孟河京派治疗泄泻的临床用药经验传承研究

Study on the Jing School of Meng He Medical Sect in Succeeding and Spreading Clinical Medication Experience in Treatment of Diarrhea

目的:本文针对泄泻的治疗比较孟河京派与孟河医派用药的异同,梳理孟河京派用药特色的传承与发展。方法:基于与孟河京派有传承关系的各代医家治疗泄泻的医案建立数据库,应用关联规则、层次聚类等数据挖掘方法,分析各医家常用单味药频次、药物组合频次、治疗泄泻通用药物、孟河京派特色用药等,并梳理形成孟河用药传承脉络。结果:京派医家擅用白术治疗泄泻,高频药物组合为"茯苓,白术""茯苓,陈皮""茯苓,薏苡仁",置信度为1的关联规则为"龙骨→牡蛎"。结论:孟河京派对前人经验既有传承又有发展,治疗泄泻的用药更趋平和,且尤重脾胃,形成了独特的用药思想。

Objective：Through comparing the similarities and differences about treatment of diarrhea between the Meng He Medi-cine Sect and the Jing School, this article organized the inheritance and development of the medicine characteristics of the Meng He Jing school. Methods：The database was set up based on medical records of Meng He Jing school. By using data mining, such as association rules and the hierarchical clustering method, the frequency of single drug, the frequency of drug combination, general drug, characteristic drug of the Jing School were analyzed. The inheritance vein of drug use of the Jing School was combed and formed. Results ：The Jing School experts were good at using Rhizoma Atraculodis Macrocephalae to treat diarrhea. The drug com- binations with high frequency were ＂Poria, Rhizoma Atraculodis Macrocephalae＂, ＂Poria, Pericarpium Citri Reticulatae＂, ＂Po-ria, Semen Coicis＂. The association rules with 100% cor^fidence was ＂Os Draconis; Fossilia Ossis Mastodi-〉 Concha Ostreae＇. Conclusion：On the basis of previous experiences with both inheritance and development, treatment of the Jing School in diarrhea is gentler, and especially focuses on the spleen and stomach, forming a unique idea of medication.