摘要
目的:通过收集、整理李淑良教授门诊慢性咽炎病例,基于中医传承辅助平台(V2.5)进行数据挖掘,探讨李教授治疗慢性咽炎的中医辨治思路及用药规律。方法:通过回顾性研究的方法,收集2016年—2019年就诊于中国中医科学院西苑医院耳鼻喉科李教授门诊的慢性咽炎患者病历,记录符合纳入标准的病案信息,建立方剂数据库,分别进行用药频次统计、关联规则分析、熵聚类分析等。结果:研究纳入病例215例,处方216首,共涉及156味中药,中药的累积使用频次为3114次。药物四气以寒温药为主,五味以甘苦药为主,归经以肺胃脾经为主;得到中药核心组合共12个,新方组合6个。结论:李教授治疗慢性咽炎重视肺脾胃三脏的辨治,以散风为先,善用甘寒清热,重视培土生金。
Objective:Through collecting and sorting out the outpatient chronic pharyngitis cases of Professor LI Shuliang,and data mining based on the Traditional Chinese Medicine Inheritance Support System(V2.5),the ideas of Chinese medicine differentiation and treatment and medication rules of Professor LI in treating chronic pharyngitis were discussed.Methods:Medical records of patients with chronic pharyngitis treated in Professor LI's outpatient Department of Otorhinolaryngology in Xiyuan Hospital of China Academy of Chinese Medical Sciences from 2016 to 2019 were collected by retrospective study.The medical records meeting the inclusion criteria were recorded;a prescription database was established,and statistics of medicinal frequency,association rule analysis and entropy cluster analysis were conducted respectively.Results:The study included 215 cases and 216 prescriptions,involving a total of 156 kinds of Chinese medicinals,and the frequency of use of Chinese medicinals was 3114 times.In terms of four qi,the Chinese medicinals were mainly cold and warm,in terms of five flavours,the Chinese medicinals were mainly sweet and bitter,and the main channel entries were lung,stomach and spleen channels.There were 12 core groups of Chinese medicinals and 6 new prescriptions.Conclusion:Professor LI pays attention to the differentiation and treatment of the lung,spleen and stomach in treating chronic pharyngitis,takes scattering the wind as the first,makes good use of the sweet-cold medicinals to clear heat,and pays attention to banking up earth to generate metal.
作者
高畅
陈铚晗
米扬
石颖
GAO Chang;CHEN Zhihan;MI Yang;SHI Ying(Department of Otorhinolaryngology,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China)
出处
《新中医》
2025年第5期14-19,共6页
New Chinese Medicine
基金
中国中医科学院科技创新工程项目(CI2021A02708)
国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教函〔2012〕149号)。
关键词
慢性咽炎
数据挖掘
李淑良
用药规律
肺脾胃三脏
甘寒清热
培土生金
Chronic pharyngitis
Data mining
LI Shuliang
Medication rules
Lung,spleen and stomach
Sweet-cold medicinals to clear heat
Banking up earth to generate metal
