| 摘要: |
| 对国医大师熊继柏治疗泄泻病案进行数据挖掘，分析熊继柏教授诊治泄泻的用药经验。基于中医传承辅助平台软件（V3.0），归纳和分析熊继柏教授在湖南中医药大学第一附属医院治疗泄泻患者的门诊病历数据，利用该平台软件的关联规则、复杂系统熵聚类等统计方法进行数据挖掘和分析，总结药物的性味、归经、应用频次、舌脉象频次及药对组合，通过结合熊继柏教授对泄泻病因病机、治则治法的认识，明确核心用药，探索国医大师的诊治规律及用药规律；且以验案举例说明。通过总结分析，共纳入病历168份，处方中用药频次较多的有砂仁、厚朴、黄连、木香、甘草、茯苓、白术、陈皮、半夏、西洋参，药性以温、平、寒为主，药味偏苦、辛、甘，归经多为脾胃经，归纳出治疗泄泻的主方为香砂六君子汤和连朴饮。国医大师熊继柏治疗泄泻以“健脾理气，清热燥湿”为治疗原则，在香砂六君子汤和连朴饮的基础上进行辨证论治，加减化裁。 |
| 关键词: 泄泻 中医传承平台 数据挖掘 国医大师熊继柏 |
| DOI：10.11656/j.issn.1673-9043.2024.02.02 |
| 分类号:R256.34；R249.2 |
| 基金项目:国家中医药管理局“国医大师熊继柏传承工作室”资助项目（04-19-02）；国家中医药管理局第六批全国老中医药专家学术经验继承工作项目（国中医药人教发[2017]29号）；湖南省中医药科研计划一般项目（2021134）；湖南中医药大学中医学一流学科开放基金资助项目（2018ZYX41）；湖南中医药大学第一附属医院资助项目（XJB202204）；湖南中医药大学研究生创新课题资助项目（2022CX45）。 |
|
| Study on the regularity of medicine in the treatment of diarrhea used by traditional Chinese medicine master XIONG Jibo |
|
ZHANG Tao1, TAN Chao1,2,3
|
|
1.Hunan University of Chinese Medicine, Changsha 410208, China;2.The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410007, China;3.Inherit Workroom of Medical Master Professor XIONG Jibo's Experiences, Changsha 410007, China
|
| Abstract: |
| To analyze the experience of Professor XIONG Jibo in treating diarrhea by data mining. Based on the software of traditional Chinese medicine(TCM) inheritance assistant platform(V3.0),the outpatient case data of the patients with diarrhea treated by Professor XIONG Jibo in the First Affiliated Hospital of Hunan University of TCM were analyzed and summarized,and the data mining and analysis were carried out by using the statistical methods such as association rules and complex system entropy clustering of the software. To summarize the character and taste,meridian tropism,frequency of application,frequency of tongue and pulse,and the combination of drug pair,and combine with professor XIONG Jibo's understanding of etiology,pathogenesis,principle and method of treatment of diarrhea,make clear the core medication,and explore the regularity of diagnosis,treatment and medication. Through summary and analysis,168 medical records were included. Amomum villosum,magnolia officinalis,coptis chinensis,radix aucklandiae,licorice root,poria cocos,atractylodes macrocephala,dried orange peel,pinellia ternata,and American ginseng. The medicinal properties were mainly warm, calm and cold,the taste of the medicine was mainly bitter,pungent and sweet,and the attributed meridians were mostly the spleen and stomach meridians. Concluded that Lianpu Decoction and Xiangsha Liujunzi Decoction are the main treatment of diarrhea. On the basis of Lianpo Drink and Xiangsha Liujunzi Decoction,XIONG Jibo,a national doctor,treated diarrhea with the principle of invigorating spleen and regulating qi and clearing heat and resolving drying dampness. |
| Key words: diarrhea traditional Chinese medicine inheritance platform data mining traditional Chinese medicine great master XIONG Jibo |
