摘要
目的 基于数据挖掘技术探讨治疗丑时不寐的用药规律。方法 通过对古今云医案平台数据库中治疗不寐的有效验案进行检索,筛选其中以丑时(凌晨1时-3时)睡眠易醒且醒后持续半小时难以入睡为主症的不寐病医案,经过数据筛选、清洗、标准化处理,并建立方药数据库,通过Microsoft Excel 2010进行频次分析,通过SPSS Modeler 18.0 SPSS Statistics 22.0对方药分别进行药物的二项、三项关联分析、系统聚类分析、复杂网络分析。结果 73首中药处方中包含中药167种,酸枣仁、甘草、首乌藤、龙骨、茯苓使用频次居前5位,排名前30味药物主要体现了养心安神、镇惊宁心、滋阴潜阳、化痰降浊、交通心肾等治法;二项、三项关联结果多为养心安神、交通心肾、滋阴潜阳;系统聚类分析(以距离≥18分组)得出10组药物组合;复杂网络分析图表明核心组方为柴胡龙骨牡蛎汤合酸枣仁汤加减。结论 丑时不寐的用药主要体现为心肝同治,益阴潜阳的治法,注重阴阳调和,将养心安神药与潜阳重镇之品同用,以达到宁心安神,调和五脏之功效。
The meridian and tendon diseases cover multiple viscera systems in the whole body.In clinical practice,abdomi-nal breathing is often used alone or in combination with various treatment methods to treat meridian and tendon diseases,and good clinical effects have been obtained.Abdominal breathing adjusts Chong,Ren,Du and leads the four meridians,and then connects the meridians and tendons,and connects the viscera of the whole body,promotes the normal operation of qi,blood and body fluids,and eliminates the causes of diseases such as cold,heat,phlegm and dampness.At the same time,abdominal breathing,as an exercise therapy,can activate the diaphragm,pelvic floor,and core muscles,relax the auxiliary breathing mus-cles,and improve the imbalance of muscle groups.Abdominal breathing can also excite the parasympathetic nerves,improve anxiety,and achieve"unity of body and mind"to promote the recovery of meridian and tendon diseases.
作者
庞硕
张立德
PANG Shuo;ZHANG Lide(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)
出处
《实用中医内科杂志》
2023年第9期62-66,I0009,I0010,共7页
Journal of Practical Traditional Chinese Internal Medicine
基金
辽宁省中央引导地方科技发展专项(2018416016)。
关键词
数据挖掘
关联规则
丑时
不寐
abdominal breathing
meridian and tendon disease
unity of body and spirit
principle of action
