叶天士治疗不寐用药规律分析  

Analysis of YE Tianshis Medication Rule in Treating Insomnia

作　　者：姜俊 吴建林[1] 梁彦博 高家铭 JIANG Jun;WU Jianlin;LIANG Yanbo;GAO Jiaming(Shandong University of Traditional Chinese Medicine,Jinan 250014,Shandong,China)

机构地区：[1]山东中医药大学,山东济南250014

出　　处：《实用中医内科杂志》2023年第10期63-66,I0014,共5页Journal of Practical Traditional Chinese Internal Medicine

基　　金：全国中医、中药学专业学位研究生教育指导委员会重点项目(20190723-FJ-A07);山东省研究生教育质量提升计划立项(SDYJG19144);齐鲁医派中医学术流派传承项目(鲁卫函[2020]132号)。

摘　　要：目的 分析叶天士治疗不寐的用药规律,为临床用药提供参考。方法 搜集并整理叶天士治疗不寐的处方,建立标准化医案数据库,基于古今医案云平台中的频次分析、药物属性分析、聚类分析、关联分析进行数据挖掘,分析用药规律。结果 共纳入处方92首,中药147味,高频药物为白芍、人参、茯苓、半夏、茯神等;药性以寒性为主;药味以甘味为主,苦、辛、酸次之;归经以肺经为主;功效以清热为主,宁心、养阴生津、燥湿化痰次之;聚类分析得到4组药物组合,包括燥湿化痰、滋阴潜阳、清热泻火、补益阳明之剂;关联分析得到常用药对,半夏-茯苓。结论 叶天士治疗不寐重视以白芍酸苦敛泻厥阴、甘味补益与燥湿化痰之剂和调脾胃、苦寒清热泻火、滋阴潜阳之剂交通阴阳。With the gradual aging of Chinese society and the change of life style,the incidence of cervical Spondylotic radic-ulopathy is increasing year by year,and its treatment has become a clinical hot spot.In clinic,Chinese and western medicine are mainly treated conservatively,among which acupuncture and massage,neck muscle rehabilitation exercise and the use of vasodi-lating drugs are the most common,and the clinical effect is also better.however,because the disease has the characteristics of long course of disease,easy recurrence and complex clinical manifestations,it often has some limitations in the application of the above methods,while acupuncture knife has the advantages of simple operation,quick effect and short treatment cycle.

关 键 词：叶天士 不寐 古今医案云平台 用药规律 

分 类 号：R246.9[医药卫生—针灸推拿学]