Study on He Zhulin's experience in syndrome differentiation and medication for fractures based on data analysis
基于数据分析研究何竹林骨折辩证用药经验

摘要

目的 通过数据分析挖掘岭南骨科名医何竹林诊治骨折的辨证用药经验。方法 提取《何竹林正骨医粹》中17例骨折医案（50诊次）的信息，建库后用SPSS23.0分析。结果 患者以少年、青年为主（76.4%），平均30.18岁，男11人、女6人；多为四肢骨折，稳定性骨折10例、不稳定7例，4例合并脱位等。64.7%于1天内就诊。舌象多淡红苔薄，脉象多弦。治法以消法（25次）、补法（17次）为主。成方以骨三方（14次）、骨二方（13次）常用。剂型以汤剂（28次）为主，药味73种，多用赤芍、熟地。结论 何竹林擅长闭合性骨折的中医治疗，1-4诊可愈；早期主用消法，中期和法，后期补法；多依四期辨证选方，常用汤剂、洗剂，偏好活血化瘀等药。

Abstract

Objective To explore the experience of syndrome differentiation and medication in treating fractures by He Zhulin, a renowned Lingnan orthopedic expert, through data analysis.
Methods Information from 17 fracture cases (50 consultations) in "Essence of He Zhulin's Bone-Setting Medicine" was extracted to establish a database, and IBM SPSS Statistics 23.0 was used for statistical analysis.
Results The patients were mainly adolescents and young adults (76.4%) with an average age of 30.18 years, including 11 males and 6 females. Most fractures were in the extremities, with 10 stable and 7 unstable cases, and 4 cases complicated with dislocation, etc. 64.7% of patients visited within 1 day. The main tongue coating was light red with thin fur, and the main pulse condition was string-like. The therapeutic methods mainly included resolving method (25 times) and tonifying method (17 times). The most commonly used formulas were Bone Formula III (14 times) and Bone Formula II (13 times). Decoction (28 times) was the main dosage form, with 73 kinds of medicines used, among which Radix Paeoniae Rubra and Radix Rehmanniae Preparata were more frequently used.
Conclusion   He Zhulin was skilled in treating closed fractures with traditional Chinese bone-setting techniques and Chinese medicines, achieving cure within 1-4 consultations. He mainly used the resolving method in the early stage, the harmonizing method in the middle stage, and the tonifying method in the later stage. He selected formulas based on four-stage syndrome differentiation, preferred decoctions and lotions, and commonly used blood-activating and stasis-resolving medicines, etc.