壮医药治疗热射病用药规律分析
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R594.1

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国家自然科学基金地区科学基金项目(82360913);广西岐黄学者培养项目(GXQH202403)


Analysis of Medication Rules in Zhuang Medicine in the Treatment of Heatstroke
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    摘要:

    目的:分析壮医药治疗热射病的用药规律,以期为临床治疗提供参考。方法:收集《中国壮医学》 等壮医经典及中国知网等数据库的壮医药治疗热射病的方剂,运用Excel、SPSS Modeler等工具对壮药的频数、 性味及关联规则与聚类进行可视化分析。探讨壮医药治疗热射病的理论基础。结果:筛选得到壮医药治疗热射 病方剂46首,涉及药物88味,排在前6位分别是山芝麻、两面针、地胆草、古羊藤、黄皮、金银花。壮药治 疗热射病的药物中以寒性最多,没有热性药物;五味以苦味、辛味、甘味为主。常见药物组合为两面针-古羊 藤、金银花-山芝麻、古羊藤-两面针、古羊藤-山芝麻等14组,核心组方为两面针-古羊藤-南蛇簕-地胆草- 救必应、黄皮-陈皮-磨盘草-甘草-藿香-金果榄、功劳木-板蓝根-生姜-仙鹤草-六月雪、山芝麻-金银花。 结论:壮医治疗热射病遵循毒邪致病理论,组方配伍上体现了壮医“清热解毒、散瘀,通调龙路、火路”的治 疗原则,高频次使用的壮药包括山芝麻、两面针、地胆草、古羊藤、黄皮、金银花,性味多为寒、苦、辛、 甘,两面针和古羊藤为核心药物,为临床用药提供参考依据。

    Abstract:

    Abstract: Objective: To analyze the medication rules of Zhuang medicine in the treatment of heatstroke, aiming to provide reference for clinical practice. Methods: Prescriptions for treating heatstroke recorded in Zhuang medical classics such as Zhong Guo Zhuang Yi Xue( Chinese Zhuang Medicine) and databases including China National Knowledge Infrastructure (CNKI) were collected. Tools including Excel and SPSS Modeler were used to perform visual analysis on the frequency, properties and flavors, association rules, and clustering of the Zhuang medicine. The theoretical basis of Zhuang medicine for treating heatstroke was discussed. Results : A total of 46 prescriptions of Zhuang Medicine for treating heatstroke were screened, involving 88 medicines. The top six most frequently used medicines were Ngazndoeng, Zanthoxyli Radix, Nyaedeih, Gaeumbe, Makmaed, and Lonicerae Japonicae Flos. Among the medicines used, those with a cold property were the most prevalent, with no medicines of a hot property being used. The primary flavors were bitter, pungent, and sweet. Fourteen common herb pairs were identified, including Zanthoxyli Radix-Gaeumbe, Lonicerae Japonicae Flos-Ngazndoeng, Gaeumbe-Zanthoxyli Radix, and Gaeumbe-Ngazndoen, etc. The core prescription clusters were: Zanthoxyli Radix-Gaeumbe-Oenmeuz-Nyaedeih- Ilicis Rotundae Cortex,Makmaed-Citri Reticulatae Pericarpium-Makmuh-Glycyrrhizae Radix et Rhizoma-Agastachis Herba-Tinosporae Radix,Mahoniae Caulis-Isatidis Radix-Zingiberis Rhizoma Recens-Agrimoniae Herba-Ndukmax, and Ngazndoeng-Lonicerae Japonicae Flos. Conclusion:The treatment of heatstroke in Zhuang medicine follows the theory of diseases induced by toxic pathogens. The prescription formulation embody the Zhuang medical therapeutic principles of "clearing heat and removing toxin, resolving stasis, and regulating the meridians of the Long pathway (corresponds to the body's blood circulation channels) and the Huo pathway (corresponds to the body's information transmission channels). " High-frequency Zhuang medicines include Ngazndoeng, Zanthoxyli Radix, Nyaedeih, Gaeumbe, Makmaed, and Lonicerae Japonicae Flos, which are mostly cold in property and bitter, pungent,or sweet in flavor. Zanthoxyli Radix and Gaeumbe are identified as the core medicines. This analysis provides a reference for clinical medication.

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张琢,岳桂华.壮医药治疗热射病用药规律分析[J].新中医,2026,58(5):1-6

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  • 在线发布日期: 2026-03-12
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