| BackgroundHeadache is one of the most common clinical diseases,characterized by refractory,high incidence,high prevalence,high recurrence rate and high disability rate.The etiology and pathogenesis of the disease in modern medicine is not completely clear,and there is no effective treatment plan.Chinese medicine has its own unique advantages in understanding and treating headache.But after reading through ancient medical,we found the etiology and pathogenesis is complex,because of the headache syndrome differentiation and treatment method,wide variety,lead to the type of complex,greatly limits the practicability of ancient documents and clinical therapeutic effect.This research reference syndrome factor differentiation system,using the modern technology,data mining from all previous dynasties ancient documents provisions about headache,for simple disease syndrome factor extraction,statistics,can bring inspiration to clinicians treating headaches,and improve the clinical curative effect.Purpose: to use data mining technology,reference syndrome factor differentiation method,a comprehensive system combing ancient literature,summarized that generations of physicians have a headache academic ideas,explore the headaches syndrome factor distribution and combination rule,demonstration of modern medicine understanding of headache,and fill in the cause may be missing,to fill that void in related research,explore the clinical treating headache thinking for headaches related to ancient theoretical foundation for scientific research,and to further improve the level of clinical diagnosis and treatment of the disease.Methods1.In the pre-qin period to the late qing dynasty,the existing medical records related to headache were studied,and scientific methods were used to preliminarily determine the research bibliography.2.Take each ancient book as a unit,establish word document,extract headache related content,and create a folder;3.Filter the original data.The standard of reference standard was used to extract the disease of all ancient documents.Take each ancient book as the unit,and establish the word document.4.Will extract the disease resistance syndrome factor in the word document according to the document element,two syndrome factor combination,three certificates element combination,four syndrome factor combination classification method,respectively,into excel spreadsheet,and then according to the time sequence,set up the database.5.The excel tables in the database are statistically analyzed,mainly using frequency,composition ratio,accumulation and composition ratio.To observe the distribution pattern of headache syndrome in ancient medicine.Results1.The result of the combination of the single syndrome element: the external inductance plays an important role,especially the wind,cold,heat and humidity,and the four kinds of extrinsic evidences,which constitute 42%.Secondly,it is the deficiency syndrome,which is blood deficiency and qi deficiency,and the proportion is 16%.Among the empirical factors,phlegm,qi stagnation and gas inversion are the important factors,and the proportion of phlegm is 7%,the air lag is 5%,the gas is 5%,and the proportion is 17%.Bad gas,heat,food and other factors also occupy an important position.2.Results of the combination of two syndromes: first,the frequency of the two syndromes is less than the frequency of the single syndrome.In the combination of two syndromes,the most common combination is the combination of wind and cold,387 times.Secondly,qi and blood are deficient,frequency 258 times;And then the wind and the heat,the frequency is 250times;The combination of cold and blood deficiency is 126 times.Wind and wet combination,frequency 120 times;Hot and humid combination,frequency 115 times;Phlegm fire combination,frequency 111 times;Phlegm retention combination,frequency of 96 times,after frequency with qi deficiency blood stasis combination,heat wet combination,combination of blood deficiency and wind,dyspepsia and cold,cold and Yang deficiency,dyspepsia and hot,cold and will hapen gas,wind and Yang deficiency.3.Combination distribution of the three syndromes: the combination of wind chill andhumidity is the most common in the combination of the three syndromes,with the occurrence frequency of 104 times and the composition ratio of 17%;Followed by the combination of wind phlegm heat,phlegm retention,blood stasis,respectively in 79 times,62 times,composition ratio of over 10%,then the deficiency of Yang deficiency and cold evil,merge all qi Yin deficiency,a ratio of 9%;Then it is composed of 8% of qi stagnation gas and the combination of fire and rheumatic heat combination syndrome;Phlegm is a syndrome with high frequency in the combination of three syndromes,and in the total of eight combinations,there are three combination syndromes.4.The combination distribution of the four syndromes is:.Phlegm + fire + qi deficiency +blood stasis occurred 22 times;Wind + cold + wet + qi deficiency appeared 17 times.Qi deficiency + blood deficiency + pure loss + gas depression occurred 10 times;Wind + heat +wet + bad gas appeared 8 times;Phlegm + drink + food product + heat total 5 times.Conclusion1.From the general distribution,different understanding to the different period the acknowledgement on the causes of headache,each have emphasize particularly on,sexual disease syndrome factor from the exogenous factor to the gradually perfecting internal injury factors,make more mature headache syndrome differentiation system.2.After the yuan dynasty,the difference between headache and head wind was proposed,and the "head wind" was considered to have a long course of disease,and the characteristics of its pathogeny syndrome were obviously different from that of "headache".3.Headache pathogenesis complex,especially stubborn no more headaches,treatment more difficult,phlegm evil in the combination of syndrome factor,occupy the important position,clinical applications for the treatment of intractable headache when attaches great importance to the expectorant drugs. |
PDF Full Text Request