1.Comparison of the characteristics of medication fordiarrhea between adult and child in Erxu Mingyi Lei’an
Yuan TAO ; Liying WANG ; Xiaobo YU ; Junlin XU ; Yingpan ZHAO
International Journal of Traditional Chinese Medicine 2021;43(9):910-915
Objective:To compare and analyze the medication patterns for adult and children diarrhea from Erxu Mingyi Lei’an. Methods:The cases and formula prescriptions on adult and children diarrhea were recorded from Erxu Mingyi Lei ' an. The data was analyzed and compared between adult and children by the Ancient and Modern Medical Records Cloud Platform (V 2.1), including frequency statistics, association rule analysis, drug pair analysis, efficacy statistics, drug taste tropism statistics, and cluster analysis. Results:A total of 456 prescriptions of adult diarrhea were abstracted, involving 360 drugs, and the top 5 drugs were Poria, Atractylodis Macrocephalae Rhizoma, Citri Reticulatae Pericarpium, Paeoniae Radix Alba and Aucklandiae Radix. The Atractylodis Macrocephalae Rhizoma paired with Poria, Citri Reticulatae Pericarpium with Poria, Citri Reticulatae Pericarpium with Atractylodis Macrocephalae Rhizoma, and Paeoniae Radix Alba with Atractylodis Macrocephalae Rhizoma were commonly used in the treatment of adult diarrhea. Citri Reticulatae Pericarpium, Atractylodis Macrocephalae Rhizoma and Poria were the core drugs for adult diarrhea. There were 111 prescriptions for pediatric diarrhea, involving 180 drugs, and the top 5 were Atractylodis Macrocephalae Rhizoma, Poria, Paeoniae Radix Alba, Glycyrrhizae Radix et Rhizoma, and Nelumbinis Folium. The Poria paired with Atractylodis Macrocephalae Rhizoma, Atractylodis Macrocephalae Rhizoma with Glycyrrhizae Radix et Rhizoma Praeparata Cum Melle, and Aconiti Lateralis Radix Praeparata with Atractylodis Macrocephalae Rhizoma were commonly used in the treatment of diarrhea in children. The Atractylodis Macrocephalae Rhizoma, Poria and Aconiti Lateralis Radix Praeparata were the core drugs for children diarrhea. The main charateristics of drugswas warm type, sweet taste, and the main meridian belongs to spleen, followed by stomach and lung meridians. The use of carbided drugs in adults were significantly higher than children. Conclusions:The Erxu Mingyi Lei’an forcused the treatment of invigorating the spleen qi, where the adult formular often matches the drugs of drying dampness and invigorating the spleen, aromatizing dampness, slight infiltration and eliminating dampness, while the children formular often matches the drugs of warming the Yang and warming the Yang. Many kinds of carbonaceous drugs can be used in the treatment of adult diarrhea, but they should be used with caution in the treatment of children.
2.Preliminary Establishment of a Standard System for Clinical Diagnosis and Treatment Techniques of Gastroenterology in Traditional Chinese Medicine
Liqun BIAN ; Fengyun WANG ; Ping WANG ; Yingpan ZHAO ; Ting CHEN ; Xudong TANG
Journal of Traditional Chinese Medicine 2024;65(18):1870-1874
The construction of standard system is an important part of standardization work, and also the top-level design of standardization work.Taking the group standards of the China Association of Chinese Medicine as a reference, and following the steps of establishing an expert group, literature research, Delphi method expert consultation and expert meeting, it was clarified that the content of the standard system for clinical diagnosis and treatment techniques of gastroenterology in traditional Chinese medicine, including terms (symptoms and signs, syndromes and syndrome components, and therapeutic principles and methods), guidelines and standards (traditional Chinese medicine disease name, western medicine disease name, and classical syndromes), effectiveness evaluation (modern medicine evaluation, traditional Chinese medicine characteristics of diseases, symptoms and signs grading, traditional Chinese medicine syndrome evaluation), and practical techniques. Meanwhile, the structure chart of the standard system, the table of standard details and the table of statistical standards were compiled to lay the foundation for the standardisation of clinical diagnosis and treatment techniques of gastroenterology, and to provide reference for the construction of the standard system of various disciplines.