An analysis of the clinical symptom-syndrome-medication rule of chronic erosive gastritis based on the ancient and modern medical case cloud platform system

doi:10.3969/j.issn.1006-7795.2023.03.016

Abstract

Abstract: Objective To form the thinking of syndrome differentiation and treatment based on the integration of theory, law and medicine, data mining techniques are used to analyze the clinical symptoms, common syndromes and medication rules of chronic erosive gastritis. Methods The symptoms and syndromes as well as prescriptions of chronic erosive gastritis in traditional Chinese medicine (TCM) were retrieved from China National Knowledge Infrastructure (CNKI)， Chongqing VIP Information Company Limited （VIP) and Wanfang Database to June 2022.The symptoms of chronic erosive gastritis including picture of the tongue, pulse condition, common syndromes, elements of syndrome and medication rules were analyzed by using the ancient and modern medical records cloud platform(V2.5).Results Totally 207 medical cases of chronic erosive gastritis were collected and standardized，the top five frequency symptoms were belching, mouth bitter, poor appetite, dry mouth, and fatigue. The major properties of the disease were dampness and heat; the pathological lesions of the disease were mainly in the spleen and stomach; the common pattern of TCM were spleen-stomach damp-heat syndrome, spleen-stomach qi deficiency syndrome, liver-stomach disharmony syndrome and deficiency of stomach yin syndrome. These four evidence types accounted for more than 50% of all evidence types.Through the analysis of the syndrome type and medication associations, Radix Scutellariae, Rhizoma Coptidis and Herba Lobeliae Chinensis were used for the spleen-stomach damp-heat syndrome. Radix Codonopsis, Rhizoma Atractylodis Macrocephalae and Radix Aucklandiae were used for the spleen-stomach Qi deficiency syndrome. Pericarpium Citri Reticulatae, Radix Curcumae and Fructus Aurantii Immaturus were used for the liver stomach disharmony syndrome, and Radix Trichosanthis, Radix Paeoniae Alba and Rhizoma Polygonati Odorati were used for the deficiency of stomach Yin. Conclusion The main pathogenesis of chronic erosive gastritis is dampness-heat of spleen and stomach, and the nature of the disease is excess syndrome; clearing away damp-heat and regulating Qi movement can be an important treatment method of this disease. Clinical syndrome differentiation should be based on symptoms and treatment should be prescribed according to the results of syndrome differentiation in order to obtain the best efficacy.

Key words: chronic erosive gastritis, ancient and modern medical records cloud platform, community analysis

CLC Number:

Zhang Qiuxia, Zhang Ying, Zhang Yawen, Guo Xiaoyao, Cheng Hongfa, Wang Hanyu. An analysis of the clinical symptom-syndrome-medication rule of chronic erosive gastritis based on the ancient and modern medical case cloud platform system[J]. Journal of Capital Medical University, 2023, 44(3): 463-469.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2023.03.016

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2023/V44/I3/463

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