管氏针灸学术流派伤科用药规律分析

Analysis of Medication Regularity in Bones and Muscles Injury of GUAN’s Academic School of Acupuncture and Moxibustion

目的:系统梳理管氏针灸学术流派伤科用药规律,为流派传承及临床用药提供依据。方法:将《管氏常用中医处方与遣药圭臬》所载管氏第二代名医管庆鑫的伤科经验方分别归类并建立数据库,通过Excel进行频数统计,JAVA及Gephi软件进行可视化分析,挖掘管氏针灸学术流派伤科用药规律。结果:管氏伤科经验方共71首,其中内服方66首(含4首小方)、外用方5首。使用药物共139味,使用频次802次,使用频次10的常用药共有26味,使用关联频次≥10的药对组合54对,前5位的依次是乳香与没药、当归与红花、当归与没药、当归与乳香、当归与桃仁。在药物属性中,温、平、寒及辛、苦、甘药常用,归经前三位依次为肝经、心经、脾经。结论:管氏针灸学术流派伤科用药以活血化瘀药为主,佐以补虚药、理气药、清热药或温里药。

Objective:To sort out the medication regularity of bones and muscles injury of GUANs’academic school of acupuncture and moxibustion and to provide basis for school inheritance and clinical application.Methods:The empirical prescriptions recorded in GUAN’s Frequently Used Traditional Chinese Medicine Prescriptions and Prescriptions Guidelines for bones and muscles injury of GUAN Qingxin,the second generation of GUANs’academic school of acupunc⁃ture and moxibustion,were classified respectively and a database was established.Frequency statistics were carried out by Excel,visual analysis was carried out by JAVA and Gephi software,and the medication regularity of bones and muscles injury of GUANs’academic school of acupuncture and moxibustion were found.Results:There were 71 empirical prescriptions in GUAN’s bones and muscles injury treatment,including 66 prescriptions for internal administration(including 4 concise prescriptions)and 5 prescriptions for external use.A total of 139 kinds of drugs were used,with a frequency of 802 times.A total of 26 kinds of common drugs with a frequency of 10 were used,and 54 drug pairs with an association frequency of 10 were used.The top 5 were Ruxiang(Olibanum)and Moyao(Myrrha),Danggui(Angelica Sinensis Radix)and Honghua(Carthami Flos),Danggui and Moyao,Danggui and Ruxiang,and Danggui and Taoren(Persicae Semen).Among the properties of drugs,warm,flat,cold and pungent,bitter and sweet drugs were commonly used,and the top three meridian tropism were liver meridian,heart meridian and spleen meridian.Conclusion:The drugs used in bones and muscles injury of GUANs’academic school of acupuncture and moxibustion are mainly drugs for promoting blood circulation and removing blood stasis,which are combined with drugs for tonifying deficiency,regulating qi,clearing heat or warming the interior.