Study On Professor Shi Zhenggang’s Mediation Principle And Clinical Experience Summary In The Treatment Of Pediatric Pulmonary Fever

Objective:Through the analysis and summary of Professor Shi Zhenggang’s clinical experience in the treatment of pediatric pulmonary fever,and the use of data mining technology,the medication rules of Professor Shi Zhenggang in the treatment of pediatric pulmonary fever were studied,and the consistency with his clinical experience was verified,which provided new ideas for the identification and treatment of pediatric pulmonary fever in traditional Chinese medicine and promoted the development of the inheritance of famous doctors.Methods:Combined with clinical practice and literature works,this paper summarizes Professor Shi Zhenggang’s unique experience in treating this type of disease.Collect the effective case prescriptions of Professor Shi Zhenggang for the treatment of pediatric pulmonary fever from October 2021 to October 2022 in the outpatient clinic of the famous traditional Chinese medicine workstation of the Affiliated Hospital of Gansu University of Chinese Medicine,and use Excel software to establish the database of "Professor Shi Zhenggang’s treatment of pediatric pulmonary fever",and enter case diagnosis,symptoms,prescriptions and other data.The "TCM Inheritance Computing Platform(V3.0)" was used to analyze diagnosis,symptom type,drug frequency frequency,and drug four qi and five flavors;Then IBM SPSS modeler 18.0 software and IBM SPSS Statistics 24.0 software were used to carry out association rules and cluster analysis,which further verified Professor Shi Zhenggang’s unique experience and clinical ideas in the treatment of pediatric pulmonary fever.Results:1.Descriptive analysis:The diagnostic analysis of 289 clinically effective prescriptions included in this study showed that the diseases were mainly cough(65.40%),allergic rhinitis(17.65%),and cold(9.34%),and the common symptoms were sputum heat obstructive pulmonary evidence(69.9%),wind heat internal depression certificate(20.07%),and wind heat sputum evidence(6.23%).The medication analysis of the prescription showed a total of116 flavors.The medicinal properties are mainly cold,warm and flat,the medicinal taste is mainly bitter,bitter and sweet,and the meridians are mainly the lungs,stomach,liver,spleen and large intestine;The top 10 drug efficacy are phlegm,cough and asthma medicine,antipyretic medicine,anti-table medicine,food elimination medicine,liver calming medicine,astringent medicine,anthelmintic drug,water and moisture repellent drug,blood circulation and stasis removal drug,and deficiency tonic medicine;The frequency of drug use ≥ 30% of a total of 23 flavors,the top 15 drugs used were swirling flower,Zhejiang fritillary,hawthorn,zombie silkworm,cicada molt,cara,bellflower,melon,betel nut,bitter almond,front beard,loquat leaf,houttuynia,ground bone skin,mulberry white skin;2.Based on association rule analysis:The association rules of 289 first prescriptions were analyzed,and when the minimum support level was 70,the minimum confidence level was 95,and the maximum number of previous items was 2,a total of 45 drug association rules were obtained,including 17 second-order drug association rules and 28 third-order drug association rules.Commonly used drug combinations include: "swirling flower-Zhejiang fritillary","spiral flower-hawthorn","spiral flower-zombie silkworm + cicada molt",etc;3.Based on the cluster analysis method:the cluster analysis of 23 flavors of high-frequency drugs can be divided into 4 cluster groups,C1 group: cyclomorphosis;Group C2: Zhejiang fritillary,hawthorn,zombie silkworm,cicada molt,white fresh skin;Group C3:Bulbophyllum chinensis,bellflower,melon,betel nut,bitter almond,forebeard,loquat leaf,houttuynia corido,ground bone skin,mulberry white bark,knotweed,sea pumice,skull;Group C4: Honeysuckle vine,skullcap,summer hay.Conclusions:1.Professor Shi Zhenggang believes that pediatric pulmonary fever has six major pathological factors of wind,phlegm,heat,depression,food and shock,and the pathogenesis link is always wind and phlegm,heat and depression obstruction of the lungs,phlegm and food,heat and spleen,and heat and convulsions disturb the liver.dialectical treatment,the law from "disease treatment similarities and differences";Regulate the internal organs and treat the lungs without being restrained;Make good use of medicine,make use of wind medicine;The prescription is light and flexible,and the magic is used to identify and treat the essentials.2.Using data mining technology,this paper studies the medication characteristics of Professor Shi Zhenggang in the treatment of pediatric pulmonary fever,which lays a foundation for further summarizing the medication rules and clinical experience of Professor Shi Zhenggang in the treatment of pediatric pulmonary fever and better inheriting the experience of famous doctors.