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基于数据挖掘探究自身免疫性甲状腺炎非甲亢期的用药规律

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目的:利用古今医案云平台V2.3.7对自身免疫性甲状腺炎(AIT)非甲亢期的中药方剂进行数据挖掘,探索其用药规律和特点.方法:检索中国知网(CNKI)、维普中文科技期刊数据库(VIP)、万方数据(WANFANG DATA)、PubMed数据库,收集2014年1月1日至2024年2月29日采用中医药治疗AIT非甲亢期的文献,筛选文献并提取中药方剂,对方剂的药物频次、四气五味、关联规则、层次聚类等进行分析.结果:本研究纳入中医治疗AIT非甲亢期药方共284个,单味药数量为268味,总使用频次3 195次.药物使用频次排名前10位的分别为夏枯草、柴胡、黄芪、白术、茯苓、白芍、浙贝母、当归、甘草、党参.药物四气以温性为首,后依次为平、寒、微寒,五味以甘、苦、辛为主,多归肝、脾经.药物功效以疏肝解郁为主.药物层次聚类获得4类,关联规则显示夏枯草-黄芪是最常用的药对.结论:中医药治疗AIT非甲亢期,既强调疏解肝气、补益脾肾,又重视散结消瘿,并根据病理因素如气滞、痰浊、瘀血采用行气、燥湿、活血等药物.
Medication rule in treatment of autoimmune thyroiditis in the non-hyperthyroidism stage:A study based on data mining
Objective:To investigate the medication rule in the treatment of autoimmune thyroiditis(AIT)in the non-hyperthyroidism stage by performing data mining of traditional Chinese medicine(TCM)prescriptions using Cloud Platform of Ancient and Modern Medical Records V2.3.7.Methods:CNKI,VIP,Wanfang Data,and PubMed were searched for articles on TCM treatment of AIT in the non-hyperthyroidism stage published from Janu-ary 1,2014 to February 29,2024.The articles were screened,and the TCM prescriptions were extracted and ana-lyzed in terms of drug frequency,four properties and five tastes,association rule,and hierarchical clustering.Results:A total of 284 TCM prescriptions for the treatment of AIT in the non-hyperthyroidism stage were included in this study,involving 268 single herbs,with a total frequency of use of 3 195.The top 10 drugs in terms of frequency of use were Prunella vulgaris,Bupleurum chinense,Astragalus membranaceus,Atractylodes macroceph-ala Koidz.,Poria cocos,Radix Paeoniae Alba,Fritillaria thunbergii,Angelica sinensis,Radix Glycyrrhizae,and Codonopsis pilosula.Most drugs had a warm nature,followed by those with a neutral,cold or slightly cold nature,and most drugs had a sweet,biter or pungent taste,mainly entering the liver and spleen meridians.Most drugs had the function of soothing the liver and resolving stagnation.Hierarchical clustering obtained 4 clusters,and the associ-ation rule analysis showed that Prunella vulgaris-Astragalus membranaceus was the most commonly used drug com-bination.Conclusion:In the treatment of AIT in the non-hyperthyroidism stage,TCM emphasizes soothing the liver,invigorating spleen and kidney,resolving static blood,and eliminating goiter and applies the drugs for moving Qi,dr-ying dampness,and activating blood based on the pathological factors such as Qi stagnation,phlegm turbidity,and blood stasis.

autoimmune thyroiditis in the non-hyperthyroidism stagemedication ruledata mining

林子渝、陈巍

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辽宁中医药大学,辽宁 沈阳,110847

辽宁中医药大学附属第二医院,辽宁 沈阳,110034

自身免疫性甲状腺炎非甲亢期 用药规律 数据挖掘

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(12)