首页|基于数据挖掘探讨中医药治疗良性前列腺增生的临床用药规律

基于数据挖掘探讨中医药治疗良性前列腺增生的临床用药规律

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目的 基于数据挖掘分析中医药治疗良性前列腺增生(BPH)的临床用药规律.方法 检索中国知网(CNKI)、维普数据库(VIP)、万方数据库等中文数据库建库至2022年12月收录的中医药治疗BPH的临床研究文献,建立Excel数据库,采用SPSS Modeler 18.0、SPSS Statistics 25.0进行频数统计、关联规则、聚类分析.结果 纳入文献81篇,筛选得到63首处方,涉及127味中药,总用药频次为691.频次>10的药物有20味,前5名分别是黄芪、肉桂、茯苓、桃仁、泽泻.四气以寒、温、平为主,五味以甘、苦、辛为主,归经以肝、肾、脾为主.中医证候要素以肾虚、血瘀为主,药物关联规则最强的是茯苓-泽泻、桃仁-肉桂、熟地黄-牡丹皮,核心处方由桂枝茯苓丸合肾气丸组成.结论 BPH以肾虚血瘀为本,用药以补气、活血、利水为主.通过调肝、补肾、健脾燮理脏腑平衡,从而治疗BPH.
Exploration of the clinical medication rules of traditional Chinese medicine in the treatment of benign prostatic hyperplasia based on data mining
Objective To explore the clinical medication rules of traditional Chinese medicine(TCM)in the treatment of benign prostatic hyperplasia(BPH)based on data mining.Methods The clinical research literatures on TCM treatment of BPH were searched from Chinese databases such as CNKI,VIP and Wanfang database from database establishment to December 2022,and an excel database was established.SPSS Modeler 18.0 and SPSS Statistics 25.0 were used for frequency statistics,association rules and cluster analysis.Results A total of 81 literatures and 63 prescriptions were included,involving 127 Chinese herbs with a total medication frequency of 691.There were 20 herbs with frequency>10,and the top 5 herbs were Huangqi,Rougui,Fuling,Taoren,and Zexie.The predominant properties of the herbs were cold,warm,and neutral,and the predominant tastes were sweet,bitter,and pungent.The main meridians involved were the liver,kidney,and spleen.The main TCM syndrome elements were kidney deficiency and blood stasis.The strongest association rules among the herbs were Fuling-Zexie,Taoren-Rougui,and Shudihuang-Mudanpi.The core prescription consisted of Guizhi Fuling Pill combined with Shenqi Pill.Conclusions BPH is based on kidney deficiency and blood stasis,and the medications are mainly tonifying Qi,promoting blood circulation and rehydrating water.BPH can be treated by regulating liver,tonifying kidney,invigorating spleen and regulating viscera balance.

Benign prostatic hyperplasiaData miningMedication rules

冯耀莹、赵升田

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山东中医药大学第一临床医学院,济南 250014

滨州医学院泌尿外科,山东烟台 264000

良性前列腺增生 数据挖掘 用药规律

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(7)
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