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基于古今医案云平台探讨视神经炎的中医证型及用药规律

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目的 基于古今医案云平台研究视神经炎(ON)的中医证型及用药规律.方法 纳入自建库以来至2022年12月31日收录于古今医案云平台、中国知网、万方医学网、维普网及中国生物医学文献服务系统中使用中医药治疗ON的医案及文献.将中医证型、处方组成及治法录入Excel软件并建立数据库,对中药名称规范化处理后,运用古今医案云平台(V2.3.5)的数据挖掘模块对中医证型、中药四气、五味、高频中药使用频次、关联规则等进行分析.结果 (1)一般情况:共纳入医案15个和文献110篇,包含68种证型,"肝郁气滞证"出现频次最高(28次,12.02%);233个中药复方,涉及中药211味,累计频次为2,579次,四气以寒性最多(49味,23.22%);五味以甘味药最多(76味,36.02%);归经以肝经药物最多(73味,34.60%).(2)高频中药使用频次:用药频次≥30次的中药共21味,排在前5位的分别是当归(165 次,70.82%)、茯苓(143 次,61.37%)、柴胡(127 次,54.51%)、白芍(118 次,50.64%)、白术(110次,47.21%).(3)高频中药关联规则:共得到8类核心药对,排在前5位的分别是"白芍-当归""柴胡-当归""白术-当归""白术-茯苓""白芍-茯苓".(4)高频中药聚类分析:聚类分析得到4个药物聚类,功效分别为清热凉血活血、疏肝健脾益气、养阴清心凉血、补肾益气利水.(5)复杂网络分析:提取出的核心处方为丹栀逍遥散加减,涵盖10味中药.结论 ON的中医辨证与"肝"密切相关,中药治疗ON以调肝为主,分别采用疏肝、清肝、养肝之法;且兼顾心脾,补益气血;同时辅以子类药,具有脏窍同治的特点.
Study on Medicine Syndrome Types and Medication Regularity of Traditional Chi-nese Medicine for Treatment of Optic Neuritis Based on the Ancient and Modern Medical Case Cloud Platform
OBJECTIVE To explore the Traditional Chinese Medicine(TCM)syndrome types and medication rules of optic neuritis(ON)based on the ancient and modern medical case cloud platform.METHODS Medical records and literature on the treatment of optic neuritis with TCM were included from the establishment of the database to December 31st,2022,on the ancient and modern medical case cloud platform,CNKI,Wanfang Data,VIP,and SinoMed.Input TCM syndrome types,prescription composition,and treatment methods into Excel software and establish a database.After standardizing the names of Chinese medicines,the data mining module of the ancient and modern medical case cloud platform(V2.3.5)was used to analyze TCM syndrome types,four Qi,five flavors,attributes,frequency statistics of high-frequency medicines,cluster analysis,and complex network analysis.RESULTS(1)General information:A total of 15 medical records and 110 works of literature were included,covering 68 syndrome types,"Liver stagnation and Qi stagnation syndrome"(28 times,12.02%)appeared most frequently,with 233 prescriptions,involving 211 kinds of Chinese medicines,with a total of 2,579 frequencies.The medicine properties were mainly cold(49 medicines,23.22%),the flavors were mainly sweet(76 medicines,36.02%),and liver meridian is the most common in terms of the meridian tropisms(73 medicines,34.60%).(2)Frequency statistics of high-frequency medicines:There were 21 Chinese medicines with a frequency of medication more than 30 times and the top five were Angelica Sinensis(165 times,70.82%),Poria cocos(143 times,61.37%),Radix Bupleuri(127 times,54.51%),Radix Paeoniae Alba(118 times,50.64%),and Atractylodes macrocephala(110 times,47.21%).(3)Cluster analysis of high-frequency Chinese medicines:The association rule analysis yielded 8 core Chinese medicines pairs,the top five were"Radix Paeoniae Alba-Angelica sinensis","Radix Bupleuri-Angelica sinensis","Atractylodes macrocephala-Angelica sinensis""Atractylodes macrocephala-Poria cocos""Radix Paeoniae Alba-Poria cocos".(4)Correlation analysis of high-frequency Chinese medicines:Cluster analysis resulted in four Chinese medicines combinations,with the functions of clearing heat,cooling blood and activating blood circulation,soothing liver,strengthening spleen and replenishing Qi,nourishing Yin,clearing heart and cooling blood,tonifying kidney,replenishing Qi and removing dampness.(5)Complex network analysis:The core prescription extracted is Danzhi Xiaoyao Powder plus or minus,covering ten Chinese medicines.CONCLUSIONS The TCM syndrome differentiation of ON is closely related to liver.TCM treatment of ON is mainly to regulate liver,adopting the methods of soothing liver,clearing liver and nourishing liver,it also takes into account heart and spleen and nourishes Qi and blood.

Traditional Chinese Medicineoptic neuritisancient and modern medical case cloud platformmedication rules

林冀鲁、焦文鑫、周芷伊、龙思羽、王影

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中国中医科学院眼科医院,北京 100040

中医 视神经炎 古今医案云平台 用药规律

中国中医科学院科技创新工程重大攻关项目中国中医科学院眼科医院院级科研启动基金北京市石景山区医学重点专科建设项目

CI2021A02607kxy-202203

2024

中国中医眼科杂志
中国中医科学院

中国中医眼科杂志

CSTPCD
影响因子:0.476
ISSN:1002-4379
年,卷(期):2024.34(1)
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