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基于数据挖掘分析王方治疗季节过敏性结膜炎的用药规律

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目的:探讨王方教授治疗季节过敏性结膜炎(SAC)的用药规律.方法:收集2021年1月1日至2024年1月1日于贵州中医药大学第二附属医院王教授门诊诊治的SAC患者的病案资料,采用Excel软件统计药物频次、四气五味与归经频次,运用Rstudio 4.3.2软件进行关联规则分析及聚类分析.结果:共纳入处方164首,涉及药物171味.药物使用频次排前5位的中药为炙甘草、防风、白芍、银柴胡、陈皮;寒性药使用最多,其次为温性与平性药;药味主要为甘、苦、辛味;归经主要归脾、肝、肺、胃经.高频中药关联规则分析显示,常用的配伍包括侧柏叶-防风、侧柏叶-银柴胡、银柴胡-防风、(侧柏叶、银柴胡)-防风、(辛夷、银柴胡)-防风、(白芍、侧柏叶)-防风.高频中药聚类分析显示出4类药物组合.结论:王教授治疗SAC以扶土抑木为基本治则,以健脾清肝、祛风止痒为基本治法,重视补脾益气、清肝明目、祛风止痒等药物的配伍应用.
Medication rule of Wang Fang in treatment of seasonal allergic conjunctivitis:A study based on data mining
Objective:To investigate the medication rule of Professor Wang Fang in the treatment of season-al allergic conjunctivitis(SAC).Methods:Medical records were collected from the patients with SAC who attended the outpatient service of Professor Wang in The Second Affiliated Hospital of Guizhou University of Traditional Chi-nese Medicine from January 1,2021 to January 1,2024.Excel was used to analyze the frequency of use,nature/taste,and meridian entry of drugs,and Rstudio 4.3.2 was used to perform association rule analysis and cluster anal-ysis.Results:A total of 164 prescriptions were included,involving 171 drugs.The top five drugs in terms of fre-quency of use were Radix Glycyrrhizae Preparata,Divaricate Saposhnikovia Root,Radix Paeoniae Alba,Radix Stel-lariae,and tangerine peel.Most drugs used were cold in nature,followed by those with a warm or neutral nature,and most drugs had a sweet,bitter,or pungent taste;the drugs mainly entered the spleen,liver,lung,and stomach me-ridians.The association rule analysis of high-frequency drugs showed that commonly used drug combinations includ-ed Cacumen biotae-Divaricate Saposhnikovia Root,Cacumen biotae-Radix Stellariae,Radix Stellariae-Divaricate Saposhnikovia Root,(Cacumen biotae/Radix Stellariae)-Divaricate Saposhnikovia Root,(Flos Magnoliae/Radix Stellariae)-Divaricate Saposhnikovia Root,and(Radix Paeoniae Alba/Cacumen biotae)-Divaricate Saposhnikovia Root.The cluster analysis of high-frequency drugs obtained four drug combinations.Conclusion:Professor Wang a-dopts the basic principle of supporting earth and inhibiting wood and the basic treatment methods of strengthening the spleen and clearing liver-fire and dispelling pathogenic wind and arresting itching,with emphasis on the combi-nation of spleen-tonifying and Qi-tonifying drugs,drugs for clearing liver-fire and improving eyesight,and drugs for dispelling pathogenic wind and arresting itching.

seasonal allergic conjunctivitisWang Fangdata miningmedication rule

熊英、王方

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贵州中医药大学,贵州 贵阳,550025

季节过敏性结膜炎 王方 数据挖掘 用药规律

2024

湖南中医杂志
湖南省中医药研究院

湖南中医杂志

影响因子:0.484
ISSN:1003-7705
年,卷(期):2024.40(11)