| 引用本文: |
樊炜静,张秋艳,金潇,张凡帆,霍巧玲,付常庚,陈泽吉,原方,李谦毅,杨宝钟.运用中医传承辅助平台对庞鹤教授治疗慢性下肢静脉性水肿用药规律的分析研究[J].湖南中医药大学学报,2019,39(3):367-371[点击复制] |
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| 运用中医传承辅助平台对庞鹤教授治疗慢性下肢静脉性水肿用药规律的分析研究 |
| 樊炜静,张秋艳,金潇,张凡帆,霍巧玲,付常庚,陈泽吉,原方,李谦毅,杨宝钟 |
| (北京中医药大学, 北京 100029;北京中医药大学 东方医院, 北京 100078;南方医科大学附属普宁市人民医院, 广东 普宁 515300) |
| 摘要: |
| 目的 分析庞鹤教授治疗慢性下肢静脉性水肿的用药规律。方法 收集庞鹤教授治疗慢性下肢静脉性水肿的医案，将信息录入中医传承辅助平台，进行数据分析。结果 共纳入处方256首，涉及中药113味，使用药物以温性药、寒性药为主，多用甘、苦、辛味药，以肝、脾、肺、心、肾、胃经为主，使用频次最高的前5位药物是黄芪、当归、茯苓、车前子、丹参；使用频率最高的用药模式和关联规则是黄芪-当归和黄芪-茯苓。结论 庞鹤教授治疗慢性下肢静脉性水肿温补脾肾为先，兼顾补益肺气、调肝养血，以益气健脾、活血化瘀、利水渗湿药物为主，随症加减。 |
| 关键词: 慢性下肢静脉性水肿 用药规律 数据挖掘 庞鹤 |
| DOI：10.3969/j.issn.1674-070X.2019.03.018 |
| 投稿时间：2018-11-02 |
| 基金项目:北京市科委首都市民健康培育项目（Z151100003915132） |
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| Medication Rule of Professor Pang He's Prescriptions for the Treatment of Chronic Venous Edema of the Lower Extremities: An Analysis Based on Traditional Chinese Medicine Inheritance Support System |
| FAN Weijing,ZHANG Qiuyan,JIN Xiao,ZHANG Fanfan,HUO Qiaoling,FU Changgeng,CHEN Zeji,YUAN Fang,LI Qianyi,YANG Baozhong |
| (Beijing University of Chinese Medicine, Beijing 100029, China;Dongfang Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100078, China;Puning People's Hospital Affiliated to Southern Medical University, Puning, Guangdong 515300, China) |
| Abstract: |
| Objective To investigate the medication rule of Professor Pang He's prescriptions for the treatment of chronic venous edema of the lower extremities. Methods The medical records of patients with chronic venous edema of the lower extremities who were treated by Professor Pang He were collected, and related information was entered into the Traditional Chinese Medicine Inheritance Support System (TCMISS) for data analysis. Results A total of 256 prescriptions were included, with 113 Chinese medicines involved. Most of these drugs were warm or cold, and more sweet, bitter, and pungent drugs were used. Most drugs acted on the liver, spleen, lung, heart, kidney, and stomach meridians. The five most commonly used drugs were Astragalus membranaceus, Angelica sinensis, Poria cocos, Semen plantaginis, and Salvia miltiorrhiza. The most frequently used mode of medication and association rules were Astragalus membranaceus-Angelica sinensis and Astragalus membranaceus-Poria cocos. Conclusion In the treatment of chronic venous edema of the lower extremities, Professor Pang He firstly focuses on warm tonification of the spleen and the kidney and then considers tonifying lung Qi, regulating the liver, and nourishing the blood. The Qi-tonifying and spleen-strengthening, blood-activating and stasis-resolving, and diuresis-inducing and dampness-draining drugs are commonly used and modified according to symptoms. |
| Key words: chronic venous edema of the lower extremities medication rule data mining Pang He |
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