首页|基于国家专利的中药复方治疗糖尿病周围神经病变用药规律研究

基于国家专利的中药复方治疗糖尿病周围神经病变用药规律研究

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目的 基于数据挖掘技术对国家专利数据库中治疗糖尿病周围神经病变(Diabetic peripheral neu-ropathy,DPN)的中药复方专利进行分析,挖掘其用药配伍及组方规律.方法 检索1985年9月10日—2024年1月1日期间国家知识产权局治疗DPN的中药复方专利,运用古今医案云平台(V2.3.7)及SPSS Statistics 26.0统计学软件对符合纳入标准的专利复方进行药物频次和性味归经统计、关联规则分析、系统聚类分析.结果 共纳入治疗DPN的中药复方专利66首,涉及中药149味.高频药物依次为黄芪、川芎、当归、丹参、桂枝、鸡血藤等;药性以温性药最多,其次为平性、微寒等,药味以甘味最多,其次为辛味、苦味等,归经主要为肝经、脾经、心经等;关联规则以益气活血类置信度最高,药物组合前三位为川芎-黄芪、丹参-黄芪、当归-黄芪,以黄芪为核心药物;聚类分析获得的药物组合有"丹参、生地黄、赤芍、延胡索、牛膝、红花、桃仁""川芎、当归、黄芪、鸡血藤、桂枝、地龙"和"蜈蚣、甘草"等.结论 中药复方治疗DPN注重气血同调,以益气活血为基本治法,根据病情配合滋阴、温阳、通络、止痛等法,常用补阳还五汤、黄芪桂枝五物汤、当归四逆汤、止痉散等方化裁,可为DPN的临床治疗及新药研发开拓思路、提供参考.
Medication Rules of Chinese Medicine Compounds in the Treatment of Diabetic Pe-ripheral Neuropathy Based on National Patents
Objective To analyze the Chinese medicine compound patents for the treatment of diabetic peripheral neuropathy(DPN)in the National Patent Database using data mining techniques,and to explore the drug compatibility and formulation rules.Methods Chinese medicine compound patents related to the treatment of DPN were retrieved from Chi-na National Intellectual Property Administration from September 10,1985,to January 1,2024.The Ancient and Modern Medical Case Cloud Platform(V2.3.7)and SPSS Statistics 26.0 software were used to perform frequency statistics on the drugs,analyze their properties and meridian tropism,conduct association rule analysis,and perform systematic cluster anal-ysis.Results A total of 66 Chinese medicine compound patents for the treatment of DPN were included,involving 149 drugs.The most frequently used drugs were Astragali Radix,Chuanxiong Rhizoma,Angelicae Sinensis Radix,Salviae Milti-orrhizae Radix et Rhizoma,Cinnamomi Ramulus,and Spatholobi Caulis.In terms of properties,warm drugs were used most frequently,followed by neutral and slightly cold ones.In terms of flavor,sweet drugs were most common,followed by pun-gent and bitter ones.The drugs primarily acted on the liver,spleen,and heart meridians.The highest confidence level in the association rule analysis was for the"tonifying qi and invigorating blood"category,with the top three drug combinations being Chuanxiong Rhizoma-Astragali Radix,Salviae Miltiorrhizae Radix et Rhizoma-Astragali Radix,and Angelicae Sinensis Radix-Astragali Radix,with Astragali Radix as the core drug.The cluster analysis yielded combinations such as"Salviae Miltiorrhizae Radix et Rhizoma,Rehmanniae Radix,Paeoniae Radix Rubra,Corydalis Rhizoma,Achyranthis Bi-dentatae Radix,Carthami Flos,and Persicae Semen","Chuanxiong Rhizoma,Angelicae Sinensis Radix,Astragali Radix,Spatholobi Caulis,Cinnamomi Ramulus,and Pheretima",and"Scolopendra and Glycyrrhizae Radix et Rhizoma".Conclu-sion Chinese medicine compounds for the treatment of DPN emphasize the simultaneous regulation of qi and blood,with tonifying qi and activating blood as the primary therapeutic approach.Depending on the condition,additional methods such as nourishing yin,warming yang,dredging channels,and relieving pain are applied.Commonly modified formulas include Buyang Huanwu Decoction,Huangqi Guizhi Wuwu Decoction,Danggui Sini Decoction,and Zhijing Powder.These findings may provide new ideas and references for clinical treatment and new drug development for DPN.

Diabetic Peripheral NeuropathyPatentsChinese Medicine CompoundPrescription LawData Mining

刘江腾、王乐、李泽宇、郭志卂、张华

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北京中医药大学东直门医院,北京 100700

糖尿病周围神经病变 专利 中药复方 组方规律 数据挖掘

国家中医药管理局第七批全国老中医药专家学术经验继承工作项目

202276

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(9)
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