基于数据挖掘方法比较钱乙与万全儿科用药特点  

Comparison of Pediatric Medication Characteristics between QIAN Yi and WAN Quan Based on Data Mining Method

作　　者：张思 王凤兰[2] 韩斐[1] ZHANG Si;WANG Feng-lan;HAN Fei(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;China Institute for History of Medicine and Medical Literature,Chinn Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]中国中医科学院中国医史文献研究所,北京100700

出　　处：《中医药导报》2021年第12期126-129,136,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：中国中医科学院基本科研业务费自主选题项目(ZZ130501),项目名称:中医临床古籍文献整理的理论与方法学研究。

摘　　要：目的:基于中医传承辅助系统软件,比较钱乙与万全的用药特点,进而探析二位医家对儿科学术精粹的继承与发挥。方法:以《小儿药证直诀》与《幼科发挥》所载方剂为研究对象,将其录入"中医传承辅助平台"系统,利用关联规则和熵聚类算法进行分析,同时结合原文探究二者的用药理论思维。结果:钱乙与万全二者均注重对脾胃二经药物的使用,药物性味以寒、温、平为主。钱乙喜用镇惊安神、祛痰消积、清热息风之品,以麝香、朱砂、黄连用药频数较高;万全用药性味相对平缓,以茯苓、人参、甘草、黄连用药频数较高。结论:万全遥承钱乙五脏辨证理论体系,而在用药上各具特色,钱乙善用辛香走窜、金石众坠等有毒中药治疗危急重症,万全则避用大毒之品,用药性味平和顾护脾胃。由此体现出中医儿科理论传承与创新的发展轨迹。Objective: Based on the traditional Chinese medicine inheritance auxiliary system software, to compare the medication characteristics of QIAN Yi and WAN Quan, and then to explore the inheritance and development of the two doctors’ pediatric academic essence. Methods: Taking the prescriptions contained in Key to Therapeutics of Children’s Diseases and An Expaunding of Pediatrics as the research object, they were entered into the TCM Inheritance Auxiliary Platform system, using association rules and entropy clustering algorithm for analysis. At the same time, combined with the original text, explore their theoretical thinking of medication. Results: Both QIAN Yi and WAN Quan paid attention to the use of drugs which blong to spleen and stomach meridians, and the nature and flavor of the drugs were mainly cold, warm and calm. QIAN Yi preferred to using products for calming nerves, eliminating phlegm, clearing heat and extinguishing wind. Shexiang(Moschus), Zhusha(Cinnabaris), and Huanglian(Coptidis rhizoma) are used more frequently. WAN Quan is relatively mild in nature and tastes, more frequently with Fuling(Poria), Renshen(Ginseng radix rhizoma), Gancao(Glycyrrhizae radix et rhizoma), and Huanglian(Coptidis rhizoma). Conclusion: WAN Quan inherited QIAN Yi’s five internal organs syndrome differentiation theory system, and had its own characteristics in medication. QIAN Yi used toxic traditional Chinese medicines such as spicy fragrant gossip and mineral drugs to treat critical and severe illnesses, while WAN Quan avoided the use of large poisons and has medicinal properties with taste peace and care for the spleen and stomach. This reflects the development track of the inheritance and innovation of TCM pediatrics theories.

关 键 词：钱乙 万全 《小儿药证直诀》 《幼科发挥》 数据挖掘 用药特点 对比研究 

分 类 号：R272[医药卫生—中医儿科学]