基于药性理论的吴敏教授治疗抽动障碍用药特色研究  

A Study on TCM Features of Professor WU Min′s Treatment onTic Disorder Based on the Medicine Nature Theory

作　　者：朱鹏程[1,2] 陈燕妮[3] 吴敏 姜科宇[4] ZHU Pengcheng;CHEN Yanni;WU Min;JIANG Keyu(Shanghai Jiaotong University Medical College,Shanghai 200025,China;Shanghai Jiaotong University Medical College Affiliated Xinhua Hospital,Shanghai 200092,China;Shanghai Baoshan District Friendship Community Health Service Center,Shanghai,201999,China)

机构地区：[1]上海交通大学医学院,上海200025 [2]上海交通大学医学院附属新华医院,上海200092 [3]上海市宝山区友谊社区卫生服务中心,上海201999 [4]上海交通大学医学院附属新华医院中医科,上海200092

出　　处：《世界中医药》2020年第6期930-933,共4页World Chinese Medicine

基　　金：上海市卫生和计划生育委员会中医药科技创新项目(ZYKC201701011);2017~2018年上海市中西医结合儿科专项。

摘　　要：目的:基于中药药性理论总结吴敏教授治疗抽动障碍的临证特色;方法:收集吴敏教授治疗抽动障碍的临证用药,分析用药的四气、五味和归经分布,总结用药特色;结果:研究收集到吴敏教授治疗抽动障碍的常用中药232种,关联规则发现吴敏教授治疗抽动障碍的主方为天麻、钩藤、辛夷、全蝎、蔓荆子(S=73.51%,C=98.71%);主方的四气分布中平性占33.66%,温性占27.67%,凉性占20.70%,寒性占17.96%,其他药物中寒性占46.89%,温性占24.34%,平性占22.87%,凉性占5.90%;主方的五味分布中,辛味有48.07%,甘味有31.49%,苦味有20.44%,其他药物中苦味有31.52%,甘味有30.30%,辛味有19.24%,此外酸、涩、淡、咸也有一定的分布;归经中主方归经较多的有肝经41.69%,胃经19.74%,肾经13.38%以及心包经10.78%,肺经10.38%,脾经4.02%。其他药物归经分布较多的有肺经23.15%,肝经15.29%,脾经13.80%,胃经13.78%,此外肾经、大肠经、小肠经、胆经、膀胱经、心包经等均有一定的分布。结论:吴敏教授治疗抽动障碍以治肝风为基础,肝肺并调,平时用药注重脾胃。Objective:To summarize the features of clinical syndromes of Professor WU′s treatment for tic disorder based on Chinese medicine′s nature and flavor.Methods:Professor WU Min′s clinical medication for treating tic disorder was collected and the distribution of four qi,five flavors and channel tropism of medication was analyzed.The medication characteristics were summerized.Results:A total of 232 Chinese medicines commonly used by Professor WU for the treatment of tic disorder was collected.According to results of association rules,the main prescription included Rhizoma Gastrodia,Ramulus Uncariae Cum Uncis,Flos Magnoliae,Scorpion and Fructus Viticis(S=73.51%C=98.71%).The distribution of the four qi in the main prescriptions were calm(33.66%),warm(27.67%),cool(20.70%),cold(17.96%);in other medicines,cold(46.89%),warm(24.34%),calm(22.87%),cool(5.90%).The distribution of 5 flavours in the main drugs were pungent(48.07%),sweet(31.49%),bitter(20.44%)and in other drugs,bitter(31.52%),sweet(30.30%),pungent(19.24%).In channel tropism,the more channel tropism in the main prescription were liver channel(41.69%),stomach(19.74%),kidney channel(13.38%),pericardium channel(10.78%),lung channel(10.38%),spleen channel(4.02%)in the based prescription and lung(23.15%),Liver channel(15.29%),spleen channel(13.80%),stomach channel(13.78%)in other drugs.There was also other channel tropism distributed in based prescription and other drugs.Conclusion:Dispelling the wind was a basic principle in the treatment of tic disorder.The interventions for the liver and lung,and the protection of spleen and Stomach were both important in the treatment options for tic disorder.

关 键 词：抽动 中医药 药性 用药特色 关联规则 经验 肝肺并调 @吴敏 

分 类 号：R277.7[医药卫生—中医学]