| 摘要: |
| 目的：应用中医传承辅助平台（V3.5）对车念聪教授治疗胃痞的用药规律进行分析。方法：收集 2022年1月1日至 2023年12月31日车教授门诊治疗的132 例胃痞患者的首诊处方，采用中医传承辅助平台（V3.5）对其进行标准化录入，构建处方数据库，采用该系统的方剂分析等模块进行数据挖掘，分析处方用药规律。结果：132首处方中，排名前5位的药物依次为茯苓、白术、合欢皮、紫苏梗及党参;药性以温性频次最高，其次为寒性;药味以苦味频次最高，其次为甘味;药物归经以脾经频次最高，其次为肺经;常用的药物组合以白术-茯苓为主。根据药物关联规则演化得到关联规则5个，挖掘聚类新处方5组。结论：车教授治疗胃痞注重“五脏相关”，尊崇健脾益气的原则，用药以“平”为主，并重视情志气机的调畅。 |
| 关键词: 胃痞 车念聪 中医传承辅助平台 组方规律 数据挖掘 |
| DOI： |
|
|
| Medication rule of Che Niancong in treatment of distention and fullness at stomach |
| ZHANG Minyu,CHENG Hao,WEI Xiaoyi |
| (School of Traditional Chinese Medicine，Capital Medical University，Beijing 100069，China;Xuanwu Hospital of Traditional Chinese Medicine，Beijing 100050，China;Beijing Friendship Hospital，Capital Medical University，Beijing 100050，China) |
| Abstract: |
| Objective：To investigate the medication rule of Professor Che Niancong in the treatment of distention and fullness at stomach using Traditional Chinese Medicine Inheritance Support System (V3.5).Methods：Prescriptions at initial diagnosis were collected from 132 patients with distention and fullness at stomach who were treated at the outpatient service of Professor Che from January 1，2022 to December 31，2023，and Traditional Chinese Medicine Inheritance Support System (V3.5) was used to establish a database of prescriptions.The prescription analysis and other modules of this system were used to perform data mining and investigate the medication rule in prescriptions.Results：In the 132 prescriptions，the top five drugs were Poria cocos，Atractylodes macrocephala Koidz.，Cortex Albiziae，Perillae Caulis，and Codonopsis pilosula.The drugs with a warm nature had the highest frequency of use，followed by those with a cold nature;the drugs with a bitter taste had the highest frequency of use，followed by those with a sweet taste;the drugs entering the spleen meridian had the highest frequency of use，followed by those entering the lung meridian.Atractylodes macrocephala Koidz.-Poria cocos was the common drug combination.The association rule analysis obtained five association rules，and the cluster analysis obtained five new prescriptions.Conclusion：In the treatment of distention and fullness at stomach，Professor Che emphasizes the “Five Viscera Correlation Theory”，adheres to the principle of strengthening the spleen and benefiting Qi，and mainly uses neutral drugs，with a focus on activating and harmonizing emotion and Qi-movement. |
| Key words: distention and fullness at stomach Che Niancong Traditional Chinese Medicine Inheritance Support System prescription rule data mining |
