基于数据挖掘方法对王垂杰治疗功能性消化不良的用药经验分析  

Analysis of Administration Experience of WANG Chuijie Treating Functional Dyspepsia Based on Data Mining

作　　者：于春雨 姜巍[2] 王垂杰(指导)[2] YU Chunyu;JIANG Wei;WANG Chuijie

机构地区：[1]辽宁中医药大学,辽宁沈阳110032 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《新中医》2021年第12期222-227,共6页New Chinese Medicine

基　　金：辽宁省科学技术计划项目(20170540613)。

摘　　要：目的:利用数据挖掘的方法将王垂杰治疗功能性消化不良(FD)的用药经验客观地展示出来,以指导临床治疗和供后学者学习参考。方法:利用中医传承辅助平台分析软件V2.5的“统计报表系统”中的“方剂统计”功能,对录入的王垂杰治疗FD的156首方药进行气味归经分析;通过软件的“数据分析系统”中的“方剂分析”功能,对录入的方药进行用药频次、组方规律及新方分析。结果:性味归经上味苦性温归脾胃经的药最多,甘草、木香、陈皮用药频次较高,甘草、木香是频次最高的药对,3~4味药核心组合20个,筛选得到新方10个。结论:王垂杰治疗FD用药时时不忘“顾护脾胃、调气为要、体察对象,勿忘加减、灵活辨证,提高疗效”的临证思维三要素,以及不能见胃治胃、运脾贯穿始终、注重调畅气机、切勿掉以轻“心”、消补相得益彰、寒热平调见功的六大组方原则。Objective:To objectively present the administration experience of WANG Chuijie treating functional dyspepsia(FD)with the method of data mining,so as to guide clinical treatment and provide a reference for the other scholars.Methods:The qi,flavor,and meridian entry of Chinese medicine in 156 inputted prescriptions of WANG Chuijie in the treatment of FD were analyzed by“prescription statistics”of the“statistical statement module”of the Traditional Chinese Medicine Inheritance Support System(TCMISS)V2.5.The frequency of medicine,composition rules of prescriptions,and new prescriptions were analyzed by the function of“prescription analysis”of the“data analysis system”of the TCMISS.Results:The number of bitter-warm Chinese medicines with the meridian entry of spleen meridian and stomach meridian was the largest.Radix et Rhizoma Glycyrrhizae,Radix Aucklandiae,and Pericarpium Citri Reticulatae had a higher frequency.The couplet medicine with the highest frequency was Radix et Rhizoma Glycyrrhizae and Radix Aucklandiae.The number of core combinations composed of 3~4 Chinese medicines was 20.There were 10 new prescriptions after screening.Conclusion:In the treatment and prescription of FD,WANG Chuijie always remembers to take care of the spleen and stomach and take regulating qi as the priority,be considerate to patients and modify the prescription if needed,as well as carry out flexible syndrome differentiation to improve the curative effect,which are the three elements of clinical thinking.Meanwhile,he always follows the six principles of prescription,namely not only focusing on the stomach when there is a symptom of the stomach,activating the spleen throughout the whole treatment,paying attention to regulating qi movement,keeping an eye on the heart,associating dissipating and supplementing together to achieve the better effect,and balancing cold and heat.

关 键 词：功能性消化不良 王垂杰 数据挖掘 用药经验 

分 类 号：R573.9[医药卫生—消化系统]