国家中医大师余英尧治疗原发性癫痫的治疗规律研究

Yu Zhang, Lin Tong, Guangkun Chen, Xiang Li, Hongtao Li
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Methods: Mining and analysis primary epilepsy Outpatient records of Chinese medicine master Yu Ying-ao, extracted the traditional Chinese medicine(TCM) diagnosis and treatment data in the medical cases, standardized the obtained TCM diagnosis and treatment data, and used the data mining function integrated by the ancient and modern medical case cloud platform V2.3.5 to carry out frequency statistics, cluster analysis, association analysis and complex network analysis on the diagnosis and treatment data, the common medicines used by Chinese medicine master Yu Ying-ao in the treatment of primary epilepsy, properties and classifications of commonly used medicines, therapeutic principle and method and coreprescriptions were obtained. Results: A total of 70 cases, 213 medical records and 231 prescriptions data of TCM were included. A total of 120 Chinese medicines were involved, and the total frequency of medication was 3388. The core prescription groups mined through the complex network method are: Raw Concha Ostreae(Shengmuli), Radix Curcumae(Yujin), Alum(Baifan), longchi, Salvia miltiorrhiza(Danshen), Caulis Bambusae in Taenia(Zhuru), Semen armeniacae amarum(Kuxingren), Semen Persicae(Taoren), Arisaema cum Bile(Dannanxing) and Amber(Hupo). In the prescription, Raw Concha Ostreae(Shengmuli) and Radix Curcumae(Yujin) were king medicines and also high-frequency medicines, all of which were cold medicines. Yu Ying-ao's clinical dosage of Alum(Baifan) was between $1.5 \\sim 3\\mathrm{g}$, and the curative effect was enhanced by decocting it first to remove its great fire. Yu Ying-ao's clinical high-frequency medicines are: Raw Concha Ostreae(Shengmuli), Radix Curcumae(Yujin), Alum(Baifan), Salvia miltiorrhiza(Danshen), Longchi, Semen armeniacae amarum(Kuxingren), Semen Persicae(Taoren) and Arisaema cum Bile(Dannanxing). Most of the high-frequency medicines were cold medicines (such as Shengmuli, Yujin, Baifan, Kuxingren, etc.), The specific drugs were mild cold drugs (827 times). The most common distribution of the five flavors of traditional Chinese medicine was bitter medicine (1678 times), the meridian of returning to the liver (2214 times) was the most common. The top three efficacy of 120 traditional Chinese medicines were moistening bowels (529 times), promoting blood circulation and removing blood stasis (436 times), clearing heat and resolving phlegm (385 times).Conclusion: Chinese medicine master Yu Ying-ao takes the principle of purging excess and tonifying deficiency, and purging more than tonifying. 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引用次数: 0

摘要

目的:探讨和分析中医大师余应饶治疗原发性癫痫的用药规律,希望为临床治疗原发性癫痫提供参考。方法:挖掘分析中医大师余应敖的癫痫初级门诊病历,提取病例中的中医诊疗数据,对获得的中医诊疗数据进行标准化,利用古今医疗案例云平台V2.3.5集成的数据挖掘功能,对诊疗数据进行频次统计、聚类分析、关联分析和复杂网络分析。获得中医大师余应傲治疗原发性癫痫的常用药物、常用药物的性质、分类、治疗原理、方法及配方。结果:共纳入70例病例,病历213份,中药处方资料231份。共涉及120种中药,总用药频次为3388种。通过复杂网络方法挖掘的核心处方群为:生木耳、姜黄、白矾、龙池、丹参、竹如、苦杏仁、桃仁、丹参胆汁、虎坡琥珀。方剂中生木耳、郁金为王药,也是高频药,均为感冒药。余应敖的白矾临床用量在1.5 μ m ~ 3 μ m之间,先煎除其大火,疗效更佳。余应傲的临床高频用药有:生木耳、姜黄、白矾、丹参、龙池、苦杏仁、桃仁、丹参胆。高频药以感冒药(如生木里、玉金、白凡、苦杏仁等)居多,特异药以轻度感冒药居多(827次)。中医五味分布最常见的是苦药(1678次)、归肝经(2214次)。120种中药功效排名前三的分别是润肠(529次)、活血化瘀(436次)、清热化痰(385次)。结论:余应傲中医大师以清亢补虚为主,清大于补。平心静气,健脾,调肝,润脏腑,调和中脉,补气,调和肺、心、脾、大肠。
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Study on the treatment rules of primary epilepsy of treated by National TCM Master Yu Ying-ao
Objective: To explore and analyze the medication rule of Chinese medicine master Yu Ying-ao in the treatment of primary epilepsy, hoping to provide reference for the clinical treatment of primary epilepsy. Methods: Mining and analysis primary epilepsy Outpatient records of Chinese medicine master Yu Ying-ao, extracted the traditional Chinese medicine(TCM) diagnosis and treatment data in the medical cases, standardized the obtained TCM diagnosis and treatment data, and used the data mining function integrated by the ancient and modern medical case cloud platform V2.3.5 to carry out frequency statistics, cluster analysis, association analysis and complex network analysis on the diagnosis and treatment data, the common medicines used by Chinese medicine master Yu Ying-ao in the treatment of primary epilepsy, properties and classifications of commonly used medicines, therapeutic principle and method and coreprescriptions were obtained. Results: A total of 70 cases, 213 medical records and 231 prescriptions data of TCM were included. A total of 120 Chinese medicines were involved, and the total frequency of medication was 3388. The core prescription groups mined through the complex network method are: Raw Concha Ostreae(Shengmuli), Radix Curcumae(Yujin), Alum(Baifan), longchi, Salvia miltiorrhiza(Danshen), Caulis Bambusae in Taenia(Zhuru), Semen armeniacae amarum(Kuxingren), Semen Persicae(Taoren), Arisaema cum Bile(Dannanxing) and Amber(Hupo). In the prescription, Raw Concha Ostreae(Shengmuli) and Radix Curcumae(Yujin) were king medicines and also high-frequency medicines, all of which were cold medicines. Yu Ying-ao's clinical dosage of Alum(Baifan) was between $1.5 \sim 3\mathrm{g}$, and the curative effect was enhanced by decocting it first to remove its great fire. Yu Ying-ao's clinical high-frequency medicines are: Raw Concha Ostreae(Shengmuli), Radix Curcumae(Yujin), Alum(Baifan), Salvia miltiorrhiza(Danshen), Longchi, Semen armeniacae amarum(Kuxingren), Semen Persicae(Taoren) and Arisaema cum Bile(Dannanxing). Most of the high-frequency medicines were cold medicines (such as Shengmuli, Yujin, Baifan, Kuxingren, etc.), The specific drugs were mild cold drugs (827 times). The most common distribution of the five flavors of traditional Chinese medicine was bitter medicine (1678 times), the meridian of returning to the liver (2214 times) was the most common. The top three efficacy of 120 traditional Chinese medicines were moistening bowels (529 times), promoting blood circulation and removing blood stasis (436 times), clearing heat and resolving phlegm (385 times).Conclusion: Chinese medicine master Yu Ying-ao takes the principle of purging excess and tonifying deficiency, and purging more than tonifying. To calm the mind, invigorate the spleen, regulate the liver, moisten the internal organs, reconcile the middle, and invigorate the qi, and harmonizing lung, heart, spleen and large intestine.
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