[1]薛彬 陈朝蔚 魏贤振 刘光明 谢贤斐 奚小冰 李飞跃.基于中医传承平台的李飞跃治疗神经根型 颈椎病的用药规律研究[J].中国中医骨伤科杂志,2019,27(07):15-19.
 XUE Bin CHEN Chaowei WEI Xianzhen LIU Guangming XIE Xianfei XI Xiaobing LI Feiyue.Based on the Inheritance of Traditional Chinese Medicine Auxiliary Platform to Explore LI Feiyue Treatment Experience of Cervical Spondylotic Radiculopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(07):15-19.
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基于中医传承平台的李飞跃治疗神经根型 颈椎病的用药规律研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年07期
页码:
15-19
栏目:
临床研究
出版日期:
2019-06-30

文章信息/Info

Title:
Based on the Inheritance of Traditional Chinese Medicine Auxiliary Platform to Explore LI Feiyue Treatment Experience of Cervical Spondylotic Radiculopathy
文章编号:
1005-0205(2019)07-0015-05
作者:
薛彬1 陈朝蔚2 魏贤振2 刘光明3 谢贤斐1 奚小冰1 李飞跃1
1上海交通大学医学院附属瑞金医院(上海,200025) 2上海市中医院 3上海市香山中医院
Author(s):
XUE Bin1 CHEN Chaowei2 WEI Xianzhen2 LIU Guangming3 XIE Xianfei1 XI Xiaobing1 LI Feiyue1
1The Affiliated Ruijin Hospital of Shanghai Jiaotong University,Shanghai 200025,China; 2Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai 200071,China; 3Shanghai Xiangshan Hospital of Traditional Chinese Medicine,Shanghai 200025,China.
关键词:
李飞跃 神经根型颈椎病 中医传承辅助平台管理系统 数据挖掘
Keywords:
LI Feiyue cervical spondylotic radiculopathy inheritance platform management system of traditional Chinese medicine data mining
分类号:
R681.5
文献标志码:
A
摘要:
目的:运用中医传承辅助平台管理系统(V2.5),探讨李飞跃名中医诊治神经根型颈椎病的临证经验及用药规律,总结其学术经验。方法:通过临床医案采集,结合软件的分析系统,统计得出医案症状、证候、治法出现频次,使用中药性味、归经、频次以及处方中药物组合使用频次,分析药物之间的关联规则。结果:对143例神经根型颈椎病的中医治疗进行分析,其中中药处方中用药频次前三位的中药分别为川芎、桑枝、土鳖虫,药物组合频次前三位的分别为川芎-桑枝、当归-川芎、川芎-土鳖虫。结论:李飞跃教授认为本病总属本虚标实或虚实夹杂、肝脾肾虚不足为本,风寒湿邪外袭、气血痹阻为标,以活血祛瘀行气、祛风湿、通经络为主,扶正补虚为辅的主要治则。
Abstract:
To analyze the relationship between disease-syndrome-treatment-traditional Chinese medicine by using inheritance platform management system(V2.5)of traditional Chinese medicine,to explore the clinical experience and medication law of LI Feiyue's diagnosis and treatment of cervical spondylotic radiculopathy with traditional Chinese medicine,and to summarize his academic experience.Methods:Through the collection of clinical medical cases,combined with the analysis system of software,the frequency statistical method was used to obtain the frequency of symptoms,syndromes and treatment of medical cases,and association rules between drugs in prescriptions.Results: In this research,143 cases of cervical spondylosis of nerve root type were analyzed in traditional Chinese medicine.Among them,the top three drugs in the prescription of traditional Chinese medicine were Chuanxiong,Sangzhi and Ground beeltle,and the top three drugs in combination frequency were Chuanxiong-Sangzhi,Chinese angelica-Chuanxiong,and Chuanxiong-Ground beeltle.Conclusion:According to professor LI Feiyue,the disease is mainly caused by the deficiency of blood vessels and the deficiency of liver,spleen and kidney,the external attack of wind cold and dampness,Qi and blood obstruction,and the main treatment is to promote blood circulation,remove blood stasis,promote Qi,dispel wind and dampness,clear the meridians and collaterals,and strengthen the body and fill the deficiency.

参考文献/References:

[1] 唐仕欢,申丹,卢朋,等.中医传承辅助平台应用评述[J].中华中医药杂志,2015,30(2):329-331.
[2] 刘娟,蒋永光,任玉兰,等.关联规则在中药药对挖掘中的应用[J].时珍国医国药,2006,17(4):492-495.
[3] 唐仕欢,陈建新,杨洪军,等.基于复杂系统熵聚类方法的中药新药处方发现研究思路[J].世界科学技术:中医药现代化,2009,11(2):225-227.
[4] 李海霞,孙占全,王阶,等.基于扩展熵的无监督聚类的中医辨证[J].中国中医基础医学杂志,2007,13(8):627-629.
[5] 葛峰锁,张素斌.神经根型颈椎病的综合康复治疗体会[J].世界最新医学信息文摘,2019,19(15):14-15.
[6] 李振辉,张俐.神经根型颈椎病保守治疗机理的研究概况[J].中国中医骨伤科杂志,2015,23(2):73-75.
[7] 王正琴,杜建明.推拿治疗神经根型颈椎病的临床应用进展[J].解放军医学院学报,2014,35(8):873-875.
[8] 王文斌,薛远亮,张俊忠.神经根型颈椎病的中医药治疗近况[J].甘肃中医学院学报,2012,28(1):68-70.
[9] 贾涛,董卓谦,李骥征,等.神经根型颈椎病内服中药应用情况文献分析[J].北京中药杂志,2018,37(5):449-452.
[10] 谢炜,赵伟宏,于林,等.川芎提取物对神经根型颈椎病模型大鼠根性疼痛的保护作用研究[J].广西医学院学报,2008,29(5):496-499.
[11] 靳利华,靳文德.葛根桑枝汤治疗神经根型颈椎病46例[J].实用中医药杂志,2014,30(5):413-414.
[12] 李平平.桑枝药用综合研究进展[J].云南农业科技,2013(1):28-30.
[13] 吴福林,周柏松,董庆海,等.土鳖虫的药理、药化及其临床的研究进展[J].特产研究,2018,14(3):67-71.
[14] 李飞跃.魏氏伤科治疗学[M].上海:上海科学技术出版社,2015:14.

备注/Memo

备注/Memo:
(收稿日期:2019-03-07)基金项目:李飞跃全国名老中医药专家传承工作室 (MLZJGZS-2017001) 上海市名老中医李飞跃学术经验研究工 作室(SHGZS-2017010)
更新日期/Last Update: 2019-06-30