| 摘要: |
| 目的：基于古今医案云平台分析胡国恒教授治疗失眠的用药规律。方法：整理2015年1月1日至2019年12月31日湖南中医药大学第一附属医院胡教授门诊治疗失眠的医案1550份，运用古今医案云平台（V2.3.8）进行统计分析。结果：最终纳入处方1383首，涉及中药224味；高频中药44味，包括酸枣仁、远志、首乌藤、茯苓、当归等，性味多甘平、甘温、苦寒，归经多入心、脾、肺经，功效以养血安神、润肠通便、止汗、健脾、交通心肾为主；关联规则分析显示常用药对为酸枣仁-远志、酸枣仁-首乌藤、首乌藤-远志等；聚类分析可将药物分为6类；复杂网络分析得出核心药物组合为酸枣仁汤合归脾汤加减。结论：胡教授治疗失眠主张以益气健脾、宁心安神为主，兼以疏肝清热、理气化痰、交通心肾为法。 |
| 关键词: 失眠 用药规律 古今医案云平台 数据挖掘 胡国恒 |
| DOI： |
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| Medication rule of Hu Guoheng in treatment of insomnia based on Ancient and Modern Medical Records Cloud Platform |
| YIN Shuting,XIE Lihua,XU Yixuan |
| (Hunan University of Chinese Medicine，Changsha 410208，Hunan，China) |
| Abstract: |
| Objective：To investigate the medication rule of Professor Hu Guoheng in the treatment of insomnia based on Ancient and Modern Medical Records Cloud Platform.Methods：Ancient and Modern Medical Records Cloud Platform (V2.3.8) was used to perform a statistical analysis of 1550 medical records of insomnia treated by Professor Hu Guoheng at the outpatient service of The First Affiliated Hospital of Hunan University of Chinese Medicine from January 1，2015 to December 31，2019.Results：A total of 1383 prescriptions were included，involving 224 traditional Chinese medicine (TCM) drugs，among which there were 44 high-frequency TCM drugs，including Semen Ziziphi Spinosae，Polygala tenuifolia，Polygni Multiflori Caulis，Poria cocos，and Angelica sinensis.Most of the drugs entered the heart，spleen，and lung meridians，and the main functions included nourishing the blood and tranquilizing mind，moistening the intestine and relaxing the bowel，reducing sweat，strengthening the spleen，and coordinating the heart and the kidney.Association rule analysis showed that commonly used drug combinations included Semen Ziziphi Spinosae-Polygala tenuifolia，Semen Ziziphi Spinosae-Polygni Multiflori Caulis，and Polygala tenuifolia-Polygni Multiflori Caulis.The drugs were classified into 6 categories based on cluster analysis，and complex network analysis showed that Suanzaoren decoction combined with modified Guipi decoction was the core drug combination.Conclusion：Professor Hu advocates that the Qi-tonifying and spleen-invigorating therapy and the heart-calming and mind-tranquilizing therapy are the main methods for the treatment of insomnia，in combination with the methods of soothing the liver and clearing heat，regulating Qi and removing phlegm，and coordinating the heart and the kidney. |
| Key words: insomnia medication rule Ancient and Modern Medical Records Cloud Platform data mining Hu Guoheng |
