基于数据挖掘分析《伤寒杂病论》中肾系病证用药规律
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R222

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佛山市卫生健康局医学科研课题(20210257)


Analysis of Medication Rules of Syndrome Patterns of the Kidney in Shang Han Za Bing Lun Based on Data Mining
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    摘要:

    目的:基于数据挖掘技术分析《伤寒杂病论》中治疗肾系病证的用药规律。方法:收集并整 理《伤寒杂病论》中有关治疗肾系病证的条文,其中包括水肿、淋证、癃闭、遗精的方药信息,录入Excel建 立方药数据库,采用古今医案云平台(V2.3.9) 的数据挖掘功能进行中药频次、性味归经、关联规则以及聚类 分析。结果:共纳入方剂37首,共55味中药,累计频次178次,高频药物包括桂枝、芍药、生姜、大枣、甘 草等;四气以温性为主,其次为平性;五味以甘为主;归经以肺、脾经为主。关联规则分析得出大枣-生姜、 芍药-生姜、芍药-桂枝等6对药物组合;聚类分析得到3个聚类方,分别是桂枝-芍药-炙甘草、炮附子-白术- 茯苓、麻黄-甘草-大枣-生姜。结论:张仲景治疗肾系病证注重调和阴阳、顾护脾胃,将阴阳思想贯穿治疗的 始终,为现代肾系病证的用药治疗提供参考。

    Abstract:

    Abstract:Objective:To analyze the medication rules of syndrome patterns of the kidney in Shang Han Za Bing Lun (Treatise on Cold Damage and Miscellaneous Diseases). Methods: The provisions on the treatment of syndrome patterns of the kidney in Shang Han Za Bing Lun were collected and sorted out, including the information of prescriptions for edema, strangury, dribbling urinary block, and seminal emission, which was input into Excel to establish a prescription database. The data mining function of the Ancient and Modern Medical Case Cloud Platform (V2.3.9) was used to analyze the frequency, properties, flavors, meridian tropism, and association rules and cluster rules of Chinese medicines. Results:A total of 37 prescriptions were included,with a total of 55 Chinese medicines, with a cumulative frequency of 178 times. High-frequency Chinese medicines included Cinnamomi Ramulus,Paeonia Lactiflora Pall,Zingiberis Rhizoma Recens,Jujubae Fructus,and Glycyrrhizae Radix et Rhizoma, etc. Their four properties are mainly warm,followed by neutral;their five flavors are mainly sweet;meridian tropism is mainly the lung and spleen. The association rule analysis showed that there were six pairs of medicinal combinations such as Jujubae Fructus-Zingiberis Rhizoma Recens, Paeonia Lactiflora Pall-Zingiberis Rhizoma Recens, and Paeonia Lactiflora Pall-Cinnamomi Ramulus;through cluster analysis,three clustering prescriptions were obtained,including Cinnamomi Ramulus-Paeonia Lactiflora Pall-Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, Radix Aconiti Lateralis Praeparata-Atractylodis Macrocephalae Rhizoma-Poria, and Ephedrae Herba-Glycyrrhizae Radix et Rhizoma-Jujubae Fructus-Zingiberis Rhizoma Recens. Conclusion: ZHANG Zhongjing's treatment of the syndrome patterns of the kidney focused on harmonizing yin and yang and protecting the spleen and stomach, integrating the concept of yin-yang throughout the treatment process, which provides a reference for the modern medication and treatment.

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陈秋颖,梁谋,孙季菡.基于数据挖掘分析《伤寒杂病论》中肾系病证用药规律[J].新中医,2026,58(5):22-26

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  • 在线发布日期: 2026-03-12
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