基于数据挖掘探讨王邦才治疗郁证用药规律
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R277.7

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浙江省中医药科学研究基金项目(2021ZB255);宁波市医学科技计划项目(2019Y48)


Discussion on Administration Rule of WANG Bangcai in Treating Depression Syndrome Based on Data Mining
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    摘要:

    目的:总结王邦才教授治疗郁证的组方用药规律。方法:收集2020 年1 月—2021 年3 月于宁波市中医院王邦才教授名医门诊诊治的200 例郁证患者的200 首首诊处方,利用中医传承辅助平台系统(V3.0) 进行数据挖掘,通过该软件的统计分析、方剂分析等功能进行数据挖掘,对王邦才教授治疗郁证的处方用药规律进行分析。结果:共纳入处方200 首,收录中药128 味,高频药物共38 味,主要有茯苓、淮小麦、柴胡、半夏、白芍、栀子、陈皮、郁金、香附、远志等,药效以清热类、补虚类、理气类、解表类、化痰类、活血化瘀类等为主。药味以苦、辛、甘为主;药性以寒、温、平多见;归经以肺、脾两经居多。基于关联规则分析,挖掘出26 条高频药物组合,24 条关联规则。聚类分析得出5 个核心组合。结论:王邦才教授在治疗郁证时,主张形神同调,宣畅气机,总体用药以苦、辛、甘为主,体现了寒温并用、气血同调、刚柔相济、和解枢机等治法。

    Abstract:

    Abstract: Objective: To summarize the administration rule of Prof. WANG Bangcai in treating depression syndrome. Methods: A total of 200 prescriptions for the first consultation of 200 patients with depression syndrome from January 2020 to March 2021 in the outpatient department of Prof. WANG of Ningbo Hospital of Traditional Chinese Medicine were collected. The Traditional Chinese Medicine Inheritance Auxiliary Platform System(V3.0) was used for data mining. Through statistical analysis, prescription analysis and other data mining methods of the software, the administration rule of Prof. WANG Bangcai in treating depression syndrome was analyzed and studied. Results: Totally 200 prescriptions were included, 128 Chinese herbs were included. There were 38 high-frequency herbs,mainly including Poria,Fructus Tritici, Radix Bupleuri, Rhizoma Pinelliae, Radix Paeoniae Alba, Fructus Gardeniae, Pericarpium Citri Reticulatae, Radix Curcumae, Rhizoma Cyperi and Radix Polygalae, etc. The effect of the herbs mainly included clearing heat, tonifying deficiency, regulating qi, releasing the exterior, dissolving phlegm, promoting blood and removing stasis. The flavors of herbs were mainly bitter,acrid and sweet;the natures of herbs were mainly cold,warm and neutral;the lung channel and spleen channel dominated in terms of channel entry. Based on the analysis of association rule, 26 high- frequency herbal combinations and 24 association rules were mined. Five core combinations were obtained by cluster analysis. Conclusion:In the treatment of depression syndrome,Prof. WANG advocates to regulate the body and mind simultaneously and promote qi movement. The general medication mainly includes bitter,acrid and sweet herbs,which can reflect the treatment methods of using both cold and warm herbs,regulating the qi and blood simultaneously,combining fierce herbs with soften herbs, and harmonizing the core.

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刘丽萍,包科颖,伍竹君,王邦才.基于数据挖掘探讨王邦才治疗郁证用药规律[J].新中医,2022,54(8):10-15

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  • 在线发布日期: 2022-04-24
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