基于《中华医典》数据挖掘的明清医案痰证用药规律研究
作者:
作者单位:

1. 天津中医药大学中医药研究院,天津 301617;2. 天津中医药大学方剂学教育部重点实验室,天津 301617; 3. 天津中医药大学复方中药研究创新团队,天津 301617

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中图分类号:

R255.8;R249

基金项目:

收稿日期: 2020 - 02- 16
基金项目: 天津市天津中医药大学复方中药研究创新团队(TD13-5053)
第一作者简介: 李霄(1992-),女,在读博士研究生,研究方向:中医药防治心脑血管疾病。
△通信作者: 张晗,E-mail:zhanghan0023@126.com


Data Mining Study on Administration Rule of Medical Records in Ming and Qing Dynasties for the Treatment of Tan Syndrome Based on Classics of Traditional Chinese Medicine
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Affiliation:

1. Institute of Traditional Chinese Medicine,Tianjin University of Traditional Chinese Medicine, Tianjin 301617,China; 2. Key Laboratory of Pharmacology of Traditional Chinese Medicine Formulae, Ministry of Education, Tianjin University of Traditional Chinese Medicine, Tianjin 301617,China; 3. Innovative Research Team of Traditional Chinese Medicine Formulae, Tianjin University of Traditional Chinese Medicine, Tianjin 301617,China

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    摘要:

    针对明清痰证医案的用药进行数据挖掘研究,以分析和探讨明清医家治疗痰证的用药特点。方法 以第5版《中华医典》中明清医案为来源,选取痰证医案,对医案药物功效、性味进行频数统计,运用SPSS Modeler 18.0软件及SPSS 19.0软件分别进行关联规则与聚类分析研究。结果 通过对明清345则痰证医案的统计分析,共涉及相关疾病60种,使用药物达282味,累计频次3 415次。对排名为前48味的高频药物功效、药性、药味进行统计分析,发现明清医家治疗痰证多选化痰止咳平喘药、补虚药、理气药,药性以温、平、寒居多,药味多选苦、甘、辛等。高频药物关联规则得出85条有效规则,药物聚类总结出天麻钩藤饮合涤痰汤、四君子汤、黄连温胆汤、化痰止咳平喘药对等治痰方药。结论 明清医家治疗痰证,注重健脾燥湿、宣肺理气与化痰并用,并详辨痰证病因、病性等,抓病证关键合治之。常用二陈汤、黄连温胆汤、四君子汤、天麻钩藤饮合涤痰汤等方药。

    Abstract:

    Objective To summarize the experience and formula for treating Tan syndrome in Ming and Qing Dynasties by using data mining technology and statistical analysis. Methods On the basis of books collected in Classics of Traditional Chinese Medicine, we collected and curated Tan syndrome medical records of Ming and Qing Dynasties to analyze the efficacy, nature, and flavor of Chinese herbs by frequentist analysis. In addition, association rules and cluster analyses were conducted using SPSS 19.0 and 18.0 to explore the medication rules in these Tan syndrome medical records.Results Ultimately, 345 medical records of Ming and Qing Dynasties were involved in the final analysis, with 60 related diseases, 282 Chinese herbs, and 3 415 medication frequencies. Using frequentist analysis, we found that herbs for resolving phlegm, relieving cough and asthma, deficiency-nourishing, Qi Regulating were the most commonly used herbs by physicians in Ming and Qing Dynasties. Among these herbs, the majority of herbal properties were warm, neutral, and cold in nature, and the major flavors were bitter, sweet, and spicy. Furthermore, based on association rules and clustering analysis of frequent high herbs, we obtained 85 effective rules and several classical formulas for treating sputum, including Tianma Gouteng Decoction with Ditan Decoction, Sijunzi Decoction, Rhizoma Coptidis. Conclusion Physicians in Ming and Qing Dynasties paid more attention to discern the etiology and nature of Tan symptom, also focused on invigorating the spleen to eliminate dampness, ventilating the lung, regulating Qi, as well as resolving phlegm to treat Tan symptom. They tended to choose Erchen Decoction, Huanglianwendan Decoction, Sijunzi Decoction, Tianma Gouteng Decoction, Ditan Decoction to treat Tan symptom.

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