[1]严亚锋,董斌.国医大师张学文治疗胸痹气滞痰阻血瘀证用药经验探析[J].西部中医药,2018,31(05):65-68.
　YAN Yafeng,DONG Bin.National Medical Master Zhang Xuewen′s Medication Experience of Treating Thoracic Obstruction of Qi Stagnation, Phlegm Obstruction and Blood Stasis Pattern[J].Western Journal of Traditional Chinese Medicine,2018,31(05):65-68.
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国医大师张学文治疗胸痹气滞痰阻血瘀证用药经验探析()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年05期
页码:
65-68
栏目:
出版日期:
2018-05-15

文章信息/Info

Title:
National Medical Master Zhang Xuewen′s Medication Experience of Treating Thoracic Obstruction of Qi Stagnation, Phlegm Obstruction and Blood Stasis Pattern
文章编号:
1004-6852(2018)05-0065-04
作者:
严亚锋1，董斌2
1 陕西中医药大学，陕西 咸阳 712046； 2 陕西中医药大学第二附属医院
Author(s):
YAN Yafeng1, DONG Bin2
1 Shaanxi University of Chinese Medicine, Xianyang 712046, China;2 The Second Affiliated Hospital of Shaanxi University of Chinese Medicine
关键词:
胸痹; 气滞痰阻血瘀证; 冠心病; 用药规律; 张学文
Keywords:
thoracic obstruction;  Qi stagnation;  phlegm obstruction and blood stasis pattern;  coronary heart disease;  medication laws;  Zhang Xuewen
分类号:
R277.75
文献标志码:
A
摘要:
目的：应用中医传承辅助系统软件，挖掘张学文教授治疗胸痹气滞痰阻血瘀证的用药规律。方法：收集张学文教授近5年治疗胸痹气滞痰阻血瘀证的病例，采用关联规则、系统熵聚类等数据挖掘方法，分析张学文教授治疗胸痹气滞痰阻血瘀证的用药经验和用药规律。结果：对筛选出的103首处方进行统计处理，得出处方中使用频次最高的药物是丹参，其次是瓜蒌、薤白、砂仁、檀香等；药物组合频次由高到低排序，前5位分别是“薤白，瓜蒌” “丹参，瓜蒌” “薤白，丹参” “薤白，丹参，瓜蒌” “砂仁，瓜蒌”；药物之间的关联规则显示丹参、瓜蒌、薤白、檀香、砂仁等药物居于网络图中间，均为张学文教授诊治胸痹气滞痰阻血瘀证最常用的中药。结论：张学文教授治疗胸痹气滞痰阻血瘀证以理气、活血化瘀、化痰类药物为主。
Abstract:
Objective: To dig into Professor Zhang Xuewen′s medication laws of treating thoracic obstruction of Qi stagnation, phlegm obstruction and blood stasis pattern by applying Traditional Chinese Medicine Inheritance Support System(TCMISS). Methods: Professor Zhang Xuewen′s medication experience and medication laws of treating thoracic obstruction of Qi stagnation, phlegm obstruction and blood stasis pattern were analyzed by collecting his medical cases of thoracic obstruction of Qi stagnation phlegm obstruction and blood stasis pattern in the recent five years, and using data mining methods of association rules, system entropy clustering and others. Results: All 103 prescriptions selected were statistically processed, the most frequently used drug was DanShen(Salvia miltiorrhiza), followed by GuaLou (Trichosanthes kirilowii Maxim), XieBai (bulbus allii macrostemi), ShaRen (fructus amomi), TanXiang (sanders) and others; drug pairs ranked from high to low in the frequency, the top five drugs were "XieBai and Gualou", "DanShen and GuaLou", "XieBai and DanShen", "XieBai, DanShen and GuaLou" and "ShaRen and GuaLou"; DanShen, GuaLou, XieBai, TanXiang, ShaRen and others were in the middle of network map among the association rules, which were the commonly used herbs of Professor Zhang Xuewen treating thoracic obstruction of Qi stagnation phlegm obstruction and blood stasis pattern. Conclusion: The drugs of Professor Zhang Xuewen treating thoracic obstruction of Qi stagnation phlegm obstruction and blood stasis pattern are of regulating Qi, promoting blood circulation and removing blood stasis, eliminating phlegm.

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备注/Memo

备注/Memo:
收稿日期：2017-12-02 *基金项目：陕西省社会发展科技攻关项目(编号2016SF-372)；陕西省中医药管理局中医药科研课题(编号15-LC004)。 作者简介：严亚锋(1976—)，男，硕士学位，讲师。研究方向：名老中医用药研究。
更新日期/Last Update: 2018-05-15