基于中医传承辅助系统的浙派中医妇科流派治疗崩漏组方用药规律研究

Prescription and Medication Regularity of Zhejiang School of Gynecologic Department of TCM for Treating Metrorrhagia and Metrostaxis Based on Traditional Chinese Medicine Inheritance Support System

[目的]分析与总结浙派中医妇科流派治疗崩漏的组方用药规律。[方法]检索期刊数据库及书籍中近40年来浙派中医妇科流派运用中医药治疗崩漏的医案,录入中医传承辅助系统(V3.0),建立相关数据库,对所涉药物的用药频次、药味、药性、归经及功效进行分类统计,并通过聚类分析,归纳和总结浙派中医妇科流派治疗崩漏的用药规律。[结果]最终筛选出方剂220首,涉及中药213味,其中使用频次较高的中药为白芍、当归、甘草、生地黄等,药物性味以性寒,味苦、甘、辛居多,主入肝、脾、肾三经,获得药物之间的关联规则以及治疗崩漏的新处方8个。[结论]浙派中医妇科流派诊治崩漏谨遵虚、热、瘀为纲,肝脾肾并重,气血并调,以补血活血、补气健脾、清热凉血、平抑肝阳和活血化瘀为主要治则,与中医理论基本一致,可为临床诊治提供理论支持及新的思路。

[Objective]To analyze and summarize the prescription and medication regularity of Zhejiang school of gynecologic department of traditional Chinese medicine(TCM)in the treatment of metrorrhagia and metrostaxis.[Methods]The medical cases of the Zhejiang school of gynecologic department of TCM in the treatment of metrorrhagia and metrostaxis in the past 40 years were searched in the database and books by computer.The related database was recorded in the Traditional Chinese Medicine Inheritance Support System(V3.0),and the frequency,taste,property,menstruation and efficacy of the herbs were analyzed,and the medication regularity of the Zhejiang school of gynecologic department of TCM in the treatment of metrorrhagia and metrostaxis was summarized by cluster analysis.[Results]A total of 220 prescriptions were screened out and analyzed,involving 213 Chinese herbs,among which the Chinese herbs with the highest use frequency included Radix paeoniae alba,Angelica sinensis,Glycyrrhiza uralensis,Rehmannia glutinosa Libosch.Flavors were mainly bitter,sweet and pungent;and the main medicinal property was cold.The channel-tropism of medicine was mostly liver,spleen and kidney meridian.The rules of association between herbs and 8 new prescriptions for the treatment of metrorrhagia and metrostaxis were obtained.[Conclusion]Zhejiang school of gynecologic department of TCM thinks the main pathogenesis of metrorrhagia and metrostaxis is deficiency,heat,blood stasis,attaches equal importance to the liver,spleen and kidney,and conditions Qi and blood simultaneously.The main treatment principles are tonifying blood and activating blood circulation,invigorating Qi and strengthening the spleen,clearing heat and cooling blood,suppressing the liver Yang and activating blood and resolving stasis.The results basically consistent with the theory,which can provide theoretical support and new ideas for clinical medication.