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基于数据挖掘探讨柴胡在冠心病伴抑郁或焦虑中的配伍应用

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目的:基于数据挖掘探析柴胡在治疗冠心病伴抑郁或焦虑组方中的配伍应用。方法:收集中国知网、万方、维普数据库中治疗冠心病伴抑郁或焦虑含柴胡的中药处方,检索时限为建库至2023年1月,建立Excel处方数据库,统计用药频次、功效分类及性味归经,应用SPSS Modeler 18。0、SPSS Statistics 27。0软件对高频中药进行关联规则分析和聚类分析,使用Cytoscape 3。7。2软件构建网络可视图。结果:共纳入处方91张,除柴胡外,涉及中药109味,药物18类,用药频数共计993次,使用频次位于前5位的中药为甘草、白芍、丹参、郁金、川芎;功效分类以补虚、活血化瘀、理气、安神、清热、化痰药为主;药性以温、寒、平为主,药味以苦、甘、辛居多,主要归肝、心、脾经;支持度较高的核心药对组合为甘草-柴胡、白芍-柴胡、丹参-柴胡、郁金-柴胡、川芎-柴胡;聚类分析可得到6组多味核心药组。结论:柴胡为疏散肝经郁滞的常用药物,具有行气解郁、和畅气机之功效。在临床治疗时,柴胡多配伍补虚、活血、理气、安神、清热、化痰中药,并常与甘草、白芍、丹参、郁金、川芎组成药对配伍应用,含柴胡方药的临床应用在一定程度上反映冠心病伴抑郁或焦虑气滞血瘀的核心病机和基本治则。
Compatibility Application of Bupleurum for Coronary Heart Disease with Depression or Anxiety Based on Data Mining
Objective:To explore the compatibility application of bupleurum in the treatment of coronary heart disease with depression or anxiety based on data mining.Methods:The traditional Chinese medicine prescriptions for the treatment of coronary heart disease with depression or anxiety containing bupleurum were collected from CNKI,Wanfang,and VIP databases from the establishment of the database to January 2023.The Excel prescription database was established to calculate the frequency,efficacy classification,and meridian tropism of traditional Chinese medicine.SPSS Modeler 18.0 and SPSS Statistics 27.0 software were used to analyze the association rules and cluster analysis of high-frequency traditional Chinese medicine,and Cytoscape 3.7.2 software was used to construct the network view.Results:A total of 91 prescriptions were included.In addition to bupleurum,109 kinds of traditional Chinese medicine and 18 kinds of drugs were involved.The frequency of medication was 993 times.The top 5 Chinese medicines were licorice,white peony root,salvia miltiorrhiza,turmeric,and chuanxiong.The efficacy classification was mainly based on tonifying deficiency,activating blood circulation to dissipate blood stasis,regulating qi,tranquilizing,clearing heat,and resolving phlegm.The nature of drugs was mainly warm,cold,and flat,and the taste of drugs was mainly bitter,sweet,and pungent,which mainly belongs to the liver,heart,and spleen meridians.The core drug pairs were licorice-bupleurum,white peony-bupleurum,salvia miltiorrhiza-bupleurum,turmeric-bupleurum,and chuanxiong-bupleurum.Cluster analysis obtained 6 groups of multi-flavor core drug groups.Conclusion:Bupleurum is popular for evacuation of liver meridian stagnation,which shows the function of promoting qi and relieving depression,and smoothing qi movement.ln clinical treatment,bupleurum is often combined with traditional Chinese medicines for tonifying deficiency,activating blood,regulating qi,tranquilizing mind,clearing heat,and resolving phlegm,and it is often combined with licorice,white peony root,Salvia miltiorrhiza,turmeric,and Chuanxiong.The clinical application of prescriptions containing bupleurum reflects the core pathogenesis and basic therapeutic principles of coronary heart disease with depression or anxiety.

coronary heart diseasedepressionanxietybupleurumcompatibility applicationdata mining

陈营、万芬、卢芳歌、杨力强

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广西中医药大学(南宁 530000)

冠心病 抑郁 焦虑 柴胡 配伍应用 数据挖掘

2024

中西医结合心脑血管病杂志
中国中西医结合学会 山西医科大学第一医院

中西医结合心脑血管病杂志

CSTPCD
影响因子:1.463
ISSN:1672-1349
年,卷(期):2024.22(19)