李东垣治疗伤食用药规律分析
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R256.3

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教育部产学合作协同育人项目(230714184507236);深圳市中医“治未病”重点专科建设项目(深中医〔2023〕133号)


Analysis of Medicinal Usage Patterns by LI Dongyuan in Treating Dyspepsia
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    摘要:

    目的:基于数据挖掘技术分析李东垣治疗伤食的处方用药规律。方法:收集《李东垣医学全书》 中关于治疗伤食的处方,将筛选出的相关处方应用Excel建立数据库。利用Excel 2020软件,对相关处方中的 药物名称、四气、五味以及归经进行系统的频次分析,采用SPSS Modeler 18.0软件,深入分析药物间的关联性 规律,借助SPSS23.0软件对高频中药实施聚类分析。结果:本次研究纳入的处方共计51张,涉及中药78味, 用药频次位于前10的分别是陈皮、枳实、甘草、白术、神曲、半夏、人参、生姜、柴胡、木香。27味高频中 药(频次≥5次) 中按药性统计,以温、平、寒为主,其中温性药物223次;药味以辛、苦、甘为主,其中味辛 有222次,其次味苦为199次;按功效统计,补虚药有6味,居第一,其次为理气药5味。经过系统聚类分析可 得出7个中药组合,分别为:羌活、防风、柴胡、升麻;益智仁、砂仁、黄芪、当归、草豆蔻、甘草、人参; 厚朴、苍术;枳实、白术、黄芩、黄连;麦芽、青皮、神曲;泽泻、茯苓、陈皮、半夏、生姜;木香、干姜。 结论:李东垣治疗伤食的临证用药主要以理气药为主,其中脾经药物使用频次最多,体现了李东垣治疗伤食的 整体观和善用辛开苦降之法,重视补益脾胃、行气消导治疗伤食的学术思想。

    Abstract:

    Abstract: Objective: To explore the prescriptions and medicinal usage patterns of LI Dongyuan in treating dyspepsia based on data mining techniques. Methods:Prescriptions for treating dyspepsia from the Li Dong Yuan Yi Xue Quan Shu (Complete Medical Works of LI Dongyuan) were collected and screened to establish a database using Microsoft Excel. The names,four properties,five flavors,and meridian entries of the medicinals in these prescriptions were systematically analyzed for frequency using Microsoft Excel 2020. The associations among the medicinals were further analyzed using SPSS Modeler 18.0, and cluster analysis was performed on high frequency medicinals using SPSS23.0. Results:A total of 51 prescriptions involving 78 different medicinals were included in this study. The top 10 most frequently-used medicinals were Citri Reticulatae Pericarpium, Aurantii Fructus Immaturus, Glycyrrhizae Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma, Massa Fermentata, Pinelliae Rhizoma, Ginseng Radix et Rhizoma, Zingiberis Rhizoma Recens, Bupleuri Radix, and Aucklandiae Radix. Among the 27 high-frequency medicinals( frequency ≥ 5 times),the properties were mainly warm,neutral,and cold,with warm medicinals appearing 223 times. The flavors were predominantly acrid, bitter, and sweet, with acrid medicinals appearing 222 times and bitter medicinals 199 times. In terms of therapeutic effects, there were six tonic medicinals, which was the most frequent category,followed by five qi-regulating medicinals. Systematic cluster analysis was performed,grouping the medicinals into seven categories: Notopterygii Rhizoma et Radix, Saposhnikoviae Radix, Bupleuri Radix, and Cimicifugae Rhizoma; Alpiniae Oxyphyllae Fructus, Amomi Fructus, Astragali Radix, Angelicae Sinensis Radix, Alpiniae Katsumadai Semen,Glycyrrhizae Radix et Rhizoma,and Ginseng Radix et Rhizoma;Magnoliae Officinalis Cortex and Atractylodis Rhizoma; Aurantii Fructus Immaturus, Atractylodis Macrocephalae Rhizoma, Scutellariae Radix, and Coptidis Rhizoma; Hordei Fructus Germinatus, Citri Reticulatae Pericarpium Viride, and Massa Fermentata;Alismatis Rhizoma,Poria,Citri Reticulatae Pericarpium,Pinelliae Rhizoma,and Zingiberis Rhizoma Recens; Aucklandiae Radix and Zingiberis Rhizoma. Conclusion: LI Dongyuan's clinical treatment of dyspepsia primarily focused on qi-regulating medicinals,with the most frequent use of medicinals targeting the spleen meridian. This reflects his holistic approach to treating dyspepsia, emphasizing the use of acrid medicinals to open and bitter medicinals to promote descent, and highlighting the importance of tonifying the spleen and stomach, as well as promoting qi movement and digestion in the treatment of dyspepsia.

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肖春燕,刘潞,施瑞辰,郑舜莉,吴海滨.李东垣治疗伤食用药规律分析[J].新中医,2025,57(8):12-17

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  • 在线发布日期: 2025-04-27
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