【摘要】 目的 基于数据挖掘探究北方当代中医治疗胃脘痛的用药规律。方法 以中国知网(CNKI)为主要文献数据来源,搜索建库至2023年12月31日与胃脘痛医案相关的文献,人工筛选出符合纳入及排除标准的医案,并收集医案相关数据导入古今医案云平台(V2.3.7)进行数据挖掘。结果 共收集165个医案。处方用药共涉及191味中药,高频药物有白芍、甘草、柴胡等,四气以温为主,五味以苦为主,归经以脾经为主,功效以燥湿化痰为主。常用药对共6对,常用药物组合共8组,核心处方1首。结论 在辨证论治的原则下,北方当代中医治疗胃脘痛常用燥湿化痰、清热解毒之法,兼以疏肝解郁、理气宽中等,用药多以辛开苦降兼以甘缓之。更多还原

【Abstract】 Objective To investigate the medication rules of contemporary traditional Chinese medicine(TCM) in northern China for the treatment of epigastric pain based on data mining. Methods CNKI was used as the primary literature source to search for medical records related to epigastric pain from the database inception to December 31, 2023. Medical records meeting the inclusion and exclusion criteria were manually screened, and relevant data were collected and imported into the Ancient and Modern Medical Records Cloud Platform(V2.3.7) for data mining. Results A total of 165 medical records were collected, involving 191 drugs. The most frequently used herbs were Paeoniae Radix Alba, Glycyrrhizae Radix et Rhizoma, and Bupleuri Radix. The predominant four qi was warm, the primary five flavors was bitter, and the most frequently associated meridian was the spleen. The main therapeutic effect was drying dampness and resolving phlegm. Six commonly used medicinal pairs, eight commonly used medicinal combinations, and one core prescription were identified. Conclusion Under the principle of syndrome differentiation and treatment, contemporary TCM in northern China commonly applies the methods of drying dampness and resolving phlegm, as well as clearing heat and removing toxins, in the treatment of epigastric pain. Additionally, approaches such as soothing the liver, relieving depression, regulating qi, and harmonizing the middle are frequently employed. The medication strategy often integrates pungency-opening and bitter-discharging methods, supplemented by sweet-moderating properties.更多还原