基于中医传承计算平台分析李宗智治疗小儿弱视的用药规律OA
Analysis of LI Zongzhi's Medication Patterns for Treating Pediatric Amblyopia Based on the Traditional Chinese Medicine Inheritance Computing Platform
目的 依托中医传承计算平台(V3.5)深入探究李宗智教授辨治小儿弱视的处方用药特色及规律.方法 选取 2022 年 10月28 日-2024 年 7 月 4 日李宗智教授临床证实有效的小儿弱视医案为样本,借助中医传承计算平台对医案中涉及的药物频数、组合及性味归经等信息展开系统的数据挖掘.结果 整理有效处方共 625 首,中药 68 味,使用频次超 200 次者共 10 味,按序为决明子、淡竹叶、白芍、山枝仁、枸杞子、连翘、蒺藜、山药、钩藤与葛根.整体药性偏寒凉,药味偏甘苦.归经集中于肝-脾-胃-肾-心五经,肝经为核心,用药以补虚和清热为核心功效.关联规则分析梳理出常用药对 16 组,28 条药物关联规则,并锁定 5 味核心药物;聚类分析提炼出 5 组核心用药集群.结论 李宗智教授辨治小儿弱视,主张以清补肝肾阴为核心治法,补中有清,清不伤正,充分彰显其攻补兼施的辩证理念和鲜明的遣方特色.
Objective To explore the characteristics and rules of prescription medication of Professor LI Zongzhi in treating pediatric amblyopia based on the traditional Chinese medicine inheritance computing platform(V3.5).Methods A sample of pediatric amblyopia medical case records clinically validated by Professor LI Zongzhi between October 28,2022,and July 4,2024,was selected.Utilizing the traditional Chinese medicine inheritance computing platform,systematic data mining was conducted on information within the case records concerning drug frequency,combinations,and properties,flavors,and meridian tropism.Results A total of 625 effective prescriptions were compiled,comprising 68 chinese herbal medicines.Among these,10 herbs were used over 200 times.They were listed in order as follows:Semen Cassiae,lophatherum herb,debark peony root,Shanzhiren,barbary wolfberry fruit,weeping forsythia capsule,puncturevine caltrop fruit,Chinese yam,gambir plant nod,and Radix Puerariae.The overall medicinal properties lean toward cold and cool,while the taste was predominantly sweet and bitter.The meridian distribution primarily involved the liver,spleen,stomach,kidney,and heart meridians,with the liver meridian as the core.The primary therapeutic effects of the herbs were to tonify deficiency and clear heat.Association rule analysis identified 16 groups of commonly used drug pairs and 28 drug association rules,pinpointing 5 core drugs;clustering analysis extracted 5 core medication clusters.Conclusion Professor LI Zongzhi's approach to treating pediatric amblyopia centers on nourishing and clearing yin of the liver and kidneys.His method combines tonification with clearing,ensuring that clearing does not harm the vital energy.This fully demonstrates his dialectical philosophy of combining attacking and tonifying therapies,as well as his distinctive prescription characteristics.
胡雨柔;谌洪俊
贵州中医药大学第一临床医学院,贵州 贵阳 550002贵州中医药大学第一附属医院治未病中心,贵州 贵阳 550001
医药卫生
小儿弱视用药规律数据分析李宗智中医传承计算平台
Pediatric amblyopiaMedication patternData analysisLI ZongzhiTraditional Chinese medicine inheritance computing platform
《医学信息》 2026 (17)
34-39,6
贵州省中医药管理局中医药、民族医药科学技术研究课题项目(编号:QZYY-2017-093)
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