丁元庆教授治疗偏头痛用药规律的研究

发布时间：2018-05-13 13:18

本文选题：丁元庆 + 偏头痛　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:基于“中医传承辅助平台(V2.5)”软件,分析导师丁元庆教授治疗偏头痛的用药经验,进一步丰富和发展偏头痛的防治理论,并为名中医专家经验的总结方法提供思路和参考。方法:采用关联规则Apriori算法、复杂系统熵聚类等数据挖掘方法,分析丁元庆教授治疗偏头痛的病案及处方,探讨丁元庆教授治疗偏头痛的经验以及论治规律。结果:通过对516例病案进行分析,显示偏头痛的核心症状群为有家族史、平素急躁易怒、跳痛或胀痛多见、中重度头痛、部位以颞侧为主、经休息或口服止痛片缓解、伴恶心甚则呕吐、畏光畏声、心烦、舌质暗红,苔薄黄腻,脉沉细等;常见的证候有湿热内蕴证、痰热生风证、瘀热内扰证、阴虚阳旺证等4个。对516首处方进行分析,得出丁元庆教授治疗偏头痛的常用药物为天麻、僵蚕、当归、菊花、蝉蜕、珍珠母、制何首乌、玄参、川芎、夏枯草等,并通过复杂熵聚类法挖掘出18个潜在药物组合和7组候选新药队。结论:丁元庆教授治疗偏头痛经验丰富,独具特色。治分缓急,发作期重治风火、祛邪以治标,缓解期扶正治本为基本治则。在辨证论治的基础上,善用条达肝气,疏畅情志之品,以使气机调畅,气血阴阳调和;并重视祛除伏邪;且根据患者的诱因特点,强调规避诱因,防治结合。
[Abstract]:Objective: to analyze the experience of professor Ding Yuanqing in the treatment of migraine, and to enrich and develop the theory of prevention and treatment of migraine. And for the name of TCM experts experience summary method to provide ideas and references. Methods: by using association rule Apriori algorithm and entropy clustering of complex systems, the medical records and prescriptions of Professor Ding Yuanqing in treating migraine were analyzed, and the experience and treatment rule of professor Ding Yuanqing in treating migraine were discussed. Results: the analysis of 516 cases showed that the core symptoms of migraine were family history, irritability and irritability, jumping pain or flatulence, moderate or severe headache, mainly temporal-side headache, relieved by rest or oral analgesic tablets. Accompanied by nausea and vomiting, photophobia, fear of sound, upset, tongue dark red, thin yellow and greasy fur, fine pulse, etc.; the common syndromes include damp-heat internal accumulation, phlegm heat and wind, blood stasis and heat internal disturbance, Yin deficiency and yang flourishing syndrome. From the analysis of 516 prescriptions, it is concluded that the common drugs used by Professor Ding Yuanqing for treating migraine are Gastrodia elata, silkworm, angelica sinensis, chrysanthemum, cicada slough, mother of pearl, making Polygonum multiflorum, Radix Polygonum multiflorum, Rhizoma Chuanxiong 18 potential drug combinations and 7 new drug candidate teams were mined by complex entropy clustering. Conclusion: professor Ding Yuanqing has rich experience in treating migraine. The treatment points are urgent, the attack period re-cure wind-fire, dispelling evil to cure the symptoms, the remission period to cure the root-cure as the basic principle. On the basis of syndrome differentiation and treatment, make good use of liver-qi, sparsely unobstructed emotional goods, so as to make Qi and Qi adjust unobstructed, Qi and blood Yin and Yang to reconcile; and pay attention to dispelling pathogenic factors, and according to the characteristics of inducement of patients, emphasize evading inducement and combining prevention and treatment.
【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】：2016
【分类号】：R249;R277.7

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