摘要
目的:基于古今医案云平台探讨海派中医妇科流派治疗带下病的用药规律。方法:检索图书及期刊数据库中近40年来海派中医妇科流派运用中医药治疗带下病的医案,建立数据库,并对医案中的数据进行规范化处理,运用古今医案云平台V2.3.7对中药使用频次、四气、五味、归经、关联规则和聚类等进行分析,总结海派中医妇科流派治疗带下病的用药规律。结果:共筛选出250首处方,中药260味。使用频次前10的中药分别为茯苓、白术、黄柏、白芍、山药、椿皮、牡丹皮、当归、生地黄、败酱草;药性以寒、温为主;药味主要为苦、甘、辛;归经主要归肝、脾、肾经。关联规则分析显示以山药-茯苓、泽泻-茯苓、大血藤-败酱草、党参-白术等药物配伍较多。通过聚类分析,将高频使用药物归为6大类。结论:海派中医妇科流派认为带下病的主要病因病机是虚、热、湿、瘀,与肝、脾、肾三脏和任、带二脉有关,注重气血,治疗以补益、清热、燥湿、活血化瘀兼调补肝肾为主。
Objective:to explore the medication rules of the Shanghai schools of traditional chinese gynecology in the treatment of leukorrheal diseases based on ancient and modern medical case cloud platform.Methods:the medical cases of Chinese medicine and gynecology schools of Shanghai school of traditional Chinese medicine in the treatment of leukorrheal diseases in the past 40 years in were searched in the books and database was by computer,and the data in the medical records were standardized processed.The cloud platform V2.3.7 of ancient and modern medical records was used to analyze the frequency of use of Chinese medicine,four Qi,five flavors,Meridian tropisms,Association rules and regularity cluster analysis etc.To summarize the medication regularity of treatment of leukorrheal diseases in the Shanghai schools of gynecology.Results:A total of 250 prescriptions and 260 flavors of traditional Chinese medicine were selected.The top 10 most frequently used Chinese medicines were poria,Atractylodes rhizome,Phellodendron,white peony,Chinese yam,Cortex ailanthustoona bark,peony bark,Angelica sinensis,raw rehmannia and Patrinia.The drug properties are mainly cold and warm The main taste of medicine is bitter,sweet,pungent.The main channel tropism is liver,kidney and spleen channel.Association rule analysis showed that yam-Poria,alisma-Poria,bloodweed-Patrinia,Codonopsis-Baizhu and other drugs were more compatible.Through cluster analysis,the drugs used in high frequency were classified into 6 categories.Conclusion:Shanghai school of gynecology of traditional Chinese medicine believes that the main etiology and pathogenesis are deficiency,heat,dampness and blood stasis.It is related to the three viscera of liver,spleen and kidney,conception channel and belt channel,pay attention to Qi and blood.The treatment mainly includes tonifying,clearing heat,drying dampness,promoting blood circulation and removing blood stasis,and regulating and tonifying liver and kidney.
作者
陈婍
汪曦
马凤丽
Chen Qi;Wang Xi;Ma Fengli(Yunnan University of Chinese Medicine,Kunming 650000,China)
出处
《亚太传统医药》
2025年第8期150-155,共6页
Asia-Pacific Traditional Medicine
基金
云南省科技厅中医药基础研究联合专项(202301AZ070001-036)
云南中医药大学校院联合基金项目(XYLH202323)
云南省重点实验室开放课题(CWCD2023-027)。
关键词
海派中医妇科流派
带下病
数据挖掘
用药规律
Shanghai Schools of Traditional Chinese Gynecology
Leukorrheal Diseases
Data Mining
Medication Regularity
作者简介
陈婍(1997-),女,云南中医药大学硕士研究生,研究方向为临床常见病证的治法与方剂研究;通讯作者:马凤丽(1978-),女,硕士,云南中医药大学副教授,硕士生导师,研究方向为临床常见病证的治法与方剂配伍规律。E-mail:361330292@qq.com。
