Experience Summary On Diagnosis And Treatment Of Insomnia Of Professor Zhixu Yang Based On Data Mining

Research I:Data Mining1.Purpose:Summarized the experience of professor Yang zhixu in the diagnosis and treatment of insomnia,based on the data mining of professor Yang zhixu’s clinical medical records.2.Methods:A data acquisition system for scientific research and medical records in Xiyuan Hospital,Chinese Academy of traditional Chinese Medicine,From October 2015 to March 2018,collected a total of 178 insomnia patients diagnosed and treated by Professor Yang zhixu in general internal medicine department of Xiyuan Hospital,Chinese Academy of traditional Chinese Medicine,the patient’s medical records were 219.The contents of the medical records were determined by Professor Yang zhixu himself,and followed by the members of the consultation.The contents include the general situation of patients,the main complaint and medical history,the information of four diagnoses,the diagnosis and treatment of traditional Chinese and western medicine,the information of tongue pulse,the name of the prescription used,the addition and subtraction of drugs and so on.By using descriptive statistics,association rules,cluster analysis and other data mining methods,the distribution of syndromes,the frequency of medication,the law of drug compatibility,the addition and subtraction of drugs,and so on,were excavated by Professor Yang zhixu in the diagnosis and treatment of insomnia,and the method of man-machine combination was adopted.Summarize Professor Yang zhixu’s academic experience in the diagnosis and treatment of insomnia.3.Outcome:3.1 Data mining:the 219 diagnosis in patients with insomnia treated by Professor Yang zhixu in the mining results:the study included patients with insomnia with poor sleep(81.3%),irritability(70.3%),difficulty sleeping(58%),shortness of breath(23.4%)as the main symptoms.Abnormal tongue is mainly red tongue(31.1%),thin white fur(29.7%),yellow greasy(24.7%),dark purple tongue(10%),white and greasy for(10%);abnormal pulse for string pulse thin(11.8%),Veins thin(9.1%)etc.the main syndromes of insomnia patients for heart qi deficiency syndrome(50.7%),uneasy syndrome(38.4%),liver qi stagnation syndrome(32.9%),blood deficiency(25.1%),spleen qi deficiency(21.9%),damp heat syndrome(16.9%),yin deficiency,kidney deficiency,syndrome of stagnation of liver fire and dampness syndrome.(2.3%)etc..In the treatment of insomnia,professor Yang zhixu’s main method is to improve qi and nourish the heart 116 times(53.0%),nourishing the heart 114 times(52.1%),liver resolve depression 62 times(28.3%),calm the nerves 49 times(22.4%),replenishing qi to invigorate the spleen 47(21.5%);Commonly used drugs for spina date seed,183(90.6%),polygala,177(80.8%),acorus gramineus,173(79.0%),radix scutellariae,167(76.3%),poria cocos,165(75.3%),astragali radix,163(74.4%),Ferrosic oxide 147(67.1%),salvia miltiorrhiza,123(57.5%),Scrophularia ningpoensis 121(56.2%),bulrush,114(55.3%),Fried atractylodes,113(51.6%),radix rehmanniae,102(46.6%),lily,101(46.1%),etc.The common medicine is for the acorus gramineus and the spina date seed,the poria and spina date seed,the raw astragalus and the spina date seed,the poria and calamus,the raw astragalus and the calamus,the poria cocos and the acacia,the sour date kemel;raw radix astragali and acorus acorus,spina date seed;spina date seedand ferrosic oxide,etc.3.2.Academic experience:1)Knowledge of insomnia pathogenesis Professor Yang zhixu:Yang zhixu thinks that the main pathogenesis of insomnia is intermingled deficiency and excess,Uneasy.With liver depression,damp-heat,phlegm and heat as the standard,deficiency of heart and qi,deficiency of spleen and kidney,and so on,the author thinks that "deficiency of heart and qi,Uneasy " runs through the disease all the time.2)Dialectics is combined with disease differentiation:Professor Yang zhixu believes that insomnia has the characteristics of alternating acute attack and remission.The etiology and pathogenesis of the disease are divided according to the urgency of the disease,that is,the pathogenesis of acute attack and chronic remission has its own emphasisand slightly difference,will insomnia stage and dialectical combination,according to different stages of the main symptoms of dialectical treatment.3)Treatment thinking:according to the situation,we should pay attention to the differentiation of qi and blood and the combination ofpathogenic,and at different stages,we should pay more attention to nourishing heart runs through the disease all the time.4)Add and subtract the basic prescription with the spina date seed soup,and use the Tianwang Buxin Dan,the lily Dihuang decoction and other prescriptions.4.Conclusions:(1)Data mining shows the common syndromes of insomnia heart qi deficiency syndrome(50.7%),uneasy syndrome(38.4%),part of liver qi stagnation syndrome(32.9%),blood deficiency(25.1%)spleen qi deficiency(21.9%),damp heat syndrome(16.9%),Dampness syndrome(2.3%),and the related research insomnia is consistent.(2)Professor Yang zhixu treated insomnia to invigorate qi and nourish blood,soothe the liver and relieve depression,calm the mind,invigorate spleen,clear heat,dehumidify dampness,nourish yin and so on,and add or subtract spina date seed soup as the basic prescription.