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基于数据挖掘的感染后咳嗽中医用药规律分析

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目的 搜集文献与中药专利建立感染后咳嗽中医方药数据库,应用数据挖掘方法探析中医治疗感染后咳嗽组方特点及用药规律,为临床治疗用药提供参考。方法 检索中国国家知识产权局专利数据库中治疗感染后咳嗽的中药专利复方以及中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、万方数据知识服务平台(Wanfang)、中文科技期刊数据库(VIP)建库至2023年6月的中医治疗感染后咳嗽的临床研究,建立处方数据库,使用Excel 2021、SPSS 26。0、SPSS Modeler 18。0软件进行频数分析、聚类分析、关联规则分析,深挖配伍规律。结果 共纳入相关中药复方专利39项,文献632篇,共筛选方剂540首。感染后咳嗽临床研究中证型以风邪犯肺、风寒犯肺多见。桔梗、苦杏仁、紫菀等药物为临床常用药,以化痰止咳平喘药、解表药多见;药性以温性最多,寒性次之;药味以辛、苦、甘为主;归经以肺经、脾、胃经为主。聚类分析可聚为五类;关联规则分析得到药对9对,药组13项包括桔梗+白前、百部+白前等,其中紫菀→白前+荆芥置信度最高,桔梗→荆芥+紫菀、百部→荆芥+紫菀支持度最高。结论 感染后咳嗽用药以温性为主,从肺、脾、胃入手,治以化痰止咳平喘,配合解表、清热、补气、养阴等增强疗效。
Data Mining-Based the Macroscopic Exploration of Clinical Medication of Chinese Medicine for Post Infectious Cough
Objective To collect literature and establish a database of traditional Chinese medicine prescriptions for treating post infection cough using traditional Chinese medicine patents,and apply data mining methods to analyze the characteristics and medication patterns of traditional Chinese medicine prescriptions for treating post infection cough,providing reference for clinical treatment medication.Method The Chinese patent prescriptions for the treatment of post infectious cough in the patent database of the China National Intellectual Property Administration,as well as the Chinese Journal Full Text Database(CNKI),the Chinese Biomedical Literature Database(CBM),Wanfang Data Knowledge Service Platform(Wanfang),and the Chinese Science and Technology Periodicals Database(VIP)were searched,and the clinical studies on the treatment of post infectious cough by tradi-tional Chinese medicine from June 2023 were established.The prescription database was established using Excel 2021,SPSS 26.0 SPSS Modeler 18.0 software conducts frequency analysis,cluster analysis,and association rule analysis to deeply explore com-patibility patterns.Result A total of 39 patents and 632 literature related to traditional Chinese medicine compound prescriptions were included,and a total of 540 prescriptions were screened.In clinical studies of cough after infection,the common types of symptoms are wind evil invading the lungs and wind cold invading the lungs.Platycodon grandiflorum,bitter almond,purple as-ter and other drugs are commonly used in clinical practice,with phlegm resolving,cough relieving,and asthma relieving drugs being more common;The medicinal properties are mostly warm,followed by cold;The medicinal taste is mainly spicy,bitter,and sweet;The main meridians are the lung,spleen,and stomach meridians.Cluster analysis can be clustered into five catego-ries;The association rule analysis obtained 9 pairs of drug pairs,with 13 items in the drug group including Platycodon grandiflo-rum+Baiqian,Baibu+Baiqian,etc.Among them,Aster → Baiqian+Jingjie has the highest confidence,while Platycodon grandiflorum → Jingjie+Ziyuan,Baibu → Jingjie+Ziyuan have the highest support.Conclusion The medication for cough after infection is mainly warm,starting from the lungs,spleen,and stomach.The treatment is to dissipate phlegm,stop cough,and relieve asthma,combined with relieving external symptoms,clearing heat,replenishing qi,and nourishing yin to enhance the therapeutic effect.

post infectious coughtraditional Chinese medicine clinicalmedication ruledata mining

高文、吴振起

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辽宁中医药大学,辽宁沈阳 110847

辽宁中医药大学附属第二医院,辽宁沈阳 110034

感染后咳嗽 中医药疗法 用药规律 数据挖掘

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(12)