《千金方》治疗不寐之芳香类药物运用特点分析

Analysis of the Features of Aromatic Drugs for the Treatment of Insomnia in Qianjinfang

目的:基于数据挖掘技术,对《千金方》芳香治疗不寐方药进行频数和聚类分析,为不寐的现代治疗遣方用药提供思路。方法:以千金方中37个芳香治疗不寐的医方为数据源,按照统一标准处理并录入数据库,用Microsoft Excel 2010整理归纳数据,用SPSS Statistics17.0进行频数和聚类分析,总结《千金方》芳香治疗不寐的用药规律。结果:肉桂、茯苓、石菖蒲、人参、远志是《千金方》芳香治疗不寐频数最高的五味药。聚类分析结果显示:白术、大枣、石菖蒲聚为一类,其功能化湿健脾、益气安神;茯苓、茯神、甘草聚为一类,其功能宁心安神、健脾渗湿;附子、肉桂、干姜聚为一类,其功能温中散寒,补火助阳;麦冬、石膏聚为一类,其功能养阴清热,泻火除烦;远志、细辛聚为一类,其功能祛痰化饮;芍药、大黄聚为一类,其功能清热调血。结论:《千金方》芳香治疗不寐从健脾化湿,补火温阳和清热除烦三个角度入手,共奏宁心安神之效。《千金方》对中医治疗不寐提出针对性的特色疗法,为中医药临床治疗不寐提供有价值的借鉴和参考。

Objective： To analyze the frequency and cluster of aromatic herbs in treatment insomnia in Qianjinfang based on the data mining technology,so as to provide ideas for modern medicine treatment of insomnia medication. Methods： 37 prescriptions for the treatment of insomnia with aromatic prescriptions for the data source,according to the unified standard processing and input database,were summarized data with Microsoft Excel 2010 consolidation,analysis of frequency and clustering with SPSS Statistics17. 0,summed up aromatic drug law for the treatment of insomnia. Results： Cinnamon,Poria,calamus,ginseng,Polygala are the highest frequency of five aromatic herbs treatment of insomnia in Qianjinfang. The results of cluster analysis showed： Atractylodes,jujube,Acorus together as a class have the function of transforming dampness and invigorating the spleen,invigorating qi and tranquillization mind; Fuling,tuckahoe,liquorice together as a class have the function of tranquilizing the mind,invigorating spleen to damp dampness; dry ginger,cinnamon,aconite clustered have the function of warming spleen and stomach for dispelling cold,tonifying fire and helping yang; Ophiopogon,gypsum clustered,have the function of nourishing yin and clearing heat and purging fire; Polygala,asarum clustered together,have the function of eliminating phlegm; Peony and rhubarb clustered together,have the function of clearing heat transfering blood. Conclusion： The aroma therapy in Qianjinfang in treatment of insomnia is to invigorate the spleen for eliminating dampness,warm fire and supplement yang,clear away heat and relieve trouble and the total purpose is to tranquillization mind. Qianjinfang put forward the characteristics of treatment insomnia and provide a valuable reference for TCM clinical treatment of insomnia.