基于数据挖掘分析陈以国教授治疗血虚风燥证湿疹用药及针刺穴位规律  

Analysis of CHEN Yiguo's Medication and Acupuncture Acupoints Rules in the Treatment of Blood Deficiency and Wind-dryness Syndrome Eczema Based on Data Mining

作　　者：黄丽霞[1] 陈以国[2] HUANG Lixia;CHEN Yiguo(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China;Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学附属医院,辽宁沈阳110032 [2]辽宁中医药大学,辽宁沈阳110847

出　　处：《辽宁中医药大学学报》2022年第6期5-8,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：“第六批全国老中医药专家学术经验继承工作”实施项目(国中医药人教发[2017]29号)。

摘　　要：目的通过中医传承辅助平台对陈以国教授治疗血虚风燥证湿疹的用药及针刺穴位规律进行分析。方法在中国期刊全文数据库(CNKI)及万方数据库中搜索应用中医处方及针灸取穴治疗血虚风燥证湿疹的相关文献,通过中医传承辅助平台分析所提取的全部处方(用药和取穴),分析用药、取穴特点及组方规律。结果共收集到血虚风燥证湿疹138首,剔除重复处方和不合理处方后得到60首待分析处方,涉及中药35味。其中用药频次≥20的中药有17味,用药频次≥10的中药有21味,排名前5位的中药分别为白芍(60)、当归(60)、生姜(60)、乌梅(57)、制何首乌(54);药物分类中,补虚药和解表药使用最多,其次为清热药、平肝熄风药等;四气分布中,温性药使用最多,其次为寒性药、平性药等;五味分布中,甘味药使用最多,其次为辛味药、苦味药等;归经分布中,前5位分别为肝、脾、肺、胃、心,占全部药物归经的77.86%;支持度个数设为30,得到常用药对1051个,涉及中药12味,排名前5位的药对为生姜-当归(60)、生姜-白芍(60)、当归-白芍(60)、生姜-当归-白芍(60)、乌梅-生姜(57)。针刺穴位频次分析结果:针刺穴位15处,穴位频次≥10的有6处,分别为膈俞(54)、太冲(39)、巨阙(36)、血海(27)、建里(15)、曲池(12)。支持度个数设为12,得到常用穴位搭配7个,涉及穴位6个;在支持度为12的基础上,将置信度设为0.6,规则分析得到14条穴位搭配规则。结论血虚风燥证湿疹的中医治疗中应合理应用当归之品,基于“血行风自灭”理论进行辨证施治;针刺穴位也当应用曲池、血海、膈俞等穴位补虚而行“治风先治血”之法。Objective Through the auxiliary platform of Chinese medicine inheritance to analyze the law of medication and acupuncture points Professor CHEN Yiguo's treatment of blood deficiency and winddryness syndrome eczema.Methods To search the Chinese Journal Full-text Database(CNKI)and WanFang Database for the application of TCM prescriptions and acupuncture points for the treatment of blood deficiency and wind-dryness syndrome eczema,and analyze all the extracted prescriptions(medicine and acupoint selection)through the TCM inheritance auxiliary platform,analyze the characteristics of medication,acupoint selection,and prescription rules.Results A total of 138 eczema cases with blood deficiency and wind-dryness syndrome were collected.After excluding duplicate prescriptions and unreasonable prescriptions,60 prescriptions to be analyzed were obtained,involving 35 Chinese medicines.Among them,17 Chinese medicines with a frequency of use≥20 times,and those with a frequency of≥10 times.There were 21 Chinese medicines,among which the top five Chinese medicines were Baishao(Paeoniae Radix Alba)60),Danggu(i Angelicae Sinensis Radix)(60),Shengjiang(Zingiberis Rhizoma Recens)(60),Wumei(Mume Fructus)(57),Zhiheshouwu(Polygoni Multiflori Radix Praeparata)(54).Medicines were used most,followed by heat-clearing medicines,liver-eliminating wind-relieving medicines,etc.;in the four-Qi distribution,warm medicines were used the most,followed by cold medicines and flat medicines;in the five tastes distribution,sweet medicines were used the most,with a frequency as high as 30.19%,followed by pungent medicines,bitter medicines,etc.;in the distribution of meridians,the top five were liver,spleen,lung,stomach,and heart,accounting for 77.86%of all meridians;the number of support was set to 30,which was commonly used 1051 drug pairs,involving 12 traditional Chinese medicines.The top 5 drug pairs were Shengjiang(Zingiberis Rhizoma Recens)-Danggui(Angelicae Sinensis Radix)(60),Shengjiang(Zingiberis Rhizoma Recens)-Baishao(Paeoniae Radix Alba)

关 键 词：湿疹 血虚风燥证 中药用药规律 取穴规律 血行风自灭 陈以国 

分 类 号：R758.23[医药卫生—皮肤病学与性病学]