摘要
目的:探索《证治准绳·类方》中风处方的组方规律及其学术思想。方法:整理王肯堂《证治准绳·类方》中治疗中风的处方,采用中医传承计算平台V3.0软件对所整理的处方进行分析。结果:共整理出82首方剂,218味中药;四气以温、寒、平为主;五味以甘、辛、苦为主;归经以脾、肝、肺三经为主;功效以补虚类、解表类为主;药物出现频次在15次及以上的中药共有10味,且以补虚类药物为主;药物组合中频次在13次及以上的有14组;将整理后的218味中药可分为5个聚类。结论:《证治准绳·类方》中治疗中风的处方具有独特的用药规律,王肯堂治疗中风始终围绕着“补气健脾、疏风散邪、活血化瘀”而展开,为中风的诊疗提供充足的理论依据。
Objective:To explore the composition principle of prescriptions for stroke in Zhengzhi Zhunsheng,Leifang and the underlying academic thoughts.Methods:The prescriptions for stroke in Zhengzhi Zhunsheng,Leifang of Wang Kentang were summarized and then analyzed via the traditional Chinese medicine inheritance computing system V3.0.Results:A total of 82 prescriptions,which are composed of 218 Chinese medicinals.The majority of the medicinals are Wen(温),Han(寒),and Ping(平)in Xing(性),and Gan(甘),Xin(辛),and Ku(苦)in Wei(味),acting on Pijing(脾经),Ganjing(肝经),and Feijing(肺经),and they are responsible for Buxu(补虚)and Jiebiao(解表).There are 10 medicinals with frequency≥15 and main function of Buxu(补虚),and 14 medicinal combinations with frequency≥13.The 218 medicinals can be classified into 5 clusters.Conclusion:The prescriptions for stroke in Zhengzhi Zhunsheng,Leifang have unique composition principle:centering on Buqijianpi(补气健脾),Shufengsanxie(疏风散邪),and Huoxuehuayu(活血化瘀),which lays a theoretical basis for diagnosis and treatment of stroke.
作者
侯阳波
程记伟
朱晓艳
李国毅
肖倩
陈珍
Hou Yangbo;Cheng Jiwei;Zhu Xiaoyan;Li Guoyi;Xiao Qian;Chen Zhen(Putuo District Central Hospital of Shanghai/Putuo Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200062;Jiangsu Road Community Health Service Center,Shanghai 200042)
出处
《中药药理与临床》
CAS
CSCD
北大核心
2022年第3期190-194,共5页
Pharmacology and Clinics of Chinese Materia Medica
基金
上海市普陀区中心医院科研项目(编号:2020308A)
上海市普陀区卫生健康系统临床特色专病建设项目(编号:2019tszb02)
全国(上海市)名中医普陀传承工作室建设项目(编号:MZYPTCCGZS-2018003)
普陀区卫生健康系统科技创新项目(编号:ptkwws202009)
关键词
证治准绳
中风
数据挖掘
脑卒中
用药规律
Zhengzhi Zhunsheng
Stroke
Data mining
Cerebral stroke
Composition principle