基于数据挖掘的石菖蒲-远志药对含药处方配伍规律分析

[Data mining-based analysis of formulation rules for prescriptions containing herbal pair Acori Tatarinowii Rhizoma-Polygalae Radix].

作者信息

Song Zhe, Huang Zhi-Yan, Feng Yu, Zhang Bao-Qing, Luo Guang-Zhi

机构信息

the First Clinical Medical College of Shandong University of Traditional Chinese Medicine Ji'nan 250355, China.

Medical Department of Lunan Pharmaceutical Group Linyi 276006, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2022 Mar;47(6):1687-1693. doi: 10.19540/j.cnki.cjcmm.20211203.502.

Abstract

By the in-depth excavation of prescriptions containing herbal pair Acori Tatarinowii Rhizoma-Polygalae Radix in the Dictionary of Traditional Chinese Medicine Prescriptions, this study analyzed their formulation rules, so as to provide reference for their clinical application and new drug development. First, the prescriptions containing Acori Tatarinowii Rhizoma-Polygalae Radix were collected from the Dictionary of Traditional Chinese Medicine Prescriptions, and their indications, herbal compatibility, and dosage forms were analyzed statistically using the Traditional Chinese Medicine Inheritance Support System(TCMISS). Meanwhile, the formulation rules and common dosage forms for the top four indications(amnesia, palpitation, mania, and epilepsy) sorted by frequency were analyzed with Apriori algorithm. A total of 507 prescriptions containing Acori Tatarinowii Rhizoma-Polygalae Radix were screened out, involving 15 indications(frequency>10) like amnesia, palpitation, mania, and epilepsy. There were 30 commonly used Chinese herbs(frequency≥60), with the Qi-tonifying herbs(Ginseng Radix et Rhizoma and Glycyrrhizae Radix et Rhizome), mind-tranquilizing herbs(Poria and Poria cum Radix Pini), and Yin-nourishing herbs(Angelicae Sinensis Radix and Ophiopogonis Radix) being the core ones. The commonly used dosage forms were honey pill, paste pill, decoction, and powder. These have indicated that the herbal pair Acori Tatarinowii Rhizoma-Polygalae Radix is often combined with Qi-tonifying, Yin-nourishing, and mind-tranquilizing herbs for the treatment of "heart or brain diseases" caused by phlegm production due to spleen deficiency, Qi and blood deficiency, and phlegm-turbidity blocking orifice. In the treatment of amnesia, supplementing essence and replenishing marrow are considered on the basis of tonifying Qi, nourishing Yin, and tranquilizing mind. In the treatment of palpitation and mania, tranquilizing mind is emphasized. In the treatment of epilepsy, the emphasis is placed on resolving phlegm, extinguishing wind, and stopping convulsion.

摘要

通过深入挖掘《中医方剂大辞典》中含石菖蒲 - 远志药对的方剂,本研究分析其组方规律,为其临床应用及新药研发提供参考。首先,从《中医方剂大辞典》中收集含石菖蒲 - 远志药对的方剂,运用中医传承辅助系统(TCMISS)对其主治、药物配伍及剂型进行统计分析。同时,采用Apriori算法分析频数排序前四位的主治(健忘、心悸、狂证、痫证)的组方规律及常用剂型。共筛选出507首含石菖蒲 - 远志药对的方剂,涉及健忘、心悸、狂证、痫证等15种主治(频数>10)。有30味常用中药(频数≥60),其中补气药(人参、甘草)、安神药(茯苓、茯神)、滋阴药(当归、麦冬)为核心药物。常用剂型为蜜丸、糊丸、汤剂、散剂。这表明石菖蒲 - 远志药对常与补气、滋阴、安神药配伍,用于治疗脾虚生痰、气血亏虚、痰浊闭窍所致的“心脑疾病”。治疗健忘时,在补气、滋阴、安神基础上考虑填精补髓;治疗心悸、狂证时,强调安神;治疗痫证时,重点在于化痰、熄风、止痉。

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