叶天士《临证指南医案》中心系疾病的用药规律研究*
作者:
作者单位:

(1. 天津中医药大学,天津 300193;2. 天津中医药大学附属保康医院,天津 300193)

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中图分类号:

R249;R256.2

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收稿日期: 2018 - 11- 02
* 基金项目: 国家自然科学基金(81072965);天津市科技计划项目(15ZXLCSY00020)
第一作者简介: 刘震(1987-),男,在读博士研究生,主要从事中医心血管病的研究。
△通信作者: 郭利平,lpgtjn@163.com


Analysis of Heart Diseases in Clinic Guideline of Medical Records with Text Mining
Author:
Affiliation:

(1. Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;2. Baokang Hospital Affiliated to Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China)

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    摘要:

    目的分析《临证指南医案》治疗心系疾病的组方用药规律。方法收集《临证指南医案》中治疗心系疾病的处方共161个,运用中医传承辅助平台系统(V2.5),采用关联规则apriori算法、复杂系统熵聚类等方法,分析《临证指南医案》中治疗心系疾病的用药规律。结果通过处方分析筛选,得到用药频次≥10的药物30味,关联系数>0.02的药对23对,新方9个。结论叶氏治疗心系疾病多从辛甘温通、滋阴养血、化痰除饮、补肝益肾四法治疗,治心不单专于补心,而是辨证求机,注重心与胃、脾、肝、肾相关性,辨证求因,审因用药。

    Abstract:

    Objective To analyze the Medication Regularity about heart disease in Clinic Guideline of Medicine Records. Methods This paper collected 161 prescriptions about heart disease treatment in Clinic Guideline of Medicine Records, employed the Apriori association rules algorithm and complex system entropy clustering for data mining method, and analyzed the medication regularity about heart disease in Clinic Guideline of Medicine Records. Results Through the analysis and selection of prescription, there were 30 herbs that the frequency of using were more than 10 times,23 herb pairs that the correlation coefficient were greater than 0.02, and 9 new prescriptions. Conclusion From the inheritance system of traditional Chinese medicine, we found that Ye’s treatment of heart diseases is mainly based on four methods: Xingan Wentong, Ziyin Yangxue, Reduce phlegm-fluid, Bugan Yishen. The treatment for heart disease in Clinic Guideline of Medicine Records is not only focused on tonifying the heart, but also on seeking opportunity through differentiation of symptoms and signs. It pays attention to the correlation between heart and stomach, spleen, liver and kidney, seeking causes through differentiation of symptoms and signs, and examining the causes of herb use.

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