从《伤科大成》分析清代医家赵濂治疗骨伤科疾病的组方规律及思想OA

Objective:To explore the prescription and medication rules of the Qing Dynasty orthopedic book"Shangke Dacheng"for the treatment of orthopedic diseases based on data mining,hoping to provide new ideas for clinical medi-cation.Methods:A total of 41 prescriptions for the treatment of orthopedic diseases in"Shangke Dacheng"were sorted out,and association analysis and cluster analysis were performed using Microsoft Excel 2016,IBM SPSS Modeler18.0,and IBM SPSS Statistics 26.0.Results:A total of 41 medical case prescriptions were included,involving 139 kinds of Chinese medicines,with a total frequency of 470 times.There were 7 high-frequency drugs(>10 times),with the high-est frequency being angelica,followed by frankincense,safflower,myrrh,white peony,Chuanxiong,Fructus Aurantii,Tangerine Peel,Rehmannia,Notoginseng,Cooked Rehmannia,And Sappan Wood.The taste of the drugs was mainly bitter,pungent,and sweet,the properties were mainly cold and warm,and the meridians were mainly liver,heart,spleen,and lung.The association analysis obtained a total of 7 core drug groups,and the cluster analysis divided the 20 Chinese medicines into 4 categories.Conclusion:ZHAO Lian's treatment of orthopedic diseases mainly focused on clearing heat and cooling blood,promoting Qi and relieving pain,promoting blood circulation and removing blood stasis,and tonifying the liver and kidney,which can provide a reference for the clinical practice of orthopedics in tradi-tional Chinese medicine.