基于古今云医案平台分析黄永生教授治疗慢性心力衰竭的用药规律  

Medication Rules of Professor Huang Yongsheng for the Treatment of Chronic Heart Failure Based on the Ancient and Modern Cloud Medical Case Platform

作　　者：樊春晖 黄永生[2] FAN Chunhui;HUANG Yongsheng(Changchun University of Chinese Medicine,Changchun 130117,Jilin,China;不详)

机构地区：[1]长春中医药大学,长春130117 [2]长春中医药大学附属医院,长春130021

出　　处：《中西医结合心脑血管病杂志》2024年第5期799-805,共7页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘　　要：目的:应用数据挖掘系统古今云医案平台探讨黄永生教授治疗慢性心力衰竭的用药规律。方法:使用古今云医案平台系统,将符合纳入标准的慢性心力衰竭病人原始病例资料进行录入,建立数据库,运用关联规则、中药属性分析等方法对用药、组方等进行分析,总结用药规律。结果:共收集方剂684首,高频药物为砂仁、制附子、炒酸枣仁、丹参、磁石、桂枝、炙甘草、生牡蛎等21味,中药四气以温、平、寒为主;五味以辛、甘、咸、酸为主;归经以脾、肝、胃、心、肾经为主。常用药物组合为僵蚕-水蛭-蝉蜕、黄芪-白术-苍术等。结论:通过古今云医案平台总结黄永生教授治疗慢性心力衰竭的用药规律,即分阶段辨证论治,以益气活血为基础,随着病情发生发展兼具温补心肾阳气及敛阴回阳固脱治其本,利水消肿治其标。Objective:To explore the medication rules of professor Huang Yongsheng for the treatment of chronic heart failure through the ancient and modern cloud medical case platform of data mining system.Methods:The ancient and modern cloud medical record platform system was used to collect the original case data of patients with chronic heart failure who met the inclusion criteria,to establish a database,and analyze drug use and prescription composition by association rules,traditional Chinese medicine attribute analysis and other methods,so as to summarize drug medication rules.Results:A total of 684 prescriptions were collected,and the high frequency drugs were amomum kernel,aconite,salvia miltiorrhiza,sauted jujube kernel,magnet,cinnamon twigs,grilled licorice,and raw oyster.The four qi of traditional Chinese medicine were mainly warm,flat,and cold.The five flavors were mainly pungent,sweet,salty and sour.The main channel entry were spleen,liver,stomach,heart and kidney.Common drug combinations were silkworm-leech-cicada moulting radix astragali-rhizoma atractylodis macrocephalae-rhizoma atractylodis and so on.Conclusion:Through the ancient and modern cloud medical case platform,Professor Huang Yongsheng′s medication rule for chronic heart failure was based on syndrome differentiation stages,to perform supplementing Qi and promoting blood circulation,with the occurrence and development of the disease,with warm and tonify the heart and kidney Yang Qi and consolidating Yin and restoring Yang to treat its root,and removing water and eliminating swelling.

关 键 词：慢性心力衰竭 古今云医案平台 用药规律 黄永生 

分 类 号：R259[医药卫生—中西医结合]