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基于数据挖掘探讨中医药治疗原发性失眠的用药规律

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目的 基于数据挖掘技术分析文献期刊中的关于原发性失眠的证型及中药方剂,探索原发性失眠的用药规律.方法 计算机在线检索中国知网、维普网、万方数据知识服务平台的文献期刊,设置检索时限为2013年1月至2023年12月,以纳入及排除标准筛选合格的文献期刊后使用Excel 2023录入数据并进行规范化处理,使用Python脚本对录入的方剂、证型和药物进行统计分析,得到各证型、药物及处方的频次,其次使用Excel 2023软件分别录入统计上述药物的四气五味、归经及功效使用频次,来建立基于文献期刊的原发性失眠数据库.以统计软件Excel 2023、SPSS Statistics 27.0、IBM SPSS Modeler 18.0对中医证型、药物、四气五味、归经及处方进行频次分析、关联规则与聚类分析.结果 本研究共收集了 90首治疗原发性失眠处方共涉及中药108味,核心证型为心脾两虚型,使用频次前10位分别是甘草、酸枣仁、茯苓、当归、白术、黄连、远志、柴胡、党参、半夏,性味以寒、温和甘、苦、辛居多,药物大多归肝、心、肾经,药物多以补虚药为主,处方为归脾汤.关联规则分析发现茯苓、甘草、酸枣仁、白术、当归关联为强链接,聚类分析得到5个药物组方.对心脾两虚型进行关联规则分析,发现甘草、当归、白术、酸枣仁等药物之间的关联性最强.结论 原发性失眠多以心脾两虚为主,治疗多用补虚药,补气健脾,养血安神,归脾汤为治疗的核心处方.
Discussion on the medication rules of traditional Chinese medicine in treating primary insomnia based on data mining
Objective To analyze the syndromes of primary insomnia and traditional Chinese medicine prescriptions in literature and periodicals based on data mining technology,and to explore the medication rules of primary insomnia.Methods The literatures and periodicals of CNKI,VIP,and Wanfang Data were searched online by computer,and the search time was set to be from January 2013 to December 2023.The qualified literatures and periodicals were selected according to inclusion and exclusion criteria,and then the data were input and normalized by Excel 2023.The Python script was used for statistical analysis of the entered prescriptions,syndrome types,and drugs,and the frequency of each syndrome type,drug,and prescription was obtained.Secondly,Excel 2023 software was used to record and count the four nature,five flavours,channel tropism,and efficacy use frequency of the above-mentioned drugs,so as to establish a primary insomnia database based on literature journals.Statistical software Excel 2023,SPSS Statistics 27.0,IBM SPSS Modeler 18.0 were used to analyze the frequency,association rules,and cluster analysis of traditional Chinese medicine syndrome types,drugs,four nature and five flavours,channel tropism,and prescription.Results In this study,a total of 90 prescriptions for treating primary insomnia involving 108 kinds of traditional Chinese medicine were collected,and the core syndrome was type of deficiency of both heart and spleen.The top ten frequently used were Glycyrrhizae Radix Et Rhizoma,Ziziphi Spinosae Semen,Poria,Angelicae Sinensis Radix,Atractylodis Macrocephalae Rhizoma,Coptidis Rhizoma,Polygalae Radix,Bupleuri Radix,Codonopsis Radix,Pinelliae Rhizoma.The natures and flavours were mainly cold,warm,sweet,bitter,and pungent.The drugs were mostly liver,heart,and kidney channels.The main drugs were tonifying deficiency drugs,and the prescription was Guipi Decoction.Association rule analysis showed that there were strong links among Poria,Glycyrrhizae Radix Et Rhizoma,Ziziphi Spinosae Semen,Atractylodis Macrocephalae Rhizoma,and Angelicae Sinensis Radix,and five drug formulations were obtained by cluster analysis.The association rule analysis of type of deficiency of both heart and spleen showed the strongest correlation among Glycyrrhizae Radix Et Rhizoma,Angelicae Sinensis Radix,Atractylodis Macrocephalae Rhizoma,and Ziziphi Spinosae Semen.Conclusion The primary insomnia is mainly caused by the deficiency of both heart and spleen.The treatment of deficiency medicine,invigorating qi and invigorating spleen,nourishing blood and calming the spirit,Guipi Decoction is the core prescription of treatment.

Data miningPrimary insomniaTraditional Chinese medicineMedication rules

孙亚丽、赵继业、贺宇田、秦瑛烁、任国华

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内蒙古医科大学中医临床医学院,内蒙古呼和浩特 010020

内蒙古自治区中医医院脑病科,内蒙古呼和浩特 010050

数据挖掘 原发性失眠 中医药 用药规律

内蒙古自治区卫生健康科技计划项目内蒙古自治区高水平临床专科建设科技项目

2022011082023SGGZ130

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(26)