世界中医药
文章摘要
引用本文:张毅杰1,李晶晶1,杭晓屹1,孙文军2.近现代医家治疗癫狂的用药规律分析[J].世界中医药,2022,(06):.  
近现代医家治疗癫狂的用药规律分析
Medication Regularity by Modern Physicians in Treatment of Manic-depressive Psychosis
投稿时间:2021-05-21  
DOI:10.3969/j.issn.1673-7202.2022.06.021
中文关键词:  癫狂  癫狂梦醒汤  柴胡加龙骨牡蛎汤  精神分裂症  甘麦大枣汤    医案  王清任
English Keywords:Manic-depressive psychosis  Diankuang Mengxing Decoction  Longgu Muli Decoction modified with Bupleuri Radix  Schizophrenia  Ganmai Dazao Decoction  Phlegm  Medical records  Wang Qingren
基金项目:国家中医药行业专项(201507001-12);国家中医药管理局岐黄学者项目;北京中医药大学重点攻关项目(2020-JYB-ZDGG-144,2020-JYB-ZDGG-144-2);中国民族医药学会项目(2019KYXM-Z1148-142,2019KYXM-M105-141)
作者单位
张毅杰1,李晶晶1,杭晓屹1,孙文军2 1 北京中医药大学北京100029 2 北京中医药大学第三附属医院北京100029 
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中文摘要:
      目的:通过对近现代医家治疗癫狂医案的数据挖掘分析,总结近现代医家治疗癫狂的用药规律。方法:检索、收集、整理古今医案云平台病案库、国家知识基础设施数据库(CNKI)和《名老中医经验全编》《中国名老中医药专家学术经验集》《中国近现代名中医医案精华》等医案类书籍中有关癫狂的医案,建立近现代医家治疗癫狂的医案数据库,提取中药处方数据。利用古今医案云平台和SPSS软件进行频次统计、关联分析、聚类分析,利用Gephi进行复杂网络分析,分析近现代医家治疗癫狂的高频药物、关键药对、常用方剂、核心处方。结果:本研究共纳入228篇病案,363首中药方剂,包含276味中药。高频中药为甘草、半夏、石菖蒲、大黄、远志、郁金、柴胡、茯苓、陈皮、黄芩等,常用药物配伍包括半夏-陈皮、石菖蒲-远志、龙骨-牡蛎等,聚类结果分为8类,包含了癫狂梦醒汤、温胆汤、礞石滚痰丸等方剂,核心处方为柴胡加龙骨牡蛎汤、甘麦大枣汤和十味温胆汤加减。结论:数据分析显示近现代医家治疗癫狂时,认识全面,明辨气血虚实,辨证选择理气、活血、治痰、解郁、降火、安神等不同治法。
English Summary:
      To summarize the medication regularity by modern physicians in the treatment of manic-depressive psychosis based on relevant medical records.Methods:The medical records in the Ancient and Modern Medical Records Cloud Platform,CNKI,Collection of Famous TCM Doctors' Experience,Academic Experience Collection of Prestigious TCM Experts in China,and Essence of Modern Chinese Medical Records were retrieved,collected,and sorted out to establish a database of medical records of manic-depressive psychosis treatment by modern physicians.The data of Chinese medicinal prescriptions were extracted.The Ancient and Modern Medical Records Cloud Platform and SPSS were used for frequency statistics,association analysis,and cluster analysis,and Gephi for complex network analysis to analyze the high-frequency drugs,key drug pairs,commonly used prescriptions,and core prescriptions used by modern physicians in the treatment of manic-depressive psychosis.Results:A total of 228 medical records were included,involving 363 Chinese medicinal prescriptions and 276 drugs.The high-frequency drugs included Glycyrrhizae Radix et Rhizoma,Pinelliae Rhizoma,Acori Tatarinowii Rhizoma,Rhei Radix et Rhizoma,Polygalae Radix,Curcumae Radix,Bupleuri Radix,Poria,Citri Reticulatae Pericarpium,and Scutellariae Radix.The commonly used drug pairs included Pinelliae Rhizoma-Citri Reticulatae Pericarpium,Acori Tatarinowii Rhizoma-Polygalae Radix,and Ossa Draconis-Ostreae Concha.As revealed by cluster analysis,the common prescriptions were classified into eight categories,including Diankuang Mengxing Decoction,Wendan Decoction,and Mengshi Guntan Pills.The core prescriptions were Longgu Muli Decoction modified with Bupleuri Radix,Ganmai Dazao Decoction,and modified Shiwei Wendan Decoction.Conclusion:Data analysis demonstrated that when treating manic-depressive psychosis,modern physicians explicitly clarified qi and blood,and asthenia and sthenia,and determined the therapeutic methods of regulating qi,promoting blood circulation,resolving phlegm,relieving depression,reducing fire,and soothing the nerves based on syndrome differentiation.
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