基于数据挖掘陈宝贵教授治疗痞满的处方规律研究
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摘要
总结研究全国名老中医陈宝贵教授治疗痞满的处方规律。收集并整理陈宝贵教授临床治疗痞满的医案,录入中医传承辅助系统(V2. 5)软件,对筛选出的医案进行数据挖掘,分析其处方规律。通过筛选得到214个医案处方,统计分析陈宝贵教授接诊的痞满治疗经验,发现陈教授在治疗痞满时以调整脏腑气机升降为主。药物四气五味体现了陈教授"寒温并用""辛开苦降"的配伍用药特点。遣方用药多以具有舒肝理气、健脾和胃功效的药物为基础方,根据兼症,酌情配以具有消食导滞、活血化瘀、益气养阴、安神定志、强筋健骨等功效的药物。客观地总结出陈宝贵教授治疗痞满的临证经验,对名老中医学术思想和经验传承具有重要意义。
To summary and analyze the prescription rules of Professor Chen Baogui,a famous traditional Chinese medicine(TCM)doctor,for treating epigastric fullness. Professor Chen Baogui's prescriptions for treating epigastric fullness were collected and the treatment data were input into traditional Chinese medicine inheritance support system(TCMISS) to analyze the rules of the prescriptions by using data mining methods. Based on the screened 214 cases,the treatment experience of Professor Chen Baogui for treating epigastric fullness was summarized and analyzed. It was found that Professor Chen gave priority to recuperation of Qi activity. The results of four properties and five tastes showed Professor Chen's medication compatibility rules: one was simultaneous use of cold and warm drugs,and the other was simultaneous use of pungent drugs for dispersion and bitter drugs for purgation. In drug use,the basic prescriptions had the efficacy of promoting Qi circulation and regulating viscera function,additionally with the drugs with functions of eliminating digestion and inducing stagnation,activating blood circulation to dissipate blood stasis,replenishing Qi and nourishing Yin,tranquilizing mind,strengthening muscles and bones according to the TCM syndrome type. The clinical experience of Professor Chen for treating epigastric fullness was objectively summarized with the help of TCMISS,which was significant for analyzing and inheriting academic thinking and medication experience from famous TCM doctors.
To summary and analyze the prescription rules of Professor Chen Baogui,a famous traditional Chinese medicine(TCM)doctor,for treating epigastric fullness. Professor Chen Baogui's prescriptions for treating epigastric fullness were collected and the treatment data were input into traditional Chinese medicine inheritance support system(TCMISS) to analyze the rules of the prescriptions by using data mining methods. Based on the screened 214 cases,the treatment experience of Professor Chen Baogui for treating epigastric fullness was summarized and analyzed. It was found that Professor Chen gave priority to recuperation of Qi activity. The results of four properties and five tastes showed Professor Chen's medication compatibility rules: one was simultaneous use of cold and warm drugs,and the other was simultaneous use of pungent drugs for dispersion and bitter drugs for purgation. In drug use,the basic prescriptions had the efficacy of promoting Qi circulation and regulating viscera function,additionally with the drugs with functions of eliminating digestion and inducing stagnation,activating blood circulation to dissipate blood stasis,replenishing Qi and nourishing Yin,tranquilizing mind,strengthening muscles and bones according to the TCM syndrome type. The clinical experience of Professor Chen for treating epigastric fullness was objectively summarized with the help of TCMISS,which was significant for analyzing and inheriting academic thinking and medication experience from famous TCM doctors.
引文
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[2]卢朋,李健,唐仕欢,等.中医传承辅助系统软件开发与应用[J].中国实验方剂学杂志,2012,18(9):1.
[3]贡保东知,罗晴方,余羊羊,等.基于数据挖掘和整合药理学平台的藏医治疗脾胃病用药规律及作用机制[J].中国中药杂志,2018,43(16):3368.
[4]易亚乔,方锐,葛金文,等.基于数据挖掘的历代医家痴呆相关病症用药规律分析[J].中国中药杂志,2018,43(16):3376.
[5]王庆,陈忆莲,吴国琳,等.基于数据挖掘探析名老中医余国友治疗胃肠功能衰竭用药规律[J].中国中药杂志,2017,42(19):3809.
[6]田丽芬,王欣麒,翟志光.天麻治疗阴虚阳亢型高血压病的配伍模式分析[J].中国中医基础医学杂志,2017,23(6):868.
[7]赖满香,林基伟,廖利平,等.基于中医传承辅助系统的治疗原发性骨质疏松症方剂组方规律分析[J].中国实验方剂学杂志,2017,23(9):202.
[8]廉晓晓,郭晓霞.基于中医传承辅助平台分析姜良铎教授治疗积聚的用药规律[J].中国中药杂志,2018,43(1):183.
[9]叶天士.临证指南医案[M].北京:人民卫生出版社,2006.
[10]张娇,王凤云,王安璐,等.胃食管反流病的常用方剂及药对规律[J].中医杂志,2015,56(10):881.
[11]杨维平.香橼佛手饮治疗功能性消化不良96例[J].中国中医药现代远程教育,2010,8(8):46.
[12]宋美卿,冯玛莉,马澜,等.对药香橼佛手对抑郁大鼠T细胞亚群的影响[J].山西中医,2015,31(11):54.
[13]韩金凤,陈宝贵.陈宝贵教授治疗脾胃病经验总结[J].内蒙古中医药,2011,30(1):50.