首页|基于隐结构与频繁项集探讨中药治疗肺结核的辨证用药规律

基于隐结构与频繁项集探讨中药治疗肺结核的辨证用药规律

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目的:探讨中药汤剂对肺结核的辨证用药规律,为临床治疗肺结核提供借鉴意义.方法:计算机检索中国知网、万方等数据库中建库至 2022 年 4 月中药汤剂内服辨证用药论治肺结核的临床文献,提取证型、症状及中药处方信息构建肺结核医案数据库,采用隐结构模型、频繁项集等数据挖掘方法,分析中药汤剂内服治疗肺结核的辨证用药规律.结果:经筛选共计纳入文献 92 篇,共涉及 241 味中药,358 项症状.高频药物包括麦冬、百部、生地黄、百合等;中药频繁项集分析得出强关联规则12 条,如熟地黄-生地黄⇒麦冬、川贝母-山药⇒麦冬等;高频症状包括咳嗽、盗汗、痰中带血、咳痰等;构建隐结构模型,得出肺结核主要证候有阴虚火旺、肺阴虚证、阴阳两虚等;挖掘证型-症状-中药频繁项集 5 项,其中包括肺阴虚证-脉细数+咳嗽+痰中带血+盗汗-百部+川贝母+麦冬等.结论:中药汤剂治疗肺结核多以麦冬、百部、生地黄为主要药物,药物配伍依据临床情况辨证选药,此结论可为临床治疗肺结核提供参考.
Discussion on the rule of syndrome differentiation and treatment in pulmonary tuberculosis with Chinese materia medica based on data mining methods of latent structure model and frequency itemset
Objective:To explore Chinese herbal medicine selection pattern of pulmonary tuberculosis and provide reference for clinical treatment of pulmonary tuberculosis.Methods:The literature regarding Chinese herbal medicine for pulmonary tuberculosis published before april of 2022 was searched in the databases of CNKI,Wanfang,etc..The information of symptoms-syndromes-Chinese herbal medicine selection was extracted to establish medical database of pulmonary tuberculosis.The latent structure model and frequency item set were applied to analyze Chinese herbal medicine selection pattern of pulmonary tuberculosis.Results:In the end 92 papers were included,involving 241 traditional Chinese medicines and 358 symptoms.High frequency drugs include Maidong(Radix Ophiopogonis),Baibu(Radix Stemonae),Shengdihuang(Radix rehmanniae),Baihe(Bulbus Lilii),etc..According to the frequent item set analysis of Chinese herbal medicine,the high degree of support included Shudihuang(Radix Rehmanniae Preparata)-Shengdihuang⇒Maidong,Chuanbeimu(Bulbus Fritillariae Cirrhosae)-Shanyao(Rhizoma Dioscoreae)⇒ Maidong,etc..High frequency symptoms include cough,night sweat,blood in sputum,expectoration,etc..The latent structure model was constructed,and the main syndromes were Yin(阴)deficiency and fire hyperactivity,lung-Yin deficiency,Yin and Yang(阳)deficiency and so on.Five frequency item sets of syndrome-symptom-herbal were identified,including lung-Yin deficiency syndrome-pulse count + cough + blood in sputum + night sweat-Baibu + Chuanbeimu + Maidong,etc..Conclusion:Chinese herbal medicine for pulmonary tuberculosis selected Maidong,Baibu,Shengdihuang as main herbals,and selected other herbals based on clinical symptoms.This could provide reference for clinical treatment of pulmonary tuberculosis.

Pulmonary tuberculosisLatent structure modelFrequency item setData miningHerbals selection rule

刘贵丽、孙银铎、米术斌、陈光晖

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承德医学院中药研究所,河北 承德,067000

河北省中药研究与开发重点实验室,河北 承德,067000

肺结核 隐结构模型 频繁项集 数据挖掘 辨证用药规律

全国名老中医药专家传承工作室建设项目潘树和传承工作室项目

国中医药人教函[2022]75号

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(5)
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