摘要
目的:基于国医大师群体的气血同治医案,通过数据挖掘分析气血同治医案的诊疗规律及用药经验。方法:检索1999年12月至2020年11月收录于中国知网(CNKI)的国医大师气血同治医案,运用频次统计、关联规则、聚类分析等方法进行数据挖掘。结果:分析57位国医大师共591则医案,发现血瘀、气虚、气滞、血虚、痰证是出现最多的证候类型,舌淡红、淡白或暗,苔白或薄出现最多,脉多细、弦、沉、滑。在治疗上气血的关系密切,病变早期病多在气血本身,此时重在调理气血,或补或攻或并用,同时应注重健脾、疏肝、补肾,气血问题常合并津液代谢异常,进一步出现痰饮水湿聚集。核心药物分布中,体现了当归补血汤、补阳还五汤、黄芪桂枝五物汤、桃红四物汤、四君子汤、苓桂术甘汤、逍遥散、当归芍药散等化裁。结论:国医大师在气血同治时,对气血的关系及疾病的发展阶段十分重视,强调辨治的精准与动态,其理论与诊治经验值得临床应用与推广。
Objective: Based on the medical cases of Qi and blood co-treatment of traditional Chinese medicine(TCM)masters,to discover the syndrome and treatment rules and medication experience of Qi and blood co-treatment through data mining. Method: From December 1999 to November 2020,the Qi and blood treatment cases of TCM masters were retrieved from China National Knowledge Infrastructure(CNKI).Frequency statistics,association rules,cluster analysis and other methods were used for data mining. Result:The analysis of 591 medical cases of 57 national medical master found that blood stasis,Qi deficiency,Qi stagnation,blood deficiency and phlegm were the most common syndromes. The tongue was reddish,pale or dark,the moss was white or thin,and the pulse was thin,stringy,heavy and slippery. In the treatment of Qi and blood,the disease in the early stage is mostly in Qi and blood itself. At this time,the emphasis should be on regulating Qi and blood,or tonic or attack or both. At the same time,attention should be paid to invigorating the spleen, soothing the liver and tonifying the kidney. Core drugs include Danggui Buxuetang, Buyang Huanwutang,Huangqi Guizhi Wuwutang,Taohong Siwutang,Si Junzitang,Linggui Zhugantang,Xiaoyaosan,Danggui Shaoyaosan and other chemical cut. Conclusion: When treating Qi and blood together,Chinese medical masters attach great importance to the relationship between Qi and blood and the development stage of diseases,and emphasize the precision and dynamic differentiation of treatment. Their theories and experience of diagnosis and treatment are worthy of clinical application and promotion.
作者
吴朦
郑昭瀛
唐仕欢
WU Meng;ZHENG Zhao-ying;TANG Shi-huan(Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Institute of Chinese Materia Medica,China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处
《中国实验方剂学杂志》
CAS
CSCD
北大核心
2022年第5期187-196,共10页
Chinese Journal of Experimental Traditional Medical Formulae
基金
中国中医科学院科技创新工程项目(CI2021A03705)
中国中医科学院优秀青年科技人才(传承类)培养专项(ZZ13-YQ-116)
国家重点研发计划项目(2018YFC1704101)。
关键词
国医大师
气血同治
证治规律
临床医案
数据挖掘
traditional Chinese medicine master
Qi and blood treatment
law of syndrome differentiation and treatment
clinical medical record
data mining
