摘要
目的 运用古今医案云平台整理并分析中医治疗失眠的辨证思路及用药规律.方法 收集古今医案云平台(V2.3.8)名医医案库中名老中医及其书籍中的医案数据,以古今医案云平台(V2.3.8)对用药频次、药味药性归经、舌象脉象等进行统计分析、聚类分析、复杂网络分析.结果 共纳入医案794个,涉及中药477味,主要有柴胡、白芍、甘草、酸枣仁、川芎、远志、赤芍、当归、合欢皮、茯苓、郁金、栀子.中药药性以平为主;药味多属甘、苦、辛;主要归肝经.高频中药系统聚类分析聚为4组,第一组:酸枣仁、茯苓;第二组:远志、合欢皮、郁金;第三组:白芍、栀子;第四组:柴胡、川芎、赤芍.药物关联分析得到:柴胡与白芍、柴胡与赤芍的关联性最强,其次是柴胡与川芎.复杂网络分析得到7组中医证候,从高到底依次为:肝阳上亢证,痰热扰心证,肝火扰心证,气滞血瘀证,心脾两虚证,肝肾阴虚证,肝郁气滞证.结论 中医治疗失眠以清热助眠为法,平调阴阳为纲,多使用清热安神之品,值得临床参考运用.
Abstract
Objective To use the ancient and modern medical records cloud platform(V2.3.8),to sort out and explore the ideas of traditional of Chinese medicine ( TCM ) treatment of insomnia differentiation and the medication rules. Methods The medical record data of famous TCM practitioners and books in the ancient and modern medical records cloud platform ( V2.3.8 ) were collected. The statistical analysis,clustering analysis and complex network analysis from the software were carried out on the frequency of medication,the classification of drug flavor drug properties Tongue and pulse on the cloud platform (V2.3.8). Results A total of 794 medical records were included,involving 477 Chinese herbs,including bupleurum,Radix paeoniae,glycyrrhiza,jujube kernel,ligusticum chuanxiong,Radix polygala,Radix red paeoniae,Angelica sinensis,albizia bark,poria tuckaan,rhizoma copulata and gardenia. The medicinal natures were mainly Neutral-property,and medicinal flavours were mainly sweet,bitter,pungent,which were mainly returned to the liver channel. The cluster analysis of high frequency Chinese medicine system could be divided into 4 groups,the first group:jujube kernel,tuckahoe;the second group:licorice,Angelica;the third group:Polygala,albizia bark,Yujin;the fourth group:white peony,gardenia,bupleurum,Chuanxiong,red peony. The correlation between Radix bupleurum and Radix paeoniae,Radix bupleurum and Radix Paeoniae were the strongest,followed by Radix bupleurum and Ligusticum Chuanxiong. 7 groups of TCM syndromes and their core prescriptions were obtained by complex net work analysis,from the top to the bottom:liver-yang overactivity,phlegm-heat disturbance of the heart,liver-fire disturbance of the heart,qi stagnation and blood stasis,heart and spleen deficiency,liver-kidney Yin deficiency,liver-qi stagnation. Conclusion TCM employs the principles of clearing heat and aiding sleep in the treatment of insomnia. Balancing yin and yang is the fundamental approach,and it is worth considering for clinical application.
维普
万方数据