焦虑情绪伴失眠、烦躁、健忘的中医用药规律分析

Analysis on Medication Rule for Anxiety with Insomnia,Dysphoria and Amnesia

目的:分析焦虑情绪伴失眠、烦躁、健忘的中医用药规律,探讨其病机和治疗特点。方法:在运用贝叶斯网络技术处理《中医方剂大辞典》中焦虑情绪伴失眠、烦躁、健忘等治疗方剂的基础上,进行药物分类、使用频次、药性分析。结果:治疗药物可分为通用药和症状用药,其中益气助阳药和安神药占通用药的主要部分;性属温热、味属甘的药物在各项伴随症状中使用频次最高,而性属寒凉,味属酸、咸、淡的药物使用频次较低;治疗药物的五脏归经各具特点。结论:虚(尤其是阳气亏虚)是焦虑情绪伴失眠、烦躁、健忘的共同病理基础;由人参、茯苓(神)、远志、石菖蒲组成的古代名方开心散、定志丸、定志小丸的适应证是"心境低落、紧张害怕及其所伴发的烦躁、失眠"。

Objective：To analyse medication rule for anxiety with insomnia,dysphoria and amnesia,and explore the mechanism and treatment features.Method：On the basis of dealing formulae with the method of Bayesian network,make analysis on drugs type,use frequency and nature.Results：The drugs can be divided into generic（1） and symptoms（2）medications,most drugs of 1 are Qi-notifying,Yang-notifying and tranquilization;the natures are mainly warm and sweet,there are fewer natures in sour,salty and tasteless,belonging to 5 organs.Conclusion：The common mechanism is asthenia（especially the deficient Yang Qi）;the indication of kaixin powder,dingzhi pills,dingzhi mini-pills which Comprise ginseng,fuling（fushen）,yuanzhi and shichangpu is ＂depressed mood,nervousness,along with dysphoria and insomnia＂.