基于中医传承辅助系统挖掘崔公让治疗脱疽用药规律
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R543.5

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国家中医药管理局全国名中医崔公让传承工作室建设项目(国中医药办人教函〔2018〕119号);国家中医药管理局第七批全国老中医 药专家学术经验继承工作项目(国中医药办人教函〔2022〕76号);河南省首批青苗人才培养项目(豫中医科教〔2018〕16号);河南省 中医药科学研究专项课题(2019JDZX2103,2021JDZY052)


Exploration of Administration Rules of CUI Gongrang in Treating Digital Gangrene Based on Traditional Chinese Medical Inheritance Support System
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    摘要:

    目的:基于中医传承辅助系统挖掘研究崔公让教授治疗脱疽的用药规律。方法:收集2020 年1 月—2021 年12 月崔公让门诊治疗脱疽有效的医案179 例,录入中医传承辅助系统V2.5,运用该软件的规则分析、改进互信息法、复杂系统熵聚类及无监督的熵层次聚类等数据挖掘方法,统计分析其中的用药规律。结果:通过中医传承辅助系统V2.5,分析崔公让诊治脱疽的179 个医案,得到处方共179 首,用药101 味,使用频次位居前10 的高频药物为当归、甘草、丹参、鸡血藤、穿山甲、玄参、金银花、薏苡仁、陈皮、白术。分析显示,药物多为甘温之品,归经以心、脾经为主;频次较高的药物组合前3 位为甘草-当归、丹参-当归、鸡血藤-当归;关联度较高的药对前3 组为白芥子-麻黄、白术-牡丹皮、玄参-白芍;通过聚类算法获得核心组合22 个、新处方4 个。结论:崔公让治疗脱疽以病在血、调之络为主要治则,注重病理因素瘀,结合患者合并症状、证型,施以活血化瘀、温阳散寒、补气养血、滋阴清热、燥湿行气之法。

    Abstract:

    Abstract:Objective: To explore the administration rules of CUI Gongrang in treating digital gangrene based on traditional Chinese medical inheritance support system. Methods:A total of 179 effective cases of digital gangrene treated by CUI Gongrang from January 2020 to December 2021 were collected and entered into the traditional Chinese medicine inheritance support system V2.5. The data mining methods such as rule analysis,improved mutual information method,complex system entropy clustering and unsupervised entropy hierarchical clustering were used to statistically analyze the administration rules. Results: By traditional Chinese medicine inheritance support system V2.5, 179 medical cases of CUI Gongrang diagnosing and treating digital gangrene were analyzed. A total of 179 prescriptions and 101 kinds of Chinese medicines were obtained. The top ten high-frequency Chinese medicines were Angelicae Sinensis Radix,Glycyrrhizae Radix et Rhizoma,Salviae Miltiorrhizae Radix et Rhizoma,Spatholobi Caulis,Squama Manitis,Scrophulariae Radix,Lonicerae Japonicae Flos,Coicis Semen,Citri Reticulatae Pericarpium and Atractylodis Macrocephalae Rhizoma. Analysis shows that medicines are mostly sweet and warm,and the heart meridian and spleen meridian dominated in terms of meridian entry;the top three Chinese medicine combinations with high frequency were Glycyrrhizae Radix et Rhizoma- Angelicae Sinensis Radix,Salviae Miltiorrhizae Radix et Rhizoma- Angelicae Sinensis Radix and Spatholobi Caulis- Angelicae Sinensis Radix; the first three groups of couplet medicinals with strong correlation were Semen Sinapis- Ephedrae Herba, Atractylodis Macrocephalae Rhizoma-Moutan Cortex,Scrophulariae Radix-Paeoniae Alba Radix;a total of 22 core combinations and 4 new prescriptions were obtained by clustering algorithm. Conclusion: CUI Gongrang takes the therapeutical principle of the location of the disease being in blood and regulating the collaterals during the treatment of digital gangrene, attaches great importance to blood stasis due to pathological factors, combines the complicated symptoms and syndromes, and adopts the methods of activating blood and resolving stasis,warming yang to dissipate cold,tonifying qi and blood,enriching yin and clearing heat and drying dampness and moving qi.

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张榜,李彦平,崔炎,梁鹏飞,吴建萍.基于中医传承辅助系统挖掘崔公让治疗脱疽用药规律[J].新中医,2022,54(22):8-12

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  • 在线发布日期: 2022-11-27
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