基于数据挖掘的陈宝贵治疗胃脘胀满用药规律分析
[Analysis on prescription rules of Chen Baogui's prescriptions for treating epigastric fullness based on data mining].
作者信息
Tang Lin, Lin Xiao-Lin, Zhang Mei-Ying, Wang Lie-Ping, Zhang Ming-Yan, Chen Bao-Gui
机构信息
Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.
Wuqing Hospital of Traditional Chinese Medicine, Tianjin 301700, China.
出版信息
Zhongguo Zhong Yao Za Zhi. 2018 Oct;43(20):4163-4168. doi: 10.19540/j.cnki.cjcmm.20180611.011.
To summary and analyze the prescription rules of Professor Chen Baogui, a famous traditional Chinese medicine (TCM) doctor, for treating epigastric fullness. Professor Chen Baogui's prescriptions for treating epigastric fullness were collected and the treatment data were input into traditional Chinese medicine inheritance support system (TCMISS) to analyze the rules of the prescriptions by using data mining methods. Based on the screened 214 cases, the treatment experience of Professor Chen Baogui for treating epigastric fullness was summarized and analyzed. It was found that Professor Chen gave priority to recuperation of Qi activity. The results of four properties and five tastes showed Professor Chen's medication compatibility rules: one was simultaneous use of cold and warm drugs, and the other was simultaneous use of pungent drugs for dispersion and bitter drugs for purgation. In drug use, the basic prescriptions had the efficacy of promoting Qi circulation and regulating viscera function, additionally with the drugs with functions of eliminating digestion and inducing stagnation, activating blood circulation to dissipate blood stasis, replenishing Qi and nourishing Yin, tranquilizing mind, strengthening muscles and bones according to the TCM syndrome type. The clinical experience of Professor Chen for treating epigastric fullness was objectively summarized with the help of TCMISS, which was significant for analyzing and inheriting academic thinking and medication experience from famous TCM doctors.
总结分析名老中医陈宝贵教授治疗胃脘胀满的用药规律。收集陈宝贵教授治疗胃脘胀满的方剂,将治疗数据录入中医传承辅助系统(TCMISS),运用数据挖掘方法分析方剂规律。基于筛选出的214例病例,总结分析陈宝贵教授治疗胃脘胀满的经验。发现陈教授重视气机的调畅。四气五味结果显示陈教授的用药配伍规律:一是寒热药并用,二是散收药并用。在药物使用上,基础方剂具有行气和调理脏腑功能的功效,此外根据中医证型加用消食导滞、活血化瘀、益气养阴、安神、强筋健骨等药物。借助中医传承辅助系统客观总结了陈教授治疗胃脘胀满的临床经验,对于分析传承名老中医的学术思想和用药经验具有重要意义。