摘要
目的 分析挖掘《医案类聚》中治疗痿证医案中的用药规律,为痿证的临床治疗提供参考。方法 搜集整理《医案类聚》中古代医家的医案,根据纳入排除标准提取处方药物,进行规范化处理,应用古今医案云平台软件(V2.3.5)对处方数据进行频次统计、聚类分析、关联分析、复杂网络等分析,得到古代医家治疗痿证的用药规律。结果 经过筛选,共涉及医家38人,纳入医案157案,共166诊次,总用药频次1 596次。常用中药味多甘苦,主要归于肾、肝经,高频药物为当归、牛膝、茯苓,常用药对有当归-牛膝、虎胫骨-牛膝等,核心方药组成以虎潜丸为基础加减。结论 《医案类聚》中各医家治疗痿证的常用药物以补肝肾、强筋骨为主,清利湿热、调畅气机为辅,治疗以补益为主,以肝肾为本,辅以清热坚阴。
Objective To analyze the mid-term treatment rules of the treatment plan for flaccidity syndrome in the cluster "Yian Leiju" to provide references for future sputum related treatments. Method The medical cases of ancient physicians in "Yian Leiju" were collected and organized, and the prescription drugs were extracted according to the inclusion/exclusion criteria and standardized, and we applied the Ancient and Modern Consilia Cloud Platform Software(V2.3.5) to analyze the prescription data by frequency statistics, cluster analysis, correlation analysis, and complex network to obtain the medication patterns of ancient medical doctors for the treatment of flaccidity syndrome. Result After screening, a total of 38 doctors were involved, 157 medical cases were included, with 166 consultations, and the total frequency of 1596 times. Commonly used Chinese medicines taste more sweet and bitter,mainly attributed to the kidney, liver meridian, high frequency drugs for angelica, knee, Poria,common drugs for angelica-achyranthes bidentata, tiger tibia-achyranthes bidentata, etc.,the core prescription composition was based on Huqian Pills with addition and reduction.Conclusion In "Yian Leiju", the most commonly used drugs for treating flaccidity are mainly to tonify the liver and kidney, strengthen the muscles and bones supplemented by clearing away dampness and heat, and regulating qi. The treatment is based on the liver and kidneys and tonification, supplemented by clearing away heat and strengthening Yin.
作者
刘灵
高龙霞
李萌
李辰
赵汉青
Ling LIU;Long-Xia GAO;Meng LI;Chen LI;Han-Qing ZHAO(College of Traditional Chinese Medicine,Hebei University,Baoding 071000,Hebei Province,China;Institute of Information on Traditional Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处
《数理医药学杂志》
CAS
2023年第2期88-94,共7页
Journal of Mathematical Medicine
基金
国家自然科学基金青年基金项目(82004503)
中央级公益性科研院所基本科研业务费专项(ZC202004)。
关键词
痿证
医案类聚
古今医案云平台
数据挖掘
Flaccidity syndrome
Yian Leiju
Ancient and Modern Consilia Cloud Platform
Data mining
