数据挖掘总结韩祖成治疗郁病的用药规律
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国家中医药管理局中医药行业科研专项(201507001-05)——中医药治疗慢性病临床疗效研究(一);陕西省中医药管理局长安中风病刚柔相济流派传承工作室建设项目(陕中医药发〔2018〕40号)


Data Mining for Medication Rules of HAN Zucheng in Treating Depression
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    摘要:

    目的:总结韩祖成对郁病的病机认识,归纳其治疗郁病的组方思路、配伍规律及用药特点。方法:选取2019年7月至2020年7月就诊于陕西省中医医院韩祖成门诊的患者病历资料,根据纳入及排除标准最后筛选出有效病历213份,建立数据库并规范术语,利用古今医案云平台WEB端,采用药物频次统计、中药属性分析、关联规则、药物功效分布及中药聚类处方分析,结合临床诊治经验,总结韩祖成对郁病病机的认识,并完善数据挖掘结果。结果:“肝郁脾虚、心神失养”为郁病的核心病机,以“疏肝健脾、解郁安神”作为主要治法。其常用药物为:茯苓、甘草、白术、合欢皮、柴胡、当归、白芍、薄荷、酸枣仁、百合;常用药物组合为:甘草-茯苓、白术-茯苓、白术-甘草、茯苓-合欢皮、当归-茯苓、柴胡-茯苓等。结论:韩祖成对郁病的病机具有独到认识,疏肝解郁的同时不忘健脾和胃,并且兼顾安神之效,其组方构思精巧,用药平和,配伍独特。

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    To outline HAN Zucheng's understanding of the pathogenesis of depression,as well as the formulation ideas,compatibility rules,and medication rules in the treatment of depression.Methods:The medical records of the patients visiting doctor HAN Zucheng in the Shaanxi Provincial Hospital of Chinese Medicine from July 2019 to July 2020 were selected,and 213 valid patients were finally included according to the inclusion and exclusion criteria.A database was created,and terms were standardized.The Ancient and Modern Medical Record Cloud Platform was used to analyze the drug frequency,Chinese medicine natures,association rules,drug efficacy distribution,and traditional Chinese medicine cluster prescription analysis.HAN Zucheng's understanding of depression was summed up based on the clinical diagnosis and treatment experience.Results:HAN Zucheng believed that liver depression,spleen deficiency,and lack of nourishment of heart spirit was the core pathogenesis of depression,and thus he proposed the treatment principle of soothing the liver,invigorating the spleen,relieving depression and tranquilizing the mind.The commonly used medicines included Poria,Glycyrrhizae Radix et Rhizoma,Atractylodis Macrocephalae Rhizoma,Albiziae Cortex,Bupleuri Radix,Angelicae Sinensis Radix,Paeoniae Radix Alba,Menthae Haplocalycis Herba,Ziziphi Spinosae Semen,and Lilii Bulbus.The commonly used drug combinations included Glycyrrhizae Radix et Rhizoma-Poria,Atractylodis Macrocephalae Rhizoma-Poria,Atractylodis Macrocephalae Rhizoma-Glycyrrhizae Radix et Rhizoma,Poria-Albiziae Cortex,Angelicae Sinensis Radix-Poria,and Bupleuri Radix-Poria.Conclusion:HAN Zucheng has a unique insight of pathogenesis of depression.In the treatment of this disease,he focuses on soothing the liver and relieving depression while also invigorating the spleen,harmonizing the stomach,and tranquilizing the mind.Following the principle above,he formulated prescriptions by flexibly using Chinese herbal medicines.

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惠波波,张晓乐,王渊,韩祖成,袁捷,王翠.数据挖掘总结韩祖成治疗郁病的用药规律[J].世界中医药,2023,(21).

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  • 收稿日期:2022-01-18
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  • 在线发布日期: 2023-12-29
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