Nie Duo-Rui, Wang Jian, Huang Xue-Wu, Guo Jin-Chen, Zong Yan-Ping, Zhang Pei-Wen, Gao Bing
the First Clinical Medical College of Guangzhou University of Traditional Chinese Medicine Guangzhou 510405, China.
Anhui University of Traditional Chinese Medicine Hefei 230038, China.
Zhongguo Zhong Yao Za Zhi. 2019 Jun;44(11):2397-2402. doi: 10.19540/j.cnki.cjcmm.20190118.010.
The purpose of this paper is to study the use rules of drugs for lung diseases in internal medicine department of Xin'an Wang's family, discuss the compatibility of common drugs for lung diseases, guide clinical application, and inherit Xin'an medicine. By retrospective study on lung diseases cases in Wang's internal medicine works, the lung diseases and use frequency of common drugs treated by Wang's medicine were counted, and the systematic clustering and association rule analysis of common drugs were conducted by using SPSS Statistic 20 and SPSS Modeler 18.0, respectively. The results showed that asthma, cold and cough were the main lung diseases treated by Wang's medicine, and the commonly used medicines included antitussive and antiasthmatic drugs, spleen-invigorating and dampness-removing drugs, and expectorants. The medicine taste was mainly bitter, pungent and sweet, with cold and warm properties in a balanced way, without severely cold or hot herbs, mainly attributing to the lung and stomach meridians. In clustering analysis, 10 drug combinations were obtained; association analysis showed that two, three, four association rules respectively had 11, 21, and 10 groups, and each drug group had 11, 16, and 5 items. Core combinations: Poria, Armeniacae Semen Amarum, Asteris Radix et Rhizome, Coicis Semen, Farfarae Flos, Dendrobii Caulis, Perilla Frutescens, Stemonae Radix, Citri Reticulatae Pericarpium, Cynanchi Stauntonii Rhizome et Radix, Meretricis Concha Cyclinae Concha, Belamcandae Rhizoma, and Pinelliae Rhizome. Xin'an Wang's medicine paid attention to the lung nature when treating lung diseases. Lung is a delicate organ, not resistant to coldness or heat, so severely cold or hot herbs shall not be used, and the clear and light drugs with functions of dispersing lung Qi, clearing phlegm evil, strengthening spleen, eliminating phlegm, and relieving cough and asthma are often used. Lung deficiency is a kind of deficiency of Qi and Yin, so both Qi and Yin shall be regulated. Deficiency of Yin would burn the lung and make the lung collaterals blocked. In this case, the lung collaterals shall be dredged for hemostasis. Long time of lung deficiency would hinder the distribution of body fluid, and lung shall be regulated to dissipate phlegm.
本文旨在研究新安王氏内科肺病用药规律,探讨肺病常用药物的配伍情况,指导临床用药,传承新安医学。通过对王氏内科著作中肺病医案的回顾性研究,统计王氏医学治疗的肺病及常用药物使用频次,并分别运用SPSS Statistic 20和SPSS Modeler 18.0对常用药物进行系统聚类和关联规则分析。结果显示,王氏医学治疗的主要肺病为哮喘、感冒和咳嗽,常用药物有止咳平喘药、健脾祛湿药、化痰药。药味以苦、辛、甘为主,药性寒温平衡,无大寒大热之品,主要归肺、胃经。聚类分析得到10个药物组合;关联分析显示,二、三、四味药的关联规则分别有11、21、10组,每组药物分别有11、16、5味。核心组合:茯苓、苦杏仁、紫菀、薏苡仁、款冬花、石斛、紫苏、百部、陈皮、白前、海蛤壳、射干、半夏。新安王氏医学治疗肺病注重肺之特性。肺为娇脏,不耐寒热,故不用大寒大热之品,常选用具有宣肺、化痰、健脾、祛痰、止咳平喘作用的轻清之药。肺虚为气阴两虚,故需调理气阴。阴虚则灼伤肺络,致肺络瘀阻,需通络止血。肺虚日久则阻碍津液布散,需调理肺气以化痰。