目的 基于中医传承计算平台(V3.0)挖掘李志刚教授治疗胃脘痛的证型规律及辨治经验.方法 收集2021年1月至12月李志刚教授治疗胃脘痛的首诊处方428首,筛选导入中医传承计算平台(V3.0),运用统计分析、方剂分析等方法对李志刚教授治疗不同证型胃脘痛的高频用药、药物关联规则及聚类结果进行分析.结果 428例胃脘痛患者处方涉及244种药物,共计6 943味次,常用药物10味,以补虚药为主,解表、化湿药次之;药性以温性药居多,平性药次之;药味以甘、苦、辛居多;主要入脾、胃、肝经.运用k-means聚类分析提取得到脾胃气虚证、脾胃不和证以及胃气上逆证的核心组方各4个,总结不同证型的组方规律.结论 李志刚教授治疗胃脘痛脾胃肝同调,重在疏肝、和胃并健脾益气,兼以消食、导滞、祛邪,可为临床中医治疗胃脘痛提供参考依据.
Objective To excavate professor Li Zhigang's the syndrome patterns and treatment experience of treating gastric pain based on the traditional Chinese medicine inheritance calculation platform(V3.0).Methods Li Zhigang Professor's 428 first diagnosis prescriptions for the treatment of gastric pain from January to December 2021 were collected,which were screened and imported the traditional Chinese medicine inheritance calculation platform(V3.0).The high-frequency medication,drug association rules and clustering results of professor Li Zhigang's treatment of different types of gastric pain were analyzed with statistical analysis,prescription analysis.Results The prescriptions of 428 patients with gastric pain involved 244 kinds of drugs,a total of 6 943 times,10 kinds of commonly used drugs,mainly tonic drugs,followed by relieving exterior and resolving dampness drugs.The medicinal properties of warm drugs are the most,followed by flat drugs;the flavor of the medicine is mostly sweet,bitter and pungent;mainly into the spleen,stomach,liver.Four core prescriptions of spleen and stomach Qi deficiency syndrome,spleen and stomach disharmony syndrome and stomach-Qi upside-down are picked up with k-means cluster analysis,and summarizing the prescription rules of different syndrome types.Conclusion Professor Li Zhigang treats gastric pain by regulating the spleen,stomach and liver,focusing on soothing the liver,harmonizing the stomach and invigorating the spleen and replenishing Qi,as well as eliminating food,guiding stagnation and eliminating evil,in order to provide references basis for the clinical treatment of gastric pain by traditional Chinese medicine.