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基于数据挖掘探析《幼幼新书》儿童癫痫用药规律

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目的 探析《幼幼新书》治疗儿童癫痫的思路和用药规律,为中医药治疗儿童癫痫及新药研发提供思路。方法 以《幼幼新书》中治疗儿童癫痫的方剂为研究对象,使用WPS14。10。1软件建立组方数据库,运用SPSS Statistics 26。0软件进行药物频次统计及系统聚类分析。运用SPSS Modeler 18。0软件进行关联规则分析、构建中药共现核心复杂网络,筛选联接紧密的中药集群。结果 高频药物为牛黄、大黄、黄芩、炙甘草、麝香。药物类别主要为平肝息风药、清热药、安神药。寒性药使用频次最多(78次,41。94%),温性、平性药次之。药味分析中,苦味药最多(78次,41。94%),辛味、甘味药次之。归经分析发现,入肝经药最多(95次,51。08%),入肺经、胃经药次之。常用药对有钩藤-蚱蝉、黄芩-升麻;常见药组有钩藤-升麻-黄芩、大黄-蛇蜕-蚱蝉等。聚类分析得到新的中药组合6组和1个单味药芒硝。结论 刘昉治疗儿童癫痫以祛邪扶正为治则,祛除内外之痰邪,扶持先天之不足。同时善用虫类药及金石药,并且重视调畅情志。
Analysis on the Medication Law in the Treatment of Pediatric Epilepsy in You You Xin Shu Based on Data Mining
Objective To explore the ideas and medication law in the treatment of pediatric epilepsy in You You Xin Shu;To provide ideas for the TCM treatment of pediatric epilepsy and the research and development of new drugs.Methods Using the prescriptions for treating pediatric epilepsy in the You You Xin Shu as the research object,a prescription database was established using WPS 14.10.1 software.SPSS Statistics 26.0 software was used for drug frequency statistics and systematic clustering analysis.SPSS Modeler 18.0 was used software for association rule analysis,constructing a co-occurrence complex core network of Chinese materia medica,and screening closely connected clusters of Chinese materia medica.Results High frequency drugs were Bovis Calculus,Rhei Radix et Rhizoma,Scutellariae Radix,Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,and Moschus.The main types of drugs were liver-soothing drugs,heat-clearing drugs,and sedative drugs.Cold drugs were used most frequently(78 times,41.94%),followed by warm and neutral drugs.In the drug analysis,bitter drugs were the most common(78 times,41.94%),followed by pungent and sweet drugs.According to the analysis of meridians,the drugs entering the liver meridian were the most common(95 times,51.08%),followed by the drugs entering the lung meridian and stomach meridian.The common drugs were Uncariae Ramulus cum Uncis-Cryototympana pustulata Fabr.,Scutellariae Radix-Cimicifugae Rhizoma and Scutellariae Radix-Cimicifugae Rhizoma;the common drug groups included Uncariae Ramulus cum Uncis-Cimicifugae Rhizoma-Scutellariae Radix and Rhei Radix et Rhizoma-Serpentis Periostracum-Cryototympana pustulata Fabr.,etc.Six Chinese materia medica combinations and one single medicine Natrii Sulfas were obtained by clustering analysis.Conclusion In the treatment of pediatric epilepsy,Liu Fang adopted the therapeutic principle of eliminating pathogenic factors and strengthening the healthy qi,eliminating phlegm and pathogenic factors both inside and outside,and supporting congenital defects.At the same time,he was good at using insect drugs and auricularia drugs,and paid attention to regulating the mood

pediatric epilepsyancient booksmedication lawTCM

陈银珍、张莹、张艳如、刘华、李宜瑞

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广州中医药大学第一临床医学院,广东 广州 510405

广州中医药大学第一附属医院,广东 广州 510405

儿童癫痫 古籍 用药规律 中医药

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(6)