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基于R语言探析巩跃生治疗溃疡性结肠炎的用药规律

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目的:总结巩跃生治疗溃疡性结肠炎的遣方用药规律。方法:收集2021年1月1日至2022年12月31日巩跃生教授治疗溃疡性结肠炎的医案574则,提取首诊处方建立处方数据库,R软件中运用频数统计分析、关联规则分析、聚类分析等方法分析用药规律。结果:研究共纳入有效处方384份,涉及中药135味,药性以寒、温为主,药味以苦、甘、辛为主,归经多为脾经、胃经、肝经。中药关联规则分析得到强关联规则49条,其中置信度最高的药对为"连翘-栀子",三药组合为"党参,山药-白术";与大肠湿热证相关的核心药物有黄柏、白头翁、黄连、牡丹皮、乌梅等;层次聚类将30味高频中药聚为3类。结论:巩跃生治疗溃疡性结肠炎注重五脏论治,以脾胃为主,运用清热利湿、温补脾胃、调和气血等治法,体现了理法同达、药证合一、顾病求本的学术思想。
Analysis on the Medication Rules of GONG Yuesheng in the Treatment of Ulcerative Colitis Based on R Language
Objective:To summarize GONG Yuesheng's prescription and medication rules in the treatment of ulcerative colitis.Methods:574 medical records of Professor GONG Yuesheng's treatment of ulcerative colitis from January 1,2021 to December 31,2022 were collected,and the prescription database was established by extraction of the first prescription.The frequency statistical analysis,association rule analysis,cluster analysis and other methods were used to analyze the medication rule in R software.Results:A total of 384 effective prescriptions were included in the study,involving 135 traditional Chinese medicines.The medicinal properties were mainly cold and warm,and the medicinal flavors were mainly bitter,sweet,and spicy.The meridians were mostly attributed to the spleen,stomach,and liver meridians.The analysis of traditional Chinese medicine association rules resulted in 49 strong association rules,among which the most reliable drug pair was"Lianqiao(Forsythiae Fructus)-Zhizi(Gardeniae Fructus)",and the combination of the three drugs was"Dangshen(Codonopsis Radix),Shanyao(Dioscoreae Rhizoma)-Baizhu(Atractylodis Macrocephalae Rhizoma)".The core drugs related to the dampness heat syndrome of the large intestine include Huangbai(Phellodendri Cortex),Baitouweng(Pulsatillae Radix),Huanglian(Coptidis Rhizoma),Mudanpi(Moutan Cortex),Wumei(Mume Fructus),and etc.The hierarchical clustering categorizes 30 high-frequency drugs into 3 categories.Conclusion:GONG Yuesheng focused on the spleen and stomach as the center in the treatment of ulcerative colitis with traditional Chinese medicine,empha-sizing the treatment of the five organs.He used the treatment methods of clearing heat and promoting dampness,warming and tonifying the spleen and stomach,and regulating Qi and blood,reflecting the academic idea of achieving the same principle and method,integrating medicine and syndrome,and seeking the foundation of the disease.

ulcerative colitistraditional Chinese medicinemedication rulesGONG Yuesheng

宋聚才、赵雪茹、巩跃生、魏淑娥、刘超峰

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郑州市大肠肛门病医院,河南 郑州 450000

溃疡性结肠炎 中医药 用药规律 巩跃生

河南省中医药科学研究专项(2023)

2023ZY2161

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(5)
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