基于中医传承辅助平台探讨郑进教授辨治不寐的用药规律及学术思想

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中图分类号：R256.23 文献标志码：A 文章编号：1007-2349（2025）08-0033-06

【Abstract】Objective：To explore the medication patterns and academic thoughts of Professor Zheng Jin in diagnosingand treating insomnia basedonthe TCM inheritance assistance platform.Methods：Efective case prescriptions for diagnosing and treating insomnia inProfessor Zheng Jinsoutpatient department were collected.Thedata was standardizedand entered into atemplate anduploaded tothe TCM Inheritance Asistance Platform（V3.5）.Data mining methodssuchas statistical analysis and prescriptionanalysis were used to explore the medication paternsandto mine the core herbal combinations and commonly used basic prescriptions.Results：A totalof 107 prescriptions were included， involving169 kindsof herbs.Thepropertiesof the herbs were mainlycold，neutraland warm，the tastes were mainly sweet，biter and pungent，and the meridians mostly target the heart，spleen and liver.Based on asociationrules and cluster analysis，1O sets of associationrules were obtained，with6core combinations.Then，combined withProfessor Zheng Jins clinical experience，3commonlyused basic prescriptions were formed.Conclusion：Stressed on the diagnosisandtreatment modelof“diffrentiating thebody-diferentiatingthe disease-differentiating the syndrome”， Profesor Zheng Jin believes that the pathogenesis of insomniais the imbalance of Yinand Yang and the disharmonyof theinternal organs，and emphasizes thecombination of tonifying and purging toachieve the balanceof the functionsof Yin and Yang and internal organs.In terms of medication，he ataches great importance to tonifying the heart and spleen，nourishing bloodtosoothethe liver，purging pathogenicfiretorelieve iritability.Heisadeptatusing ethnic herbal medicines from southern Yunnan to regulate qiandblood，harmonize internal organs and balance Yin and Yang.

【Key words】Insomnia；Professor Zheng Jin；Medication Pattern；Academic Thought；TCM Inheritance Assistance Platform（V3.5）

“不寐”的病名首见于《难经》，“老人卧而不寐，少壮寐而不寤”[]，现代医学中称为失眠症，是指频繁而持续的入睡困难和（或）睡眠维持困难并导致睡眠感不满意为特征的睡眠障碍[2]。（剩余6530字）