基于中医传承计算平台探讨邓运明教授治疗腰痛用药规律和学术思想

doi:10.20047/j.issn1673-7210.2023.06.03

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (2435 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To use the Traditional Chinese Medicine Inheritance Computing Platform V3.0 to explore the medication rules and academic thoughts of Professor Deng Yunming, a famous orthopedic expert in Xujiang, in the treatment of lumbago. Methods Through outpatient collection and information department export, lumbago cases received by Professor Deng in the outpatient department of Guoyitang of the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2020 to March 2022 were collected, screened according to inclusion and exclusion criteria, and a case database of “Deng Yunming-Lumbago” was established. The Traditional Chinese Medicine Inheritance Computing Platform V3.0 software was used as a data mining tool, and its syndrome analysis, prescription analysis and other functions were used for data mining. Results A total of 230 cases were included, including 49 symptoms, 16 tongue images, ten pulse images, 18 syndroms, 21 treatment rules and methods, and 211 flavors of drugs. The main effect was tonifying deficiency class, followed by promoting blood circulation for removing blood stasis and removing rheumatism classes. The four nature of drugs were mainly warm and plain, the five flavours were mainly pungent, bitter, and sweet, and the channel tropism were mainly liver, spleen, and kidney channels. There were 126 commonly used drug combinations, and five possible new prescription combinations were obtained by cluster analysis. Conclusion The data mining results corroborate Professor Deng’s theory of “missing the middle” and the differentiation and treatment idea of “treat both inside and outside, and the law seeks to achieve the middle”, and put forward five new prescription combinations which provide a reference for the future clinical diagnosis and treatment of lumbago and further in-depth study and development of Professor Deng’s academic thoughts.

Key words： Academic thought Deng Yunming Traditional Chinese Medicine Inheritance Computing Platform Lumbago Data mining

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHENG Ling1 XIONG Wei2 LI Huanan3 SHAO Zichen1 SUN Weikang1

Cite this article:

CHENG Ling1 XIONG Wei2 LI Huanan3 SHAO Zichen1 SUN Weikang1. Exploration of the medication rules and academic thoughts of Professor Deng Yunming in the treatment of lumbago based on the Traditional Chinese Medicine Inheritance Computing Platform[J]. 中国医药导报, 2023, 20(6): 14-19,41.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.06.03 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I6/14

[1] 黎霞，李多多，程潞瑶，等.中西医治疗慢性腰痛临床研究的有效率定义及其判定标准存在差异：一项概况性评价[J].中国全科医学，2022，25（20）：2534-2540.
[2] 李晓敏，康静，徐斗富，等.基于数据挖掘的中药治疗腰痛的用药规律研究[J].中医临床研究，2021，13（30）：101- 104.
[3] 路黎，马曙明，姚瑶.松解手法配合核心肌群训练治疗腰椎间盘突出症慢性腰痛患者临床效果[J].中国医药导报，2022，19（6）：89-92.
[4] Bontrup C，Taylor WR，Fliesser M，et al. Low back pain and its relationship with sitting behaviour among sedentary office workers [J]. Appl Ergon，2019，81：102894.
[5] Hartvigsen J，Hancock MJ，Kongsted A，et al. Lancet Low Back Pain Series Working Group. What low back pain is and why we need to pay attention [J]. Lancet，2018，391（10137）：2356-2367.
[6] Knezevic NN，Candido KD，Vlaeyen JWS，et al. Low back pain [J]. Lancet，2021，398（10294）：78-92.
[7] Manchikanti L，Singh V，Falco FJ，et al. Epidemiology of low back pain in adults [J]. Neuromodulation，2014，17 Suppl 2：3-10.
[8] 王桂彬，荆琳，潘丽，等.中医治疗腰痛经验[J].中医学报，2021，36（10）：2059-2062.
[9] 李华南，贾蒙，肖松，等.邓运明教授旴江骨伤学术源流考[J].中医学报，2019，34（3）：528-530.
[10] 国家中医药管理局.中医病证诊断疗效标准[M].南京：南京大学出版社，2016：50-51.
[11] 国家药典委员会.中华人民共和国药典[S].一部.北京：中国医药科技出版社，2020.
[12] 楚鎏慈，宋立群，贠捷，等.基于中医传承计算平台探究宋立群教授治疗糖尿病肾病的中药组方规律[J].中医药学报，2021，49（3）：27-33.
[13] 陈栋，陈春慧，胡志超，等.中国成人腰痛流行病学的系统评价[J].中国循证医学杂志，2019，19（6）：651-655.
[14] 郑为波，杨进锋，夏威夷，等.基于《黄帝内经》探讨腰痛的经络系统分层特点及针刺治疗方法[J].中医正骨，2022，34（3）：56-57，60.
[15] 刘云，李婷，李玲，等.经典名方甘姜苓术汤文献综述[J].中国中药杂志，2020，45（24）：5929-5943.
[16] 于子涵，孙鼎，苏励.基于数据挖掘的《千金方》治疗腰痛用药规律研究[J].上海中医药杂志，2020，54（7）：47-51.
[17] 史晓，杨雯.《丹溪治法心要》腰痛篇浅析[J].国际中医中药杂志，2014，36（12）：1128-1129.
[18] 李福海，赵汉青，王雪红，等.“运脾化浊”思想的临证运用[J].中国医药导报，2021，18（32）：143-146.
[19] 李华南，贾蒙，彭伟雄，等.邓运明教授固中清消法治疗痛风学术思想研究[J].时珍国医国药，2019，30（6）：1493- 1495.
[20] 侯宇龙，王晶石，王旭凯.牛膝治疗腰椎间盘突出症潜在作用机制的网络药理学分析[J].中国组织工程研究，2021，25（17）：2734-2739.
[21] 苏娅，孔征，霍仕霞，等.大孔树脂分离纯化毛蕊花糖苷的研究[J].中国医药导报，2019，16（31）：30-33，41.
[22] 孙梅，闵丽，孙瑶，等.基于数据挖掘的6种疼痛病方剂用药规律比较研究[J].中国中药杂志，2019，44（8）：1682- 1688.
[23] 马萌，阮琼，伍廷芸.川续断对骨组织改建的研究进展[J].中国当代医药，2022，29（2）：29-32，37.
[24] 王志光，商艳慧，谭涛，等.独活续断汤对不同类型腰间盘突出症患者临床疗效、生活能力的影响及机制[J].中国实验方剂学杂志，2019，25（4）：63-69.
[25] 余志杰，李劲松，彭伟，等.息风止痉类动物药在中枢神经系统疾病中的研究进展[J].中国中药杂志，2018，43（6）：1086-1092.