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 ›› 2023, Vol. 15 ›› Issue (5): 379-383.doi: 10.3969/j.issn.1674-3865.2023.05.003

• 儿童抽动障碍康复专栏 • 上一篇    下一篇

基于数据挖掘探析王素梅教授辨治抽动障碍规律研究

刘晓芳, 腾尚宇, 郝宏文, 崔霞, 卫利, 王素梅   

  1. 100078 北京,北京中医药大学东方医院儿科(刘晓芳,郝宏文,卫利,王素梅);100029 北京,北京中医药大学儿科(腾尚宇);100029 北京,北京中医药大学第三附属医院儿科(崔霞)

  • 收稿日期:2023-09-06 出版日期:2023-10-25 上线日期:2023-10-25
  • 通讯作者: 卫利,E-mail:weili0881@163.com

Professor Wang Sumei's law in treating Tourette syndrome based on data mining

LIU Xiaofang, TENG Shangyu, HAO Hongwen, CUI Xia, WEI Li, WANG Sumei   

  1. Dongfang Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100078, China

  • Received:2023-09-06 Published:2023-10-25 Online:2023-10-25
  • Contact: WEI Li,E-mail:weili0881@163.com

摘要: 目的:基于数据挖掘技术对王素梅教授治疗儿童抽动障碍的用药规律进行研究,为治疗抽动障碍患儿提供临床思路。方法 收集王素梅教授治疗抽动障碍患儿的门诊中药处方数据,运用名老中医临床诊疗信息采集系统对筛选出的中药处方进行药物频次统计、药物功效统计、性味归经统计、复杂网络分析等。结果 通过收集与筛选,共纳入诊次1 500次,症状频次前5位分别是眨眼、吭吭、耸肩、扭颈、皱眉。证型分布以脾虚肝亢型为主。使用频次前5位药物分别是防风、荆芥、木瓜、谷精草、伸筋草。药物功效方面,祛风药使用最多,其次为止痛药、平肝药等。药性以温性为主,其次为平性、寒性等;药味以辛味为主,其次为苦味、甘味等;归经以肝经为主,其次为肺经、脾经等;疗效为临床控制与显效的复杂网络核心药物主要有防风、荆芥、茯苓、陈皮、半夏、木瓜等药物。结论 王素梅教授认为抽动障碍病机为脾虚痰聚、肝亢风动,病位多责之肝、脾,治疗多用健脾平肝、息风通络之法,可为临床治疗提供一定参考。


关键词: 抽动障碍, 用药规律, 数据挖掘, 王素梅

Abstract: Objective To study the medication law of Professor Wang Sumei in the treatment of tic disorders (TD) based on data mining technology in order to provide ideas for the clinical treatment of TD. Methods Professor Wang Sumei's TCM prescription data for TD were collected, and the Famous Veteran Chinese Medicine Practitioner Clinical Diagnosis Information Collection System was used to carry out data mining on the selected TCM prescriptions, including drug frequency, efficacy, property, taste and meridian, complex network analysis and so on.Results Through collection and screening, a total of 1 500 case histories were included. The top 5 symptom frequencies of TD were blinking, babbling, shrugging, neck-twisting and frowning. Spleen deficiency and liver hyperactivity was the main type of syndrome. The top 5 herbal medicines were Divaricate saposhniovia root, Fineleaf schizonepeta herb, Pawpaw, Eriocaulon buergerianum, Japanese Clubmoss Herb. As for the efficacy of drugs, anti-wind medicines were used most frequently followed by painkillers and liver-calming medicines. The medicines were mainly warm in property, followed by mild and cold; they mainly pungent in taste, followed by bitter and sweet; they functioned mainly in the liver meridian, followed by the lung and spleen meridians. The drugs with efficacy of clinical control and apparent efficacy in this study were mainly Divaricate saposhniovia root, Fineleaf schizonepeta herb, Eriocaulon buergerianum, Tangerine peel, Pinellia ternata, Pawpaw, etc.Conclusion Professor Wang Sumei believes that the pathogenesis of TD is spleen deficiency and phlegm aggregation as well as liver hyperactivity and wind movement. The disease is mainly in liver and spleen, and the treatment is mainly to strengthen spleen and calm liver, stop wind and dredge collaterals, which can provide some reference for the clinical treatment of TD.

Key words:

Tic disorders, Medication law, Data mining, Wang Sumei