基于数据挖掘探析刘小斌治疗痿证用药规律
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R255.6

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2023年度广东省中医药局科研项目(20231420);刘小斌省名中医传承工作室建设项目(粤中医办函〔2023〕108号)


Exploration of Medication Rules of LIU Xiaobin in Treating Wilting Syndrome Based on Data Mining
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    摘要:

    目的:基于数据挖掘技术探析广东省名中医刘小斌治疗痿证用药规律。方法:应用古今医案云平 台(V2.2.2) 建立刘小斌门诊治疗痿证的数据库,进行规范化处理,并对中药使用频次、四气五味、归经和核 心处方等进行分析,总结其临床经验。结果:共筛选出538首处方74味中药。用药频次排名前10味的中药分 别为甘草、党参、黄芪、五指毛桃、白术、山茱萸、陈皮、升麻、柴胡和当归。药性以温、平为主,药味主要 为甘、辛和苦味,多归脾、肺、肝、肾经及胃经。核心处方按平均剂量大小进行排序:黄芪50.54 g,五指毛 桃50.18 g,党参25.84 g,山茱萸13.47 g,白术13.43 g,升麻8.68 g,柴胡8.68 g,当归8.65 g,甘草5.06 g, 陈皮5.00 g。结论:刘小斌治疗痿证思想主要传承于邓铁涛,以“脾胃虚损,五脏相关”为主要病机,“脾胃 肾俱虚”为关键病机,以升阳举陷、益气健脾、补肾填精为基本治则,以强肌健力饮加山茱萸为底方加减 治疗。

    Abstract:

    Abstract:Objective:To explore the medication rules of LIU Xiaobin,a famous Chinese medicine physician in Guangdong province, in treating wilting syndrome based on data mining technology. Methods: The database of LIU Xiaobin in treating wilting syndrome in clinic was established by using the Ancient and Modern Medical Records Cloud Platform (V2.2.2), and the data were normalized. The use frequency, four properties and five flavors, meridian entries of Chinese medicinals and the core prescriptions were analyzed, and the clinical experience was summarized. Results: A total of 74 Chinese medicinals were screened out from 538 prescriptions. The top 10 Chinese medicinals ranked in the use frequency were Glycyrrhizae Radix et Rhizoma, Codonopsis Radix, Astragali Radix, Fici Simplicissimae Radix, Atractylodes Macrocephalae Rhizoma, Corni Fructus, Pericarpium Citri Reticulatae, Cimicifugae Rhizoma,Bupleuri Radix and Angelicae Sinensis Radix. The above Chinese medicinals are mainly warm and neutral in nature, and sweet, pungent and bitter in flavor, and their meridian entries mostly belonged to the splleen,lungs,liver,kidney and stomach. The core prescription was sorted according to the average dose:Astragali Radix 50.54 g,Fici Simplicissimae Radix 50.18 g,Codonopsis Radix 25.84 g,Corni Fructus 13.47 g,Atractylodes Macrocephalae Rhizoma 13.43 g, Cimicifugae Rhizoma 8.68 g, Bupleuri Radix 8.68 g, Angelicae Sinensis Radix 8.65 g,Glycyrrhizae Radix et Rhizoma 5.06 g and Pericarpium Citri Reticulatae 5.00 g. Conclusion:LIU Xiaobin's thoughts in treating wilting syndrome is mainly based on DENG Tietao,whose main pathogenesis is “spleen-stomach deficiency and depletion, correlation between five viscera”, critical pathogenesis is “Deficiency of the spleen, stomach and kidney”, basic treatment principle is to bear upward yang and constraint qi, boost qi and fortify the spleen,and tonify the kidney and fill essence by using modified Qiangji Jianli Decoction combined with Corni Fructus as the basic prescription.

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苗艳敏,黄子天,刘小斌,陈凯佳.基于数据挖掘探析刘小斌治疗痿证用药规律[J].新中医,2025,57(2):13-18

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  • 在线发布日期: 2025-02-05
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