基于数据挖掘分析《医方考》中白术应用规律研究  

Research on The Application Law of Atractylodes Macrocephala in Medical Prescription Examination Based on Data Mining

作　　者：陈玉梅[1] CHEN Yu-mei(Xiamen Hospital of traditional Chinese medicine,Xiamen,Fujian 361009)

机构地区：[1]厦门市中医院,福建厦门361009

出　　处：《按摩与康复医学》2023年第5期30-34,共5页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的:应用数据挖掘分析《医方考》中白术的应用规律。方法:白术性温,味甘苦,归脾及胃经,广泛用于补气方、理气方、补血方、利水消肿方、温化寒痰方、攻下方、温里方、清热燥湿方、化湿方等,本研究以《医方考》中所有含有白术的方剂作为数据来源,通过构建方剂信息数据库,利用频数分析确定含白术方剂的常用药物,分析其所属门类、药性、药味、归经及配伍关系,并网络化展示。结果:含白术方剂实收78首,其中汤剂53首,涉及中药137味,在虚损劳瘵门、痘门、妇人门应用较广,主要配伍补虚药、解表药、清热药和理气药,配伍频次较高的药物有甘草、茯苓、人参、陈皮;中药的药性分布依次为温>平>寒>热>凉;中药的五味分布依次为甘>苦>辛>酸>咸>涩;中药的归经分布依次为脾>胃>肺>心>肾>肝>大肠>膀胱>胆>小肠>三焦>心包。结论:《医方考》中含白术方剂主要以四君子汤为基础组方,与疾病关联的核心药对有白术-茯苓、白术-人参、白术-甘草。白术与补虚药、解表药、清热药和理气药配伍过程中,主要发挥其健脾益气、燥湿之效,可补可泻,燥脾、益脾又调胃,为临床进一步运用白术提供参考。Objective:to analyze the application rule of Atractylodes macrocephala Koidz in medical prescription examination by data mining.Methods:all the prescriptions containing Atractylodes macrocephala in"medical prescription examination"were used as data sources,and the commonly used drugs containing Atractylodes macrocephala were determined by frequency analysis through the construction of prescription information database,and their categories,properties,taste,meridian tropism and compatibility were analyzed and displayed on the network.Results:there were 78 prescriptions containing Atractylodes macrocephala,of which 53 were decoction,involving 137 kinds of traditional Chinese medicine.They were widely used in deficiency and damage of laolongmen,pox and fumen.The main compatibility drugs were tonifying deficiency drugs,relieving exterior syndrome drugs,clearing heat drugs and regulating qi drugs.The drugs with higher compatibility frequency were liquorice,Poria cocos,ginseng and Chenpi;The order of the distribution of traditional Chinese medicine is warm>flat>cold>Hot>cool;The order of the distribution of the five flavors of traditional Chinese medicine was sweet>bitter>pungent>acid>salty>astringent;The meridian distribution of traditional Chinese medicine was spleen>stomach>lung>heart>kidney>liver>large intestine>bladder>gallbladder>small intestine>Sanjiao>pericardium.Conclusion:the prescriptions of Atractylodes macrocephala in the medical prescription research are mainly based on Sijunzi Decoction,and the core drug pairs related to diseases are Atractylodes macrocephala Poria cocos,Atractylodes macrocephala ginseng and Atractylodes macrocephala licorice.In the process of compatibility of Atractylodes macrocephala Koidz with tonifying deficiency drugs,relieving exterior drugs,clearing heat drugs and regulating qi drugs,it mainly exerts its effect of invigorating spleen,benefiting qi and drying dampness,which can tonify and reduce dampness,dry spleen,benefiting spleen and regulating stomach,so as to provide reference

关 键 词：中医传承辅助平台 医方考 白术 数据挖掘 核心药对 

分 类 号：R2-5[医药卫生—中医学]