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基于数据挖掘分析中医药治疗肾性水肿的用药规律

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目的:通过数据挖掘技术分析已发表文献中医药治疗肾性水肿的研究现状并探讨用药规律及核心处方特点.方法:收集中国国家知识基础设施数据库,中国医学生物文献数据库,万方数据平台,维普数据网,中国学术期刊数据库及中文科技期刊数据库等中文数据库从建库至2022 年 12 月 1 日,符合纳入标准的文献,运用EXCEL、IBM SPSS Statistics 22.0 及IBM SPSS Modeler 18.0 软件进行分析药物性味归经、功效、频数、关联规则及网络可视化、聚类分析,并对结果进行归纳并总结.结果:共纳入 166 篇文献,收录 83 个有效处方,药物使用总频次 945 次,涉及中药 145 种,其中使用频率较高的有 30 味(频次>10),使用频次前 5 位的分别是茯苓、黄芪、白术、泽泻、丹参;功效分析显示使用频次较高的利水渗湿药、补气药、活血化瘀药、辛温解表药、补阴药;对所有药物进行四气五味的分析,其中四气以寒、温、平、凉性药物居多,以寒性药物位居首位;五味多见甘、苦、辛、淡、酸,以甘味为首;归经按频次排列为肺经、肝经、肾经、脾经、胃经、心经、膀胱经、大肠经、小肠经;药物关联规则及聚类分析显示,关联规则分析总结出用药核心配伍组合为"黄芪-白术-茯苓-泽泻-丹参".聚类分析得到新组合包含 1 对药对及 7 组药物组合.结论:通过对纳入的文献进行数据挖掘分析发现,临床上中医治疗肾性水肿时以利水除湿、温阳行气、活血散瘀为原则,研究所得出高频药物、核心药物组合能对肾性水肿临床治疗提供参考依据.基于文献数据挖掘的基础,辨证统一选用合适的中药处方才能有效提高肾性水肿的治疗效果.
An analysis of the rule of TCM medicine in treating renal edema based on data mining
Objective:To analyze the research status of published literature on the treatment of renal edema with TCM medicine through data mining technology,and to explore the rule of drug use and the characteristics of core prescriptions.Methods:Chinese databases such as CNKI,CBM,Wanfang Data Platform,Weipu Data Network,CSPD and CCD were collected.The main databases were the documents that met the inclusion criteria since the establishment of the CNKI database.The meridian orientation,efficacy,frequency,association rules,network visualization and cluster analysis of drug properties and tastes were analyzed by using EXCEL IBM SPSS Statistics 22.0 and IBM SPSS Modeler 18.0 software,and the results were summarized.Results:A total of 166 articles were included,including 83 effective prescriptions.The total frequency of drug use was 945,involving 145 kinds of TCM medicines.Thirty herbs(with a frequency greater than 10)were used more frequently.The top 5 were Fuling(Poria),Huangqi(Radix Astragali),Baizhu(Rhizoma Atractylodis Macrocephalae),Zexie(Rhizoma Alismatis)and Danshen(Radix et Rhizoma Salviae Miltiorrhizae).The efficacy analysis showed that the frequently used medicine were diuretic and hygroscopic,Qi(气)tonifying,blood activating and stasis removing,pungent and warm exterior relieving medicine,and Yin(阴)tonifying medicine.All the medicine were analyzed in terms of four Qi and five flavors.The four Qi medicine were mainly cold,warm,calm and cool,and the cold medicine ranked first.The five tastes were sweet,bitter,pungent,light and sour,with sweet taste as the first.Channel tropism is arranged as lung,liver,kidney,spleen,stomach,heart,bladder,large intestine and small intestine according to frequency.The medicine association rules and cluster analysis showed that the analysis of association rules summarized that the core compatibility combination of drugs was Huangqi-Baizhu-Fuling-Zexie-Danshen.Cluster analysis showed that the new combination included 1 pair of drug pairs and 7 groups of medicine combinations.Conclusion:Through data mining and analysis of the included literature,it is found that the clinical treatment of renal edema in TCM medicine is based on the principle of promoting water,removing dampness,warming Yang(阳),promoting Qi,promoting blood circulation and removing blood stasis.High frequency medicine and core prescriptions obtained by the research institute can provide reference for clinical treatment of renal edema.On the basis of literature data mining,dialectical and unified selection of appropriate TCM medicine prescriptions can effectively improve the therapeutic effect of renal edema.

Renal edemaLiterature researchData miningLaw of medication

王晓琪、张坤

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安徽中医药大学附属太和中医院,安徽 阜阳,236600

肾性水肿 文献研究 数据挖掘 用药规律

安徽省阜阳市太和县2019年度卫生类科技计划项目安徽省阜阳市太和县2019年度卫生类科技计划项目

太科[2020]23号2019-26

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(1)
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