[1]李环娜,唐远山,古 宇,等.基于数据挖掘唐远山教授从肝论治眩晕病临床经验[J].陕西中医,2023,(9):1312-1315.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.037]
 LI Huanna,TANG Yuanshan,GU Yu,et al.Professor Tang Yuanshan's clinical experience in treating vertigo from liver based on data mining[J].,2023,(9):1312-1315.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.037]
点击复制

基于数据挖掘唐远山教授从肝论治眩晕病临床经验
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年9期
页码:
1312-1315
栏目:
方药纵横
出版日期:
2023-09-05

文章信息/Info

Title:
Professor Tang Yuanshan's clinical experience in treating vertigo from liver based on data mining
作者:
李环娜1唐远山2古 宇1惠 荣1
(1.陕西中医药大学,陕西 咸阳 712046; 2.西安市中医医院,陕西 西安 710016)
Author(s):
LI HuannaTANG YuanshanGU YuHUI Rong
(Shaanxi University of Chinese Medicine,Xianyang 712046,China)
关键词:
眩晕病 唐远山 临床经验 数据挖掘 风药 和法
Keywords:
Vertigo Tang Yuanshan Clinical experience Data mining Expelling wind drug Purgation
分类号:
R 256.23
DOI:
DOI:10.3969/j.issn.1000-7369.2023.09.037
文献标志码:
A
摘要:
目的:通过数据挖掘方法,总结、提炼唐远山教授治疗眩晕病的用药规律。方法:通过用数据挖掘方法分析大量的中医诊疗信息,探索唐远山教授治疗眩晕的用药规律及相关学术经验。结果:最终结果统计出唐远山教授一定时间段所涉及到的中药有138味,药物出现的总频次为2339次。按降序频次的药物进行高频药物统计,其中频次>40的中药为熟地黄、天麻、薄荷、羌活等; 四气五味统计出温性、寒性药物居多; 药味统计依次为甘、苦、辛、咸味等; 药物归肝经、肺经两经居多; 药物归类出现总频次依次为补气血药、解表祛风药等。通过网络图及关联规则可以看出强连接数的药对有29对。运用聚类分析结果可以得出药对总共10对。通过数据挖掘分析治疗眩晕病的基础方为:四物汤加薄荷、天麻、羌活为主。结论:唐远山教授治疗眩晕病用药频次和分析后可看补血药、解表药、息风药分区人体表里之风,从“肝风”论治眩晕病,主要以内虚和外风同调,主要治法以养血和肝,滋阴熄风为主,兼以祛邪实。
Abstract:
Objective:To summarize and refine the medication rules of professor Tang Yuanshan in the treatment of vertigo disease through data mining methods.Methods:By analyzing massive TCM diagnosis and treatment information by data mining method,the medication rules and relevant academic experience of Tang Yuanshan teachers in the treatment of vertigo were explored.Results:The final results showed that professor Tang Yuanshan involved 138 flavors of traditional Chinese medicines during this period,and the total frequency of drug occurrence was 2339 times.The statistics of high-frequency drugs were carried out according to the frequency of drugs in descending frequency,among which >40 Chinese medicines were cooked ground yellow,tianma,white peony,banxia,yam,angelica,Chuanxiong,peppermint,qianghuo,etc.The four qi and five flavors showed that warm and cold drugs were the most,followed by flat; In the statistics of medicinal taste,it is sweet,bitter,spicy,salty,etc.Drugs belong to the liver meridian and the lung meridian,and then the spleen meridian and kidney meridian; The total frequency of drug classification was Qi and blood tonic drugs,anti-table anti-wind drugs,liver and breath medicines,spleen and spleen and and dampness drugs,blood circulation and stasis removal drugs,etc.Through the network diagram and association rules,it can be seen that there are 29 pairs of drug pairs with strong connections.Using the results of cluster analysis,a total of 10 pairs of drugs can be obtained.The basic treatment of vertigo through data mining analysis is:Siwu Tong with bohe,tianma,qianghuo,banxia,yam.Conclusion:After the frequency and analysis of professor Tang Yuanshan's treatment of vertigo,it can be seen that the most used medicine is qi and blood medicine,followed by the combination of anti-table medicine and breath medicine to separate the table,from the “liver wind” theory to treat vertigo,mainly based on the theory of deficiency and wind,the main treatment method is mainly to nourish yin and nourish blood,calm the liver and calm the wind,and also dispel evil as the method.

参考文献/References:

[1] Neuhauser HK.The epidemiology of dizziness and vertigo[J].Handb Clin Neurol,2016,137:67-82.
[2] 刘 博,左丽静,段金萍,等.外周性眩晕患者的精神心理评估[J].首都医科大学学报,2011,32(6):733-736.
[3] 张玉琴,韩 岱,叶小平,等.眩晕患者的心理健康情况评估[J].神经损伤与功能重建,2013,8(6):450-452.
[4] 周剑宇,罗文君,周 鑫,等.李丹丹运用苓桂术甘汤加减治疗内耳眩晕经验[J].湖南中医杂志,2021,37(2):16-18.
[5] 孟占鹏,李 柱.半夏白术天麻方治疗风痰上扰型眩晕临床疗效研究[J].陕西中医,2019,40(2):185-187,191.
[6] 张钰欣,王 雨,马博雅,等.李杲阴火理论研究探析[J].陕西中医,2020,41(3):364-367.
[7] 戴晓娟.葛根二陈汤治疗痰湿阻滞型颈性眩晕的疗效及与血清炎症因子水平的潜在关联研究[J].中医药学报,2021,49(11):87-90.
[8] 胡柯洋,张怀亮.张怀亮教授从风论治眩晕的经验总结[J].中国中医药现代远程教育,2018,16(11):72-74.
[9] 许柏明.天麻钩藤饮加减方联合天麻素治疗眩晕40例的疗效观察[J].中西医结合心血管病电子杂志,2019,7(27):159-173.
[10] 崔红梅,范玉强.栗锦迁从痰论治眩晕经验[J].湖南中医杂志,2018,34(1):24-25.
[11] 李 青,陈亨平.益气活血法在改善急性缺血性脑卒中侧支循环应用中的研究进展[J].陕西中医,2018,39(12):1823-1825.
[12] 孙景波,华 荣,文灼彬,等.华荣主任医师从气机升降,调理肝脾论治眩晕病经验[J].湖南中医药大学学报,2017,37(9):955-957.
[13] 蔡小丽,陈荣明,邓钰敏,等.周洪彬基于“运脾转枢”法辨治非高血压性眩晕经验[J].广州中医药大学学报,2021,38(12):2770-2774.
[14] 邓振兴,伍艺灵.益气定眩方治疗后循环缺血所致眩晕57例[J].中医研究,2019,32(10):20-23.
[15] 李焰生.中国后循环缺血的专家共识[J].中华内科杂志,2006,45(9):786-787.
[16] 国家中药管理局编委会.中华本草:第8册[M].上海:上海科学技术出版社,1999:763.
[17] 国家药典委员会.中华人民共和国药典:第一部[M].北京:中国医药科技出版社,2020:213-215.
[18] 段青于蓝,唐远山,李 霖,等.唐远山教授运用和法临证经验撷要[J].陕西中医,2021,42(7):944-947.
[19] 惠 荣,唐远山,许 磊,等.定眩饮治疗后循环缺血性眩晕临床研究[J].陕西中医,2022,43(2):204-206.
[20] 胡兴律,王向阳.定眩饮治疗后循环缺血性眩晕随机对照研究[J].陕西中医,2021,42(10):1375-1378.
[21] 董振华.李东垣对脾胃学说的贡献[J].中国中医药现代远程教育,2005,3(11):18-21.

备注/Memo

备注/Memo:
基金项目:陕西省重点研发计划项目(2020SF-275); 西安市科技计划项目(2019115613YX011SF044)
更新日期/Last Update: 2023-09-08