摘要
目的 总结古代医家治疗痞满医案中的证治用药规律。方法 收集、整理《医案类聚》中的古代痞满医案,对符合纳入标准的方药数据进行规范,建立方药数据库,应用SPSS Statistics 26.0对方药进行描述性统计分析、高频药物聚类分析、因子分析。结果 获得痞满医案163则,212诊次,中药处方212首,涉及中药196味;高频药物有半夏、茯苓、陈皮等;药性以温为主,药味以辛、甘、苦为主,归经集中于脾、胃、肺;高频药物聚类分析归为6类,因子分析中提取9个公因子。结论 古代医家治疗痞满以补虚祛实为要点,其中补虚以补脾气、温脾阳为主;祛实以化痰湿、疏肝气、消食滞为主。
Objective To summarize the medication rules of ancient physicians in the treatment of distention and fullness. Methods The ancient distention and fullness medical records in Yian Leiju were collected and sorted out, the data of prescriptions that met the inclusion criteria were standardized, the database of prescriptions were established, and SPSS Statistics 26.0 was used to conduct descriptive statistical analysis, high frequency drug cluster analysis, and factor analysis. Results A total of 163 cases of medical records of distention and fullness, 212 consultations, 212 prescriptions of traditional Chinese medicine, involving 196 flavors of traditional Chinese medicine were obtained. High frequency drugs included Pinelliae Rhizoma, Poria, Citri Reticulatae Pericarpium and so on. Drug properties were mainly warm;drug tastes were mainly pungent, sweet and bitter;channel tropism were mainly spleen, stomach and lung channel.High frequency drug cluster analysis was divided into six categories, and nine common factors were extracted from factor analysis. Conclusion Ancient physicians treat distention and fullness with tonifying deficiency and dispelling excess, in which tonifying deficiency is mainly to tonify spleen qi and warm spleen yang;dispelling excess is mainly to dissipate phlegm and dampness, soothe liver qi, and eliminate food stagnation.
作者
刘海旭
周洪伟
杨勇
LIU Haixu;ZHOU Hongwei;YANG Yong(College of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Data Center,China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处
《中国医药导报》
CAS
2022年第17期10-13,共4页
China Medical Herald
基金
国家重点研发计划项目(2017YFB1002302)
中国中医科学院基本科研业务费自主选题项目(ZZ140320-W)。
关键词
古代医案
痞满
用药规律
文献研究
数据挖掘
Ancient medical records
Distention and fullness
Medication rules
Literature research
Data mining
