摘要
目的采用数据挖掘方法分析《中国百年百名中医临床家丛书》辨治胃脘痛的用药规律,为临床诊治胃脘痛提供参考。方法收集《中国百年百名中医临床家丛书》111本分册中收录的名老中医治疗胃脘痛的临床医案,构建临证方药数据库,应用古今医案云平台(V 2.1)对药物功效、性味归经等进行描述分析。通过关联规则、层次聚类、复杂网络分析名老中医治疗胃脘痛的用药规律、常用药对、核心处方等。结果根据纳入及排除标准进行数据清洗,最终纳入处方270首,涉及药物265种,累计使用频次3249次。分析结果显示,名老中医治疗胃脘痛常用药物药性以温、平、微寒为主;药味以辛、苦、甘为主;药物归经频次依次为脾、胃、肺、肝、心经;药物功效以燥湿、降逆、理气、清热、健脾、柔肝止痛药为主。关联规则分析发现,常用药对为半夏-陈皮、白术-茯苓、茯苓-陈皮、白术-陈皮、砂仁-陈皮、代赭石-旋覆花等。聚类分析得出六君子汤、左金丸、芍药甘草汤等核心药物组合。药物复杂网络表明用药核心处方为香砂六君子汤。结论名老中医治疗胃脘痛注重健脾理气化湿、柔肝滋阴、调和气血,用药温清互济,通补兼施,以平为期。
Objective To analyze the prescriptions for the treatment for epigastric pain in A Hundred Years of Traditional Chinese Medicine Clinicians in China.Methods The clinical medical records of well-known TCM doctors for the treatment of epigastric pain were included in the A Hundred Years of Traditional Chinese Medicine Clinicians in China.The database of clinical prescriptions and medicines was built,and the ancient and the Ancient and Modern Medical Records Cloud Platform(V 2.1)was applied and the evaluation of drug efficacy,sex,taste,and menstruation were conducted.Descriptive analysis,association rules,hierarchical clustering,and complex network analysis were applied in the rule of medication,drug pairs and core prescriptions.Results Data was cleaned according to the inclusion and exclusion criteria,and 270 prescriptions were collected,involving 265 kinds of drugs,and the cumulative frequency of drug use was 3249.The analysis showed that the drugs commonly used by famous traditional Chinese medicine doctors for the treatment of epigastric pain were mainly warm drugs,tast-balance drugs,and mildly cold drugs.The main flavors of medicines were pungent medicines,bitter medicines,sweet medicines,and effects were mainly drugs that regulate qi,clear heat,and invigorate the spleen.The frequency of drug meridians mainly belonged to spleen meridian,stomach meridian,lung meridian,liver meridian,heart meridian.The effects of the drug were mainly to dry dampness,reduce side effects,regulate qi,clear heat,invigorate spleen,and soften liver and analgesics.Association rule analysis found that the commonly used drug pairs were Pinellia-Tangerine Peel,Atractylodes Macrocephala-Poria,Poria-Tangerine Peel,Atractylodes-Tangerine Peel,Amomum tangerine Peel,Ochre-generation-Inula,Rhizoma Coptis-Evodia,and so on.Cluster analysis showed that Liujunzi Decoction,Zuojin Pill,and Shaoyao Gancao Decoction were mainly used.The drug complex network diagram showed that the core prescription of the drug is Xiangsha Liujunzi Decoction.Conclusion The well-known TCM doctor focuses on strengthening the spleen and regulating qi,reconciling qi and blood,The treatment identified that the mutual warming and clearing,tonifying and deoppilation,and neutral are the main principles.
作者
吴迪
许征宇
王奕晨
任丽江
王萍
Wu Di;Xu Zhengyu;Wang Yichen;Ren Lijiang;Wang Ping(Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China;Department of Spleen and Stomach Diseases,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China)
出处
《国际中医中药杂志》
2022年第4期422-427,共6页
International Journal of Traditional Chinese Medicine
基金
国家中医药管理局中医药古籍文献和特色技术传承专项(GZX-KJS-2020-33)。
关键词
数据挖掘
胃脘痛
名老中医
用药规律
古今医案云平台
Data mining
Gastralgia
Famous veteran Traditional Chinese Medicine doctor
Medication rules
Ancient and Modern Medical Records Cloud Platform
