基于中医传承辅助平台挖掘张伟治疗失眠的用药规律

Exploration on the medication rule of Zhang Wei in the treatment of insomnia based on the traditional Chinese medicine inheritance assistant platform

目的通过中医传承辅助平台V2.5挖掘张伟博士门诊及住院部失眠患者的用药规律。方法选取2017年1月至2020年12月174例失眠患者病例和416次就诊记录,采用中医传承辅助平台V2.5进行分析和总结。结果气虚水停证是临床应用较多的证型;底方方剂以补中益气汤为主;频次>80的中药共21味;22组常用药对;进一步演化出核心药物6个,新处方3个。结论张伟博士治疗失眠以益气健脾、健脾祛湿、调和营卫为主,配伍理气、活血、安神之品,为临床治疗失眠提供了新思路和新方案,具有较强的临床指导意义。

Objective To explore the medication rule of insomnia patients in Dr Zhang Wei’s outpatient department and inpatient department through the traditional Chinese medicine inheritance assistant platform.Methods A total of 174 cases of insomnia patients and 416 visits from January 2017 to December 2020 in Xi’an Hospital of Traditional Chinese Medicine were selected.Traditional Chinese medicine inheritance assistant platform V2.5 was used to summarized and analyzed.Results Syndrome of water retention due to qi deficiency was the most widely used syndrome type in clinic.Buzhong Yiqi Decoction were the main basal prescriptions.There were 21 Chinese herbs with frequencies>80;22 groups of common drug pairs;the further evolved into six core medicine combinations,and three new prescriptions.Conclusion Dr Zhang Wei’s treatment of insomnia is mainly focuses on replenishing qi and invigorating spleen,strengthening spleen and eliminating dampness,harmonizing yingfen and weifen,combined with the products of regulating qi,promoting blood circulation,and tranquillization,provids new ideas and new plans for the clinical treatment of insomnia,which has strong clinical guiding significance.