Analysis of excavation of the prescription rule of Guide to Clinical Practice with Medical Records · Distention and Fullness based on Ancient and Modern Medical Cases Cloud Platform
CHEN Yulian1 LIANG Jiayi2 HE Riming3 LU Jiandong3 YANG Shudong3#br#
1.The Fourth Clinical School of Medicine, Guangzhou University of Chinese Medicine, Guangdong Province, Shenzhen 518033, China;
2.the Queen’s University of Belfast Joint College, China Medical University, Liaoning Province, Shenyang 110000, China;
3.Department of Nephrology, Shenzhen Traditional Chinese Medicine Hospital, Guangdong Province, Shenzhen 518033, China
Abstract：Objective To analyze the rules of prescription medication in Guide to Clinical Practice with Medical Records · Distention and Fullness, and to summarize the diagnosis and treatment ideas of Ye Tianshi in treating distention and fullness syndrome. Methods The medical records and prescriptions of Guide to Clinical Practice with Medical Records · Distention and Fullness were input into the Ancient and Modern Medical Cases Cloud Platform, and the drug frequency, drug attribute, drug compatibility rule, and others of medical records were explored by means of frequency statistics, association rule analysis, cluster analysis, community analysis. Results A total of 30 prescriptions and 61 traditional Chinese medicines were included. The high-frequency drugs were Pinelliae Rhizoma, Armeniacae Semen Amarum, Poria, etc. The four nature of drugs were mainly warm drugs, and the five flavors were mainly pungent and bitter, mainly returning to the lung and spleen channels. Drug efficacy to eliminate dampness and phlegm as the method; drug association analysis suggested that the commonly used couplet medicines of traditional Chinese medicine was Pinelliae Rhizoma - Poria, and three drug formulations were obtained by cluster analysis. “Traditional Chinese medicine syndrome-Traditional Chinese medicine” community analysis found that the dampness- blocking qi syndrome was related to Citri Exocarpium Rubrum-Alpiniae Officinarum Rhizoma-Pogostemonis Herba- Linderae Radix; the stomach-cold syndrome was related to Euodiae Fructus-Toosendan Fructus; the chest with impaired transportation due to qingyang syndrome was related to Atractylodis Macrocephalae Rhizoma - Poria - Cinnamomi Ramulus - Glycyrrhizae Radix Et Rhizoma, etc. Conclusion Ye Tianshi uses the method of Kuxin Tongjiang in the treatment of distention and fullness syndrome, and combines with the methods of releasing heat, eliminating dampness and eliminating stagnation according to the symptoms. He also adds and subtracts drugs according to the different concurrent symptoms, which is getting good compatibility.
陈玉链1 梁嘉仪2 何日明3 卢建东3 杨曙东3. 基于古今医案云平台挖掘分析《临证指南医案·痞》用药规律[J]. 中国医药导报, 2022, 19(35): 23-27.
CHEN Yulian1 LIANG Jiayi2 HE Riming3 LU Jiandong3 YANG Shudong3. Analysis of excavation of the prescription rule of Guide to Clinical Practice with Medical Records · Distention and Fullness based on Ancient and Modern Medical Cases Cloud Platform. 中国医药导报, 2022, 19(35): 23-27.
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