[1]郭宇晴闫晶鑫梁正马梦舸王一鸣张朝晖.基于中医传承辅助平台分析张朝晖教授治疗糖尿病高危足用药规律[J].陕西中医药大学学报,2024,(05):030-35.[doi:10.13424/j.cnki.jsctcm.2024.05.005]
 GUO Yuqing YAN Jingxin LIANG Zheng MA Mengge WANG Yiming ZHANG Zhaohui.Analysis of Professor ZHANG Zhaohuis Medication Rule in Treating High-Risk Foot of Diabetes Based on the Auxiliary Platform of Traditional Chinese Medicine Inheritance[J].Journal of Shaanxi University of Traditional Chinese Medicine,2024,(05):030-35.[doi:10.13424/j.cnki.jsctcm.2024.05.005]
点击复制

基于中医传承辅助平台分析张朝晖教授治疗糖尿病高危足用药规律()
分享到:

《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2024年05期
页码:
030-35
栏目:
出版日期:
2024-09-09

文章信息/Info

Title:
Analysis of Professor ZHANG Zhaohuis Medication Rule in Treating High-Risk Foot of Diabetes Based on the Auxiliary Platform of Traditional Chinese Medicine Inheritance
文章编号:
2096-1340(2024)05-0030-06
作者:
郭宇晴1闫晶鑫1梁正1马梦舸1王一鸣1张朝晖2
1.天津中医药大学研究生院,天津 301617;
2.天津中医药大学第二附属医院,天津 300250
Author(s):
GUO Yuqing1 YAN Jingxin1 LIANG Zheng1 MA Mengge1 WANG Yiming1 ZHANG Zhaohui2
1.Graduate School of Tianjin University of Chinese Medicine,Tianjin 301617,China;
2.Second Affiliated Hospital of Tianjin University of Chinese Medicine,Tianjin 300250,China
关键词:
关键词:糖尿病高危足中医传承辅助平台张朝晖数据挖掘
Keywords:
Key words: High risk foot of diabetesTraditional Chinese Medicine Inheritance Assistance PlatformZHANG ZhaohuiData mining
分类号:
R587.1
DOI:
10.13424/j.cnki.jsctcm.2024.05.005
文献标志码:
A
摘要:
摘 要:目的 运用数据挖掘的方法研究分析张朝晖教授治疗糖尿病高危足的用药规律。方法 选取2021年9月—2022年9月院张朝晖教授门诊诊治的糖尿病高危足患者服用的处方,通过中医传承计算平台(V2.5)及SPSS软件,分析处方中的药物频次、四气、五味、归经及组方规律。结果 本次研究共纳入115首处方,涉及155味中药,用药频次前5位是:白芍、黄芪、当归、桂枝、甘草;四气以温、寒、平为主;五味以甘、苦、辛为主;归经主要以脾经、肝经、肺经、心经、胃经为主;确定药物之间的关联规则,共挖掘出3个核心组合。结论 张教授在治疗糖尿病高危足时,注重整体分析,标本同治;强调糖尿病高危足的治疗要顾护脾胃,调和营卫,益气养血,同时兼顾祛湿化痰,清热燥湿;此外,张教授在临床治疗时,擅长对经方的使用,强调配伍,在当归补血汤、桂枝汤、黄芪桂枝五物汤、二陈汤、二妙散这五个基本处方上来灵活加减,疗效明显。
Abstract:
Abstract: Objective To study and analyze the medication rule of Professor ZHANG Zhaohui in treating high-risk foot of diabetes with data mining method.Methods From September 2021 to September 2022,the prescriptions taken by the diabetes high-risk foot patients diagnosed and treated by Professor ZHANG Zhaohui in the outpatient department of the hospital were selected,and the drug frequency,four Qi and five flavors,meridian tropism,and formula rules in the prescriptions were analyzed through the traditional Chinese medicine inheritance computing platform (V2.5) and SPSS software.Results As a result,a total of 115 prescriptions were included in this study,involving 155 traditional Chinese medicines.The top 5 medicines with the highest frequency of use were Paeonia lactiflora,Astragalus membranaceus,Angelica sinensis,Cinnamomum cassia,and Glycyrrhiza uralensis;The four Qi are mainly warm,cold,and calm;The five flavors are mainly sweet,bitter,and spicy;The main meridians are the spleen meridian,liver meridian,lung meridian,heart meridian,and stomach meridian;Determine the association rules between drugs and mine three core combinations.Conclusion Professor ZHANG pays attention to the overall analysis and treats the symptoms and root causes simultaneously when treating high-risk foot of diabetes;It was emphasized that the treatment of high risk foot of diabetes should take care of the spleen and stomach,harmonize the health and nutrition,replenish Qi and nourish blood,and at the same time,eliminate dampness and phlegm,clear away heat and dry dampness;In addition,Professor ZHANG is skilled in the use of traditional Chinese medicine formulas in clinical treatment,emphasizing compatibility.He flexibly adjusts and modifies the five basic prescriptions of Danggui Buxue Tang,Guizhi Tang,Huangqi Guizhi Wuwu Tang,Erchen Tang,and Ermiao San,resulting in significant therapeutic effects.

参考文献/References:

[1]谷涌泉.中国糖尿病足诊治指南[J].中国临床医生杂志,2020,48(1):19-27.
[2]徐爱霞.胰岛素加康复新液贴敷治疗糖尿病足的临床效果分析[J].中国实用医药,2023,18(15):19-23.
[3]张军旗,陈延斌,陈培峰,等.陈益昀教授治疗糖尿病足经验[J].河北中医,2006(5):327-328.
[4]张榜,董建,吴建萍,等.崔公让运用热熨法外治糖尿病足初期经验介绍[J].新中医,2019,51(11):338-340.
[5]贾晓林,蔡文就,刘晨峰,等.邓铁涛教授论治糖尿病足经验[J].广州中医药大学学报,2005(3):228-230.
[6]张军,张玥,刘政,等.侯玉芬基于“培土通脉”治疗糖尿病足之经验[J].江苏中医药,2022,54(5):41-44.
[7]李慧枝,王文英,何万辉,等.简小兵教授治疗0级糖尿病足经验举要[J].中医临床研究,2016,8(5):54-55.
[8]相环,李小娟.李小娟教授治疗糖尿病足经验[J].辽宁中医药大学学报,2011,13(2):144-145.
[9]王振源,徐云生.徐云生教授治疗糖尿病足经验[J].实用中西医结合临床,2016,16(6):59-60.
[10]刘建平.袁占盈辨治糖尿病足经验[J].中国中医基础医学杂志,2010,16(3):236,253.
[11]马占英,景录先.景录先运用阳和汤加减治疗糖尿病足经验[J].中华中医药杂志,2023,38(6):2684-2685.
[12]李菲,徐强,张朝晖.张朝晖以卫气营血理论为主辨治糖尿病足经验[J].上海中医药杂志,2018,52(9):26-28.
[13]周鹏飞,甄曙光,颜帅.国家级名老中医学术思想传承研究的现状及对策分析[J].中医药学报,2019,47(2):1-5.
[14]中国中西医结合学会周围血管病专业委员会.中西医结合防治糖尿病足中国专家共识(第1版)[J].血管与腔内血管外科杂志,2019,5(5):379-402.
[15]中国医疗保健国际交流促进会糖尿病足病分会,国际血管联盟中国分部糖尿病足病专家委员会.中国糖尿病足诊治指南[J].中国临床医生杂志,2020,48(1):19-27.
[16]国家药典委员会.中国药典[M].北京:中国医药科技出版社,2020:1088.
[17]钟赣生.中药学(第九版)[M].北京:中国中医药出版社,2012:216.
[18]包易如,朱朝军,张朝晖.调和营卫治疗周围血管疾病的研究进展[J/OL].辽宁中医杂志,1-9[2023-09-04].http://kns.cnki.net/kcms/detail/21.1128.R.20230213.1120.091.html.
[19]杨利剑,张莹雯.当归补血汤对大鼠糖尿病足iNOS mRNA表达的影响[J].武汉大学学报(医学版),2010,31(5):592-595.
[20]黄强,常金霞,郑硕,等.当归补血汤对糖尿病足大鼠模型血管生成和炎症反应的影响[J].临床误诊误治,2021,34(6):101-106.
[21]宁云红,郭承伟.以21篇临床文献综述芍药甘草汤应用概况[J].中医药导报,2017,23(3):83-84,88.
[22]曲缘章,马生军,朱广伟,等.芍药甘草汤的历史沿革与现代研究[J].中国实验方剂学杂志,2020,26(6):216-225.
[23]赵扬.老年糖尿病高危足应用黄芪桂枝五物汤治疗的疗效分析[J].陕西中医,2015,36(12):1606-1607,1617.
[24]黄丽萍,张冷,齐辉明,等.黄芪桂枝五物汤治疗老年糖尿病高危足的临床观察[J].中华老年心脑血管病杂志,2014,16(5):500-502.
[25]孙力,呼兴华,赵奕淇,等.糖尿病足与湿热体质、痰湿体质相关性研究[J].陕西中医药大学学报,2021,44(2):80-82.
[26]李萌,徐强,张朝晖.张朝晖教授从脾胃论治糖尿病下肢血管病变经验简介[J].内蒙古中医药,2018,37(9):32-34.
[27]王广勇,马萍,王菲菲,等.当归补血汤合二妙散对糖尿病足疼痛程度及TNF-α、IL-1β、COX-2水平的干预作用[J].中华中医药学刊,2022,40(8):136-139.
[28]沈增运,朱业靖,郝帅,等.复方黄柏液负压滴灌对糖尿病足创面细菌感染生物膜形成的影响[J].中华医院感染学杂志,2022,32(19):2992-2996.

相似文献/References:

[1]崔国宁 刘喜平 曾庆涛.刘东汉教授治疗脾胃病用药规律研究[J].陕西中医药大学学报,2017,(06):022.[doi:10.13424/j.cnki.jsctcm.2017.06.008]
 Cui Guoning Liu Xiping Zeng Qingtao.The study of Professor Liu Donghan’s Regularity of Medicine Application on Spleen and Stomach Diseases[J].Journal of Shaanxi University of Traditional Chinese Medicine,2017,(05):022.[doi:10.13424/j.cnki.jsctcm.2017.06.008]
[2]刘思娣1 黄传兵2 石周珍1 朱刚1.基于数据挖掘分析《吴鞠通医案》治疗痹证的用药规律[J].陕西中医药大学学报,2019,(01):060.[doi:10.13424/j.cnki.jsctcm.2019.01.021]
[3]乔会侠 王癑 陈晓岩 指导:黄雅慧.基于中医传承辅助平台研究黄雅慧辨治慢性萎缩性胃炎用药规律[J].陕西中医药大学学报,2020,(03):019.[doi:10.13424/j.cnki.jsctcm.2020.03.006]
[4]李东方 李艳 陈音 崔杰 张敬锋 孟捷.基于数据挖掘的中医药治疗新型冠状病毒肺炎组方用药规律探析[J].陕西中医药大学学报,2022,(03):005.[doi:10.13424/j.cnki.jsctcm.2022.03.002]
 LI Dongfang LI Yan CHEN Yin CUI Jie ZHANG Jingfeng MENG Jie.Analysis on Prescription and Medication Rule of Traditional Chinese Medicine for Treatment of COVID-19 Based on Data Mining[J].Journal of Shaanxi University of Traditional Chinese Medicine,2022,(05):005.[doi:10.13424/j.cnki.jsctcm.2022.03.002]

备注/Memo

备注/Memo:
基金项目:天津市名中医传承工作室建设项目(津卫中〔2022〕303号)
更新日期/Last Update: 2024-09-09