首页|基于数据挖掘探究张志明主任医师治疗耳鸣的用药规律

基于数据挖掘探究张志明主任医师治疗耳鸣的用药规律

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目的:挖掘张志明主任医师治疗耳鸣的用药规律,凝练其辨治思路,为指导理论研究及临床用药提供参考.方法:收集门诊中药处方,基于中医传承辅助平台(V2.5)建立数据库,运用关联规则分析、改进的互信息法、复杂系统熵聚类等数据挖掘方法分析组方规律.结果:筛选出治疗耳鸣的处方141首,得到高频用药钩藤、炒白术、法半夏、天麻、柴胡、代赭石、川牛膝、川芎,提取出法半夏、炒白术、天麻、钩藤、柴胡、川牛膝、川芎等7味核心药物及28组核心药物组合,推演出5组耳鸣新方.结论:张志明主任医师强调从"清阳不升,风痰瘀阻"论治耳鸣,确立了"周流气血,升举清阳"的诊治思路.
Chief Physician Zhang Zhiming's Medication Rules of Treating Tinnitus Based on Data Mining
Objective:To provide the reference for guiding theoretical research and clinical application of drugs by unearthing chief physician Zhang Zhiming's medication rules of treating tinnitus.Methods:The outpatient herbal prescriptions were collected,the methods of data mining including association rule analysis,improved mutual information method and entropy clustering of complex systems were applied to analyze the laws of prescription formulation.Results:All 141 prescriptions of treating tinnitus were screened,high-frequency medicines were obtained involving Gouteng(Uncariae ramulus cum Uncis),fried Baizhu(Atractylodes macroce-phala Koidz.),Fabanxia(Pinelliae Rhizoma Praeparatum),Tianma(Gastrodiae rhizoma),Chaihu(Bupleuri Radix),hematite,Chuanniuxi(cyathulae radix)and Chuanxiong(Chuanxiong rhizoma),seven core drugs covering Fabanxia,fried Baizhu,Tianma,Gouteng,Chaihu,Chuanniuxi and Chuanxiong,and 28 core drug combinations were extracted,meanwhile five new prescriptions for tinnitus were derived.Conclusion:Chief physician Zhang Zhiming empha-sizes the treatment of tinnitus from"clear Yang does not rise,wind,phlegm and blood stasis obstructing",confirming the thinking of the diagnosis and treatment of"promoting Qi and blood circulation,lifting clearing Yang".

tinnitusTCMISSZhang Zhimingmedication rules

冯周利、宋忠阳、朱鹏、王忻、张昺磊、李爱玉、李赋、张志明

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甘肃中医药大学中医临床学院,甘肃 兰州 730000

甘肃中医药大学附属医院,甘肃 兰州 730000

耳鸣 中医传承辅助平台 张志明 用药规律

2024

西部中医药
甘肃中医药研究院

西部中医药

CSTPCD
影响因子:0.98
ISSN:1004-6852
年,卷(期):2024.37(12)