Analysis of the law of medication for constipation treated by "four scholastic sects of Jin-Yuan dynasties"
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摘要: 目的:整理并总结金元四大家治疗便秘病用药规律,以期为临床中医治疗该病提供文献学证据,并为完善金元四大家学术体系提供统计学依据作出贡献。方法:收集金元四大家医学著作中与便秘病相关的中药处方,对符合纳入标准的中药处方进行统计,利用WPS Excel软件建立方药数据库,应用SPSS 20.0统计软件对中药的频数分析、因子分析、相关性分析,运用IBM SPSS Modeler 18.0统计软件对治疗便秘病的高频药物进行数据挖掘,采用Cytoscpae软件绘制高频药物核心网络图。结果:共获得治疗便秘病的中药处方67首,其中涉及中药111味,总计出现频次571次。统计出金元四大家治疗便秘病常用高频药物以补气药、清热药、泻下药、解表药、理气药及补血药为主,根据高频药物关联分析,挖掘出38对常用药对和15组常用药组。根据高频药物相关性分析,绘制药物核心网络图,挖掘出4组临床常用核心组方。结论:研究发现金元四大家认为便秘病与脾、大肠、胃三脏关系密切,治疗上以“温阳益气,升降结合”“苦寒攻下”“滋阴润燥,辛润活血”及“祛风除湿”为基本大法,可治疗气虚便秘、气滞便秘、热结便秘、、瘀血便秘、血虚便秘及湿秘等,常用方剂有润肠汤、黄芪人参汤、木香槟榔丸、生津甘露汤、脾约丸等,并总结4组核心组方,以上研究结果对中医临床治疗该病具有指导意义,并为更好理解金元四大家学术思想提供数据支持。Abstract: Objective: To summarize the rules of medication for constipation treated by four scholastic sects of Jin-Yuan dynasties, in order to provide documentary evidence for the clinical treatment of this disease, and to contribute to the improvement of the academic system of the four scholastic sects of Jin-Yuan dynasties.Methods: Collect the prescriptions related to constipation in the medical works of the four scholastic sects of Jin-Yuan dynasties, make statistics on the prescriptions that meet the inclusion criteria, use WPS Excel software to establish the database of prescriptions, use SPSS 20.0 statistical software to analyze the frequency, factor analysis and correlation of traditional Chinese medicine, and use IBM SPSS modeler 18.0 statistical software is used for data mining of high-frequency drugs for the treatment of constipation, and the core network diagram of high-frequency drugs is drawn with the software of cytoscpae.Results: A total of 67 prescriptions for constipation were obtained, including 111 prescriptions, with a total frequency of 571. According to the statistics, the common high-frequency drugs for constipation are tonifying qi herbs, heat-clearing herbs, purgative herbs, surface-relieving herbs, regulating qi herbs and tonifying blood herbs. According to the high-frequency drug association analysis, 38 pairs of commonly used drugs and 15 groups of commonly used drugs were excavated. According to the correlation analysis of high-frequency drugs, the core network of drugs was drawn, and four groups of commonly used clinical core groups were mined.Conclusion: The study found that the four masters of Jin-Yuan dynasties believed that constipation was closely related to spleen, large intestine and stomach. The basic treatment methods were "Warming Yang and replenishing qi, ascending and descending combination", "bitter cold attack", "nourishing yin and moistening dryness, xinrunhuoxue" and "dispelling wind and removing dampness". They could treat qi deficiency constipation, qi stagnation constipation, heat knot constipation, blood stasis constipation, blood deficiency constipation and dampness. The commonly used prescriptions include Runchang decoction, Huangqi Renshen decoction, Muxiang Binglang pill, Shengjin Ganlu decoction, Piyue pill, etc. the above research results have guiding significance for the clinical treatment of the disease in TCM, and provide data support for better understanding of the academic ideas of the four masters in Jin-Yuan dynasties.
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Key words:
- LIU Wansu /
- LI Dongyuan /
- ZHANG Zihe /
- ZHU Danxi /
- constipation /
- medicationregularity /
- data mining
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[1] 中华中医药学会脾胃病分会.便秘中医诊疗专家共识意见(2017)[J].中医杂志,2017,58(15):1345-1350.
[2] 张年顺.李东垣医学全书[M].北京:中国中医药出版社,2006:1-362.
[3] 田思胜.朱丹溪医学全书[M].北京:中国中医药出版社,2006:1-606.
[4] 宋乃光.刘完素医学全书[M].北京:中国中医药出版社,2006:1-334.
[5] 徐江雁.张子和医学全书[M].北京:中国中医药出版社,2006:1-238.
[6] 钟赣生.中药学[M].北京:中国中医药出版社,2016:1-485.
[7] 陈震萍,沈丹,牟重临.论李东垣脾胃学说的核心思想[J].浙江中医药大学学报,2016,40(12):910-913.
[8] 区淑妍,刘华一.升阳法在便秘治疗中的应用探析[J].亚太传统医药,2017,13(7):69-70.
[9] 马高倩,许二平.李东垣治疗便秘学术思想研究[J].光明中医,2019,34(20):3086-3088.
[10] 李兵剑,熊之焰.张子和治疗便秘经验探讨[J].中医药导报,2009,15(10):16-17.
[11] 朱星,王明强.浅谈金元四大家论便秘[J].中医学报,2012,27(6):695-696.
[12] 孟繁洁.刘完素燥论阐微[J].中医杂志,2004,(10):723-725.
[13] 武子健,付智天,董鑫.浅析五味组方应用[J].辽宁中医药大学学报,2018,20(8):185-188.
[14] 谢君艳,邓小敏.从《脾胃论》“脾胃虚则九窍不通”论治便秘[J].辽宁中医杂志,2018,45(11):2311-2313.
[15] 彭军良,王琛,郑德,等.陆金根从瘀血论治习惯性便秘经验[J].湖南中医杂志,2018,34(12):20-23.
[16] 陈晓红,胡珂.气虚便秘与阳虚便秘之辨[J].江西中医药,2020,51(4):22-24.
[17] 张易从,刘绍能.湿秘中医诊治概况[J].新中医,2020,52(19):24-26.
[18] 徐艺,钱洲,王锦.流气化湿法治疗湿秘[J].江苏中医药,2020,52(6):45-47.
[19] 韦静,曾思敏,罗鹏基,等.中医治疗功能性便秘研究进展[J].辽宁中医药大学学报,2019,21(11):119-123.
[20] 郑泽宇,黄恒青.《伤寒论》阳明病便秘证治[J].光明中医,2019,34(8):1163-1165.
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