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基于数据挖掘探讨李智杰教授治疗失眠的组方规律

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目的:运用数据挖掘技术分析李智杰教授治疗失眠的用药规律.方法:收集 2022 年 1 月-6 月就诊于湖北中医药大学附属国医医院名医堂门诊失眠病例 121 例,使用EXCEL软件建立门诊数据库,运用IBM SPSS Modeler 18.0 软件的关联规则分析挖掘常用药物组合,运用SPSS Statistic 25.0 对 25 味高频中药进行聚类分析.结果:共纳入121 首处方,使用药物 167味,使用频次>30 的中药(高频中药)有 25 味,高频中药用药频次排名前 10 的中药分别为石菖蒲、郁金、远志、茯神、肉桂、黄连、法半夏、珍珠母、首乌藤、龙骨,药物四气分布以平(727次)、温(809次)、寒(751次)为主;五味分布以苦味药(1 251 次)为主;归经分布以心经(1 269 次)和肝经(1 263 次)为主;高频中药功效分布:以平肝潜阳最多,其次为散寒止痛、温经通脉、交通心肾.石菖蒲、黄连、郁金、肉桂为李师治疗失眠的核心用药,运动聚类分析得到四组关系密切的聚类方.结论:李师认为失眠的病因病机以心肾不交为本,痰湿内盛、肝郁气滞为标,故临床上治疗多以交通心肾、疏肝解郁、化湿和中为治疗大法.
An analysis of the characteristics and rules of professor LI Zhijie's medication for treating insomnia based on data mining
Objective:To analyze the medication rule of Professor LI Zhijie in the treatment of insomnia by using data mining technology.Methods:From January 2022 to June 2022,a total of 121 cases of insomnia were collected from the outpatient clinic of the affiliated Hospital of traditional Chinese Medicine of Hubei University of traditional Chinese Medicine.The outpatient database was established by EXCEL software,the association rules of IBM SPSS Modeler 18.0 software was used to mine the common drug combinations,and SPSS Statistic 25.0 was used to analyze 25 high-frequency TCM medicines.Results:A total of 121 prescriptions were included,167 medicine were used,and 25 TCM medicines(high frequency TCM medicines)were used more than 30 times.The top 10 frequently used TCM medicines are Shichangpu(Rhizoma Acori Tatarinowii),Yujin(Radix Curcumae),Yuanzhi(Radix Polygalae),Fushen(Poria cum Radix Pini),Rougui(Cortex Cinnamomi),Huanglian(Rhizoma Coptidis),Fa Banxia(Rhizoma Pinelliae Preparatum),Zhenzhumu(Concha Margaritifera),Shouwuteng(Caulis Polygoni Multiflori)、Longgu(Os Draconis).The distribution of four Qi(气)was mainly flat(727 times),warm(809 times)and cold(751 times).The distribution of five flavors is mainly bitter medicine(1 251 times),meridian distribution is mainly heart meridian(1 269 times)and liver meridian(1 263 times).The efficacy distribution of high-frequency TCM medicine:Calming the liver and suppressing Yang(阳).Followed by relieving cold and relieving pain,warming meridians and dredging meridians,communication heart and kidney.Shichangpu,Huanglian,Yujin and Rougui are the core drugs used in the treatment of insomnia.Four groups of closely related cluster prescriptions were obtained by exercise cluster analysis.Conclusion:LI Zhijie believes that the etiology and pathogenesis of insomnia is based on the disconnection of heart and kidney,phlegm-dampness,liver depression and Qi stagnation as the standard,so the clinical treatment is mainly heart-kidney communication,soothing the liver and relieving depression,resolving dampness and middle.

Data miningInsomniaMedication rule

黄丰成、周芳、李智杰

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湖北中医药大学,湖北 武汉,430061

湖北中医药大学附属国医医院/武汉市中医医院,湖北 武汉,430014

数据挖掘 失眠 用药规律

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WZ22Q50

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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