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Excavation the medication rule of famous old Chinese medicine practitioners in the treatment of perimenopausal insomnia based on the traditional Chinese medicine inheritance assistance system #br# |
WANG Yanying1 MA Kun2▲ FEI Fei3▲ |
1.Department of Gynaecology, Eye Hospital China Academy of Chinese Medical Sciences, Beijing 100040, China;
2.Department of Gynaecology, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing 100091, China;
3.Department of Traditional Chinese Medicine, Shijingshan District Maternal and Child Health Center of Beijing, Beijing 100040, China |
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Abstract Objective To study the prescription medication rule of famous old Chinese medicine practitioners in the treatment of perimenopausal insomnia by using traditional Chinese medicine inheritance assistance system (V2.5) software. Methods To study the medical prescription related to perimenopausal insomnia symptoms in three medical records The Classic Medical Records of Great Chinese Medicine· Symptoms· Perimenopausal Diseases, Syndrome Before and After Menopause, Analysis of Cases of Famous Doctors in Gynecology. Through the traditional Chinese medicine inheritance assistance system (V2.5) software, the frequency of medicines, the nature and flavour and channel tropism of medicines and the regularity of prescriptions used by famous old Chinese medicine practitioners in the treatment of perimenopausal insomnia were analyzed and studied. Results A total of 118 prescriptions involving 212 traditional Chinese medicines were screened out. The statistics on the frequency of medicines showed that there were 13 medicines with frequency greater than or equal to 29 times. The statistics of nature and flavour and channel tropism showed that cold medicine accounted for the largest proportion of traditional Chinese medicine, mainly in the liver, heart, and kidney meridians. The most frequently used Os Draconis and Concha Ostreae drug pairs were extracted. Four new candidates for the treatment of perimenopausal insomnia were extracted. Conclusion Famous old Chinese medicine treatment of insomnia, liver, heart, kidney meridian drugs for the most, nourishing yin and clearing heat mainly, while using Os Draconis and Concha Ostreae drug pairs. The new formula combination suggests that in the treatment of perimenopausal insomnia, attention should be paid to the conditioning of viscera and liver, and by calming liver yang, clearing liver heat, resolving liver depression to achieve the effect of tranquilizing.
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[1] 范振宁,杨娟.中医对围绝经期综合征的认识与治疗[J].上海中医药大学学报,2018,32(3):12-16.
[2] 马学竹,李秋艳,陈銶发,等.围绝经期综合征中医治疗研究进展[J].世界中西医结合杂志,2016,11(9):1329.
[3] 刘杰,李婧,夏宝国.1434例中年女性睡眠障碍现状调查[J].生殖医学杂志,2018,27(8):793-797.
[4] 上海医科大学《实用内科学》编辑委员会编.实用内科学[M].北京:人民卫生出版社,1994:2164.
[5] 陈静婷,樊省安,董玲.李妍怡治疗围绝经期妇女失眠经验总结[J].西部中医药,2018,31(9):68.
[6] 马堃,陈燕霞,董美玲.补肾活血方治疗肾虚血瘀型围绝经期睡眠障碍的临床研究[J].中国中医药杂志,2019, 44(6):1069.
[7] 李俊驰,章舒,曾琼仙,等.昆明市围绝经期妇女健康状况及影响因素分析[J].中国妇幼保健,2008,17(5):329.
[8] 李颖,郁琦,马良坤,等.北京城区围绝经期妇女更年期症状分析[J].生殖医学杂志,2016,3(18):3806.
[9] 朱虹丽.大国医经典医案诠解·病症篇·围绝经期诸证[M].北京:中国医药科技出版社,2016:1-159.
[10] 王小云,杨洪艳.绝经前后诸证[M].北京:中国中医药出版社,2015:333-369.
[11] 谢文英,霍华英.妇科病名医验案解析[M].北京:中国科学技术出版社社,2018:210-219.
[12] 周仲瑛.中医内科学[M].北京:中国中医药出版社,2007:146.
[13] 高学敏.中药学[M].北京:中国中医药出版社,2007: 144-484.
[14] 国家药典委员会.中华人民共和国药典[M].一部.北京:中国医药科技出版社,2015:108-391.
[15] 马珂,刘芳,周胜强,等.国医大师刘祖贻运用益肾疏肝安神法治疗围绝经期失眠经验[J].中华中医药杂志,2020, 35(3):1242-1244.
[16] 陈晞.揿针联合黄连阿胶汤治疗肾虚肝郁型围绝经期失眠症临床观察[J].新中医,2018,50(1):115-118.
[17] 魏士雄,徐波,刘琼,等.探讨女性更年期失眠的中医发病机制及防治[J].时珍国医国药,2018,29(3):653-655.
[18] 冯娟.肾肝心三脏在围绝经期综合征发病中的作用[J].南京中医药大学学报,2005,21(3):146-147.
[19] 史玉梅,谈勇,夏桂成.夏桂成教授治疗围绝经期综合征经验举隅[J].南京中医药大学学报,2005,21(2):116-117.
[20] 程巍,李长慧,王艳萍.“围绝经期综合征”中医健康状态辨识体系专家共识[J].西部中医药,2021,34(9):89-91.
[21] 张堃,邵素菊,张应虎.邵素菊针刺治疗更年期失眠的经验[J].中华中医药杂志,2016,31(7):2639-2641.
[22] 周卫星.针灸治疗更年期失眠RCT国内文献质量评价[J].西部中医药,2021,34(10):84-88.
[23] 崔淑兰,吴晨燕,张平,等.围绝经期综合征中医证候及用药规律文献研究[J].中医杂志,2019,60(22):1968-1971.
[24] 崔应麟,郑伟锋.失眠症中医证候分布规律的文献研究[C]//中国睡眠研究会中国睡眠研究会第六届学术年会论文汇编,成都,2010:4.
[25] 唐娜娜,余建伟,吴长汶,等.失眠的阴证阳证探析[J]中华中医药杂志,2017,32(5):2178-2181.
[26] 梁立新,哈雁翔,林孟柯,等.刘清泉教授从调和肝脾论治失眠经验探讨[J]世界中医药,2018,13(10):2377-2380.
[27] 张娅,黄俊山,吴松鹰,等.围绝经期失眠症中医证候分布及其特点[J].中医杂志,2013,53(18):1574. |
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