基于真实世界研究吴凡伟治疗咳嗽病六经用药规律
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R256.11

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Study on WU Fanwei's Medication Rules of Six Channels in Treating Cough Based on the Real World Research
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    摘要:

    目的:通过真实世界研究吴凡伟治疗咳嗽病的六经用药规律。方法:基于医院信息管理(HIS) 系 统,通过统计分析、频次分析、关联规则分析、聚类分析探索吴凡伟教授治疗咳嗽病的用药规律。结果:共纳 入448 例咳嗽患者,其六经分布为:太阴证168 例(37.50%)、太阳证158 例(35.27%)、少阳证64 例(14.29%)、 阳明证43 例(9.60%)、少阴证11 例(2.45%)、厥阴证4 例(0.89%)。治疗咳嗽用药五味以辛甘苦为主;药 性以温药为主,平寒为辅;归经以肺脾胃经为主。通过关联规则分析得出强关联规则62 条。通过聚类分析得 出核心组方12 个。太阳咳嗽常用处方为桂枝加厚朴杏子汤、小青龙汤、荆防败毒散、银翘散、止嗽散、苓桂 术甘汤;阳明咳嗽常用处方为麦门冬汤、麦冬枳实紫菀甘草汤;少阳咳嗽常用处方为小柴胡汤、四逆散合姜辛 味夏组合;太阴咳嗽常用处方为苓甘五味姜辛夏汤;少阴咳嗽常用处方为四逆汤、茯苓四逆汤、麻黄附子细辛 汤、当归四逆汤;厥阴咳嗽常用处方为乌梅丸、四逆汤。结论:吴凡伟治疗咳嗽用药遵循“六经定方+对症用 药+岭南特色用药”为原则,多采用温肺散寒、宣肺止咳、化湿补中等药物治疗咳嗽病。

    Abstract:

    Abstract: Objective: To study the medication rules of six channels of WU Fanwei in treating cough through the real world study. Methods:Based on Hospital Information System (HIS),the medication rules of Professor WU Fanwei in treating cough was explored through statistical analysis, frequency analysis, association rule analysis and cluster analysis. Results: A total of 448 patients with cough were included. The distribution of six channels was: taiyin syndrome with 168 cases (37.50% ), taiyang syndrome with 158 cases (35.27% ), shaoyang syndrome with 64 cases (14.29% ), yangming syndrome in 43 cases (9.60%) , shaoyin syndrome with 11 cases (2.45%) and jueyin syndrome with 4 cases (0.89%). The five flavors of medicinals for cough were pungent, sweet and bitter. The medicinal properties for cough were mainly warm, supplemented by mild and cold.The main channel entries were lung, spleen and stomach meridians. Through the analysis of association rules, 62 strong association rules were obtained. Through cluster analysis,12 core prescriptions were obtained. The common prescriptions for taiyang cough were Guizhi Plus Houpu Xingzi Decoction, Xiaoqinglong Decoction, Jingfangbaidu Powder, Yinqiao Powder,Zhisu Powder,Linggui Zhugan Decoction. The common prescription for cough in yangming were Maimendong Decoction and Maidong Zhishi Ziwan Gancao Decoction. The common prescription of shaoyang cough is Xiaochaihu Decoction and Sini Powder with Zingiberis Rhizoma, Asari Radix et Rhizoma, Schisandrae Chinensis Fructus , Pinelliae Rhizoma combination. The common prescription of taiyin cough is Linggan Wuwei Jiangxinxia Decoction.The common prescriptions for shaoyin cough were Sini Decoction,Fuling Sini Decoction,Mahuang Fuzi Xixin Decoction and Danggui Sini Decoction. The common prescriptions for jueyin cough were Wumei Pills and Sini Decoction. Conclusion: WU Fanwei's cough treatment should follow the principle of "six channels theory determines prescription + selecting medicinals according to symptoms + Lingnan characteristic medicine", and use the medicines of warming lung to dissipate cold, releasing lung and relieving cough, eliminating dampness and strengthening the middle energizer.

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毛妮,李佳凤,指导:吴凡伟.基于真实世界研究吴凡伟治疗咳嗽病六经用药规律[J].新中医,2023,55(17):32-40

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  • 在线发布日期: 2023-09-07
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