数据挖掘庞鹤教授辨治下肢动脉硬化闭塞症的用药规律  

Department mining of Professor Pang He′s medication rule of treating lower extremity arteriosclerosis obliterans

作　　者：刘亚莉 李友山[1] 杨博华[1] 刘凤桐[1] 陈蕾 黄天一[1] 杜玉青 LIU Yali;LI Youshan;YANG Bohua;LIU Fengtong;CHEN Lei;HUANG Tianyi;DU Yuqing(Department of Peripheral Vessels,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing,100700,China)

机构地区：[1]北京中医药大学东直门医院周围血管科,北京100700

出　　处：《中国医药导报》2018年第33期102-105,125,共5页China Medical Herald

基　　金：第一届北京中医药传承"双百工程";北京中医药大学东直门医院2017"青苗人才"计划(DZMYS-201701)

摘　　要：目的研究庞教授辨治下肢动脉硬化闭塞症的用药规律。方法选取北京中医药大学东直门医院2016年12月～2018年1月庞教授门诊204例闭塞性动脉硬化的病例,使用中医传承系统,录入204例处方,通过该系统的方剂分析功能,得出相关结论。结果 204例方剂中,共使用198味中药,出现频次最高的五味中药为川芎、当归、赤芍、丹参、地龙,均出现频次≥160次。出现频次≥120次的药物有:茯苓、鸡血藤、黄芪、土鳖虫、天麻、葛根、三七、独活、桂枝、桑寄生、炙甘草、白芍。结论庞教授对于下肢动脉硬化闭塞症的治疗以补气活血通络法为主,辅佐其他药物寄利湿、托毒、通络、破血之功。Objective To study Professor Pang′s drug using rule in the treatment of arteriosclerotic obliteration of lower extremity. Methods From December 2016 to January 2018, 204 cases of occlusive arteriosclerosis in Professor Pang′s outpatient in Dongzhimen Hospital, Beijing University of Chinese Medicine were selected. The 204 prescriptions were recorded via traditional Chinese medicine inheritance system, and the relevant results came out by the prescription analysis function of the system. Results Among the 204 prescriptions, 198 kinds of Chinese medicine drugs were used. The five drugs with the highest frequency were ligusticum wallichii, angelica sinensis, radix paeoniae rubra, salvia miltiorrhiza and lumbricus, and frequency of all the drugs were≥160. Drugs with the emergence frequency ≥120 were poria cocos, caulis spatholobi, astragalus membranaceus, woodlouse, gastrodia elata, pueraria lobata, panax notoginseng, radix angelicae pubescentis, cassia twig, loranthus parasiticus, honey-fried licorice root, radix paeoniae alba. Conclusion for the lower extremity arteriosclerotic obliteration Professor Pang′s treatment is to invigorate Qi and promote blood circulation to remove meridian obstruction, meanwhile, assisted with other medications to remove dampness, support poison, dredge collaterals, eradicate blood stasis.

关 键 词：动脉硬化闭塞症 庞鹤 中医传承辅助平台 用药规律 

分 类 号：R274[医药卫生—中医骨伤科学]