基于数据挖掘探究《外台秘要方》治疗外感发热用药规律
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R254

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重庆市自然科学基金面上项目(cstc2021jcyj-msxm3926);国家中医药管理局第五批全国中国临床优秀人才研修项目(国中医药人教 函〔2022〕239号)


Medication Rules of Wai Tai Mi Yao Fang in Treating Externally-Contracted Fever Based on Data Mining
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    摘要:

    目的:探究《外台秘要方》治疗外感发热的用药规律。方法:选取《外台秘要方》卷一至四关于 外感发热的方剂,提取频次≥7 次的高频药物,对药物进行聚类分析与关联规则分析。结果:共纳入55 首方 剂,药物86 味。药物使用频次较高的有甘草、黄芩、淡豆豉、生姜、桂枝等;药味以苦为主,药性以寒、微 寒为主。聚类分析发现甘草-麦冬-白芍-大枣-生姜-茯苓、石膏-麻黄-葛根-桂枝、柴胡-黄芩-大黄-芒硝、栀 子-淡豆豉4 首核心处方。关联分析发现了28 个关联规则,其中(葱白→淡豆豉)、(甘草、生姜→大枣) 分别 具有最高的提升度。结论:本研究初步揭示了《外台秘要方》治疗外感发热的用药规律,治疗上具有顾护脾 胃、调和营卫,解肌清热,和解少阳兼清阳明热证以及清宣郁热等多种特点。

    Abstract:

    Abstract:Objective:To explore the medication rules of Wai Tai Mi Yao Fang (Arcane Essentials from the Imperial Library) in treating externally- contracted fever based on data mining. Methods: The prescriptions about externally- contracted fever in Volume Ⅰ to Volume Ⅳ of Wai Tai Mi Yao Fang were included,and the high-frequency Chinese herbs with a frequency of and over seven were extracted,and the clustering analysis and association rule analysis were carried out. Results: A total of 55 prescriptions and 86 kinds Chinese herbs were included. Glycyrrhizae Radix et Rhizoma, Scutellariae Radix, Sojae Semen Praeparatum, Zingiberis Rhizoma Recens, and Cinnamomi Ramulus were frequently used; the flavor was mainly bitter,and the nature was mainly cold and slightly cold. The cluster analysis showed that there were four core prescriptions: Glycyrrhizae Radix et Rhizoma- Ophiopogonis Radix- Paeoniae Radix Alba-Fructus Jujubae-Zingiberis Rhizoma Recens-Poria,Gypsum Fibrosum-Ephedrae Herba -Puerariae Lobatae Radix - Cinnamomi Ramulus, Bupleuri Radix- Scutellariae Radix- Rhei Radix et Rhizoma - Natrii Sulfas, Fructus Gardeniae- Sojae Semen Praeparatum. The association analysis showed twenty- eight association rules,among which (Bulbus Allii Fistulosi→Sojae Semen Praeparatum) and (Glycyrrhizae Radix et Rhizoma, Zingiberis Rhizoma Recens→Jujubae Fructus) had the highest degree of enhancement. Conclusion: This study preliminary reveals the medication rules of Wai Tai Mi Yao Fang in treating externally- contracted fever,characterized by caring for the spleen and stomach,harmonizing nutritive qi and defensive qi, releasing the flesh and clearing heat, harmonizing shaoyang and clearing yangming heat,and clearing and diffusing constraint heat.

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吴朝旭,黄姗,万飞,周天寒.基于数据挖掘探究《外台秘要方》治疗外感发热用药规律[J].新中医,2024,56(2):27-31

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  • 在线发布日期: 2024-01-25
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