首页|基于数据挖掘技术分析刘怀珍教授治疗寻常痤疮的用药规律

基于数据挖掘技术分析刘怀珍教授治疗寻常痤疮的用药规律

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目的:基于数据挖掘技术分析刘怀珍教授治疗寻常痤疮的用药规律,总结其诊治痤疮的临床经验.方法:将2022年7月1日—2023年10月1日期间于安徽中医药大学第一附属医院内分泌门诊治疗痤疮的患者中药处方进行筛选,采用Microsoft Office Excel 2016、SPSS Statistics 27.0、SPSS Modeler 18.0统计学软件进行频次、关联规则及聚类分析,总结用药规律.结果:本研究共纳入首诊处方229首,累计使用药物161味,使用频次最高的药物有蒲公英(200次)、柴胡(199次)、当归(194次)、地黄(189次)、大黄(177次)等;核心药对47对,最常见的药对为蒲公英-柴胡、柴胡-当归、蒲公英-当归等,其中大黄-蒲公英为支持度最高的药对,黄芩、当归-柴胡为置信度最高的药对;聚类分析得到3个核心方剂,处方1:地黄、山药、牡丹皮、丹参、蒲公英、紫花地丁、大黄、柴胡、黄芩、枇杷叶、百部、川楝子;处方2:天葵子、甘草、党参、浙贝母、夏枯草、百合、连翘;处方3:枳实、女贞子、茯苓、白芷、白芍、白术、炙甘草、益母草、赤芍、当归、川芎.结论:刘怀珍教授认为痤疮主要病机为"湿热毒邪",重视从肝、心、脾、肺论治,用药以清热解毒为基础,巧用引经药,辅以泻火、消痈、祛邪扶脾,体现了其调经、清上、调中、通下的特点.
Medication rules of Professor Liu Huaizhen in the treatment of acne vulgaris based on data mining technology
Objective:To analyze Professor Liu Huaizhen's medication rules in the treatment of acne vulgaris based on data mining technology,and summarize his clinical experience in the diagnosis and treatment of acne.Methods:Tradi-tional Chinese medicine prescriptions for patients with acne treated in the endocrine clinic of the First Affiliated Hospital of Anhui University of Chinese Medicine from July 1,2022 to October 1,2023 were screened.Microsoft Office Excel 2016,SPSS Statistics 27.0,and SPSS Modeler 18.0 statistical software were used for frequency,association rules and cluster analysis,and the medication rules were summarized.Results:A total of 229 prescriptions were included in this study,and a total of 161 drugs were used.The most frequently used drugs were Pugongying(200 times),Chaihu(199 times),Dang-gui(194 times),Dihuang(189 times),and Dahuang(177 times).There were 47 core couplet medicines,and the most common couplet medicines were Pugongying-Chaihu,Chaihu-Danggui,and Pugongying-Danggui,among which Dahuang-Pugongying had the highest support,and Huangqin and Danggui-Chaihu had the highest confidence.Three core prescrip-tions were obtained by cluster analysis.Prescription 1:Dihuang,Shanyao,Mudanpi,Danshen,Pugongying,Zihuadiding,Dahuang,Chaihu,Huangqin,Pipa leaves,Baibu and Chuanlianzi.Prescription 2:Tiankuizi,Gancao,Dangshen,Zhe-beimu,Xiakucao,Baihe and Lianqiao.Prescription 3:Zhishi,Nvzhenzi,Fuling,Baizhi,Baishao,Baizhu,Zhigancao,Yimucao,Chishao,Danggui and Chuanxiong.Conclusion:Prof.Liu Huaizhen believes that the main pathogenesis of acne is"dampness,heat and toxin",and attaches great importance to the treatment of acne from the heart,liver,spleen and lung.The medication is based on heat-clearing and toxicity-removing,supplemented by reducing fire,eliminating car-buncle,eliminating pathogens and strengthening the spleen.Prof.Liu Huaizhen uses meridian-guiding drugs skillfully,which reflects the characteristics of regulating meridians,clearing the upper,regulating the middle and promoting the lower.

acnedata miningassociation rulescluster analysis

许梦婷、刘怀珍、唐华超

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安徽中医药大学第一临床医学院,安徽 合肥 230038

安徽中医药大学第一附属医院,安徽 合肥 230031

痤疮 数据挖掘 关联规则 聚类分析

安徽中医药领军人才建设项目

中医药发展秘[2018]23号

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(4)