ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (2): 206-209.doi: 10.3969/j.issn.1674-3865.2016.02.028

• 学术探讨 • 上一篇    下一篇

张文焕先生150张小儿脾胃病处方整理及用药特点研究#br#

宋虎杰,李芳芳,王辉   

  1. 710032 西安,西安中医脑病医院流派传承工作室
  • 出版日期:2016-04-25 发布日期:2018-11-19
  • 通讯作者: 李芳芳,E-mail:278294268@qq.com
  • 作者简介:宋虎杰(1962-),男,医学硕士,教授、主任医师,硕士研究生导师。研究方向:中医脑病的研究
  • 基金资助:
    西岐王氏济世堂中医儿科学术流派传承工作室建设项目(LP0127058)

Study on medication characteristic and management of Zhang Wenhuan in treating children with spleen and stomach disease based on 150 prescriptions

SONG Hujie,LI Fangfang,WANG Hui   

  1. Xi′an TCM Brain Disease Hospital,Xi′an 710032,China.
  • Online:2016-04-25 Published:2018-11-19

摘要:
目的:基于中医流派传承处方管理系统软件,分析西岐王氏济世堂中医儿科学术流派第二代代表传承人张文焕先生治疗小儿脾胃病的用药经验。
方法:收集张文焕先生1963年至1966年的部分中医处方存根32册(含残卷在内),约1 500多个处方。对这些处方存根进行编号、拍照、存档、注释,将其中405张儿科处方进行系统录入。选取主治小儿脾胃病的150张处方,在数据统计整理的基础上进行研究,分析处方中药物的使用频次及药物之间的关联规则、处方规律。
结果:对筛选出来的150张处方进行分析,处方中甘草使用频次最高。按照药物出现频次由高到低的顺序,排在前6位的分别是甘草、陈皮、白术、茯苓、苍术、焦三仙,同时补虚药出现频次最高,依次为利水药、理气药、清热药、化湿药。
结论:基于中医传承流派处方管理系统平台开展的张文焕先生治疗小儿脾胃病的数据挖掘和用药规律研究,既为临床治疗小儿脾胃病提供了有效指导,同时也为更好的传承学术思想提供依据。

关键词: 脾胃病, 处方整理, 用药特点, 儿童

Abstract:
Objective:To analyze medication characteristic of ZHANG Wenhuan in treating pediatric spleen and stomach disease based on the prescription management system software of TCM inheritance school.Mr.Zhang is one of the representative inheritors of second generation of Xiqi Wang′s Jishitang pediatric academic TCM school.
Methods:Collect 32 volumes of prescription stubs(more than 1 500 prescriptions) of Mr.Zhang from 1963 to 1966.These prescription stubs were numbered,taken photos,filed and annotated in proper sequence,and 405 pediatric prescriptions were entered in the system.Select 150 prescriptions of pediatric spleen and stomach disease and perform research based on statistical data processing,and analyze drug frequency,association rules among drugs and prescription patterns.
Results:Through analysis of 150 pediatric spleen and stomach disease prescriptions,it was found that liquorice was used the most frequently.In accordance with the order of the drug in frequency from high to low,the top six drugs were liquorice,dried tangerine or orange peel,atractylodes,poria cocos,rhizoma atractylodis and charred triplet.At the same time the medicine to tonify deficiency appeared most frequently,followed by damp dispel diuretic drugs,and qi-regulating drugs,heat-clearing drugs and aromatic damp-resolving drugs.
Conclusion:Based on the prescription management system software platform of TCM inheritance school,study on the data mining and medication regulation of Mr.Zhang in treating children with spleen and stomach disease not only provides effective guidance for clinical treatment of children with spleen and stomach disease,but also provides the basis for better inheriting the academic thoughts.

Key words: Spleen and stomach disease, Prescription management, Medication characteristic, Children