湖南中医药大学学报2024，Vol.44Issue(1)：93-100,8.DOI:10.3969/j.issn.1674-070X.2024.01.014
国医大师熊继柏治疗失眠的方药规律分析
National TCM Master XIONG Jibo's formulation and medication rules for treating insomnia
摘要
Abstract
Objective To conduct data mining on insomnia cases treated by Professor XIONG Jibo,the National TCM Master,and analyze his formulation and medication experience.Methods Based on the Chinese Medicine Inheritance Auxiliary Platform Software(V3.5),the outpatient medical records of insomnia patients treated by Professor XIONG at the First Hospital of Hunan University of Chinese Medicine were summarized and analyzed.Statistical methods such as association rules and complex system entropy clustering of the platform software were used.The properties and flavors of Chinese medicines,their meridian affinity,application frequency,combinations of medicine pairs,and combinations of formulas were summarized,and the"pattern-symptom-formula","pattern-symptom-medication",and"pattern-formula-medication"were correlated.Combined with Professor XIONG's understanding of the etiology,pathogenesis,and treatment principles and methods of insomnia,the core medication was clarified and the diagnosis and treatment rules as well as formulation and medication experiences for insomnia were explored.Results A total of 276 medical records were included.The most frequently used Chinese medicines were Suanzaoren(Zziziphi Spinosae Semen),Longchi(Dens Draconis),Fushen(Sclerotium Poriae Pararadicis),and Gancao(Glycyrrhizae Radix Rhizoma),which tonify deficiency and calm the mind;Huanglian(Coptidis Rhizoma),Chenpi(Citri Reticulatae Pericarpium),Zhuru(Bambusae Caulis Taenias),Banxia(Pinelliae Rhizoma),Zhenzhumu(Margaritifera Concha),and Yuanzhi(Polygalae Radix),which mainly function to clear heat,transform phlegm,and calm the mind.The frequently used Chinese medicines were sweet,bitter,and pungent in flavor,and mostly entered the heart and spleen meridians.It was concluded that the commonly used combination of formulas for treating deficiency-pattern insomnia were Suanzaoren Decoction,Zhenzong Pill and Ganmai Dazao Decoction;the main formulas for treating insomnia caused by phlegm were Wendan Decoction and the like,such as Zaoren Wendan Decoction,Huanglian Wendan Decoction,and Shiwei Wendan Decoction.Conclusion National TCM Master XIONG Jibo's treatment of insomnia follows the principle of"tonifying the spleen,transforming phlegm,clearing heat,nourishing blood,supplementing the liver,and calming the heart",with Wendan Decoction as the basic formula with modifications.关键词
失眠/国医大师/熊继柏/温胆汤/中医传承辅助平台/数据挖掘Key words
insomnia/National TCM Master/XIONG Jibo/Wendan Decoction/Chinese Medicine Inheritance Auxiliary Platform/data mining分类
医药卫生引用本文复制引用
张涛,欧阳青兰,莫镜颖,杨季,张毅,谭超..国医大师熊继柏治疗失眠的方药规律分析[J].湖南中医药大学学报,2024,44(1):93-100,8.基金项目
国家中医药管理局"国医大师熊继柏传承工作室"资助项目(04-19-02) （04-19-02）
国家中医药管理局第六批全国老中医药专家学术经验继承工作(国中医药人教发[2017]29号) （国中医药人教发[2017]29号）
湖南省中医药科研计划一般项目(2021134) （2021134）
湖南中医药大学第一附属医院资助项目(XJB202204). （XJB202204）
