中医药研究论丛

252.2 中医临床治疗妇女情志致病的用药规律分析-以傅青主女科为例

  TJ TCM.25(2) : 17-34, 2022

中医临床治疗妇女情志致病的用药规律分析
-以傅青主女科为例
Analysis of the Regularity of Traditional Chinese Medicines Used in the Clinical Treatment of Women’s Emotional Diseases-Taking Fu
 Qingzhu’s Gynecology as an Example
张淳淇1 林晓蔓1* 林立伟1 吴龙源1,2*
1 义守大学学士後中医系,高雄,台湾
2 吴龙源中医诊所,台北,台湾
【摘要】
目的:透过整理、分析《傅青主女科》治疗妇女情志致病所用方药,阐明用药特点、配伍规律与关联分析。
方法:本文收集《傅青主女科》治疗妇女情志致病内服方药,利用Excel 表单统计药物分布频数。针对高频用药使用Apriori 演算法进行关联分析,找出高关联药物组合,再使用Gephi 软体进行网络分析,找出核心用药与新模组。
结果:《傅青主女科》治疗妇女情志致病用方之高频中药有当归、白芍、白术、甘草、柴胡、牡丹皮、熟地黄、人叁、黑芥穗;功效分类多补益、理血与清热药;药性多温、微寒、平性;药味多辛、苦、甘味,归经多脾、肝经。
有八组高关联药物组合。核心用药为白芍、人叁、熟地黄、白术、当归、柴胡、香附、牡丹皮,并发现两个新模组:(1)白术、人叁、陈皮、川芎;(2)白芍、熟地黄、当归、茯苓。
结论:藉由分析《傅青主女科》妇女情志致病方药,可以见到傅氏治疗以补益为主,祛邪为辅。核心药物取逍遥散疏肝解郁、健脾养血之意。两个新模组分别用於肝火引动致脾虚难以制血之症与血虚明显之症,可以作为中医师治疗妇女情志致病的辨证论治与临床加减之叁考。
【关键词】傅青主女科、情志病、用药规律、关联分析、网络分析
Chun-Chi Chang1Hsiao-Mann Lin1*Li-Wei Lin1Lung-Yuan Wu1,2*
1The School of Chinese Medicine for Post-Baccalaureate of I-Shou University, Kaohsiung, Taiwan
2Wu, Lung-Yuan Tradition Chinese Medicine Clinic. Taipei, Taiwan
【Summary】
Objective: To analyze the prescriptions used to treat women’s emotional diseases in
Fu Qingzhu’s Gynecology (abbrev. FQG), and to clarify medication characteristics, compatibility rules and correlations of TCMs used in these diseases.
Methods: All prescription medications for women’s emotional diseases were used for statistical analysis, including the frequency, function and classification of them by Microsoft Excel. Apriori algorithm was used for medication association analysis to find high-frequency drug combinations, and Gephi software was used for network analysis to find core medications and new modules.
Results: The top nine high-frequency TCMs included Angelica, Radix Paeoniae Alba, Baizhu, Licorice, Bupleurum, Moutan Bark, Rehmanniae Radix, Ginseng and Black Mustard. According to the function, the most frequently used TCMs were tonic, blood-regulating and heat-clearing drugs. On the basis of classification, we found that the first three medicinal properties were warm, slightly cold, and mild; The first three medicinal flavors were pungent, bitter, and sweet; Highly used meridians were spleen and liver meridians. Eight groups of highly-relevant drug combinations appeared in association analysis. In network analysis, we found eight core drugs and two modules.
Conclusion: Our study demonstrates that the treatment in FQG relied mainly on invigoration while elimination subsidiary. And eight core drugs with the meaning of Xiao-Yao-Shan can be used to disperse liver qi, relieve depression, strengthen the spleen and nourish blood. Two new modules can be used for spleen dysfunction in blood governance caused by liver fire and obvious blood deficiency respectively. We hope this article could be helpful for clinical syndrome differentiation and TCM therapy in women’s emotional diseases.
【Keywords】Fu Qingzhu’s Gynecology; Women’s Emotional Diseases; Traditional
Chinese Medicines; compatibility rules; correlation analysis