基于数据挖掘的中医医案古籍腰痛症用药规律研究  被引量:10

Research on Prescriptions and Herbs for Lumbago in Ancient Books of Traditional Chinese Medical Records Based on Data Mining

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作  者:李兆勇 张晨阳[2] 郭彦涛[1] 聂颖[1] 杨少锋[1] LI Zhaoyong;ZHANG Chenyang;GUO Yantao;NIE Ying;YANG Shaofeng(The First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;Hunan University of Chinese Medicine,Changsha,Hunan 410208,China)

机构地区:[1]湖南中医药大学第一附属医院,湖南长沙410007 [2]湖南中医药大学,湖南长沙410208

出  处:《湖南中医药大学学报》2020年第10期1280-1282,共3页Journal of Hunan University of Chinese Medicine

基  金:湖南省自然科学基金资助项目(2019JJ80071,2017JJ2208);长沙市科技计划项目(kq1907037)。

摘  要:目的采用数据挖掘分析中医医案古籍腰痛症用药规律。方法检索《中华医典》医案部分,对符合纳入标准的方药进行统计,采用SPSS 24.0和SPSS Modeler 14.1对中药的频次、频率、性味归经和关联规则进行分析。结果符合统计要求的中药共301味,累计使用1792次,其中杜仲、当归、茯苓等16味中药为高频用药。中药功效以补虚、活血化瘀、祛风湿为主。高频中药多归肾经,药味药性分别以甘味、温性为主。常用药对为“杜仲-牛膝”“人参-白术”。结论古代医家治疗腰痛病,遵循“不通则痛,不荣则痛”的思想,多应用补肾活血法治之。Objective To analyze the medication rule of traditional Chinese medicine(TCM)ancient medical records in the treatment of lumbago by data mining.Methods The part of Chinese Medical Canon-medical records-comprehensive medical records were searched,and the prescriptions that met the inclusion criteria were statistically analyzed.The frequent number,frequency,nature,flavor and meridian tropism and association rules of Chinese materia medica were analyzed by SPSS 24.0 and SPSS Modeler 14.1.Results A total of 301 kinds of Chinese materia medica the statistical requirements,and were used 1792 times in total.Among them,16 kinds,such as Cortex Eucommiae,Radix Angelicae Sinensis and Poria,were frequently used.The main actions of them were tonifying deficiency,activating blood circulation and resolving stasis,and removing wind and dampness.Most of the high-frequency Chinese materia medica belongs to the kidney meridian,and the taste and property were mainly sweet and warm.The commonly used herb pairs were Cortex Eucommiae-Radix Achyranthis Bidentatae and Radix Ginseng-Rhizoma Atractylodis Macrocephalae.Conclusion In the treatment of lumbago,the ancient doctors followed the idea of"stagnation leading to pain,as well as not nourishment",which should be treated with tonifying the kidney and activating blood circulation.

关 键 词:腰痛症 医案 补肾活血 数据挖掘 

分 类 号:R274[医药卫生—中医骨伤科学]

 

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