.934;the second is the warm medicine,29.764;the flat medicine,24.302.According to the five flavors of drugs,sweet taste,account for 29.87710;bitter taste,29.004;sour taste,22.060;Xin Wei,11.33535;salty light taste,7.72424.The frequency of commonly used drugs by association rule analysis from high to low is: Cuttlebone-madder>cuttlebone-hairyvein agrimony>hairyvein agrimony-madder> Cuttlebone-charcoal> madder-radices paeoniae alba(2 combination of drugs);Cuttlebone-madder-hairyvein agrimony>Cuttlebone-madder-radices paeoniae alba> Cuttlebone-madder-charcoal>Cuttlebone-hairyvein agrimony-charcoal> hairyvein agrimony-Cuttlebone-radices paeoniae alba(3 combination of drugs);Cuttlebone-madder-hairyvein agrimony-charcoal>Cuttlebone-madder-hairyvein agrimony-radices paeoniae alba>Cuttlebone-madder-radices paeoniae alba-bighead atractylodes rhizome>Cuttlebone-madder-radices paeoniae alba-hairyvein agrimony>Cuttlebone-madder-radices paeoniae alba-charcoal(4 combination of drugs).The combination of drugs with higher correlation is:Cuttlebone->alizarin,cuttlebone->elm charcoal,alizarin->elm charcoal,cuttlebone octopus->Herba herba,alizarin->Radix Paeoniae Alba(2 combination of drugs);Cuttlebone->Rubidiae rubidii,Herba Crane,Rubidium->Cuttlebone,Sanguisorba,Rubifera->Cuttlebone,Cuttlebone,Sargeropsis chinensis->Sargassum,Rubidium,Carband->Cladosporium(3 combination of drugs);Sanguisorba charcoal,alizarin,herbaceous->cuttlebone,cuttlebone,alizarin,baicalin->Portulaca oleracea,cuttlebone,alizarin,Scutellaria->Herba,cuttlefish,cuttlebone,alizarin,Scutellariae->Sangulebone,Cuttlebone,alizarin,Radix Paeoniae Alba-> Atractylodes macrocephala(4 combination of drugs).Conclusion:1.There is a certain relationship between the occurrence of insipidus and age.The majority of patients with insipidus are women in reproductive period,but it does not reflect the seasonal rule.2.Mentor director Liu Chunli thought is the essence of the pathogenesis of uterine bleeding with Qi deficiency,blood deficiency of Qi and blood disorders,heat syndrome is more than cold syndrome,and the incidence of liver,spleen and kidney are closely related in the visible.The application of traditional Chinese medicine on Nourishing Qi and blood,Gushe activity.So the treatment of hemostatic drugs with tonic medicine and hemostatic.The tonic medicine in tonifying qi and hemostatic most.