首页|动脉粥样硬化临床前期中医证候特点及用药规律文献挖掘

动脉粥样硬化临床前期中医证候特点及用药规律文献挖掘

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目的:探析动脉粥样硬化临床前期的中医证候特点及中药应用规律。方法:检索万方数据库(Wan-fang Data)、中国生物医学文献数据库(CBM)、中国知网(CNKI)、维普(VIP)等数据库从建库至2023年5月中医药治疗动脉粥样硬化临床前期的研究,提取基本信息建立数据库,进行频数统计、关联规则分析、聚类分析、复杂网络分析。结果:纳入文献208篇,其中82篇报告了中医证型,126篇报告了中药处方。常见证型有湿痰证、痰瘀互结证、阴虚阳亢证、肝肾阴虚证、肾精亏虚证、血瘀证等。高频药物有丹参、川芎、黄芪、甘草、茯苓、半夏、水蛭、泽泻、三七等,药性多为寒、温,药味多为辛、甘、苦,归经多为肝经、脾经、肺经、肾经;关联规则分析得到10条二项关联,18条三项关联;聚类分析得到6类药物组合;复杂网络分析得到18个高频药物构成的核心药物群。结论:动脉粥样硬化临床前期的中医证候以本虚标实为主要特征,本虚多为阴虚、气虚,标实多为痰湿、血瘀、气滞,主要病变脏腑为肾、肝、脾,遣方用药以补虚益气、活血化瘀、化痰通络为主,并随症加减。
Characteristics of TCM Syndromes and Medication Rules in Treatment of Preclinical Atherosclerosis Based on Literature Mining
Objective:To analyze the characteristics of traditional Chinese medicine(TCM)syndromes and medication rules in the treatment of preclinical atherosclerosis.Methods:Literature about TCM treatment for preclinical atherosclerosis was retrieved from Wanfang Data,CBM,CNKI and VIP Database since the establishment to May of 2023.The basic information was extracted to build a database.Then frequency statistics,correlation rule analysis,cluster analysis and complex network analysis were conducted.Results:Totally 208 articles were included.TCM syndromes were reported in 82 articles,and TCM prescriptions were reported in 126 articles.The high-frequency syndromes were dampness-phlegm syndrome,phlegm stasis interjunction syndrome,Yin deficiency and Yang excess syndrome,liver and kidney Yin deficiency syndrome,kidney essence deficiency syndrome,and blood stasis syndrome.The high-frequency Chinese materiamedica included Danshen(salvia miltiorrhiza),Chuanxiong(ligusticumwallichii),Huangqi(astragalus),Gancao(liquorice),Fuling(poriacocos),Banxia(pinelliaternata),Shuizhi(leech),Zexie(rhizomaalismatis),Sanqi(pseudo-ginseng),etc.Property belonged to cold and warm.And most of the herb flavor belonged to pungency,sweet and bitter,and most of the meridian distribution belonged to liver,spleen,lung and kidney meridians.Totally 10 binomial correlations and 18 trinomial correlations were obtained by correlation rule analysis.A total of six medicine combinations were obtained by cluster analysis.A core herb-group containing 18 herbs was obtained by complex network analysis.Conclusion:The main characteristics of TCM syndromes in the preclinical atherosclerosis is deficient root and excessive superficislity.This deficient root is mostly Yin deficiency and Qi deficiency,and the excessive superficislity is phlegm dampness,blood stasis and Qi stagnation.The main lesions of viscera were kidney,liver and spleen,and the main prescription drugs are tonifying Qi,promoting blood circulation and removing blood stasis,and resolving phlegm and clearing collaterals,with adding or subtracting according to the symptoms.

preclinical atherosclerosisChinese medicinesyndromesmedication rulesliterature mining

刘莉、王凤荣

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辽宁中医药大学,辽宁 沈阳 110847

大连大学附属中山医院,辽宁 大连 116001

辽宁中医药大学附属医院,辽宁 沈阳 110032

动脉粥样硬化临床前期 中医药 证候 用药规律 文献挖掘

国家自然科学基金项目辽宁省中医药临床重点学(专)科服务能力建设项目

81874415LNZYXZK201908

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(2)
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