于慎中治疗脾胃病的用药规律分析*
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山西医科大学第一医院中医科,山西 太原 030001

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R256.3

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收稿日期: 2018 - 04- 09 * 基金项目: 全国名老中医药专家于慎中传承工作室建设项目(2016年) 第一作者简介: 郭洪波(1969-),男,副主任医师,研究方向:中西医结合治疗消化系统疾病。 通信作者: 袁媛,E-mail:grace0715yuan@126.com


Analysis on the Medication Rules of YU Shenzhong for the Treatment of Digestive Diseases
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Traditional Chinese Medicine Department of First Hospital of Shanxi Medical University, Taiyuan 030001, China

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    摘要:

    目的基于古今医案云平台,分析山西省首批名老中医于慎中主任医师治疗脾胃病的用药经验。方法以于老2014年1月至2015年12月门诊医案为来源,选取诊断为消化系统疾病的132张处方,在数据统计分析的基础上挖掘于老治疗脾胃病用药的规律与经验。结果对选取的处方进行数据分析,其中用药频次较高的药物有白术、茯苓、陈皮、北沙参、白芍、青皮等。从四气角度考虑,所用药物中寒、温两性分布基本相当。从归经角度考虑,以入脾经、胃经的药物为最多。所用方剂中,药物之间关联规则也反映出于老健脾、养阴、温阳、理气、清热、化湿等药物配伍运用的规律。结论基于古今医案云平台进行的于老治疗脾胃病的数据挖掘和用药规律研究,既为临床治疗脾胃病提供了有效指导,同时也为更好地传承学术思想提供依据。

    Abstract:

    Objective Based on the cloud platform of ancient and modern medical records, this paper analyzed the experience of YU Shenzhong in the treatment of digestive diseases, a chief physician who was awarded the first batch of famous veteran doctors of TCM in Shanxi province. Methods Taking Mr. YU’s outpatient records from January 2014 to December 2015 as our source, we chose 132 prescriptions for diagnosing digestive disorders. Based on statistical analysis, the rules and experience of the treatment of digestive diseases were explored. Results Data analysis was performed on the selected prescription, Chinese medicinal herbs with the higher frequency were Atractylodes Macrocephala, Poria Cocos, Pericarpium Citri Reticulatae, Radix Glehniae, Radix Paeoniae Alba, Pericarpium Citri Reticulatae Viride and so on. In terms of four properties, the amount of herbs being used with cold nature and those with warm nature was basically the same. In terms of channel tropism, herbs which were distributed to spleen or stomach channel are the most. Among the formulae, the association rule between herbs reflected the experience of Mr. YU’s therapeutic principle and method of tonifying spleen, nourishing Yin, warming Yang, regulating the movement of Qi and resolving dampness. Conclusion The results of the analysis based on the cloud platform of ancient and modern medical records provided effective guidance for clinical treatment of digestive diseases, and also provided basis for better inheritance of academic thought.

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