《扁鹊心书》用药配伍思路探析

Analysis on the Compatibility of TCM from Song Dynasty Book of Bianque Xinshu

目的:利用数据挖掘方法探析宋代名医窦材所撰《扁鹊心书》治疗内科疾病用药配伍组方规律。方法:利用计算机录入宋代名医窦材所撰《扁鹊心书》治疗内科疾病的中医方剂,采用Excel 2007软件建立相应数据库,采用数据挖掘方法分析其用药规律。结果:整理出《扁鹊心书》中医复方方剂96首,涉及药物157味,药物总使用频次460;所用核心单味药依次为甘草、附子、生姜、硫磺、当归、肉桂、干姜、川乌、白芍药等;药物类别以以补虚药、温里药、解表药、止咳化痰平喘药、杀虫止痒药、清热药等为主;分析方剂中使用频次居前25味的药物主要功效。结论:窦材临证治疗内科病主要选用高频次温补阳气药附子、肉桂、干姜,运用《伤寒论》经典方干姜附子汤灵活加减,重视扶养阳气的治疗思想。

Objective ： To analysis on the Compatibility of TCM from Song dynasty famous physican DONG Cai＇s book of Bianque Xinshu based on data mining. Methods ： To input Chinese medicine treatment internal diseases from Bianque X in sh u into computer and set up a database The medical material written by sinus song a Bian Que heart bookw treatment of internal diseases in Chinese medicine is put into the computer to establish a database,then analyze the rule of medication using statistical methods. Results：96 prescriptions including 157 kinds of traditional Chinese medicine been used 460 times totally and high frequency core medicine with were liquorice, aco-nite, ginger, cinnamon, ginger, sulfur, angelica, Radix Aconiti, Radix Paeoniae Alba medicine; medicine for tonic medicine, warm in medicine, diaphoretic, expectorant antiasthmatic, insecticidal antipruritic and heat drags etc. ; the herbs pungent, sweet and bitter, the cumulative frequency of 86.67% ; resistance to temperature, cold, flat, the cumulative frequency of 81. 51% ; spleen and stom-ach, liver, lung, kidney, heart, the cumulative frequency of 86.72%. Conclusion： DOU Cai used high frequency core reinforce yang qi medicine such as Monkshood, cinnamon, ginger in clinical. He pays attention to raising yang qi using ginger - aconite Decoction flexibly from Shanghan Lun And at the same time, he like use pair medicine such the emergence of strong heart pain with ginger ＋ monkshood, monkshood ＋ Radix Paeoniae Alba ; Qufengchushi Tongluo analgesic medicine with Radix Paeoniae Alba ＋ licorice.