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基于中医传承计算平台探究中医药治疗原发性高血压早期肾损害的证治规律

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目的:采用数据挖掘技术探究中医药治疗原发性高血压早期肾损害的组方思路及配伍规律。方法:计算机检索中国知网、万方、维普数据库关于中医药治疗原发性高血压早期肾损害的临床研究,收集并提取其中的中药复方组成数据,运用中医传承计算平台(TCMICS V3。0)软件对中药数据进行频次统计分析、聚类分析及关联规则分析,并总结出核心处方。结果:共纳入205首处方,包括中医证型10种,最常见的中医证型依次为:肝肾阴虚证、肝肾阴虚兼血瘀证、肾气亏虚兼血瘀证;涉及中药155味,功效以补虚、活血化瘀为主;多归肝、肾经;药性以寒、温、平为主;药味以甘、苦、辛为主;单味药使用频次最高的为牛膝,其次为黄芪、丹参、山茱萸、泽泻、茯苓、山药等;常用药对依次为:"山茱萸-泽泻""黄芪-丹参""泽泻-牡丹皮""泽泻-山药""山药-牡丹皮";关联规则显示以山药、山茱萸、熟地黄、茯苓、牡丹皮、泽泻、黄芪、丹参、天麻、杜仲、牛膝为药物组成的六味地黄丸化裁方是治疗原发性高血压早期肾损害的基本方;聚类分析发现5类核心药物组合,分别具有滋阴补肾、平肝息风活血、补气活血、温阳活血、燥湿化痰息风之功效,可针对原发性高血压早期肾损害肝肾阴虚、肝肾阴虚兼血瘀、肾气亏虚兼血瘀、肾阳亏虚兼血瘀、脾虚生痰夹风的病因病机分而治之。结论:原发性高血压早期肾损害多属本虚标实证,肝肾阴虚为基本病机,病久可因虚致实,出现血瘀,痰浊,阴虚及阳之证。补肾、平肝、活血为基本治法,随证加减。
The Rule of Traditional Chinese Medicine for Treatment of Early Renal Damage of Primary Hypertension Based on Traditional Chinese Medicine Inheritance Computing Platform
Objective:The data mining technology was used to explore the rule of traditional Chinese medicine(TCM) for the treatment of early renal damage of primary hypertension. Method:The clinical research on the treatment of early renal damage by TCM in essential hypertension was retrieved from CNKI,Wanfang,and VIP databases,and the composition data of TCM prescriptions were collected and extracted,the TCMICS V3.0 software was used to conduct frequency statistical analysis,cluster analysis and association rule analysis,and summarize the core prescriptions.Results:A total of 205 prescriptions were included,including 10 TCM syndrome types.The most common syndrome types were liver and kidney yin deficiency syndrome,liver and kidney yin deficiency with blood stasis syndrome,kidney qi deficiency with blood stasis syndrome.A total of 155 TCM were involved,and the main efficacy was to invigorate deficiency,promote blood circulation,and remove blood stasis.Most of them related to liver and kidney meridians.The drug properties were mainly cold,warm and flat. The medicine tastes were sweet,bitter,and spicy. Achyranthes bidentata was used most frequently,followed by Astragalus,Salvia miltiorrhiza,Cornus officinalis,Alisma orientalis,Poria cocos,Chinese yam,etc;Common drug pairs were as follows:Cornus officinalis-Alisma orientalis,Astragalus-Salvia miltiorrhiza,Alisma orientalis-Cortex Moutan,Alisma orientalis-Chinese yam,Chinese yam-Cortex Moutan.The association rules showed that the Liuwei Dihuang pill,which was composed of Chinese yam,cornus officinalis,prepared rehmannia,poria cocos,peony bark,alismatis,astragalus,salvia miltiorrhiza,gastrodia elata,eucommia ulmoides,and achyranthes bidentata,was the basic prescription for treating early renal damage of primary hypertension. Cluster analysis found that the five core drug combinations showed the effects of nourishing yin and kidney,calming the liver,calming the wind and activating blood circulation,invigorating qi and activating blood circulation,warming yang and activating blood circulation,and eliminating dampness,eliminating phlegm and calming wind respectively,which could be treated separately for the etiology and pathogenesis of primary hypertension early kidney damage,liver and kidney yin deficiency with blood stasis,kidney qi deficiency with blood stasis,kidney yang deficiency with blood stasis,and spleen deficiency with phlegm and wind.Conclusion:In the early stage of primary hypertension,kidney damage mostly belongs to the syndrome of deficiency of origin and syndrome of excess syndrome. Deficiency of yin in liver and kidney is the basic pathogenesis,which can lead to excess due to deficiency for a long time,with blood stasis,turbid phlegm,yin deficiency and yang syndrome.The basic therapeutic methods are tonifying the kidney,calming the liver and activating blood circulation.

hypertensive early renal damagetraditional Chinese medicinedata miningprescription rule

彭俊才、包宇、胡玉波、彭喜涛、袁启东

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河南中医药大学第一临床医学院 郑州 450000

河南省直第三人民医院 郑州 450006

高血压早期肾损害 中医药 数据挖掘 组方规律

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(24)