基于中医传承辅助平台探讨潘月丽教授治疗小儿原发性遗尿的用药经验

发布时间：2018-08-27 06:26

【摘要】：目的:基于中医传承辅助平台,分析导师潘月丽教授治疗小儿原发性遗尿的用药及组方特点,总结其用药经验。方法:通过收集2012年12月至2016年12月山东中医药大学附属医院儿科潘月丽教授治疗小儿原发性遗尿的341份门诊处方,采用双人双录入的方法逐一录入“中医传承辅助平台(V2.5)”,通过平台“数据分析”模块中“组方分析”对录入方剂进行分析,得出药物频率、药物关联系数、新方等数据,从而分析用药规律,总结导师治疗经验。结果:(1)常用药物前20位依次为:甘草、桑螵蛸、益智仁、炙麻黄、石菖蒲、菟丝子、炒白术、黄芪、柴胡、补骨脂、党参、覆盆子、乌药、山药、远志、五味子、鸡内金、金樱子、茯苓、升麻。其中补虚药应用最广泛,占药物总频次的38.4%,其次是收涩药(15.5%)、解表药(11.9%)、清热药(6.2%)、理气药(6.0%)、开窍药(4.6%)等。(2)所用药物药性以温、平为主,累积82.5%;凉、热性药使用较少,累积2.2%。药味以甘、辛、苦类药物最常用,累积86.5%;酸、咸、涩、淡使用较少,累积13.5%。所用药物多归脾、肾、肺、肝、胃、心等经,累积86.5%;而入膀胱、大肠、胆、小肠、三焦、心包经药物较少,累积13.5%。(3)共得到常用药物组合27条;可聚类新处方的核心组合6对,新处方6首。结论:导师治疗小儿原发性遗尿用药以补虚、收涩为主,强调“虚”是本病重要的致病因素,认为肺脾肾三脏不足,膀胱气化功能失司是本病的基本病机,而肺失宣肃、心脑闭郁亦与本病相关;治疗中标本兼顾,并注重宣肺、开窍之品的应用。
[Abstract]:Aim: to analyze the characteristics of medication and prescription for primary enuresis in children treated by Professor Pan Yueli, a tutor, based on the platform of traditional Chinese Medicine (TCM) inheritance. Methods: from December 2012 to December 2016, a total of 341 outpatient prescriptions of Pediatrics Professor Pan Yueli, affiliated Hospital of Shandong University of traditional Chinese Medicine, for the treatment of primary enuresis in children were collected. Through the analysis of the input prescription in the "data analysis" module of the platform, the data such as drug frequency, drug correlation coefficient and new prescription are obtained, so as to analyze the law of drug use and sum up the experience of tutor in treatment. Results: (1) the top 20 commonly used drugs were: licorice, odes, Acorus calamus, Cuscuta, Atractylodes macrocephala, Radix Astragali, Radix Bupleurum, psoralen, Codonopsis pilosula, Raspberry, Black Poison, yam, Radix Polygala, Schisandra chinensis, Chicken Internal Gold. Golden cherry, Poria cocos, cohosh. Among them, tonifying and deficiency medicine is the most widely used, accounting for 38.4% of the total frequency of the drug, followed by astringent medicine (15.5%), antitabular medicine (11.9%), heat-clearing medicine (6.2%), Qi regulating medicine (6.0%), prescribing medicine (4.6%), etc. Gan, Xin, bitter medicine is the most commonly used medicine, accumulated 86.5; acid, salty, astringent, light use less, cumulative 13.5. The drugs used were mostly returned to spleen, kidney, lung, liver, stomach, heart and so on, and accumulated 86.5; and entered the bladder, large intestine, bile, small intestine, tri-coke, pericardial meridian less, accumulated 13.5. (3) A total of 27 commonly used drug combinations were obtained, and 6 pairs of core combinations of new prescriptions for clustering were obtained. 6 new prescriptions. Conclusion: the primary enuresis of children treated by tutor is mainly caused by deficiency and astringency. It is emphasized that deficiency is an important pathogenic factor of this disease. It is considered that deficiency of lung, spleen and kidney, loss of bladder gasification function is the basic pathogenesis of this disease, and that of lung loss is Xuansu. Heart-brain stagnation is also associated with this disease; the treatment of both specimens, and focus on the application of lung, orifices.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R272

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