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基于数据挖掘探讨含陈皮中药复方治疗功能性消化不良的用药规律

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目的 分析并探究国家专利局发布的含陈皮中药复方用于治疗功能性消化不良(functional dyspepsia,FD)的组方规律.方法 筛选国家专利数据库中针对治疗FD的陈皮中药复方专利,运用古今医案云平台对所用药味的四气、五味、归经和功效等进行属性分析;借助IBM SPSS Modeler 18.0软件中的Apriori算法,对高频药味进行关联规则分析;采用SPSS Statistics 19.0软件中的组间连接法进行聚类分析.结果 共得到215项治疗FD的含陈皮中药复方专利,涉及456种中药,总用药频次达2 571次.高频药味20种,包括陈皮、茯苓、山楂、白术、鸡内金、砂仁等.使用的药物多以温、平,甘、辛、苦为主,燥湿化痰、理气健脾为主要功效,兼具清热解毒、利水渗湿.常用药物组合为陈皮、茯苓、白术、甘草以及陈皮、茯苓、白术、砂仁等.聚类分析得到2组核心药物组合:第1组为陈皮、山楂、麦芽、神曲、山药、黄芪、鸡内金、茯苓、白术、党参、甘草、砂仁;第2组为陈皮、苍术、枳壳、香附、柴胡、白芍、木香、枳实、厚朴.结论 与陈皮联用治疗FD的中药多以理气健脾药、消食药为主,符合FD"痞满""积滞"的临床症状特点和治疗原则.陈皮复方专利治疗FD的组方及配伍规律不仅有实践指导意义,且能为陈皮的临床应用、新制剂研发以及药膳疗法等领域提供极具潜力的新组方思路.
Exploring the medication patterns of traditional Chinese medicine compound containing tangerine peel in the treatment of functional dyspepsia based on data mining
Objective To analyze and explore the formula rules of the traditional Chinese medicine compound of tangerine peel published by the National Patent Office for the treatment of functional dyspepsia(FD).Methods The patents of tangerine peel traditional Chinese medicine compound formulas for treating FD in the national patent database were screened,and the attributes of the four qi,five flavors,meridian tropism,and efficacy of the used medicinal flavors were analyzed using the ancient and modern medical record cloud platform.Association rule analysis on high-frequency medicinal flavors was performed using the Apriori algorithm in IBM SPSS Modeler 18.0 software,and Cluster analysis was conducted using the inter group connectivity method in SPSS Statistics 19.0 software.Results A total of 215 patents for the treatment of FD were obtained,involving 456 types of traditional Chinese medicine,with a total frequency of 2 571 uses.There were 20 high-frequency medicinal flavors,including dried tangerine peel,Poriacocos,hawthorn,Atractylodes macrocephala,Galli gigerii endothelium corneum,Amomi fructus,etc.The drugs used are mostly warm,gentle,sweet,spicy,and bitter,with the main effects of drying dampness and resolving phlegm,regulating qi and strengthening the spleen.They also have the effects of clearing heat and detoxifying,promoting water and dampness.The commonly used drug combinations included dried tangerine peel,Poriacocos,Atractylodes macrocephala,licorice,as well as dried tangerine peel,Poriacocos,Atractylodes macrocephala,and Amomi fructus.Cluster analysis obtained 2 core drug combinations,with the first group consisting of tangerine peel,hawthorn,malt,Shenqu,yam,astragalus,Galli gigerii endothelium corneum,Poriacocos,Atractylodes macrocephala,Codonopsis pilosula,licorice,and Amomi fructus;the second group consisted of tangerine peel,Atractylodes macrocephala,Fructus Aurantii,Rhizoma Aconiti,Radix Bupleuri,Radix Paeoniae lactiflorus,Radix Muxiang,Fructus Aurantii,and Magnolia officinalis cortex.Conclution The traditional Chinese medicine used in combination with tangerine peel to treat FD is mainly composed of qi regulating and spleen strengthening drugs,as well as digestive drugs,which are in line with the clinical symptoms and treatment principles of FD such as fullness and stagnation.The prescription and compatibility rules of tangerine peel compound patents for treating FD not only have practical guiding significance,but also can provide a new recipe idea with great potential for clinical application of tangerine peel,research and development of new preparations,tonic diet therapy and other fields.

tangerine peelfunctional dyspepsiatraditional Chinese medicine compound formulanational patentscompatibility and medication rules

彭荣珍、苏汝彬、李嘉俊、林云斌、王贤儿、谭娥玉

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广东江门中医药职业学院/江门市健康产品工程技术研究中心/国家中药现代化工程技术研究中心江门健康产品分中心,广东 江门 529000

江门市五邑中医院,广东 江门 529000

陈皮 功能性消化不良 中药复方 国家专利 配伍及用药规律

2024

广东药科大学学报
广东药学院

广东药科大学学报

CSTPCD
影响因子:0.698
ISSN:1006-8783
年,卷(期):2024.40(4)