基于古籍医案的内风病证药物关联规则分析

Correlation Analysis on Drugs of Endogenous Wind Syndrome Based on Collation of Ancient Medical Cases

目的对古籍医案内风病证药物应用情况进行关联规则分析,探讨药物配伍规律及内风病证的病机特点。方法以《中华医典》为来源,系统收集古籍医案中记载的内风病证医案777份,对药物进行标准化处理,建立药物信息数据库,对用药情况进行关联规则分析。结果内风病证常用药对配伍:当归与柴胡,茯苓与柴胡,茯苓与泽泻,茯苓与山药,当归与黄芪等;三味药常用配伍:当归、柴胡、茯苓,半夏、竹沥、生姜,茯苓、人参、陈皮,半夏、陈皮、钩藤,当归、黄芪、人参等;四味药常用配伍:茯苓、陈皮、半夏、甘草,人参、白术、茯苓、当归,茯苓、白术、白芍、甘草,当归、白术、白芍、甘草等;五味药常用配伍:白芍、白术、甘草、当归、茯苓,当归、白术、人参、甘草、茯苓等。结论关联规则分析在古籍医案中有较好的应用,可以反映病证药物配伍情况以及病机特点。

Objective To analyze the association rules of drugs of endogenous wind syndrome （EWS） based on collation of ancient medical cases, and the rules of drug compatibility and pathogenesis characteristics in EWS. Methods With chief source of Chinese Medical Dictionary, 777 EWS cases were systematically collected from ancient medical documents, related drugs were standardized to establish drug information database, and the association rules of drug used were analyzed. Results The common drug pairs in EWS included Angelica and Bupleurum, Poria and Bupleurum, Poria and Alisma, Poria and Yam, Angelica and Astragalus. Three interrelated drugs were Angelica-Bupleurum-Poria, Banxia-Bamboo Lek-Ginger, Poria-Ginseng-Orange, Banxia-Orange-Hook Vine, Angelica-Astragalus-Ginseng. Four interrelated drug were Poria-Orange-Banxia-Licorice, Ginseng-Atractylodes-Poria-Angelica, Poria- Atractylodes-Licorice-Peony Root, Angelica-Atractylodes-Licorice-Peony Root. Five interrelated drugs were Angelica-Atractylodes-Licorice-Poria-Peony Root, Angelica-Atractylodes-Licorice-Poria-Ginseng. Conclusions Correlation analysis has a good application in the collation of medical cases, and can reflect drugs compatibility and pathogenesis characteristics in diseases.