摘要
目的探讨李青教授治疗眩晕的用药规律。方法收集李青教授2020年1月~2023年4月于云南中医药大学第三附属医院(昆明市中医医院)老年病科门诊治疗眩晕医案共305例,基于古今医案云平台建立数据库,分析频数、证素等;运用关联规则、聚类分析等方法对其用药规律进行数据挖掘。结果共涉及中药264味,使用频次3881次,其中核心药物包括炒白术、石菖蒲、茯苓、桂枝、柴胡、党参、泽泻等。所使用药物药性以温性为主;药味以甘、辛、苦为主;归经以肺、脾、胃经为主。运用聚类分析将常用药物归为10个组合。结论李青教授治疗眩晕以调理脾胃、肝肺气机为主,尤其重视脾胃;用药围绕虚、湿、痰、郁等基本病机,标本兼顾,旨在调理脏腑气机,恢复机体正常生理机能。气机升降有序,水液代谢正常,眩晕以得平复。
Objective To explore the medication rule of Professor Li Qing in the treatment of vertigo.Methods A total of 305 vertigo medical cases treated by Professor Li Qing in the geriatrics Department of the Third Affiliated Hospital of Yunnan University of Traditional Chinese Medicine(Kunming Hospital of Traditional Chinese Medicine)from January 2020 to April 2023 were collected.Establish a database based on the ancient and modern medical case cloud platform,analyze frequency,syndrome elements,etc;Use association rules,cluster analysis,and other methods to mine data on its medication patterns.Results A total of 264 traditional Chinese medicines were involved and the frequency of use was 3881 times,among which the core medicines included stir-fried atractylodes atractylodes,acorus calamus,poria cocos,cassia twig,bupleurum,codonopsis codonopsis and alisma purma.The drug properties used are mainly warm;the medicinal taste is mainly sweet,xin and bitter.the main channels are lung,spleen and stomach.The commonly used drugs were classified into 10 combinations by cluster analysis.Conclusion In the treatment of vertigo,Professor Li Qing mainly regulates liver,spleen and lung,especially spleen.Medication around the deficiency,dampness,phlegm,depression and other basic pathogenesis,specimen consideration,aimed at regulating the zang-fu activities of qi,restore the normal physiological function of the body.Activities of qi rise and fall orderly,water and liquid metabolism is normal,vertigo to calm.
作者
蒋艳荣
陈熙文
潘赐明
李青
李宏政
张宗发
JIANG Yan-rong;CHEN Xi-wen;PAN Ci-ming(Yunnan University of Traditional Chinese Medicine,Kunming 650500,China;不详)
出处
《中国处方药》
2024年第7期18-22,共5页
Journal of China Prescription Drug
基金
云南省南药可持续利用研究重点实验室开放课题(202105AG070012XS2242)。
关键词
眩晕
数据挖掘
用药规律
Vertigo
Data mining
Medication rule
