首页|基于数据挖掘的中医药治疗绝经后骨质疏松症用药规律

基于数据挖掘的中医药治疗绝经后骨质疏松症用药规律

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目的 探讨中医药治疗绝经后骨质疏松症(PMOP)处方用药规律.方法 检索中国知识资源总库(CNKI)、中国学术期刊数据库(万方数据)、中文科技期刊数据库(VIP)、中国生物医学文献数据库(CBM)、PubMed建库至2023年10月28日收录的中医药治疗PMOP研究文献,使用Zotero6.0文献管理系统筛选文献,数据录入中医传承辅助平台2.5中,统计用药频率、性味归经,进行关联规则分析和聚类分析.结果 共纳入文献88篇,包含处方88首,涉及药物143味,总频次为952次,使用频次≥10的药物共25味,频次前5位药物为淫羊藿(57次)、熟地黄(47次)、黄芪(42次)、骨碎补(38次)、杜仲(37次).主要药性为温性、平性,主要药味为甘、苦、辛,归经以肝经、肾经、脾经为主.关联规则以淫羊藿和熟地黄为核心,置信度最高的组合为"熟地黄+黄芪→淫羊藿".聚类共获得10个核心药物组合及5首新处方.结论 中医药治疗PMOP以补益肝肾、强筋健骨、健脾活血为主,多从肝、肾、脾三脏论治,主要使用温性、平性、甘味、苦味、辛味药物;核心药物为淫羊藿、熟地黄、黄芪、骨碎补、杜仲,常用配伍组合为"熟地黄-淫羊藿""黄芪-淫羊藿".
Exploration on the Medication Law in the TCM Treatment of Postmenopausal Osteoporosis Based on Data Mining
Objective To explore the medication law in the TCM treatment of postmenopausal osteoporosis(PMOP).Methods Literature related to TCM treatment of PMOP was retrieved from CNKI,Wanfang Data,VIP,CBM,and PubMed databases from the establishment of the databases to October 28,2023.After screening through the Zotero6.0 literature management system,relevant data were inputted into TCMISS 2.5,a TCM heritage support system,for drug frequency statistics,analysis of the four properties,five tastes and meridians.Aassociation rule analysis and clustering analysis were performed.Results A total of 88 articles were included,including 88 prescriptions,involving 143 kinds of Chinese materia medica,with a total frequency of 952.A total of 25 drugs were used with a frequency of≥10,The top five drugs with the highest frequency were Epimedii Folium(57 times),Rehmannize Radix et Praeparata(47 times),Astragali Radix(42 times),Drynariae Rhizoma(38 times),and Eucommiae Cortex(37 times).The main properties were warm and neutral,and the main tastes were sweet,bitter,and pungent.The meridians were mainly liver,kidney,and spleen.Analysis of association rules revealed drug combinations centered around Epimedii Folium and Rehmanniae Praeparata Radix.The combination with the highest confidence level was"Rehmannize Radix et Praeparata+Astragali Radix → Epimedii Folium".Through the clustering analysis,10 core drug combinations and 5 new recipe combinations were obtained.Conclusion TCM treatment for PMOP is primarily based on reinforcing liver and kidney,strengthening tendons and bones,strengthening spleen,and promoting blood circulation for removing blood stasis.Treatment is often based on the three organs of liver,kidney,and spleen,mainly using warm,neutral,sweet,bitter,and pungent medicines;he core drugs are Epimedii Folium,Rehmannize Radix et Praeparata,Astragali Radix,Drynariae Rhizoma,and Eucommiae Cortex.The commonly used combinations are"Rehmannize Radix et Praeparata-Epimedii Folium","Astragali Radix-Epimedii Folium".

postmenopausal osteoporosisTCMmedication lawdata miningEpimedii FoliumRehmannize Radix et Praeparata

韩正凯、曹正霖、惠杰、禤天航

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广州中医药大学第八临床医学院,广东 佛山 528000

佛山市中医院,广东 佛山 528000

绝经后骨质疏松症 中医药 用药规律 数据挖掘 淫羊藿 熟地黄

2024

中国中医药图书情报杂志
中国中医科学院中医药信息研究所

中国中医药图书情报杂志

影响因子:0.556
ISSN:2095-5707
年,卷(期):2024.48(5)
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