The diagnosis and treatment regularity of contemporary TCM masters treatment of cirrhosis
Objective:To explore the differentiation thoughts and medication characteristics of contemporary TCM masters in the treatment of cirrhosis through data mining,so as to provide ideas and methods for the clinical treatment of cirrhosis.Methods:The medical records of treating cirrhosis in TCM were collected from Typical Medical Records of Contemporary Famous Veteran TCM Practitioners·Internal Medicine Fascicule.After data screening and data standardization,a standardized medical records database was established to carry out a data analysis by traditional Chinese medicine inheritance support system platform V2.5,so as to explore the common types,commonly used drugs and their attributes,commonly used drug combinations in prescriptions of contemporary famous veteran TCM practitioner for the treatment of cirrhosis,and new prescriptions.Results:A total of 44 medical records were included,including 87 prescriptions,with 201 kinds of Chinese medicinal materials.The drug properties were mainly cold,warm and mild,and the drug tastes were mainly sweet,bitter and spicy.The active ingredients of the drug mainly act on liver,spleen,stomach,lung,kidney and heart meridians.The main syndromes were liver stagnation and spleen deficiency syndrome,blood stasis blocking collaterals syndrome,liver-kidney Yin(阴)deficiency syndrome,damp-heat accumulation syndrome,water-dampness stagnation syndrome,and Qi(气)stagnation and blood stasis syndrome.The most frequently used drugs were Danshen(Radix et Rhizoma Salviae Miltiorrhizae),Fuling(Poria),Huangqi(Radix Astragali),Baizhu(Atractylode),Baishao(Radix Paeoniae Alba),Dangshen(Radix Codonopsis),Chaihu(Radix Bupleuri),Yujin(Radix Curcumae),Zexie(Rhizoma Alismatis)and Chishao(Radix Paeoniae Rubra).There were 14 groups of high frequency drug combinations,among which Biejia(Carapax Trionycis)-Danshen,Chishao-Danshen,Yujin-Danshen,Huangqi-Fuling,and Dangshen-Huangqi were common mated drugs.There were 7 new prescriptions such as Baishao-Yujin-Zexie-Chaihu-Niuxi(Radix Achyranthis Bidentatae),Dangshen-Huangqi-Mudanpi(Cortex Moutan),and Yinchen(Herba Artemisiae Scopariae)-Zhizi(Fructus Gardeniae)-Baihua Sheshe Cao(Herba Hedyoti Diffusae)-Jinqiancao(Herba Lysimachiae).Conclusion:Contemporary TCM masters believe that cirrhosis is characterized by original deficiency and superficial sufficiency,namely,cirrhosis is based on deficiency of liver,spleen and kidney,with Qi stagnation,blood stasis,water dampness,heat toxicity and other visible solid pathogenic factors as simultaneous syndromes.The treatment emphasizes treating both symptoms and root causes,pays attention to the combination of cold and heat,and the combination of drug properties and drug tastes.It is based on regulating and tonifying the liver,spleen and kidney,and reusing Chinese medicinal materials of activating blood and removing stasis,regulating Qi and blood,moisturizing dampness,clearing heat and detoxicating to achieve the effect of strengthening the body resistance to eliminate pathogenic factors.
Typical Medical Records of Contemporary Famous Veteran TCM Practitioners·Internal Medicine FasciculeData miningCirrhosisDiagnosis and treatment regularity
万方数据
维普
