中医正骨
中醫正骨
중의정골
THE JOURNAL OF TRADITIONAL CHINESE ORTHOPEDICS AND TRAUMATOLOGY
2015年
4期
21-23
,共3页
股骨头坏死%血瘀%症状和体征%数据挖掘%平乐郭氏正骨
股骨頭壞死%血瘀%癥狀和體徵%數據挖掘%平樂郭氏正骨
고골두배사%혈어%증상화체정%수거알굴%평악곽씨정골
femur head necrosis%blood stasis%symptoms &signs%data mining%Pingle Guo’s orthopedics
目的：分析平乐郭氏正骨医家治疗股骨头坏死（osteonecrosis of the femoral head，ONFH）血瘀证的用药规律。方法：收集平乐郭氏正骨医家治疗的121例 ONFH 血瘀证患者的门诊病历（共涉及357张临床处方），建立诊疗数据库。应用最大频繁关联模式挖掘技术，探讨针对 ONFH 血瘀证症状的平乐郭氏正骨临床用药内在规律。结果：气滞血瘀证和痰阻血瘀证是 ONFH 血瘀证中较为常见的子证型；髋痛、活动受限是 ONFH 血瘀证最常见的症状；桃仁和红花组成的药对与髋刺痛、跛行症状组合关系最密切；桃仁、红花、当归为活血祛瘀、通经止痛的常用药物组合；瓜蒌、薤白、厚朴、柴胡、川芎为行气止痛的常用药物组合；附子、桂枝为温通散瘀的常用药物组合；赤芍、大黄为清热除瘀的常用药物组合。结论：活血化瘀药与行气药配伍是平乐郭氏正骨医家治疗ONFH 血瘀证最常用的药物组合。
目的：分析平樂郭氏正骨醫傢治療股骨頭壞死（osteonecrosis of the femoral head，ONFH）血瘀證的用藥規律。方法：收集平樂郭氏正骨醫傢治療的121例 ONFH 血瘀證患者的門診病歷（共涉及357張臨床處方），建立診療數據庫。應用最大頻繁關聯模式挖掘技術，探討針對 ONFH 血瘀證癥狀的平樂郭氏正骨臨床用藥內在規律。結果：氣滯血瘀證和痰阻血瘀證是 ONFH 血瘀證中較為常見的子證型；髖痛、活動受限是 ONFH 血瘀證最常見的癥狀；桃仁和紅花組成的藥對與髖刺痛、跛行癥狀組閤關繫最密切；桃仁、紅花、噹歸為活血祛瘀、通經止痛的常用藥物組閤；瓜蔞、薤白、厚樸、柴鬍、川芎為行氣止痛的常用藥物組閤；附子、桂枝為溫通散瘀的常用藥物組閤；赤芍、大黃為清熱除瘀的常用藥物組閤。結論：活血化瘀藥與行氣藥配伍是平樂郭氏正骨醫傢治療ONFH 血瘀證最常用的藥物組閤。
목적：분석평악곽씨정골의가치료고골두배사（osteonecrosis of the femoral head，ONFH）혈어증적용약규률。방법：수집평악곽씨정골의가치료적121례 ONFH 혈어증환자적문진병력（공섭급357장림상처방），건립진료수거고。응용최대빈번관련모식알굴기술，탐토침대 ONFH 혈어증증상적평악곽씨정골림상용약내재규률。결과：기체혈어증화담조혈어증시 ONFH 혈어증중교위상견적자증형；관통、활동수한시 ONFH 혈어증최상견적증상；도인화홍화조성적약대여관자통、파행증상조합관계최밀절；도인、홍화、당귀위활혈거어、통경지통적상용약물조합；과루、해백、후박、시호、천궁위행기지통적상용약물조합；부자、계지위온통산어적상용약물조합；적작、대황위청열제어적상용약물조합。결론：활혈화어약여행기약배오시평악곽씨정골의가치료ONFH 혈어증최상용적약물조합。
Objective:To study the medication rule of Pingle Guo’s orthopedic practitioners in treamtment of BLOOD STASIS syn-drome in patients with osteonecrosis of the femoral head(ONFH).Methods:The outpatient medical records(357 clinical prescriptions)of 121 patients with ONFH combined with BLOOD STASIS syndrome who were treated by Pingle Guo’s orthopedic practitioners were collected to establish diagnosis and treatment database.Then maximal frequent association pattern mining technology was used to explore the clinical medication rules of Pingle Guo’s orthopedics practitioners in treatment of BLOOD STASIS syndrome in patients with ONFH.Results:QI STAGNATION BLOOD STASIS syndrome and PHLEGMOBSTRUCTING BLOOD STASIS syndrome were the common subtypes of BLOOD STASIS syndrome of ONFH.Hip pain and action -limited were the most common symptoms of ONFH patients with BLOOD STASIS syn-drome.The couplet medicinals composed of peach seed and safflowe had close relation to the combination of hip pain and claudication. Peach seed,safflowe and angelica sinensis were the common drug combinations for BLOOD -ACTIVATING and STASIS -DISPELLING and unblock the meridian to relieve pain.Trichosanthis,allium macrostemon,magnoliae officinalis,radix bupleuri and ligusticum CHUANX-IONG were the common drug combinations for move QI to relieve pain.Monkshood and cassia twig were the common drug combinations for WARMING COLLATERALS and DISSIPATING STASIS.Red peony root and rheum officinale were the common drug combinations for CLEARING HEAT and RELIEVING STAGNATION.Conclusion:BLOOD -ACTIVATING and STASIS -RESOLVING medicine compati-ble with QI -ACTIVATING medicine is the common drug combination for treatment of BLOOD STASIS syndrome of patients with ONFH by Pingle Guo’s orthopedic practitioners.
