李文瑞教授治疗2型糖尿病用药分析.pdfVIP

1。北京中医药大学100007；2．北京医院100005 闰旭1王宝2黄飞2李怡2 摘要 目的：初步分析李文瑞教授治疗2型糖尿病的用药规律。方法：收集李文瑞教授门诊处方，建立数据库，对 其常用药物进行频次、药量进行统计，应用聚类分析探索其用药规律。结果：25首处方共用78昧药，平均 每方用药8．68昧。常用药为葛根、黄连、苍水、党参、天花粉、知母、麦冬、玄参、生黄芪、生地、五昧子 等。包含生津、清热、养阴、健脾、补气、祛湿化痰、理气、活血、收敛等治法。经聚类分析可分为3大类 药物群，分别具有运脾理气祛湿兼以清热，培补脾肾气阴，清热生津之效。结论：李文瑞教授在2型糖尿病 的处方中立足于经典理论清热生津，补气养阴，活血化瘀治法，结合现代研究成果及自身临证经验积累对合 并痰淀证候的肥胖患者治法有所创颥。 AbstractAIM：To the of LiWen—Ruiwhen Chineseherbstotreat 2 analyzeregulationprofessor using type diabetes．Method：afterthehis whichusedtotreat 2diabetesand collectingprescriptions type makeadata the and oftheseChineseherbsthen the ofthese base，calculatefrequencydosage analyzeregulation cluster 25 with78kindsof prescriptionsby analysis．Results：totallyprescriptions herbs，eachprescription contains8．68kindsofherbs．Themost usedherbsinclude frequently ofdwarf atractylodis，codonopsispilosula，MongolianRoot，rhizomaanemarrhenae，tuber Snakegourd fruitofChinese cluster radix，radixrehmanniae，the lyturf，figwort．astragali magnoliavine．After analyze theseherbscanbe into3 can separatedgro．ups．Firstgroupmotivatethe andclearheat spleen，regulatesqi secondcan theandof and third canclearheatandenrich groupsupplementqi yin kidneyspleen，thegroup thesaliva．Conclusion：Whendealwith 2diabetes Limakes basedonthe type professor prescriptions of theand heatand t