基于中医传承辅助平台的古代医籍血淋方剂用药规律研究
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R256.52

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佛山市卫生健康局医学科研课题立项项目(20210257)


Study on Medication Rules of Prescriptions for Blood Stranguria in Ancient Medical Books Based on Traditional Chinese Medicine Inheritance Support System
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    摘要:

    目的:基于中医传承辅助平台系统(V2.5) 分析古代医籍血淋方剂的用药规律。方法:在《中医方 剂大辞典》中筛选出符合标准的血淋方剂,录入中医传承辅助平台系统(V2.5) 形成血淋方剂数据库,应用关 联规则、复杂系统熵聚类等算法开展药物频数统计、组方规律及新方分析,以探究治疗血淋方剂常用中药及其 配伍规律,提取核心药组形成新方。结果:最终得到方剂105首,包含中药138味,使用总频数为602次,其 中高频药物为滑石、生地黄、当归、甘草、车前子、木通、赤芍、茯苓等;药味以甘、苦为主;药性以寒、 平、温居多;归经主入肝、心、胃、肺、脾五经。经聚类、关联分析,最常用药组是“滑石-车前子”“滑石- 木通”“生地黄-当归”等。通过复杂系统熵聚类分析,从具有潜在关联的中药里,得出4个核心药物组合, 分别为“当归-川芎-赤芍”“甘草-淡竹叶-灯心草”“生地黄-小蓟-水苏”“通草-焦栀子-细辛”。基于4个核 心药物组合,系统推导出4首治疗血淋的潜在新方,包括“冬葵子、赤芍、甘遂、当归、川芎”“黄芩、甘草、 栀子、淡竹叶、灯心草”“生地黄、瞿麦、郁金、小蓟、水苏”“通草、焦栀子、藕节、细辛”。结论:古代医 家多采用利尿通淋、清热凉血、祛瘀止血类药物治疗血淋,常用中药有滑石、生地黄、当归、甘草、车前 子等。

    Abstract:

    Abstract: Objective: To analyze the medication rules of prescriptions for blood stranguria in ancient medical books based on the Traditional Chinese Medicine Inheritance Support System(V2.5). Methods:The prescriptions for blood stranguria were screened out from the Comprehensive Dictionary of Traditional Chinese Medicine Formulae, and entered into the Traditional Chinese Medicine Inheritance Support System(V2.5)to form a database of prescriptions for blood stranguria. The association rules,complex system entropy clustering and other algorithms were used to carry out analysis of frequency statistics, medication rules and new prescriptions to explore the commonly used Chinese medicines of prescriptions for blood stranguria and their compatibility rules, and to extract core medicinal groups to form new prescriptions. Results:A total of 105 prescriptions were obtained,including 138 Chinese medicines with a total frequency of use of 602. Among them,the high-frequency Chinese medicines were Talcum,Rehmanniae Radix, Angelicae Sinensis Radix, Glycyrrhizae Radix et Rhizoma, Plantaginis Semen, Akebiae Caulis, Paeoniae Radix Rubra,Poria,etc;their flavors were mainly sweet and bitter;their nature was mostly cold,neutral and warm;their main meridian entries were the liver,heart,stomach,lung and spleen. After the clustering analysis and association rule analysis, the most commonly used medicinal groups were “Talcum-Plantaginis Semen”,“Talcum-Akebiae Caulis”,“Rehmanniae Radix-Angelicae Sinensis Radix”, etc. Through the complex system entropy clustering analysis,four core medicinal combinations were obtained from the potentially related Chinese medicines,which were “Angelicae Sinensis Radix-Chuanxiong Rhizoma-Paeoniae Radix Rubra”,“Glycyrrhizae Radix et Rhizoma-Lophatheri Herba-Junci Medulla”,“Rehmanniae Radix-Cirsii Herba-Stachys Japonica”,and “Tetrapanacis Medulla-Gardeniae Fructus Praeparatus-Asari Radix et Rhizoma”. Based on the above four core medicinal combinations, four potential new prescriptions for blood stranguria were systematically deduced, including “Malvae Semen, Paeoniae Radix Rubra, Kansui Radix, Angelicae Sinensis Radix, and Chuanxiong Rhizoma”,“Scutellariae Radix, Glycyrrhizae Radix et Rhizoma,Gardeniae Fructus,Lophatheri Herba and Junci Medulla”,“Rehmanniae Radix,Dianthi Herba, Curcumae Radix, Cirsii Herba and Stachys Japonica”,“Tetrapanacis Medulla, Gardeniae Fructus Praeparatus, Nelumbinis Rhizomatis Nodus and Asari Radix”. Conclusion:Ancient physicians mostly used Chinese medicines for promoting urination and relieving strangury, clearing heat and cooling blood, dispelling blood stasis and stopping bleeding for blood stranguria. Commonly used Chinese medicines include Talcum, Rehmanniae Radix, Angelicae Sinensis Radix,Glycyrrhizae Radix et Rhizoma,and Plantaginis Semen,etc.

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黄宇翘,梁谋,孙季菡.基于中医传承辅助平台的古代医籍血淋方剂用药规律研究[J].新中医,2025,57(22):14-19

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