首页|基于中医传承辅助平台探究蔡淦教授治疗慢性萎缩性胃炎的用药规律

基于中医传承辅助平台探究蔡淦教授治疗慢性萎缩性胃炎的用药规律

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目的:采用中医传承辅助平台(V2.5)软件,探究蔡淦教授治疗慢性萎缩性胃炎(Chronic Atrophic Gastritis,CAG)的遣方用药特点.方法:将2017年1月-12月上海中医药大学附属曙光医院蔡淦教授门诊处方中诊断为CAG伴肠上皮化生的103例患者录入中医传承辅助平台(V2.5)软件,运用规则分析、熵聚类分析等数据挖掘方法,分析用药规律和特点、分型归纳用药处方特色.结果:103个处方中,药物气味以温、寒、苦、辛为主,归经主要为脾、胃、肺经.证型分析为肝胃不和、湿热内蕴、脾胃虚弱最为多见,用药频率在20次以上的有23味药物,得出新方3首.结论:蔡淦教授治疗CAG伴肠上皮化生,用药以"苦辛通降"为主,以"益气健脾,活血化瘀"贯穿治疗始终,同时佐以甘寒药物顾护胃阴,使以风药鼓舞清阳.
Professor CAI Gan's medication law in the treatment of chronic atrophic gastritis based on Traditional Chinese Medicine Inheritance Assistance Platform
Objective:To explore the characteristics of Professor CAI Gan's prescriptions for the treatment of chronic atrophic gastritis byusing Traditional Chinese Medicine Inheritance Assistance Platform(V2.5)software.Methods:From January 2017 to December 2017,103 patients diagnosed as chronic atrophic gastritis with intestinal metaplasia in the outpatient clinic of Shuguang Hospital,Shanghai University of Traditional Chinese Medicine were enrolled and recorded into the Traditional Chinese Medicine Inheritance Assistance Platform(V2.5)software,and the rule analysis,entropy cluster analysis and other data mining methods of the software were used to analyze the rules and characteristics of medication,clas-sification and induction,and prescription characteristics.Results:The statistics of 103 prescriptions showed that the drug properties were mainly warm,cold,bitter and plicative,and the main channels were spleen,stomach and liver channels.The syndrome type analysis showed that the disharmony of liver and stomach,dampness and heat,weakness of spleen and stomach were the most common,114 kinds of drugs appeared more than 20 times,and 3 new prescriptions were obtained.Conclusion:In the treatment of chronic atrophic gastritis accompanied by intestinal metaplasia,Professor CAI Gan's medica-tion law is based on"dispersing stagnation and purging heat with bitter and pungent medicinals",and"supplementing Qi and invigorating spleen,promot-ing blood circulation and removing blood stasis"runs throughout the treatment,and at the same time,it is combined with"supplementing cold medicine to protect stomach Yin(阴)and encouraging clear yang with wind medicine.

Experience of famous doctorsTraditional Chinese Medicine Inheritance Assistance PlatformMedication law

许雷、周胜、曹海燕

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上海市奉贤区中医医院,上海,201499

名医经验 中医传承辅助平台 用药规律

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(27)