基于数据挖掘探讨清代名医治疗肿胀病用药规律
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R249

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深圳市政府“医疗卫生三名工程” 广东省中医院禤国维国医大师皮肤研究团队资助项目(SZZYSM202106008);深圳市宝安区科技创 新局新冠肺炎治疗和疫情防控技术研究及应用中医药专项(2020KJCX-KTYJ-69)


Exploration of the Medication Rules of Famous Physicians in Qing Dynasty to Treat Swelling Disease Based on Data Mining
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    摘要:

    目的:分析探讨清代名医治疗肿胀病用药组方规律。方法:对《清代名医医案精华》所记载的肿 胀相关医案进行收集和整理,运用Microsoft Excel 2020 建立方药数据库并对处方数据按相关标准进行规范化处 理,借助中医传承辅助平台系统(V2.5) 进行药物频次、性味归经及功效分布、关联规则、复杂熵聚类等分 析。结果:纳入15 位名医治疗肿胀的医案,共涉及处方100 首,包含药物208 味,总用药频次为1042 次。 高频药物(出现频数≥10) 25 种,使用频率最多的是茯苓(77 次);药性以温、寒、平为主,五味则多为甘、 辛、苦,所用药物大部分归脾、肺、胃、肾经;药物功效分布最多的是补虚药;最常用的对药是“陈皮-茯 苓”;最常用的角药是“陈皮-茯苓-大腹皮”;高置信度关联规则有“泽泻→茯苓”;熵层次聚类分析得到 10 组核心药物组合,潜在新方5 首。结论:清代名医治疗肿胀病以利水渗湿为主,不离补虚行气。同时常根 据具体情况,兼以止咳平喘、宣肺解表、温阳化湿、化痰行气等治法。

    Abstract:

    Abstract: Objective: To analyze and discuss the medication rules of famous physicians in the Qing Dynasty to treat swelling disease. Methods: Swellling- related medical cases recorded in Qingdai Mingyi Yi'an Jinghua (Essential Case Records of Famous Physicians of the Qing Dynasty) were collected and sorted out. Prescription database was established via Microsoft Excel 2020, and the prescription data were standardized according to relevant standards. With the help of Chinese Medicine Inheritance Assistance Platform System (V2.5),the medicine frequency,natures and flavors,channel entry,effect distribution, association rules and complex entropy clustering were analyzed. Results:The medical cases of 15 famous physicians for the treatment of swelling were included,involving a total of 100 prescriptions,including 208 kinds of Chinese herbs,and the total frequency of medication was 1 042 times. There were 25 kinds of highfrequency Chinese herbs (occurrence frequency≥10 times),and Poria was the most frequently used herbs (77 times). The natures of herbs were mainly warm,cold and balanced,and the five flavors were mostly sweet, acrid and bitter; most of the herbs used entered into the spleen, lung, stomach and kidney meridians. The largest distribution of herbal effects was the herbs for deficiency-supplementing. The most commonly used drug-pair was Citri Reticulatae Pericarpium-Poria. The most commonly used three-kinds herbal combination was "Citri Reticulatae Pericarpium- Poria- Arecae Pericarpium". The high confidence association rules included "Alismatis Rhizoma→ Poria". Entropy hierarchical cluster analysis obtained 10 core herbal combinations and 5 potential new prescriptions. Conclusion:The treatment of swelling disease by famous physicians in the Qing Dynasty mainly focuses on promoting urination and percolating dampness, and also on supplementing deficiency and moving qi. At the same time,they also used methods of relieving cough and panting, diffusing the lung and dissipating cold, warming yang and removing dampness, dissolving phlegm and moving qi according to the specific situation.

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黄丹,黄曼欣,李楚,聂嘉瑶,段德鉴.基于数据挖掘探讨清代名医治疗肿胀病用药规律[J].新中医,2023,55(11):15-21

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  • 在线发布日期: 2023-06-16
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