基于数据挖掘分析《伤寒杂病论》中肾系病证用药规律

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[中图分类号］R222 [文献标志码］A [文章编号]0256-7415（2026）05-0022-05

DOI：10.13457/j.cnki.jncm.2026.05.004

Analysis of Medication Rules of Syndrome Patterns of the Kidney in Shang Han Za Bing Lun Based on Data Mining

CHENQiuying，LIANG Mou，SUNJihan Shunde Hospital of Guangzhou University of Chinese Medicine，Foshan Guangdong 52830o，China

Abstract：Objective：To analyzethe medication rules of syndrome patterns of the kidney in Shang Han Za Bing Lun（Treatise on Cold Damage and Miscellaneous Diseases）.Methods：The provisions on the treatment of syndrome paterns of the kidney in Shang Han Za Bing Lun werecolectedand sorted out，including theinformationof prescriptions for edema，strangury，dribbling urinary block，and seminal emission，which was input into Excel to establisha prescription database.The data mining functionof the Ancient and Modern Medical Case Cloud Platform（V2.3.9）was used to analyze the frequency，properties，flavors，meridian tropism，and association rules and clusterrulesof Chinese medicines.Results：Atotalof37prescriptions were included，witha totalof 55 Chinese medicines，with a cumulative frequency of 178 times.High-frequency Chinese medicines included Cinnamomi Ramulus，Paeonia LactifloraPall，Zingiberis Rhizoma Recens，Jujubae Fructus，andGlycyrrhizaeRadix et Rhizoma， etc.Their four properties are mainly warm，followed by neutral；theirfive flavors are mainlyswet；meridian tropism is mainlythelung and spleen.The association rule analysis showed that there were six pairs of medicinal combinations such asJujubae Fructus-Zingiberis Rhizoma Recens，Paeonia Lactiflora Pall-Zingiberis Rhizoma Recens，andPaeonia Lactiflora Pall-Cinnamomi Ramulus；through cluster analysis，threeclustering prescriptions were obtained，including Cinnamomi Ramulus-Paeonia Lactiflora Pall-Glycyrhizae Radix et Rhizoma Praeparata cum Mell，Radix Aconiti LateralisPraeparata-AtractylodisMacrocephalaeRhizoma-Poria，andEphedraeHerba-GlycyrrhizaeRadixet

Rhizoma-Jujubae Fructus-Zingiberis Rhizoma Recens. Conclusion：ZHANG Zhongjing's treatment of the syndrome paterns ofthe kidney focused on harmonizing yinand yang and protecting the spleenand stomach，integrating the concept of yin-yang throughout the treatment process，which provides a reference for the modern medication and treatment.

Keywords：Syndrome patterns of the kidney；Medication rules；Shang Han Za Bing Lun； ZHANG Zhongjing; Yin-yang balance

《伤寒杂病论》由东汉医家张仲景所著，其首创辨证论治，属中医“四大经典”之一，分为《伤寒论》和《金匮要略》两部分，对中医学理论体系的形成与发展产生了深远的影响。（剩余4739字）