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基于数据挖掘的古方治疗产后腹痛用药规律研究

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目的 基于数据挖掘技术,总结治疗产后腹痛古方的组方配伍及用药规律.方法 整理收集《中华医方》妇科篇中治疗产后腹痛的方剂,进行筛选,建立数据库.运用数据挖掘软件进行频数统计、关联规则分析、聚类分析、因子分析、复杂网络构建等.结果 使用的药物类别以补益药、活血化瘀药、温里药、清热药、理气药较为集中,使用高频次药物为当归、肉桂、川芎、白芍、桃仁等.四气以温、平居多,五味以辛、苦为主,归经多属肝、脾、肺、肾经.关联强度较高的二联规则17组,3联规则10组,肉桂-当归、川芎-当归、白芍-当归等为高频药对,川芎-肉桂-当归、延胡索-当归-肉桂、白芍-肉桂-当归等为高频角药组合.高频药物聚类分析及因子分析,获得8个中药聚类组合,12个公因子,复杂网络分析提示核心方剂为生化汤、少腹逐瘀汤、下瘀血汤.结论 虚、寒、瘀是产后腹痛的病变特点,血虚不荣、血瘀阻滞是产后腹痛的主要病机.组方以益气补血药、温里散寒药、活血化瘀药为主,配伍清热药、理气药、止血药.数据挖掘所得到核心组合和方剂对临床应用及新药开发有重要的指导和借鉴意义.
Research on the Medication Pattern of Ancient Formulas for Treating Postpartum Abdominal Pain Based on Data Mining
Objective Based on data mining technology,to summarize the formula compatibility and medication rules of ancient prescriptions for treating postpartum abdominal pain.Methods Organize and collect prescriptions for treating post-partum abdominal pain from the gynecology section of Chinese Medical Formulas,screen them,and establish a database.Use data mining software for frequency statistics,association rule analysis,cluster analysis,factor analysis,complex net-work construction,etc.Results The types of drugs used were mainly tonifying drugs,blood activating and stasis removing drugs,warming drugs,clearing heat drugs,and regulating Qi drugs.The high-frequency drugs used were Angelica sinen-sis,cinnamon,Ligusticum chuanxiong,Paeonia lactiflora,peach kernel,etc.The four Qi are mainly warm and calm,while the five flavors are mainly spicy and bitter.The meridians that return to the liver,spleen,lungs,and kidneys are mostly related to the liver,spleen,lungs,and kidneys.There are 17 sets of binary rules with high correlation strength and 10 sets of ternary rules.Cinnamon-Angelica sinensis,Chuanxiong-Angelica sinensis,and Paeonia lactiflora-Angelica sinen-sis are high-frequency drug pairs,while Chuanxiong-Cinnamon-Angelica sinensis,Corydalis yanhusuo-Angelica sinensis-Cinnamon,and Paeonia lactiflora-Cinnamon-Angelica sinensis are high-frequency corner drug combinations.High frequen-cy drug clustering analysis and factor analysis obtained 8 traditional Chinese medicine clustering combinations and 12 com-mon factors.Complex network analysis suggests that the core formulas are Shenghua Tang,Shaofu Zhuyu Tang,and Xi-ayuxue Tang.Conclusion Deficiency,coldness,and blood stasis are the pathological characteristics of postpartum abdomi-nal pain,while blood deficiency without glory and blood stasis blockage are the main pathological mechanisms of postpartum abdominal pain.The formula mainly consists of Qi tonifying and blood tonifying drugs,Wenli Sanhan drugs,and blood ac-tivating and stasis removing drugs,combined with heat clearing drugs,Qi regulating drugs,and hemostatic drugs.The core combinations and prescriptions obtained from data mining have important guiding and reference significance for clinical ap-plications and new drug development.

Data miningTCM GynecologyPostpartum abdominal painChinese medical prescriptionAssociation rulesCluster analysisFactor analysis

陈媛、丁园晨、陈赟、赵凡、张卫华

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南京中医药大学第一临床医学院,江苏南京 210023

南京中医药大学附属医院,江苏南京 210029

南京中医药大学中医学院,江苏南京 210023

数据挖掘 中医妇科 产后腹痛 中华医方 关联规则 聚类分析 因子分析

2025

现代中医药
陕西中医学院 中华中医药学会

现代中医药

影响因子:0.487
ISSN:1672-0571
年,卷(期):2025.45(1)