基于数据挖掘清代江浙名医与川派名医治疗血证用药对比研究  

A Comparative Study of Medicines Used in the Treatment of Blood Syndrome by Famous Doctors of Jiangsu and Zhejiang and Famous Doctors of Sichuan in Qing Dynasty Based on Data Mining

作　　者：范治力 

机构地区：[1]四川省中医院/成都中医药大学附属医院骨科,四川 成都

出　　处：《中医学》2024年第11期3173-3180,共8页Traditional Chinese Medicine

摘　　要：目的:基于数据挖掘探讨清代江浙名医治疗血证的用药规律,并与同时期川派治疗血证的代表医家唐容川用药特点进行对比研究。方法:对《清代名医医案精华》所载医案进行收集、整理,采用Microsoft Office Excel 2019建立方药数据库,统计用药频数、药物分类,运用IBM SPSS Statistics 22.0软件对高频药物进行聚类分析,运用IBM SPSS Modeler 18.0 Apriori算法对高频药物进行关联规则分析。结果:共纳入《孟河四家医集》中费伯雄医案、马培之医案、丁甘仁医案、巢崇山医案,《临证指南医案》《湿热病篇》的血证医案,《新安医学名医医案精华》《新安医学内科精华》《新安医集丛刊》血证医案,《钱塘医派》的血证医案中所记载的医案378则,涉及方剂共378首,总用药物频数,其中高频药物(出现频数 ≥ 40) 16种,使用频数最多的是茯苓(207),聚类分析得到有意义的药物聚类4组;关联规则分析得到6组强关联药对。结论:两地医家对血证的病因病机及用药特点上具有共性,也有差异,清代江浙名医治疗血证注重“血病治气”、“见血不止血”,治法以健脾除湿、益气养血、温中止血为主,用药上极具江浙特色,药食同源;后者则以补益气血、疏肝和解为主。两者在血证中对于补益药与止血药的运用是同样看重的。Objective: Based on data mining to explore the medication rules of famous doctors in Jiangsu and Zhejiang in the Qing Dynasty for treating blood evidence, and to conduct a comparative study with the characteristics of medication used by Tang Rongchuan, a representative doctor of the Chuan school for treating blood evidence in the same period. METHODS: The medical cases contained in the Essence of Medical Cases of Famous Doctors of the Qing Dynasty were collected and organized, and Microsoft Office Excel 2019 was used to establish a database of prescription medicines, statistically count the frequency of medication use,

关 键 词：江浙名医 川派名医 血证 用药规律 数据挖掘 唐容川 

分 类 号：R24[医药卫生—中医临床基础]