杨廉方教授治疗神经根型颈椎病的用药特点及学术思想探析

Professor YANG Lian-fang’s Medication Characteristics and Academic Thought in the Treatment of Cervical Spondylotic Radiculopathy

目的:运用数据挖掘方法分析杨廉方教授治疗神经根型颈椎病的用药规律及思路,为临床治疗神经根型颈椎病提供参考。方法:收集2020年2月至2021年2月就诊于重庆市垫江县中医院全国名老中医药专家杨廉方传承工作室的门诊患者病历,对其进行规范化处理。采用Excel 2019、SPSS Modeler 18.0、SPSS 22.0软件对药物进行用药频次、关联规则、聚类分析。结果:共125份病例符合纳入标准,共使用中药129味,用药频次共计1628次。其中使用频次≥20次的药物27种,使用频数最高的3味中药为川芎、当归、黄芪,常用药对为川芎与当归、当归与黄芪、川芎与黄芪等,用药以补虚药、活血化瘀药、祛风湿药为主,药物归经主要为肝、脾、肾经。结论:杨廉方教授治疗神经根型颈椎病重视益气养血、祛风除湿、化瘀通络。

Objective:To analyze the medication law and ideas of Professor YANG Lian-fang in the treatment of cervical spondylotic radiculopathy using data mining method,so as to provide reference for clinical treatment.Methods:The medical records of outpatients treated in the inheritance studio of YANG Lian-fang,a national famous and old TCM expert in Dianjiang County Hospital of TCM,Chongqing,from February 2020 to February 2021 were collected and standardized.Softwares Excel 2019,SPSS modeler 18.0 and SPSS 22.0 were used to analyze the medication frequency,association rules and cluster analysis.Results:A total of 125 cases met the inclusion criteria.A total of 129 Chinese medicines were used,with a total frequency of 1628 times,of which 27 kinds were used more than 20 times,and the three most frequently used Chinese medicines were Chuanxiong(Rhizoma Chuanxiong),Danggui(Radix Angelicae Sinensis)and Huangqi(Radix Astragali).The commonly used drug pairs are Chuanxiong and Danggui,Danggui and Huangqi,Chuanxiong and Huangqi.The main drugs are those for tonifying deficiency,promoting blood circulation and removing blood stasis and dispelling wind and dampness.The medicines’ channel entries are mainly into the liver,spleen and kidney meridians.Conclusion:Professor YANG Lian-fang attaches importance to supplementing qi and nourishing blood,dispelling wind and dehumidification,removingblood stasis and dredging collaterals in the treatment of cervical spondylotic radiculopathy.