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基于数据挖掘探析新安王氏内科含石斛处方用药规律

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目的 探析新安王氏内科含石斛处方用药规律.方法 以王仲奇、王任之、王乐匋为代表的新安王氏内科医案作为方剂基本来源,筛选包含中药石斛的处方,应用新安医学数据信息应用平台软件、IBM SPSS Modeler14.2中的Apriori模块和SPSS 22.0统计学软件,对数据进行频数统计及关联规则分析,分析含石斛处方中主治病证频次、单味药物频次、药物组合频次、关联规则等.结果 ①含石斛处方常用于治疗痨瘵、咯血、中风、咳嗽等病证;②高频次药物包括茯苓、蒺藜、茯神、野料豆、海蛤粉等;③高频次药物组合包括"石斛、茯苓""石斛、蒺藜""石斛、茯神"等;④在与石斛配伍药物中,单味药与单味药中女贞子常配野料豆,茜草常配海蛤粉;药对与单味药中野料豆、茯神配女贞子,款冬花、薏苡仁、海蛤粉及茯苓都常与紫菀相配;⑤与石斛配伍中药治疗不同病证中,单味药中多与枇杷叶、百部、玫瑰花配合治疗痨瘵,与仙鹤草、丝瓜络、茜草配合治疗咯血;药团中紫菀、款冬花、枇杷叶、薏苡仁及海蛤粉等常配合治疗痨瘵,丝瓜络、丹参等常常配合治疗咯血.结论 王氏内科含石斛处方常用于以阴虚阳亢为主要病理性质的病证,应用药物组合体现了"良药组合"的特点,配伍中药多具有滋阴潜阳、健脾安神、化痰止咳、清热凉血、活血通络之效,与病证之间合乎"辨证论治"的原则,并做到标本兼治、主次兼并,组方法度清晰严谨.
Exploring the prescription patterns of Dendrobium in Xin'an Wang's internal medicine based on data mining
Objective To explore the prescription patterns of prescriptions of Dendrobium in Xin'an Wang's internal medicine.Methods The medical cases of the Xin'an Wang's internal medicine,represented by Wang Zhongqi,Wang Renzhi,and Wang Letao,were used as the primary sources for prescriptions.Pre-scriptions containing Dendrobium were selected and analyzed using the Xin'an Medical Data Information Appli-cation Platform software,the Apriori module in IBM SPSS Modeler 14.2,and SPSS 22.0 statistical software.Frequency statistics and association rule analysis were conducted to analyze the main indications,single medi-cine frequency,medicine combination frequency,and association rules in prescriptions containing Dendrobium.Results ①Prescriptions containing Dendrobium are commonly used for treating tuberculosis,hemoptysis,stroke,and cough.②High-frequency medicines include Poria Cocos,Tribulus Terrestris,Poria with host-wood,Glycine Soja、clam shell powder.③High-frequency medicine combinations include"Dendrobium with Poria cocos","Dendrobium with Tribulus Terrestris",and"Dendrobium with Poria with hostwood".④In the compatibility of Dendrobium with other medicines,single-single medicine prescriptions include Grossy Privet Fruit with Glycine Soja,and Madder with clam shell powder.Pair-single medicine prescriptions often include Glycine Soja and Poria with hostwood with Grossy Privet Fruit.Coltsfoot Flower,Coix Seed,clam shell pow-der,and Poria,commonly paired with Aster.⑤ For different indications treated with Dendrobium combina-tions,single medicines frequently combined with Dendrobium include Loquat Leaf,Stemona,and Rose for tu-berculosis,and Agrimony,Loofah Sponge,and Madder for hemoptysis.Medicines such as Aster,Coltsfoot Flower,Loquat Leaf,Coix Seed,and clam shell powder were commonly used for tuberculosis,while Loofah Sponge and Salvia were frequently used for hemoptysis.Conclusion The prescriptions containing Dendrobi-um in the Xin'an Wang's internal medicine are commonly used for conditions characterized by Yin deficiency and Yang hyperactivity.The medicine combinations reflects the idea of"combinations make medicines more ef-fective",with many compatible medicines having effects of nourishing yin and suppressing yang,tonifying the spleen and calming the mind,resolving phlegm and stopping cough,clearing heat and cooling the blood,and promoting blood circulation and dredging collateral.These combinations adhere to the principles of"treatment based on disease differentiation"and can achieve both root and symptom treatment,with clear and rigorous methods in formulating the prescriptions.

DendrobiumXin'an Wang's Internal Medicinedata miningassociation rules

纵艳平、王茎、郭锦晨、黄辉、高兵

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安徽中医药大学针灸推拿学院,安徽 合肥 230012

新安医学教育部重点实验室,安徽 合肥 230038

安徽中医药大学中医学院,安徽 合肥 230038

石斛 新安王氏内科 数据挖掘 关联规则

国家中医药管理局高水平中医药重点学科建设项目安徽省高校科研社科重点项目中央财政安徽中医药"北华佗、南新安"传承创新项目

国中医药人教函[2022]226号2022AH0504272022BHTNXA02

2024

右江民族医学院学报
右江民族医学院

右江民族医学院学报

影响因子:0.708
ISSN:1001-5817
年,卷(期):2024.46(4)