《丹溪心法》治咳用药规律分析  

Analysis of the Pattern of Medication used in the Treatment of Cough in Danxi Xinfa

作　　者：宋英 刘锐[2] SONG Ying;LIU Rui(Guangxi University of Traditional Chinese Medicine,Guangxi Nanning 530200,China;Ruikang Hospital Affiliated of Guangxi University of Traditional Chinese Medicine,Guangxi Nanning 530011,China)

机构地区：[1]广西中医药大学,广西南宁530200 [2]广西中医药大学附属瑞康医院,广西南宁530011

出　　处：《中医药临床杂志》2024年第12期2336-2339,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(8236150368)。

摘　　要：目的:探讨《丹溪心法》中治疗咳嗽的用药规律及学术思想。方法:通过阅读全文收集《丹溪心法》中符合纳入标准的方剂,利用Microsoft Excel 2016软件建立咳嗽方药数据库,采用古今云医案平台(V2.3.5)网站进行统计分析。结果:共纳入36首方剂,涉及90味中药,高频使用中药(频次≥7)依次为半夏、苦杏仁、甘草、青黛、姜汁、茯苓。功效以清热类药物最多。药性以寒、温为主;药味以甘、辛、苦为主;归经以肺经、肝经、脾经为主;基于古今云医案平台通过关联规则分析得到甘草-半夏、茯苓-半夏、茯苓-甘草等5对药对;通过聚类分析得到①苦杏仁②半夏、甘草、茯苓③浙贝母、青黛、姜汁、香附3首聚类方。结论:朱丹溪在用药上寒温并用,攻补兼施,重视培土生金,肺、脾、肝同治,注重气、血、痰、郁学说,并将解郁化痰之法运用于咳嗽中。Objective:To explore the medication rules and academic thoughts for treating cough in Danxi Xinfa.Methods:The prescriptions that met the inclusion criteria in Danxi Xinfa were collected by reading the full text,and a cough prescription database was established using Microsoft Excel 2016 software.The Gujinyun Medical Case Platform(V2.3.5)website was used for statistical analysis.Results:A total of 36 prescriptions were included,involving 90 Chinese medicines.The high-frequency Chinese medicines(frequency≥7)were Pinellia,Bitter Apricot,Licorice,Indigo,Ginger Juice,and Poria.The most effective drugs were heat-clearing drugs.The properties of the medicine are mainly cold and warm;the taste of the medicine is mainly sweet,pungent and bitter;the meridians are mainly lung meridian,liver meridian and spleen meridian;based on the ancient and modern cloud medical case platform,five pairs of medicines were obtained through association rule analysis,including licorice-pinellia,Poria-pinellia,Poria-licorice;and three clustered prescriptions were obtained through cluster analysis,including①bitter almond②pinellia,licorice,Poria③Fritillaria thunbergii,indigo,ginger juice,and Cyperus rotundus.Conclusion:ZHU Danxi used both cold and warm medicines,and both attacked and supplemented.He attached importance to cultivating soil to produce gold,treating the lungs,spleen and liver at the same time,and paid attention to the theory of qi,blood,phlegm and depression,and applied the method of relieving depression and resolving phlegm to cough.

关 键 词：丹溪心法 咳嗽 数据挖掘 用药规律 

分 类 号：R256.11[医药卫生—中医内科学]