基于数据挖掘的伍炳彩运用银翘马勃散的证治规律分析  

Study on the Syndrome and Treatment Regularity of WU Bingcai Use of Yinqiao Mabo Powder Based on Data Mining

作　　者：吴梦文 伍建光[2] 胡子毅[2] 李洪 张恒毅 刘婉婷 WU Mengwen;WU Jianguang;HU Ziyi;LI Hong;ZHANG Hengyi;LIU Wanting(Jiangxi University of Chinese Medicine,Nanchang 330004,China;The Affiliated Hospital of Jiangxi Hospital of Chinese Medicine,Nanchang 330006,China)

机构地区：[1]江西中医药大学,南昌330004 [2]江西中医药大学附属医院,南昌330006

出　　处：《江西中医药大学学报》2024年第4期20-25,共6页Journal of Jiangxi University of Chinese Medicine

基　　金：江西省中医药管理局科技计划项目(2020A0137)。

摘　　要：目的:基于国医大师伍炳彩运用银翘马勃散的医案,通过数据挖掘分析银翘马勃散医案的证治规律。方法:收集2021年1月—2022年6月国医大师伍炳彩运用银翘马勃散的医案,运用频次统计、关联规则、聚类分析等方法进行数据挖掘。结果:纳入共205则医案,提取证素14个,其中病性证素7个,为湿、热、痰、风、血虚、燥、寒;病位证素7个,为咽喉、肺、心、脾、胃、肝、膀胱。四诊信息分析,发现主要症状为咽红、口干、咽梗、失眠、咽痛等;舌红、舌淡红、苔薄白、苔黄腻、苔薄黄出现最多;高频脉象为弦、寸浮、细、寸旺等。核心加味药物分布中,表现为温胆汤、桑杏汤、杏仁汤、茯苓杏仁甘草汤等化裁。结论:国医大师伍炳彩认为银翘马勃散主治以“风热夹湿”为主要病机,病位在咽喉,可累及肺、脾胃,甚至涉及心、肝,病因以“湿邪”为主,贯穿疾病的始终,以“湿、痰、热、风”为主要证素特点。伍炳彩善于将银翘马勃散与经方合用,突出“表里同治、多维并治”配伍特色。Objective:Based on medical cases of Yinqiao Mabo powder by the traditional Chinese medicine master WU Bingcai,to analyze the syndrome and treatment rules of Yinqiao Mabo Powder through data mining.Methods:From January 2021 to June 2022,Yinqiao Mabo Powder cases of the traditional Chinese medicine master WU Bingcai were collected.Frequency statistics,association rules,cluster analysis and other methods were used for data mining.Results:A total of 205 medical cases were included,and 14 syndrome elements were extracted,7 symptom factors of disease quality dampness,hot,phlegm,wind,blood deficiency,dryness,and cold,and 7 symptom factors of disease location included throat,lungs,heart,spleen,stomach,liver,and bladder.The analysis of the four diagnosis information found that the main symptoms were red pharynx,dry mouth,pharynx obstruction,insomnia,sore throat.Red tongue,light red tongue,thin white coating,main yellow coating,thin yellow coating appear the most.High-frequency pulse are strings,cun floats,finesse,cun wang.In the distribution of core refilled drugs,it is manifested as Wendan Decoction,Sangxing Decoction,Xingren Decoction,Fuling Xingren Gancao Decoction and other chemical cut.Conclusion:WU Bingcai,a master of traditional Chinese medicine,believes that Yinqiao Mabo Powder is mainly treated disease mechanism of"mixed wind-heat and dampness syndrome".The disease is located in the throat,which can affect the lungs,spleen and stomach,and even involve the heart and liver.And the cause is mainly"dampness evil",which runs through the whole disease,with"dampness,phlegm,heat,and wind"as the main syndrome elements features.WU Bingcai is good at combining YinqiaoMabo powder jingfang,highlighting the compatibility characteristics of"external and internal treatment,and multi-dimensional simultaneous treatment".

关 键 词：数据挖掘 伍炳彩 银翘马勃散 证治规律 

分 类 号：R249[医药卫生—中医临床基础]