世界中医药
文章摘要
引用本文:游旭军1,傅伟1,张清1,袁少英2.基于中医传承辅助平台的袁少英治疗慢性前列腺炎经验[J].世界中医药,2020,(12):.  
基于中医传承辅助平台的袁少英治疗慢性前列腺炎经验
YUAN Shaoying's Experience in Treating Chronic Prostatitis Based on TCM Heritage Supporting Platform
投稿时间:2019-04-03  
DOI:10.3969/j.issn.1673-7202.2020.12.016
中文关键词:  慢性前列腺炎  中医传承  核心药物  新方组合  @ 袁少英    辨证论治
English Keywords:Chronic prostatitis  Tradtional Chinese medicine inheritance  Core drug  New prescription combination  @ Professor YUAN Shaoying  Stasis  Dialectical treatment
基金项目:2018年深圳市宝安区医疗卫生科研项目(2018JD020);2018年深圳市科技计划项目(JCYJ20180302144752020)
作者单位
游旭军1,傅伟1,张清1,袁少英2 1 广东省深圳市宝安区中医院深圳518101 2 广东省中医院珠海医院珠海510915 
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中文摘要:
      目的:探讨及分析袁少英教授治疗慢性前列腺炎的用药经验。方法:采用中医传承辅助平台(V2.5)统计经袁师诊断为慢性前列腺炎且疗效良好的病历处方,统计药物频次、药物四气五味归经、常用药对频次,并基于关联规则分析处方规律,聚类形成核心治疗组合及药物新处方,探讨慢性前列腺炎的病因病机。结果:共纳入350例慢性前列腺炎病历处方,经统计袁师临床上常以活血化瘀药、清热药及补虚药为主,药物大多归属肝脾肾三经,并以寒性、平性及温性药物为主,五味方面则以辛苦甘为主。在常用药对分析上以活血化瘀通络、清热利湿活血为主,并根据系统聚类分析提炼出12对核心治疗组合、6对药物新方组合,供临床参考。结论:袁师认为“瘀”贯穿慢性前列腺炎始终,临床上常以“清热-活血-化瘀”为主轴,着重调理肝脾肾三经,采用清热不忘祛湿,活血不忘通络为主线的治法,并根据辨证论治原则予以理气通络,补益通络及温寒通络等。
English Summary:
      To explore and analyze Professor YUAN Shaoying's medication experience in treating chronic prostatitis.Methods:Chinese Medicine Heritage Supporting Platform (V2.5) was used to calculate the medical record prescriptions that have been diagnosed as chronic prostatitis by Professor YUAN Shaoying,and the frequency of drugs,and the channel tropism of four qi and five flavors of drugs,the frequency of commonly used drug pairs,and the prescription rules based on association rules were statistically made.The core therapeutic combinations and new drug prescriptions were formed by clustering,and the etiology and pathogenesis of chronic prostatitis were summarized and explored.Results:A total of 350 prescriptions for chronic prostatitis were included.According to statistics,Professor YUAN Shaoying's clinical practice is mainly to use medicines for promoting blood circulation and removing stasis,clearing heat and supplementing deficiency.The drugs mainly belongs to liver meridian,spleen meridian and kidney meridian.Most of the drugs were cold,mild and warm.The five flavors of those were dominated by pungent,bitter and sweet.In the analysis of commonly used drugs,the main methods were to promote blood circulation,and dissipate blood stasis and remove obstruction in collaterals,to clear heat and promote diuresis and promote blood circulation.Based on systematic cluster analysis,12 pairs of core treatment combinations and 6 pairs of drug new prescriptions were extracted for clinical reference.Conclusion:Professor YUAN Shaoying believes that "blood-stasis" runs through chronic prostatitis.Clinically,it is often based on "clearing heat-promoting blood circulation-resolving blood stasis",focusing on the regulation of liver meridian,spleen meridian and kidney meridian,using the method of clearing heat and not forgetting dampness,and promoting blood circulation without removing obstruction of collaterals,which are the main treatment method.According to the principle of syndrome differentiation and treatment,YUAN removed obstruction in collaterals by promoting the circulation of qi,removing obstruction in collaterals by invigoration,and removing obstruction in collaterals by warm and cold.
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