首页|基于数据挖掘探讨国医大师张磊治疗"滞脉"用药规律

基于数据挖掘探讨国医大师张磊治疗"滞脉"用药规律

扫码查看
目的 基于数据挖掘探讨国医大师张磊治疗"滞脉"患者的用药规律及思路.方法 收集张老2021年4月1日-2022年8月1日于河南中医药大学第三附属医院诊治的"滞脉"患者医案,采用Excel 2019及IBM SPSS Modeler 14.1进行中药使用频次统计、中药属性分析、关联规则分析,运用IBM SPSS Statistics 21对高频中药进行聚类分析,并结合张老临床诊疗经验进行归纳总结.结果 共收集医案213份,纳入处方332首,涉及患者证型主要有肝郁气滞、木土壅郁等;涉及中药243味,总频次3 459次,其中频次排名前5位中药依次为甘草(163次)、柴胡(117次)、清半夏(110次)、茯苓(108次)、黄芩(104次),用药药性以寒、温性为主,药味以甘、苦、辛味为主,归经以脾、肺、肝、胃、心经为主,常用药对为柴胡-当归,基础方为柴胡、清半夏、甘草、茯苓、白芍、黄芩、当归、陈皮、香附.聚类分析得到4类核心方,类1大枣、生姜、党参、炙甘草、清半夏、黄芩、黄连、牡蛎;类2神曲、苍术、川芎;类3香附、栀子、柴胡、薄荷、牡丹皮、白芍、当归、茯苓、陈皮、白术、甘草;类4薏苡仁、大黄.结论 张老对"滞脉"的治疗以解郁为主,注重寒热平调,兼以顾护正气,以助祛邪并防止传变.
Exploration on the medication law of national TCM master Zhang Lei in the treatment of"stagnant pulse"based on data mining
J Objective To explore the medication law and ideas of national TCM master Zhang Lei in the treatment of patients with"stagnant pulse"based on data mining.Methods Medical records of Professor Zhang's diagnosis and treatment of"stagnant pulse"disease from 1 April 2021 to 1 August 2022 in the Third Affiliated Hospital of Henan University of Chinese Medicine were collected.Excel 2019 and IBM SPSS Modeler 14.1 were used for frequency statistics,attribute analysis of Chinese materia medica,and association rule analysis.Clustering analysis of drugs was conducted using IBM SPSS Statistics 21,and conclusion and summary were performed based on Professor Zhang's clinical diagnosis and treatment experience.Results Totally 213 medical records were collected,including 332 prescriptions.The main syndromes involved in patients were liver depression and qi stagnation,wood and soil stagnation,etc.The prescriptions involves a total of 243 kinds of Chinese materia medica.The top 5 kinds of Chinese materia medica in terms of medication frequency ranking were Glycyrrhizae Radix et Rhizoma(163 times),Bupleuri Radix(117 times),Pinelliae Rhizoma Praeparatum cum Alumine(110 times),Poria(108 times),Scutellariae Radix(104 times).Professor Zhang's medication for treating patients with"stagnant pulse"was mainly cold and warm;the tastes were mainly sweet,bitter,and pungent;the main meridians were spleen,lung,liver,stomach,and heart;the common medicinal pair was Bupleuri Radix-Angelicae Sinensis Radix,and the basic prescription included Bupleuri Radix,Pinelliae Rhizoma Praeparatum cum Alumine,Glycyrrhizae Radix et Rhizoma,Poria,Paeoniae Radix alba,Scutellariae Radix,Angelicae Sinensis Radix,Citri Reticulatae Pericarpium,Cyperi Rhizoma.Clustering analysis yielded four core categories:category 1 Jujubae Fructus,Zingiberis Rhizoma Recens,Codonopsis Radix,Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,Pinelliae Rhizoma Praeparatum cum Alumine,Scutellariae Radix,Coptidis Rhizoma,Ostreae Concha;category 2 Massa Medicata Fermentata,Astrctylodis Rhizoma,Chuanxiaong Rhizoma;category 3 Cyperi Rhizoma,Gardeniae Fructus,Bupleuri Radix,Menthae Haplocalycis Herba,Moutan Cortex,Paeoniae Radix alba,Angelicae Sinensis Radix,Poria,Citri Reticulatae Pericarpium,Atractylodis Macrocephalae Rhizoma,Glycyrrhizae Radix et Rhizoma;category 4 Coicis Semen and Rhei Radix et Rhizoma.Conclusion Professor Zhang's treatment for"stagnant pulse"is mainly to relieve depression,emphasize the balance of cold and heat,and also take care of the healthy qi to help dispel pathogenic factors and prevent transmission of changes.

Data miningTreatment according to the pulseMedication lawZhang LeiNational TCM MasterStagnant pulse

庞雨、邱帆、甄林强、赵璐

展开 >

河南中医药大学,郑州 450008

河南中医药大学第三附属医院内分泌科,郑州 450008

数据挖掘 辨脉论治 用药规律 张磊 国医大师 滞脉

第五批全国中医临床优秀人才第三届国医大师全国名中医传承工作室河南省中医药科学研究专项

国中医药人教函[2022]1号国中医药办人教函[2018]119号2023ZXZX1174

2024

国际中医中药杂志
中华医学会,中国中医科学院中医药信息研究所

国际中医中药杂志

CSTPCD
影响因子:0.411
ISSN:1673-4246
年,卷(期):2024.46(8)
  • 15