古代名医治疗癫狂的用药规律分析
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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;首都发展基金科研专项(2022-2-7035);北京自然科学基金项目(7222274);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);第五批全国中医临床优秀人才研修项目


Medication Rules of Ancient TCM Physicians in Treating Depressive Psychosis and Mania
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    摘要:

    目的:通过对古代名医治疗癫狂医案的数据挖掘分析,总结其用药规律。方法:使用古今医案云平台病案库,以关键词进行数据筛选后,建立古代名医治疗癫狂的医案数据库,利用Excel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,寻找古代名医治疗癫狂的药物配伍规律。结果:共纳入223篇文献,涉及283首中药方剂,包含271味中药,高频中药为甘草、石菖蒲、茯神、人参、远志、黄连、半夏等;关联分析结果为茯神-酸枣仁、远志-石菖蒲等药物组合;聚类分析结果包含逍遥散、温胆汤、礞石滚痰丸等方剂;核心处方为十味温胆汤加减。结论:数据分析显示古代医家治疗癫狂时以治“痰”为主,明辨病机虚实,依据辨证选择理气解郁、清利肝胆、通降腑实、补益心脾、滋阴降火、重镇安神等治法,取得了满意的疗效。

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    To reveal the medication rules in the treatment of depressive psychosis and mania by data mining from ancient medical records.Methods:The Ancient and Modern Medical Records Cloud Platform was searched for the medcial records with relevant keywords,and a library of ancient medical records of the treatment of depressive psychosis and mania by famous physicians was built.EXCEL and SPSS were employed to perform frequency statistics,association analysis,and cluster analysis,and Gephi to perform complex network analysis,on the basis of which the medication rules were mined.Results:A total of 223 articles were included in this study,The articles included 283 Chinese medicine prescriptions,which involved 271 Chinese medicines.The high-frequency Chinese medicines were Glycyrrhizae Radix et Rhizoma,Acori Tatarinowii Rhizoma,Poria cum Radix Pini,Ginseng Radix et Rhizoma,Polygalae Radix,Coptidis Rhizoma,and Pinelliae Rhizoma.The association analysis predicted the herb pairs such as Poria cum Radix Pini-Ziziphi Spinosae Semen and Polygalae Radix-Acori Tatarinowii Rhizoma.The cluster analysis revealed Xiaoyao Powder,Wendan Decoction,and Mangshi Guntan Pills.The core prescription was modified Shiwei Wendan Decoction.Conclusion:Ancient physicians focus on phlegm in the treatment of depressive psychosis and mania while differentiating the deficiency and excess.On the basis of syndrome differentiation,the therapies of regulating qi and relieving depression,clearing liver and promoting bile secretion,relaxing bowls and removing excess,tonifying heart and replenishing spleen,nourishing yin and purging fire,and tranquilizing mind with heavy sedatives are employed,which demonstrate good efficacy.

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张毅杰,杭晓屹,李晶晶,李贞贞,张艺,孙文军.古代名医治疗癫狂的用药规律分析[J].世界中医药,2023,(05).

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  • 收稿日期:2021-04-09
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  • 在线发布日期: 2023-05-01
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