基于数据挖掘技术探讨王儒平治疗失眠用药经验
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R249;R256.23

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广州市增城区科技创新发展扶持资金项目(2024ZCKJ18);广州市卫生健康科技项目(20242A011041)


Exploration of WANG Ruping's Medication Experience in Treating Insomnia Based on Data Mining Technology
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    摘要:

    目的:通过数据挖掘技术总结分析王儒平治疗不寐的用药规律及临证经验。方法:收集2023年 1月—2024年4月就诊于广州市增城区中医医院王儒平名中医工作室的不寐病例,建立王儒平治疗不寐门诊医 案数据库,使用Excel、IBM SPSS 24.0等软件,采用主成分分析、聚类分析等方法,挖掘其用药特点及组方规 律。结果:共纳入病例411例,处方411张,包含中药192味,核心中药29味。主成分分析得到9组中药,聚 类分析得到6组中药,删除冗余数据后,得到8组核心药组:首乌藤;枸杞子、麦芽;酒女贞子、墨旱莲、熟 地黄;五味子、麦冬、太子参;法半夏、夏枯草;制远志、石菖蒲;牡蛎、龙骨、珍珠母;乌梅、郁金、柏子 仁。结论:王儒平认为神安则体健,不寐病气郁为始,阴伤为本,神不安为标,治疗失眠当求气调而阴平,方 能神安则寐。具体治法以滋阴养血,解郁安神为先,常用首乌藤;枸杞子、麦芽;酒女贞子、墨旱莲、熟地 黄;五味子、麦冬、太子参;乌梅、郁金、柏子仁等药物,疏肝不忘滋阴,养阴兼顾行气。善用枸杞子合麦 芽、制远志合石菖蒲等药物组合解胃不和、痰浊之标,并注重调理患者的生理和心理状态,以达到改善睡眠的 目的。

    Abstract:

    Abstract: Objective: To summarize and analyze the medication patterns and clinical experience of WANG Ruping in treating insomnia through data mining technology. Methods: Insomnia cases treated at WANG Ruping's Famous Traditional Chinese Medicine Physician Studio in Guangzhou Zengcheng District Hospital of Traditional Chinese Medicine from January 2023 to April 2024 were collected to establish a medical record database. Excel and IBM SPSS 24.0 software were used for principal component analysis and cluster analysis to explore medication characteristics and prescription patterns. Results: A total of 411 cases with 411 prescriptions containing 192 herbs were included, identifying 29 core herbs. Principal component analysis yielded 9 herb groups,while cluster analysis identified 6 herb groups. After removing redundant data, the following 8 core herb combinations were derived: Polygoni Multiflori Caulis;Lycii Fructus and Hordei Fructus Germinatus;wine-prepared Fructus Ligustri Lucidi,Ecliptae Herba,and Rehmanniae Radix Praeparata; Schisandrae Chinensis Fructus, Ophiopogonis Radix, and Pseudostellariae Radix; Pinelliae Rhizoma Praeparatum,and Prunellae Spica;Polygalae Radix Praeparata,and Acori Tatarinowii Rhizoma; Ostreae Concha,Os Draconis,and Margaritifera Concha;Mume Fructus,Curcumae Radix,and Platycladi Semen. Conclusion: WANG Ruping believes that a calm spirit leads to a healthy body. In the case of insomnia, the initial cause is often emotional stagnation, with yin damage as the root and a restless spirit as the manifestation. To treat insomnia effectively,it is essential to achieve a harmonious flow of qi and a balanced yin,which in turn will calm the spirit and facilitate sleep. Specifically,the treatment should prioritize nourishing yin and enriching blood,as well as resolving stagnation and calming the spirit. Commonly used Chinese herbs include Polygoni Multiflori Caulis; Lycii Fructus, Hordei Fructus Germinatus; wine-prepared Ligustri Lucidi Fructus, Ecliptae Herba, Rehmanniae Radix Praeparata; Schisandrae Chinensis Fructus, Ophiopogonis Radix, Pseudostellariae Radix; Mume Fructus, Curcumae Radix, and Platycladi Semen. When soothing the liver, take care to nourish yin; while nourishing yin, ensure to promote qi movement. In clinical treatment, it is advisable to skillfully use combinations of Chinese herbs such as Lycii Fructus with Hordei Fructus Germinatus,and Polygalae Radix Praeprata with Acori Tatarinowii Rhizoma to address symptoms of stomach disharmony and phlegm-turbidity. Additionally, emphasis should be placed on adjusting both the physiological and psychological states of patients to achieve the goal of improving sleep quality.

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黄卓,陈雪梅,祝轩,何泳谦,陈曦霞,胡妮,王儒平.基于数据挖掘技术探讨王儒平治疗失眠用药经验[J].新中医,2025,57(15):13-17

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  • 在线发布日期: 2025-08-11
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