首页|基于数据挖掘分析严光俊教授治疗腹泻型肠易激综合征的用药规律

基于数据挖掘分析严光俊教授治疗腹泻型肠易激综合征的用药规律

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目的 探讨严光俊教授治疗腹泻型肠易激综合征(IBS-D)的用药规律,总结其临证用药经验.方法 收集严教授治疗有效的IBS-D门诊病历,借助古今医案云平台,对收集的数据进行标准化处理并进行统计分析,挖掘严教授的组方用药规律.结果 共纳入门诊处方94 首,涉及中药79 味,药物使用总频次为1306 次,高频次使用药物有麸炒白术、茯苓、甘草、山药、薏苡仁.四气以温、平、寒为主,五味多甘、辛、苦;归经以脾、胃、肺经居多;功效以补气、化湿、利水渗湿等为主.聚类分析得出3 组核心药物组合.结论 严教授治疗IBS-D多从脾胃入手,重在调畅气机,总以健脾益气、祛湿化浊,辅以疏肝、行气、清热、温肾等.
Medication Rules of Professor Yan Guangjun in the Treatment of Diarrhea-predominant Irritable Bowel Syndrome through Data Mining
Objective To explore the medication rules of Professor Yan Guangjun in the treatment of diarrhea-predominant irritable bowel syn-drome(IBS-D)through data mining methods and sum up his clinical medication experience.Methods Collecting the effective outpatient medical records of Professor Yan Guangjun in treating IBS-D,the Ancient and Modern Medical Case Cloud Platform was used to standardize the data and conduct data analysis on the medications to discover Professor Yan Guangjun's prescription medication rules.Results A total of 94 outpatient prescriptions were included,involving 79 Chinese medicines.The most frequently used Chinese herbal medicines were stir-fried white art with bran,poria coix,licorice,yam and coix seed.The drug properties are mainly warm,flat and cold.The taste of medicine is mainly sweet,pungent and bitter.Spleen,stomach and lung channels are the main channels.The main effect is tonifying qi,transforming dampness and rehydrating dampness.Three groups of core drug combinations were obtained through cluster analysis.Conclusion Professor Yan Guangjun's treatment of IBS-D begins with the spleen and stomach,with the key emphasis on smoothing the flow of qi.Generally,it mainly involves fortifying the spleen and supplementing qi,as well as resolving dampness and transforming turbidity.Meanwhile,it is supple-mented by soothing the liver,promoting qi circulation,clearing heat,warming the kidney,and so on.

diarrhea-predominant irritable bowel syndromediarrheadata miningAncient and Modern Medical Records Cloud PlatformYan Guangjun

李舒颜、严光俊

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湖北中医药大学(湖北 武汉 430000)

湖北中医药大学附属荆州市中医医院脾胃病科(湖北 荆州 434000)

腹泻型肠易激综合征 泄泻 数据挖掘 古今医案云平台 严光俊

2025

光明中医
中华中医药学会

光明中医

影响因子:0.535
ISSN:1003-8914
年,卷(期):2025.40(2)