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关于腹泻型肠易激综合征中药配伍规律研究

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目的:探讨现代医家治疗腹泻型肠易激综合征的用药特色.方法:从中国医院知识总库、万方、维普等数据库提取已发表的关于现代医家治疗腹泻型肠易激合征的典型病案,提取方药信息,建立Excel数据库,进行频数、性味、归经的归纳整理,应用IBM SPSS Modeler 18.0进行药物组合以及药物性味关联规则分析,应用SPSS Statistics软件对数据进行聚类分析,进行数据挖掘.结果:71例病案中,共使用中药127味,中药总频数为908,频数≥10的中药有25味,总频数为614;药味方面以甘、辛、苦味药物为主,药性方面以温、平性药物为主,药物归经方面以归脾(胃)经、肺(大肠)经、肝(胆)经的药物为主;药物中性味关系最密切的组合是辛-温,四君子汤与痛泻要方药物为最常选用的方药组合.结论:医家病案多是从脾虚、肝郁两方面入手的,在治疗腹泻型肠易激综合征时多以四君子汤或痛泻要方为基础方剂,组方药物多选择辛温之品,佐以甘苦之类、寒温之性,寒温平调;药物归经方面应从归脾胃经药物入手,兼顾归肝胆经、肺和大肠经药物.
A study on the medicinal compatibility rule of Chinese medicinal materials for diarrhea-predominant irritable bowel syndrome
Objective:To explore the medication characteristics of modern doctors in the treatment of diarrhea-predominant irritable bowel syndrome.Methods:The typical cases of diarrhea-predominant irritable bowel syndrome treated by modern doctors were extracted from Chinese hospital knowledge base,Wanfang database and VIP database,and the information of prescriptions and medicines was extracted to establish a Excel database for summarizing used frequency,medicinal property,medicinal flavor,and meridian tropism distribution of Chinese medicinal materials.IBM SPSS Modeler 18.0 was applied to analyze drug combinations and association rules of medicinal property and medicinal flavor,and SPSS Statistics software was used for a cluster analysis.Results:In 71 cases,127 Chinese medicinal materials were used,with a total frequency of 908,and 25 Chinese medicinal materials with a frequency of not less than 10 were used,with a total frequency of 614.In the aspect of medicinal flavors,sweet,pungent and bitter drugs were mainly used.In terms of medicinal properties,warm and moderate drugs were mainly used.In terms of meridian tropism distribution,the main active ingredients of drugs were mainly absorbed by spleen(stomach),lung(large intestine)and liver(gallbladder)meridians.The most closely related combination is the combination of spicy flavor and warm property,and the Sijunzi decoction(四君子汤)plus the Tongxie Yaofang(痛泻要方)is the most commonly used prescription combination.Conclusion:Most medical records are based on the two aspects of spleen deficiency and liver stagnation.In the treatment of diarrhea-predominant irritable bowel syndrome,the Sijunzi decoction or the Tongxie Yaofang is used as the basic prescription.Most of the selected drugs are pungent and warm drugs,supplemented by sweet and bitter drugs to reconcile cold and warm.In terms of meridian tropism distribution,the spleen and stomach meridian-directed drugs should be mainly selected,and the liver and gallbladder meridian-directed drugs as well as the lung and large intestine meridian-directed drugs should be taken into account.

Diarrhea-predominant irritable bowel syndromeChinese medicinal materialAssociation ruleCompatibility rule

李帅、于京芳

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山东中医药大学第二附属医院,山东 济南,250001

腹泻型肠易激综合征 中药 关联规则 配伍规律

山东中医药大学第二附属医院院级项目

2021Y-06

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(11)