基于中医传承计算平台探讨邓运明教授治疗腰痛用药规律和学术思想

Exploration of the medication rules and academic thoughts of Professor Deng Yunming in the treatment of lumbago based on the Traditional Chinese Medicine Inheritance Computing Platform

目的运用中医传承计算平台V3.0探讨旴江骨伤名家邓运明教授治疗腰痛的用药规律和学术思想。方法通过门诊收集及信息科导出的方式收集2020年1月至2022年3月江西中医药大学附属医院国医堂邓教授门诊接诊的腰痛病例,按纳入排除标准进行筛选,建立“邓运明-腰痛”病例数据库,以中医传承计算平台V3.0软件作为数据挖掘工具,利用其证候分析、方剂分析等功能进行数据挖掘。结果纳入230个病例,涉及症状49条,舌象16条,脉象10条,证候18条,治则治法21条,药物共211味,功效以补虚类为主,其次为活血化瘀、祛风湿类,四气以温、平为主,五味以辛、苦、甘为主,归经以肝、脾、肾为主,常用药物组合126条,通过聚类分析得到可能的新方组合5首。结论数据挖掘结果佐证了邓教授的“失中”理论及“内外同治,法求致中”辨治思路,并提出了5首新方组合,为未来腰痛临床诊治及进一步深入学习发扬邓教授学术思想提供了参考。

Objective To use the Traditional Chinese Medicine Inheritance Computing Platform V3.0 to explore the medication rules and academic thoughts of Professor Deng Yunming,a famous orthopedic expert in Xujiang,in the treatment of lumbago.Methods Through outpatient collection and information department export,lumbago cases received by Professor Deng in the outpatient department of Guoyitang of the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2020 to March 2022 were collected,screened according to inclusion and exclusion criteria,and a case database of“Deng Yunming-Lumbago”was established.The Traditional Chinese Medicine Inheritance Computing Platform V3.0 software was used as a data mining tool,and its syndrome analysis,prescription analysis and other functions were used for data mining.Results A total of 230 cases were included,including 49 symptoms,16 tongue images,ten pulse images,18 syndroms,21 treatment rules and methods,and 211 flavors of drugs.The main effect was tonifying deficiency class,followed by promoting blood circulation for removing blood stasis and removing rheumatism classes.The four nature of drugs were mainly warm and plain,the five flavours were mainly pungent,bitter,and sweet,and the channel tropism were mainly liver,spleen,and kidney channels.There were 126 commonly used drug combinations,and five possible new prescription combinations were obtained by cluster analysis.Conclusion The data mining results corroborate Professor Deng’s theory of“missing the middle”and the differentiation and treatment idea of“treat both inside and outside,and the law seeks to achieve the middle”,and put forward five new prescription combinations which provide a reference for the future clinical diagnosis and treatment of lumbago and further in-depth study and development of Professor Deng’s academic thoughts.