首页|国家中药复方专利治疗糖尿病视网膜病变的用药规律研究

国家中药复方专利治疗糖尿病视网膜病变的用药规律研究

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目的 基于数据挖掘技术分析国家专利数据库中治疗糖尿病视网膜病变(Diabetic retinopathy,DR)的中药复方配伍规律,为DR的临床治疗及新药研发提供思路.方法 筛选国家知识产权局中国专利数据库建库至2023年9月1日期间公布公告网站中治疗DR的中药复方专利,将药物组成录入Excel软件建立数据库,运用古今医案云平台(V2.3.7)软件的数据挖掘板块对药物的应用频次、性味归经、关联规则等进行分析,运用IBM SPSS Statistics 26.0统计学软件对中药复方中的高频药物进行系统聚类分析.结果 共纳入中药复方76首,涉及中药175味,使用频次排名依次为黄芪、丹参、枸杞子、生地黄、三七、山药、葛根、菊花等.涉及药物药性以微寒、寒为主,药味以甘味、苦味为主,归经以肝经、肾经为主.关联规则分析所得药对主要有4类,分别为益气活血类、滋补肝肾类、活血化瘀类和益气养阴类.聚类分析得到治疗DR的类方有"枸杞子、菟丝子、菊花、车前子、川芎、密蒙花、女贞子""当归、牡丹皮""山药、山茱萸、泽泻、茯苓、白术"等.结论 中药复方治疗DR强调标本兼治,注重肝脾肾同调,气血水并治,以益气养阴、滋补肝肾、活血化瘀为基本治法,佐以利水渗湿、凉血止血治法,常用当归补血汤、增液汤、二至丸、驻景丸、杞菊地黄丸、四物五子丸、五苓散、生蒲黄汤等方剂加减,可为DR的临床治疗及新药研发提供一定参考.
Medication Rules of National Traditional Chinese Medicine Compound Patents for Treating Diabetic Retinopathy
Objective To analyze the compatibility regulation of traditional Chinese medicine(TCM)compound for treating diabetic retinopathy(DR)in the national patent database using data mining technology,providing insights for clinical treatment and new drug development for DR.Methods TCM compound patents for treating DR,announced on the website of the China National Intellectual Property Administration from its establishment to September 1,2023,were select-ed.The composition of the medicines was entered into an Excel to establish a database.The application frequency,medici-nal properties meridian,and association rules of the medicines were analyzed using the data mining module of the ancient and modern medical record cloud platform(V2.3.7).IBM SPSS Statistics 26.0 software was used for systematic clustering analysis of high-frequency medicines in TCM compounds.Results A total of 76 TCM compounds,involving 175 medi-cines,were included.The most frequently used medicines were Astragali Radix,Salviae Miltiorrhizae Radix Et Rhizoma,Lycii Fructus,Rehmanniae Radix,Notoginseng Radix Et Rhizoma,Dioscoreae Rhizoma,Puerariae Lobatae Radix,Chrysan-themi Flos.The primary properties of the medicines involved were slightly cold and cold,with sweet and bitter tastes,main-ly targeting the liver and kidney meridian.Association rules analysis identified four types of medicine pairs,Qi benefiting and blood circulation promoting,liver and kidney tonifying,blood circulation promoting and blood stasis removing,and Qi benefiting and Yin nourishing.Cluster analysis showed that the typical DR treatment compounds included Lycii Fructus,Cuscutae Semen,Chrysanthemi Flos,Plantaginis Semen,Chuanxiong Rhizoma,Buddlejae Flos,Ligustri Lucidi Fructus;An-gelicae Sinensis Radix,Moutan Cortex;Dioscoreae Rhizoma,Corni Fructus,Alismatis Rhizoma,Poria and Atractylodis Mac-rocephalae Rhizoma.Conclusions TCM compounds for treating DR emphasize both symptoms and root causes.It focuses on harmonizing the liver,spleen,and kidneys,and treating Qi,blood,and fluids simultaneously.The basic treatment meth-ods include tonifying Qi and nourishing Yin,tonifying liver and kidney,promoting blood circulation and removing blood sta-sis,supplemented by methods of promoting diuresis to drain dampness,cool the blood and stop bleeding.Commonly used compounds include Danggui Buxue Decoction,Zengye Decoction,Erzhi Pills,Zhujing Pills,Qiju Dihuang Pills,Siwu Wuzi Pills,Wuling Powder,and Shengpuhuang Decoction.These findings can provide references for the clinical treatment of DR and the development of new medicines.

Diabetic RetinopathyData MiningMedication RulesTraditional Chinese Medicine Compound Patent

刘江腾、张耀夫、阮智超、唐莹、赵进喜

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北京中医药大学东直门医院,北京 100700

糖尿病视网膜病变 数据挖掘 用药规律 中药复方专利

国家自然科学基金面上项目

82074354

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(6)