[1]朱建平,田原,鲁欣羽,等.基于数据挖掘技术探讨国医大师张震论治不寐经验[J].西部中医药,2024,37(08):24-27.[doi:10.12174/j.issn.2096-9600.2024.08.06]
　ZHU Jianping,TIAN Yuan,LU Xinyu,et al.Data Mining-Based Discussion on National Master of TCM Zhang Zhen′s Experience in Treating Insomnia[J].Western Journal of Traditional Chinese Medicine,2024,37(08):24-27.[doi:10.12174/j.issn.2096-9600.2024.08.06]
点击复制

基于数据挖掘技术探讨国医大师张震论治不寐经验
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年08期
页码:
24-27
栏目:
名医名家
出版日期:
2024-08-15

文章信息/Info

Title:
Data Mining-Based Discussion on National Master of TCM Zhang Zhen′s Experience in Treating Insomnia
作者:
朱建平1, 田原2, 鲁欣羽1, 田春洪2, 张震,
1.云南中医药大学第一临床医学院，云南 昆明 650200
2.云南省中医中药研究院，云南 昆明 650000
Author(s):
ZHU Jianping1, TIAN Yuan2, LU Xinyu1, TIAN Chunhong2, Director: ZHANG Zhen,
1.First Clinical Medical College, Yunnan University of Chinese Medicine, Kunming 650200, China
2.Yunnan Institute of Traditional Chinese Medicine, Kunming 650000, China
关键词:
不寐; 名医辅助平台; 数据挖掘; 用药规律; 张震
Keywords:
insomnia; TCMISS; data mining; medication laws
分类号:
R249
DOI:
10.12174/j.issn.2096-9600.2024.08.06
文献标志码:
A
摘要:
目的利用名医传承平台，探讨“国医大师”张震教授治疗不寐的处方用药规律及经验。 方法将2009年1月1日至2011年12月31日间田春洪教授随诊张震教授，记录的112份不寐病例，将症状、处方用药等录入“名医传承平台”，进行审核和核对；对核心及辅助药物、两味中药间关联度、中药与症状的关联度进行数据挖掘与分析；结合张震教授临证经验，对数据挖掘结果进行分析。 结果数据分析得出核心药物共31味，前五位依次为甘草、钩藤、薄荷、夜合花、茯神；两药关联度得出8515个组合，前五位依次为首乌藤与酸枣仁、延胡索与香附、砂仁与木香、酸枣仁与钩藤、酸枣仁与茯神；原始处方中伴随症状频率＞10%的症状依次为心悸、头昏、乏力、神倦、耳鸣、头晕、头痛，对应药物分别为麦冬、葛根、香附、延胡索、葛根、防风、延胡索等。 结论张震教授治疗不寐的药物以疏肝解郁、疏调气机安神为主，用药特点为药法自然、选用“隐药”，荣养心阴、助神守舍，气机条畅、夜眠安然等，常以药对增强方药治疗失眠的效果。
Abstract:
ObjectiveTo discuss national master of TCM and professor Zhang Zhen's medication laws and experience in treating insomnia using auxiliary platform for famous doctors. MethodsThe symptoms, the prescriptions and the medications of 112 cases of insomnia which were recorded by professor Tian Chunhong between January 1, 2009 and December 31, 2011, were entered into "auxiliary platform for famous doctors", examined and checked; data mining and analysis of the associations between the core drugs and auxiliary drugs, between two drugs, the medicine and symptoms were carried out, and the results were analyzed in combination with Professor Zhang Zhen's clinical experience. ResultsThe data analysis has yielded 31 core herbs, and the top five ones were Gancao (glycyrrhizae radix et rhizoma), Gouteng (Uncariae ramulus cum uncis), Bohe (Menthae haplocalycis herba), Yehehua (Albiziae flos) and Fushen [Poria cocos (Schw) wolf.]; Two-drug correlations yielded 8515 combinations, and the top five combinations were Shouwuteng (Polygoni multiflori caulis) and Suanzaoren (Ziziphi spinosae semen), Yanhusuo (Corydalis rhizoma) and Xiangfu (Cyperi rhizoma), Sharen (Amomi fructus) and Muxiang (Aucklandiae radix), Suanzaoren and Gouteng, Suanzaoren and Fushen; The concomitant symptoms with the frequency greater than 10% from the original prescriptions were palpitation, dizziness, weakness, weariness, tinnitus, vertigo and headache, the corresponding herbs were Maidong, Gegen, Xiangfu, Yanhusuo, Gegen, Fangfeng and Yanhusuo respectively. ConclusionThe drugs used in the treatment of insomnia by Profressor Zhang Zhen could disperse stagnated liver Qi and relieve Qi stagnation, adjust Qi movement and tranquilise the mind mainly, and the medication is characterized by natural pharmaceutical law, and selection of "hidden medicine", which could nourish heart Yin, and tranquilise the mind, in order to ensure the patients' smooth Qi movement and sound sleep, and he often applies the drug combinations to improve clinical effects for insomnia.

相似文献/References:

[1]张竹君,王煜.王自立主任医师治疗不寐验案举隅[J].西部中医药,2014,27(04):26.
　ZHANG Zhujun,WANG Yu.Examples of Chief Physician Wang Zili′s Experience of Treating Insomnia[J].Western Journal of Traditional Chinese Medicine,2014,27(08):26.
[2]陈萍,王淼,吴佳璇.李氏引火汤治疗女性更年期不寐 58 例[J].西部中医药,2014,27(08):57.
[3]杨衍涛.坤宁益寐汤治疗女性更年期不寐76例[J].西部中医药,2017,30(08):87.
　YANG Yantao.Treating 76 Female Patients with Menopausal Insomnia by KunNing YiMei Tang[J].Western Journal of Traditional Chinese Medicine,2017,30(08):87.
[4]田苗,王建强.王自立教授从“胃不和则卧不安”论治不寐经验[J].西部中医药,2018,31(08):34.
　TIAN Miao,WANG Jianqiang.Professor Wang Zili′s Experience of Discussing and Treating Insomnia Based on "Discomfort in the Stomach could Cause Restless Sleep"[J].Western Journal of Traditional Chinese Medicine,2018,31(08):34.
[5]谢晓磊,景静,李静△.穴位按压配合中药足浴对心脾两虚证不寐患者睡眠状况的影响[J].西部中医药,2018,31(11):95.
　XIE Xiaolei,JING Jing,LI Jing.Effects of Acupoint Pressure and Herbal Lavipeditum on Sleep Conditions of the Patients with Insomnia of Heart-spleen Dual Deficiency Pattern[J].Western Journal of Traditional Chinese Medicine,2018,31(08):95.
[6]王晓晗,刘源香△.礞石滚痰汤加减治疗痰热内扰型不寐30例[J].西部中医药,2019,32(06):63.
　WANG Xiaohan,LIU Yuanxiang.Modified MengShi GunTan Tang in the Treatment for 30 Cases of Insomnia of Phlegm-heat Internal Disturbance Pattern[J].Western Journal of Traditional Chinese Medicine,2019,32(08):63.
[7]杜雪梅,卿立金,吴伟.吴伟教授基于“五脏相关”理论应用酸枣安神膏治疗不寐之经验[J].西部中医药,2021,34(02):55.[doi:10.12174/j.issn.1004-6852.2021.02.01]
　DU Xuemei,QING Lijin,WU Wei.Professor Wu Wei′s Experience in Treating Insomnia with Suanzao Anshen Ointment Based on "Five Viscera Correlation" Theory[J].Western Journal of Traditional Chinese Medicine,2021,34(08):55.[doi:10.12174/j.issn.1004-6852.2021.02.01]
[8]张晓乐,唐显群.基于“五神脏-肺魄”理论探讨加味沙参麦冬汤论治失眠[J].西部中医药,2021,34(06):52.[doi:10.12174/j.issn.2096-9600.2021.06.13]
　ZHANG Xiaole,TANG Xianqun.Discussion on Modified Shashen Maidong Decoction in Treating Insomnia Based on the Theory of ″Five-spirits-viscera-lung corporeal soul″[J].Western Journal of Traditional Chinese Medicine,2021,34(08):52.[doi:10.12174/j.issn.2096-9600.2021.06.13]

备注/Memo

备注/Memo:
朱建平（1996—），男，硕士学位。研究方向：中医全科医学临床应用研究。国家重点研发计划项目（2018YFC1704104）。
更新日期/Last Update: 2024-08-15