| 倪洁泓,张谦.基于数据挖掘的叶天士治疗不寐的用药规律分析[J].浙江中西医结合杂志,2022,32(12): |
| 基于数据挖掘的叶天士治疗不寐的用药规律分析 |
| Analysis of Ye Tianshi"s Medication Rule for Insomnia Based on Data Mining |
| 投稿时间：2022-04-19 修订日期：2022-11-02 |
| DOI： |
| 中文关键词: 不寐 数据挖掘 叶天士 临证指南医案 |
| 英文关键词:Insomnia Data mining Ye Tianshi Clinical Guideline of Medical Records |
| 基金项目: |
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| 摘要点击次数: 653 |
| 全文下载次数: 11 |
| 中文摘要: |
| 目的:探析叶天士治疗不寐的用药规律，为临床治疗不寐提供思路。方法:基于数据挖掘，对《临证指南医案》治疗不寐的51则医案中的药物进行频数、药效和性味、归经的描述性分析，并对其中25味高频药物进行关联规则分析和聚类分析，总结叶天士治疗不寐的临床经验。结果:处方共51首，共涉及中药115味，高频药物共25味，包括生地黄、大枣、茯苓、炙甘草等，常用的药物组合包括“大枣-炙甘草”、“大枣-茯神”、“生地黄-玄参”、“茯神-远志”、“炙甘草-茯神”；药物功效种类补虚药最多；药性以寒、温、平为主；药味甘、苦、辛多见；归肺、心、脾经最多；聚类药物组合7组。结论:叶天士治疗不寐时重视情志，首辨虚实，次分寒热，从五脏论治，尤重心脾，善于调整阴阳。 |
| 英文摘要: |
| Objective: To analyze the drug rule of Ye Tianshi in the treatment of insomnia, and to provide ideas for the clinical treatment of insomnia. Method: Based on data mining, a descriptive analysis of frequency, efficacy, taste, and menstruation of 51 medicines in the "Clinical Guidelines Medical Records" for the treatment of insomnia was carried out, and 25 high-frequency medicines were analyzed. Association rule analysis and cluster analysis summarize Ye Tianshi"s clinical experience in treating insomnia. Results: There are 51 prescriptions, involving 115 Chinese medicines, 25 high-frequency medicines, including eadix rehmanniae recens, fructus jujube, tuckahoo, roasted licorice, etc. Commonly used drug combinations include " fructus jujube- roasted licorice", " roasted licorice-fushen" ", " eadix rehmanniae recens-Scrophulariaceae", "Fu Shen-Polygala", "Grilled Licorice-Fu Shen". There are the most types of drugs for tonic effects; the main properties are cold, warm, and flat; the taste of the drugs is sweet, bitter, and pungent; the most common are the lung, heart, and spleen meridians; there are 7 groups of clustered drug combinations. Conclusion: When treating insomnia, Ye Tianshi pays attention to emotions, first distinguishes deficiency and excess, secondly divides cold and heat, treats the five internal organs, especially focuses on the spleen, and is good at adjusting yin and yang. |
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