《临证指南医案》痹证用药特点分析
作者:
作者单位:

(1. 云南中医药大学,云南 昆明 650500;2. 云南省中医医院,云南 昆明 650021)

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R249;R255.6

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收稿日期: 2020 - 10- 09基金项目: 云南省卫生科技计划项目(2017NS165);云南省"万人计划"名医专项(云卫人发[2019]1号);云南中医药大学第一临床医学院科学研究基金项目(2020Y03)第一作者简介: 聂红科(1995-),女,在读硕士研究生,研究方向:风湿病的中医防治。△通信作者: 汤小虎,E-mail: h.tang0718@163.com


The Characteristics for Treatment of Bi Disease in A Guide to Clinical Practice with Medical Record
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Affiliation:

(1.Yunnan University of Chinese Medicine, Kunming 650500,China2.Yunnan Provincial Hospital of Traditional Chinese Medicine, Kunming 650021,China)

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    摘要:

    目的探讨《临证指南医案》痹证用药特点。方法 运用数据挖掘技术统计药物使用频次、性味归经并进行关联规则、聚类、复杂网络分析等。结果 筛选出83首处方,共涉及中药125味,使用频次前5位依次为桂枝、茯苓、白术、当归、苦杏仁,功效类别以补虚药为主,性味以甘温最多,归经主要涉及肺、脾、肝、心、肾、胃;关联规则得到10对常见组合,高频中药聚为4类,复杂网络分析得到1个核心组合。结论 叶氏常从络病角度治痹,或通、或补、或通补皆施,重视肺脾,注重调和气血营卫,擅长通补奇经治法。

    Abstract:

    Objective To explore the characteristics of medicines used for Bi disease in A Guide to Clinical Practice with Medical Record. Methods Data mining technology was used to count the frequency of medicine use, return to sex, conduct association rules analysis,and so on. Results A total of 83 prescriptions were screened, involving a total of 125 flavors of traditional Chinese medicine. The top 5 most frequently used were Guizhi, Poria, Atractylodes, Angelica, and bitter almonds. In terms of medicinal property, Ye Tianshi treated Bi diseases with warm and followed by sweet. The Jing mainly involves the lung, spleen, liver, heart, kidney and stomach. Association rules result in 10 pairs of common combinations,high-frequency traditional Chinese medicine is divided into 4 categories, and a core combination is obtained by complex network analysis. Conclusion Ye Tianshi often treated Bi disease from the perspective of collateral disease, either by dredging, supplementing, or both。And attaches importance to the lungs and spleen, pays attention to reconciling Qi and blood camps, and is good at the treatment of Qijing.

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