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基于数据挖掘探讨中医药治疗H型高血压病的用药规律

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基于R语言数据挖掘技术探讨中医药治疗H型高血压病的用药规律,为中药治疗H型高血压病提供依据与思路。通过检索中国知网(CNKI)、万方(Wanfang)、维普(VIP)、中国生物医学文献服务系统(SinoMed),搜集中药治疗H型高血压病的临床研究,筛选数据并使用Excel建立数据库。运用Rstudio软件进行药物功效分类,及四气五味、归经、使用频次、相关性、关联规则和聚类分析,探讨中医药用药规律。共得到中药处方 191 首,主要证型有痰湿壅盛证、痰瘀互结型、阴虚阳亢证等,使用中药 169 种,频次 1875 次,其中单次使用频次大于 20 次的药物为高频药物,共 26 种,依次为天麻、茯苓、制半夏、牛膝、甘草等,高频药物功效分类以补虚药、活血化瘀药、平肝息风药、利水渗湿药为主,药物四气以温、平为主,五味以甘、苦为主,归经以肝经、脾经为多,关联规则分析共得到 14 组常用药物组合,相关性分析得到相关系数高的 20 种药物组合,聚类分析得到6 个药物组方。对痰湿壅盛证H型高血压病进行关联规则分析得到8 组药对,相关性分析得到相关系数高的7 种药物组合,聚类分析得到 3 个药物组方。结果显示,H型高血压病病理因素以"痰""瘀""虚"为主,病位在肝,涉及脾、肺等,常用中药有天麻、茯苓、制半夏、牛膝等,常用方剂为半夏白术天麻汤、天麻钩藤饮与补阳还五汤。该研究展示的用药规律可为临床中药治疗H型高血压病提供一定思路。
Medication rules of Chinese herbs in treatment of H-type hypertension based on data mining
Based on the R language data mining technology,the medication rules of traditional Chinese medicine(TCM)in the treatment of H-type hypertension were discussed,and the basis and new ideas for the treatment of H-type hypertension with TCM were provided.CNKI,Wanfang,VIP,and SinoMed were searched to collect clinical studies on the treatment of H-type hypertension with TCM.The data were screened,and Excel was used to build a database.Rstudio was used to carry out drug efficacy classification,four Qi and five flavors,meridian homing,frequency of use,correlation,association rules,and clustering analyses of drugs and explore the medication rules of TCM.191 TCM prescriptions were obtained,and the main syndromes were phlegm-dampness accumulation syn-drome,phlegm and blood stasis syndrome,and Yin deficiency and Yang hyperactivity syndrome.A total of 169 kinds of TCM were used,and the frequency was 1875 times.Among them,the drugs whose single use frequency was more than 20 times were high-fre-quency medicines,26 kinds in total.They were Gestrodiae Rhizoma,Poria,Pinelliae Rhizoma,Achyranthis Bidenthis Radix,Glycyr-rhizae Radix et Rhizoma,etc.The efficacy of high-frequency medicines was mainly classified as tonic medicines,blood-activating and stasis-removing medicines,liver-relieving wind medicines,and damp-clearing medicines.The four Qi of the drug were mainly warm and flat,and the five flavors were mainly sweet and bitter.The liver meridian and spleen meridian were the main meridians.The asso-ciation rule analysis obtained a total of 14 groups of commonly used drug combinations,and the correlation analysis obtained 20 drug combinations with a high correlation coefficient.A total of six drug combinations were obtained by cluster analysis.Eight groups of drug pairs were obtained by association rule analysis on H-type hypertension with phlegm-dampness accumulation syndrome.Seven drug combinations with high correlation coefficients were obtained by correlation analysis,and three drug prescriptions were obtained by clus-ter analysis.The pathological factors of H-type hypertension are mainly phlegm,stasis,and deficiency.The disease site is in the liver,involving the spleen,lungs,and other viscera.The commonly used drugs are Gestrodiae Rhizoma,Poria,Pinelliae Rhizoma,Achy-ranthis Bidenthis Radix,etc.Banxia Baizhu Tianma Decoction,Tianma Gouteng Decoction,and Buyang Huanwu Decoction are com-monly used prescriptions.The medication rules shown in this study can provide certain ideas for the clinical treatment of H-type hyper-tension with TCM.

H-type hypertensiondata miningtraditional Chinese medicinemedication rule

石若玉、李东东

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河南中医药大学,河南 郑州 450000

河南省中医院,河南 郑州 450000

H型高血压病 数据挖掘 中医药 用药规律

国家自然科学基金河南省中医药科学研究专项

822049812021JDZX2002

2024

中国中药杂志
中国药学会

中国中药杂志

CSTPCD北大核心
影响因子:1.718
ISSN:1001-5302
年,卷(期):2024.49(9)
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