3部名医类案医籍中崩漏医案核心药对探析

Research on the core herb pairs of uterine bleeding cases in the three Mingyi Leian books

目的:通过对古代名医崩漏验案的的统计分析,从药对入手,归纳有关崩漏的处方特点,以期丰富崩漏的理法方药理论,为临床提供有价值的诊疗信息。方法:从3部名医类案医籍中共收集235首医案,345味中药。应用SQL相关性分析及频数统计法对其进行研究,寻找其中的核心药对,探索其应用价值。结果:筛选出白芍-当归;白芍-白术;白芍-炙甘草、当归-白术、当归-炙甘草、当归-黄芪、人参-白术、炙甘草-白术、黄芪-白术、白茯苓-白术、人参-炙甘草、黄芪-炙甘草、白茯苓-炙甘草共13组核心药对。结论:SQL相关性分析,可以用于方剂的配伍分析中。所选药对,均具有其配伍依据和理论价值,能够针对崩漏的病理病机,对崩漏的临床治疗有一定意义。

Objective： Analysizing the recipe cases from the medical records with uterine bleeding of ancient famous doctors by statistic method and summarizing the characters of the classified prescriptions from herb pairs probably could enrich the theory of machnism,method,prescription and provide valuable information for clinical practices.Methods： 235 medical cases and 345 flavour herbs were collected from 3 classified medical records of famous doctors.SQL correlation analysis and frequency statistics were used to have a research,hunt core herb pairs and explore application values.Results： Radix Paeoniae Alba-Radix Angelica Sinensis;Radix Paeoniae Alba-Rhizoma Atractylodis Macrocephalae;Radix Paeoniae Alba-Radix Glycyrrhizae;Radix Angelica Sinensis-Rhizoma Atractylodis Macrocephalae;Radix Angelica Sinensis-Radix Glycyrrhizae;Radix Angelica Sinensis-Radix Astragali seu Hedysari;Radix Ginseng-Rhizoma Atractylodis Macrocephalae;Radix Glycyrrhizae-Rhizoma Atractylodis Macrocephalae;Radix Astragali seu Hedysari-Rhizoma Atractylodis Macrocephalae;Poria-Rhizoma Atractylodis Macrocephalae;Radix Ginseng-Radix Glycyrrhizae;Radix Astragali seu Hedysar-Radix Glycyrrhizae;Poria-Radix Glycyrrhizae were choosen to be the core herb pairs.Conclusion： SQL correlation analysis can be used in the analysis of the compatibility of the prescriptions.The herb pairs which have their compatibility basis and theoretical value,can focus on pathology and machnism of uterine bleeding,and have certain meaning in clinical treatment.