首页|基于中国专利数据库中药复方治疗小儿厌食症用药规律探究

基于中国专利数据库中药复方治疗小儿厌食症用药规律探究

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目的 通过对治疗小儿厌食症(IA)中药复方专利进行数据挖掘,研究其遣方用药规律。方法 以国家知识产权局专利公布网站中所收录的建库至2022年7月31日治疗IA的中药复方专利为数据来源,采用Excel 2019建立处方数据库,利用中医传承计算平台V3。0、SPSS Modeler 18。0、SPSS Statistics 26。0等软件进行药物频数统计、关联规则、聚类分析,并对结果进行可视化处理。结果 共纳入257项专利复方,其中内服复方221项,用药频数超过25次的有20味,其中前5味中药为山楂、麦芽、鸡内金、茯苓、白术,性味以甘、平、温为主,多归脾、胃经,以补虚、消食类药物为主;外用复方36项,涉及中药110味,使用频数348次,组方药味最多为21味,最少为3味,平均9。67味,使用频数排名前5的为白术、山楂、陈皮、麦芽、鸡内金,性味以甘、温为主,多归脾、胃经,以补虚、消食、理气药物为主。高频药对有山楂-麦芽等,角药有山楂-麦芽-六神曲等;网络聚类内服复方得到6个药组,外用复方3个。结论 中药复方专利治疗IA以脾、胃为主,以运脾开胃为治则,治疗时消补兼施,顾护胃气,可为后续临床论治本病及新药研发提供参考。
Study on the medication rule of traditional Chinese medicine compound prescriptions for the treatment of infantile anorexia based on the Chinese Patent Database
Objective By data mining the patents of traditional Chinese medicine compound formulas for the treatment of infantile anorexia(IA),the pattern of prescription and medication was investigated.Methods The prescription database was established using Excel 2019 based on the data source of the traditional Chinese medicine compound patents for treating IA from the establishment of the database to July 31,2022 included in the patent pub-lication website of the State Intellectual Property Office.Drug frequency statistics,association rules and cluster analy-sis were performed using traditional Chinese medicine inheritance computing platform V3.0,SPSS Modeler 18.0,SPSS Statistics 26.0 and other software,and the results were visualized.Results A total of 257 patented compound prescriptions were included,among which 221 were for internal use and involved 20 Chinese herbal medicines used more than 25 times.The top five herbs were Crataeguspinnatifida,Hordeumvulgaregerminatum,Gallus gallusdomesti-cus,Poriacocos,and Atractylodes Macrocephala,which were mainly sweet,neutral,or warm in nature and primarily associated with the spleen and stomach meridians.These herbs were mainly used to tonify deficiency and promote di-gestion.There were 36 prescriptions for external use,involving 110 Chinese herbal medicines with a total usage fre-quency of 348 times.The number of herbs per prescription ranged from a minimum of 3 to a maximum of 21,avera-ging 9.67 herbs per prescription.The top five herbs in usage frequency were Atractylodes Macrocephala,Crataegus pinnatifida,Citrus reticulata Pericarpium,Hordeum vulgare germinatum,and Gallus gallus domesticus,which were mainly sweet or warm in nature and primarily associated with the spleen and stomach meridians.These herbs were mainly used to tonify deficiency,promote digestion,and regulate qi.High-frequency herbal pairs included Crataegus-pinnatifida-Hordeumvulgaregerminatum,and herbal trios included Crataeguspinnatifida-Hordeumvulgaregerminatum-Massa MedicataFermentata,etc.Network clustering resulted in six herbal groups for internal use prescriptions and three for external use prescriptions.Conclusion Traditional Chinese medicine compound patent treatment of IA mainly fo-cuses on the spleen and stomach meridian,with the principle of invigorating the spleen and appetizing the stomach.It can provide reference for the follow-up clinical treatment of primary diseases and the development of new drugs.

infantile anorexiaChinese medicine compound prescriptiondata miningmedication rule

闵叶、李玉霞

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甘肃中医药大学中医临床学院,甘肃 兰州 730101

甘肃中医药大学附属医院儿科,甘肃 兰州 730020

小儿厌食症 中药复方 用药规律 数据挖掘

2024

中医儿科杂志
甘肃中医学院,中华中医药学会

中医儿科杂志

影响因子:0.82
ISSN:1673-4297
年,卷(期):2024.20(6)