首页|基于数据挖掘探究曾斌芳治疗代偿期乙型肝炎肝硬化用药规律

基于数据挖掘探究曾斌芳治疗代偿期乙型肝炎肝硬化用药规律

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目的 应用数据挖掘技术探究曾斌芳教授治疗代偿期乙型肝炎肝硬化用药规律。方法 收集2018年10月-2023年11月曾斌芳教授于门诊及病区诊治的代偿期乙型肝炎肝硬化患者病例资料。应用Exce12021录入患者基本信息及诊疗内容,建立医案标准化诊疗数据库。采用古今医案云平台2。3。9统计药物频次、性味归经、药物功效,并进行关联规则、层次聚类、复杂网络分析。结果 共纳入处方555首,涉及中药303味,药物总频次为8 276。筛选出高频药物38味。药性以平、温、寒为主,药味以甘、苦、辛为主,归经以脾经、肝经居多,功效以补虚药、利水渗湿药、清热药、活血化瘀药为主。关联规则、层次聚类分别得到15组药对和5组聚类方。复杂网络构建的中药核心组合为当归、醋鳖甲、炙甘草、柴胡、茯苓、猪苓、川芎、黄芩、白术。结论 曾斌芳教授根据代偿期乙型肝炎肝硬化湿热毒邪稽留血分,日久正虚瘀滞的病机特点,主张于邪实正虚阶段从肝脾同调、乙癸同源论治,并将消法、清法运用于补法中,以此攻补兼施,寒热平调,可为临证治疗提供一定参考。
Exploration on Medication Law of Professor Zeng Binfang in the Treatment of Hepatitis B Virus-Related Cirrhosis in Compensatory Stage Based on Data Mining
Objective To explore the medication law of Professor Zeng Binfang for the treatment of hepatitis B virus-related cirrhosis in compensatory stage through data mining technology.Methods Medical case data of patients with hepatitis B virus-related cirrhosis in compensatory stage treated by Professor Zeng Binfang in outpatient clinics and hospital wards from October 2018 to November 2023 were collected.Patients'basic information and diagnoses were systematically input into Excel 2021 to create a standardized medical case database.Ancient and Modern Medical Case Cloud Platform 2.3.9 was used to perform statistical analysis on drug frequency,properties,tastes and meridians,efficacy classification,and association rules,hierarchical clustering,and complex networks were conducted.Results Totally 555 prescriptions were included,involving 303 kinds of Chinese materia medica,and a total frequency of 8 276 times.38 kinds of high-frequency Chinese materia medica were identified.The main properties were neutral,warm and cold,the main tastes were sweet,bitter and pungent,the main meridians were spleen meridians,liver meridians,and the main efficacy was tonics,urine excretion to strain off dampness,heat-clearing drugs,and promoting blood circulation and reducing blood stasis drugs.Association rules and hierarchical clustering resulted in 15 drug pairs and 5 clustered formulas,respectively.The core TCM combinations constructed by complex network was Angelicae Sinensis Radix,vinegar Trionycis Carapax,Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,Bupleuri Radix,Poria,Polyporus,Chuanxiaong Rhizoma,Scutellariae Radix,and Atractylodis Macrocephalae Rhizoma.Conclusion Professor Zeng Binfang advocates for a treatment protocol that"liver spleen coordination"and"Yi Gui homology",and applies the combination of"elimination"and"cleaning"methods to the"supplement"method during the stage of excessive pathogenic factors energy and deficiency of healthy qi in patients with hepatitis B virus-related cirrhosis in compensatory stage according to underlying pathogenic characteristics of damp-heat toxin retention with the blood syndrome and chronic deficiency with stasis.This combination of attacking and supplementing,as well as regulating cold and heat,can provide a certain reference for clinical treatment.

hepatitis B virus-related cirrhosis in compensatory stagedata miningChinese materia medicaexperience of famous doctorsZeng Binfang

孙婉卿、郭峰、王晓忠、曾斌芳

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新疆医科大学中医学院,新疆乌鲁木齐 830017

昌吉回族自治州中医医院,新疆昌吉 831100

新疆维吾尔自治区中医医院,新疆乌鲁木齐 830000

代偿期乙型肝炎肝硬化 数据挖掘 中药 名医经验 曾斌芳

2025

中国中医药信息杂志
中国中医科学院中医药信息研究所

中国中医药信息杂志

影响因子:0.889
ISSN:1005-5304
年,卷(期):2025.32(1)