首页|新安程氏医家程门雪治疗妇科疾病用药规律分析

新安程氏医家程门雪治疗妇科疾病用药规律分析

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目的:研究《程门雪医案》治疗妇科疾病的临床组方配伍规律及治疗特色.方法:筛选《程门雪医案》治疗妇科疾病的处方42例,提取方药信息,使用Microsoft Excel2021建立数据库,进行频数分析,应用SPSS 26.0对药物性味归经、药物类别、聚类、关联规则进行分析,进行数据挖掘.结果:药物使用频次最高的四味药物分别是白芍、当归、白术、陈皮.性味归经方面,药物以温性药为主,多用苦、甘、辛之药.归经以肝、脾经为主.药类最常用的药物类别为补虚药.聚类分析共有白术-陈皮-白芍-当归,砂仁-法半夏,党参-炙黄芪,杜仲-石斛,香附-橘核-酸枣仁-茯神,桑寄生-川芎,小麦-黄芩-荷叶-远志,柴胡-吴茱萸-茯苓等8对常用药物组合.结论:程老用药灵活变通,诊治疾病时,能层层剖析,辨别疾病本质,对于治疗痛经、闭经等妇科疾病夹杂其他复杂病症有独特的见解,融会贯通"动形以制神"的思想.并且其用药清快简明,善用"甘温除热"之法.
Based on Data Mining Technology to Discuss Xin'an Physiciam CHENG Menxue Rule of Gynecological Diseases
Objective: To study the compatibility rules and treatment characteristics of clinical prescriptions for treating gynecological diseases in "CHENG Menxue Medical Records". Methods: Screen 42 cases of prescriptions for treating gynecological diseases in "CHENG Menxue Medical Records", extract prescription information, use Micro-soft Excel 2021 to establish a database, conduct frequency analysis, and use SPSS 26.0 to analyze drug properties and taste, drug categories, clustering, and association rules Perform analysis and perform data mining. Results: The four most frequently used drugs were white peony root, angelica root, atractylodes, and tangerine peel. In terms of meridian distribution of nature and flavor, the drugs are mainly warm-natured drugs, with bitter, sweet and pungent drugs be-ing mostly used. The main meridians are liver and spleen meridians. The most commonly used drug category is tonics. Cluster analysis showed that Atractylodes Macrocephala - Tangerine Peel - White Peony Root - Angelica Root, Amo-mum Villosum - Pinellia Ternata, Dangshen - Astragalus Root, Eucommia Ulmoides - Dendrobium, Cyperus Rotunda - Orange Core - Jujube Kernel - Poria, Locust - Ligusticum Chuanxiong, Wheat - Skullcap - Lotus Leaf - Polygala, Bupleurum - Evodia - Poria and other 8 commonly used drug combinations. Conclusion: Mr. CHENG is flexible in his medication use. When diagnosing and treating diseases, he can analyze them layer by layer and identify the essence of the disease. He has unique insights into the treatment of dysmenorrhea, amenorrhea and other gynecological diseases mixed with other complex diseases, and has integrated the idea of "moving the body to control the mind". Moreover, its use is quick and concise, and it makes good use of the method of "sweetness, warmth and heat removal".

CHENG MenxueCHENG Menxue's medical recordsXin'an medicineGynecological diseasesData mining

章思涵、吴凡、程剑峰

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安徽中医药大学 安徽合肥 230012

安徽省中医药管理局新安溪源程氏内科工作室 安徽黄山 245000

程门雪 程门雪医案 新安医学 妇科疾病 数据挖掘

安徽省中医药传承创新科研项目安徽中医药大学国家级大学生创新创业训练计划(2023)

2020ccyb02202310369053

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(4)
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