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基于数据挖掘探讨中医古籍中治疗云雾移睛的用药规律

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目的 利用数据挖掘技术分析中医古籍中治疗云雾移睛的用药规律.方法 查阅《中医名词考证与规范》中有关云雾移睛的病名症状记载,搜集整理中医古籍中有关治疗云雾移睛的方剂,将方剂相关信息录入Excel软件,利用SPSS Modeler 18.0、Cytoscape 3.9.1、SPSS 25.0软件对16部中医古籍中治疗云雾移睛的方剂进行多维度分析,包括用药频次、性味归经、高频药物功效、关联规则、聚类分析及复杂网络分析.结果 (1)一般情况:共纳入方剂68首,涉及153味中药,累计频次为709次,其中使用频次≥10次的中药共计27味.(2)性味归经:四气总频次153次,寒性及温性药物用药频次最高(皆为37次,24.18%);药味总频次247次,甘味药物用药频次最高(70次,28.34%);药物归经总频次374次,归肝经的药物用药频次最高(78次,20.86%).(3)高频药物分析:使用频次排在前5位的药物分别为菊花(24次,3.39%)、防风(20次,2.82%)、羌活(19次,2.68%)、车前子(17次,2.40%)、茯苓(17次,2.40%).(4)关联规则分析:置信度排名前5位的强关联对药为茯苓-泽泻、肉苁蓉-菟丝子、茯苓-山药、蒺藜-木贼、菊花-木贼;置信度排名前5位的强关联角药分别为防风-细辛-决明子、防风-车前子-决明子、细辛-玄参-决明子、玄参-细辛-决明子.(5)聚类分析:共得到7组核心药物,分别为补肝肾药、补气血药、引经-平肝熄风药、引经-清热药、引经-利水渗湿药、清热-平肝熄风-补气药、清热药.(6)复杂网络分析:核心的药物为防风、菊花、茯苓、甘草、川芎、蒺藜,其使用频率高且与其他药物关联性强.结论 中医古籍中治疗云雾移睛的核心药物以肉苁蓉、菟丝子等补益药为主,以肝肾亏损为主要病机,治法以补益肝肾、补气养血兼辛散引经为主,同时结合辨证论治,辅以清热和利水渗湿之法,用药灵活.
Research on Medication Patterns for Treating Vitreous Opacity(Moving Clouds and Mists)in Ancient Chinese Medical Books Based on Data Mining
OBJECTIVE To analyze the medication patterns for treating vitreous opacity(moving clouds and mists)in ancient Chinese medical books using data mining techniques.METHODS Relevant records of vitreous opacity in ancient Chinese medical books were reviewed in Certification and Standardization of Chinese Medical Terms.Formulas related to treating vitreous opacity were collected and organized from ancient Chinese medical books.The relevant information of these formulas was entered into Excel software.SPSS Modeler 18.0,Cytoscape 3.9.1,and SPSS 25.0 software were utilized for multidimensional analysis of 68 formulas from 16 ancient Chinese medical books for treating vitreous opacity.The analysis included medication frequency,properties and flavors,high-frequency medicinal effects,association rules,cluster analysis,and complex network analysis.RESULTS(1)General situation:A total of 68 formulas were included,involving 153 Chinese medicines,with a total frequency of 709 occurrences,including 27 medicines with a frequency of≥10 times.(2)Properties and flavors:The total frequency of medicinal properties was 153 times,with cold and warm properties being the most frequently used(both 37 times,24.18%);The total frequency of flavors was 247 times,with sweet flavors being the most frequently used(70 times,28.34%);The total frequency of medicinal channels was 374 times,with medicines that entered liver channel being the most frequently used(78 times,20.86%).(3)High-frequency medicinal analysis:The top five most frequently used medicines were Chrysanthemum(24 times,3.39%),Saposhnikovia divaricata(20 times,2.82%),Rhizoma seu Radix Notopterygii(19 times,2.68%),Plantago asiatica(17 times,2.40%),and Poria cocos(17 times,2.40%).(4)Association rule analysis:The top five strong association pairs of medicines based on confidence level were Poria cocos-Alisma orientale,Cistanche deserticola-Cuscuta chinensis,Poria cocos-Dioscorea opposita,Tribulus terrestris-Desmodium styracifolium,Chrysanthemum-Desmodium styracifolium;The top five strong association triads of medicines were Saposhnikovia divaricata-Asarum sieboldii-Cassia tora,Saposhnikovia divaricata-Plantago asiatica-Cassia tora,Asarum sieboldii-Astragalus membranaceus-Cassia tora,Astragalus membranaceus-Asarum sieboldii-Cassia tora.(5)Cluster analysis:A total of seven core medicinal groups were obtained,including tonifying liver and kidney,nourishing Qi and blood,activating meridians and calming liver and extinguishing wind,activating meridians and clearing heat,activating meridians and promoting diuresis and relieving dampness,clearing heat and calming liver and extinguishing wind and tonifying Qi,and clearing heat.(6)Complex network analysis:The core medicines were Saposhnikovia divaricata,Chrysanthemum,Poria cocos,Glycyrrhiza uralensis,Ligusticum chuanxiong,and Tribulus terrestris,with high frequency of use and strong associations with other medicines.CONCLUSIONS The core medicines for treating vitreous opacity in ancient Chinese medical books mainly include Cistanche deserticola,Cuscuta chinensis,and other tonifying medicines,focusing on liver and kidney deficiency as the main pathogenesis.The treatment principle emphasizes tonifying liver and kidney,nourishing Qi and blood while dispersing wind,combined with syndrome differentiation,and supplemented with heat-clearing and diuresis-promoting methods,with flexible medication.

data miningancient Chinese medical booksmoving clouds and mistsmedica-tion patternsvitreous opacity

刘新宇、陈星宇、郭惠怡、莫亚欣、陈强

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中国中医科学院眼科医院,北京 100040

中国中医科学院中医基础理论研究所,北京 100700

数据挖掘 中医古籍 云雾移睛 用药规律 玻璃体混浊

国家自然科学基金中国中医科学院眼科医院横向课题中国中医科学院眼科医院高水平中医医院项目

81503621101120351GSP5-32

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(6)
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