基于数据挖掘分析宁波三北地区省级名中医代表治疗脾胃病共性及差异
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R256.3

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浙江省中医药科技计划项目(2023ZF163);全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)


Analysis of Commonalities and Differences in the Treatment of Spleen-Stomach Diseases by Renowned Provincial Chinese Medicine Practitioners in the Sanbei Region of Ningbo Based on Data Mining
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    摘要:

    目的:基于数据挖掘分析宁波三北地区省级名中医代表林吉品、张迪蛟、张谈治疗脾胃病的用药 规律及其差异。方法:选取三北地区省级名中医代表林吉品、张迪蛟、张谈在慈溪市中医医院门诊信息系统中 脾胃病(包括痞满、呕吐、呃逆、反酸、便秘、泄泻、胃脘痛7系) 的诊疗医案各250例,取其首诊处方,录 入数据,运用中医传承计算平台(V3.5),通过药物频次、性味、归经、功效统计,以及关联规则、k-means 聚类分析等方法进行数据挖掘分析。结果:经统计分析,获得林吉品治疗脾胃病使用高频药物29味,张迪蛟 使用28味,张谈使用33味;林吉品使用关联组合药32组,张迪蛟使用12组,张谈使用30组;核心药物组合 各有6组;四气均以温、寒为主,热药最少;五味均以苦、甘、辛为主;林吉品用药以理气、清热、解表、补 虚类为主,多归肺、脾、肝、胃经;张迪蛟用药以补虚、清热、理气、安神类为主,多归肝、肺、脾、心经; 张谈用药以清热、理气、利湿、补虚类为主,多归肺、肝、脾、心经。结论:燮理气机平中气、清热除湿顾存 阴、补中益气重防治是宁波三北地区省级名中医代表林吉品、张迪蛟、张谈治疗脾胃病的共性。同时,医家之 间存在差异,林吉品妙用消导、攻补兼施,张迪蛟安神益肾、法活多变,张谈证症并举、标本同治。

    Abstract:

    Abstract: Objective: To analyze the medication patterns and differences in the treatment of spleen-stomach diseases by renowned provincial Chinese medicine practitioners LIN Jipin, ZHANG Dijiao, and ZHANG Tan in the Sanbei region of Ningbo based on data mining. Methods: A total of 250 medical records for spleen-stomach diseases (including seven conditions: abdominal distention and fullness, vomiting, hiccups, acid reflux, constipation, diarrhea, epigastric pain) from each practitioner (LIN Jipin, ZHANG Dijiao, ZHANG Tan) were selected from the outpatient information system of Cixi Hospital of Traditional Chinese Medicine. The first-visit prescriptions were recorded and analyzed using the Traditional Chinese Medicine Inheritance Computing Platform (V3.5). The data mining analysis was carried out through statistical evaluation of herb frequency,properties,flavors,meridian tropism, and efficacy, supplemented by association rule analysis and k-means clustering analysis. Results: The analysis identified 29 high-frequency herbs in LIN Jipin's prescriptions,28 in ZHANG Dijiao's,and 33 in ZHANG Tan's for spleen-stomach diseases. LIN Jipin employed 32 herb association combinations, ZHANG Dijiao used 12, and ZHANG Tan used 30. Each practitioner had six core herb combinations. In terms of herb nature, all three predominantly used warm and cold herbs,with hot herbs being the least frequent.The main herb flavors were bitter, sweet, and pungent. LIN Jipin's prescriptions focused on regulating qi, clearing heat, relieving the exterior, and tonifying deficiency, primarily targeting the lung, spleen, liver, and stomach meridians. ZHANG Dijiao's prescriptions emphasized tonifying deficiency,clearing heat,regulating qi,and calming the mind,mainly targeting the liver, lung, spleen, and heart meridians. ZHANG Tan's prescriptions prioritized clearing heat, regulating qi, draining dampness, and tonifying deficiency, mainly targeting the lung, liver, spleen, and heart meridians. Conclusion:The commonalities among LIN Jipin,ZHANG Dijiao,and ZHANG Tan,the three renowned provincial Chinese medicine practitioners in the Sanbei region of Ningbo in treating spleen-stomach diseases include harmonizing qi dynamics to stabilize the middle qi, clearing heat and draining dampness while preserving yin, and strengthening middle energizer to boost qi with an emphasis on prevention and treatment.Differences exist among the practitioners: LIN Jipin skillfully employed digestion-promoting and purging-tonifying combined strategies;ZHANG Dijiao focused on calming the mind and tonifying the kidney with flexible methods; and ZHANG Tan emphasized simultaneous treatment of syndromes and symptoms,addressing both root and branch.

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王斌,宋增杰,裘磊,夏磊.基于数据挖掘分析宁波三北地区省级名中医代表治疗脾胃病共性及差异[J].新中医,2026,58(6):7-14

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  • 在线发布日期: 2026-03-31
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