摘要
目的:归纳总结全国第二批名老中医药学术经验指导老师李堪印教授治疗膝骨关节炎的用药经验,为中医药治疗膝骨关节炎提供思路和方法。方法:将李堪印教授门诊中符合纳入标准的膝骨关节炎医案,利用数据分析软件相关功能,分析其证候类型、药物性味归经、用药规律及用量经验。结果:对筛选出的115首方剂处方和其中的108味中药进行分析,统计处方中证候类型、药物的使用频次、性味、归经、使用规律及各证型的用药规律及用量,最终得出证型4种,使用频次超过40的中药有14味;药物四气主要为温、平、寒;五味主要为苦、甘、辛;归经主要属肝、脾、肾三经。结论:通过总结李堪印教授在治疗KOA中的用药经验,得出自组方:鸡血藤、延胡索、牛膝、黄芪、甘草,为临床治疗膝骨关节炎提供中医药的思路和方法。
Objective:To summarize the experience of Professor LI Kanyin,an academic instructor of the second batch of famous traditional Chinese medicine(TCM)veterans,in the treatment of knee osteoarthritis,and to provide ideas and methods for the clinical treatment of knee osteoarthritis with TCM.Methods:The medical records of knee osteoarthritis in the outpatient clinic of Professor LI that met the inclusion criteria were collected,and the syndrome type,property,flavor,meridian tropism,medication rule and dosage of medicinal materials were analyzed using the relevant functions of data analysis software.Results:A total of 115 prescriptions were screened,involving 108 medicinal materials.The symptom type,frequency of usage,property,flavor,meridian tropism,medication rule and dosage of the medicinal materials were determined,and four syndrome types were obtained.There were 14 medicinal materials with a frequency of usage of more than 40,and they were mainly warm,moderate and cold,with bitter,sweet and pungent properties and mostly acting on the liver,spleen and kidney.Conclusion:By summarizing Professor LI′s experience in the treatment of knee osteoarthritis,a self-organized prescription was obtained,which consists of Caulis Spatholobi,Rhizoma Corydalis,Radix Achyranthis Bidentatae,Radix Astragali,and Radix Et Rhizoma Glycyrrhizae.This paper provides ideas and methods for the clinical treatment of knee osteoarthritis with TCM.
作者
高启萌
袁普卫
康武林
李堪印
GAO Qimeng;YUAN Puwei;KANG Wuling;LI Kanyin(Shaanxi University of Chinese Medicine,Xianyang 712000,China;Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)
出处
《世界中医药》
CAS
2023年第19期2820-2824,共5页
World Chinese Medicine
基金
陕西省科技厅重点研发计划项目(2020SF-281)
陕西省中医药管理局项目(2019-GJ-JC006)
陕西省骨退行性疾病中西医结合防治重点研究室建设项目(陕中医药发[2018]32号)
长安医学关中李氏骨伤学术流派传承工作室建设项目(陕中医药发[2018]40号)。
关键词
膝骨关节炎
痹症
名老中医经验
中药内服
用药规律
@李堪印
数据挖掘
Knee osteoarthritis
Arthralgia
Experience of famous traditional Chinese medicine veteran
Oral administration of traditional Chinese medicine
Medication rule
@LI Kanyin
Data mining
作者简介
高启萌(1994.10-),男,硕士研究生在读,研究方向:骨与关节疾病的基础与临床研究,E-mail:646382546@qq.com;通信作者:康武林(1986.12-),男,硕士,主治医师,研究方向:中西医结合防治骨退行性疾病,E-mail:382910292@qq.com。
