首页|基于文献挖掘探讨干燥综合征的用药规律分析

基于文献挖掘探讨干燥综合征的用药规律分析

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目的:干燥综合征是一种以侵害外分泌腺为主要特点的慢性自身免疫性疾病,以灶性淋巴细胞浸润为主要病理特点,以对唾液腺、泪腺的侵害为著,可导致唾液腺病变者出现口干,侵犯泪腺者出现眼干.该病目前尚无根治方案,且西医治疗对改善患者的干燥症状效果欠佳.中医药在干燥综合征的治疗方面具有完善的理论体系,对于缓解患者的临床不适,改善脏器损害,提高生活质量具有独到的优势.文章基于中医传承辅助平台(V2.5)进行中医药治疗干燥综合征的数据挖掘,探讨用药组方规律、经验,为疾病的治疗提供新思路.方法:收集中国知网中关于治疗干燥综合征的文献,建立原始数据库,进行数据整理,并分析中医药治疗干燥综合征的特点.结果:本次数据挖掘共纳入方剂138首,涉及药物184味.四气五味方面,以寒性、甘味、苦味药物最多,归经居前三位的是肺经、胃经、肝经,中药频次在 20 次以上的共计 23 味,常用药物组合 25 个,基于复杂系统熵聚类核心药物组合有 18 个,得到新处方 9 个.结论:针对干燥综合征阴津亏虚、燥毒侵袭、痰瘀内阻的病机,中医药治疗干燥综合征以补虚药为主,兼具有清热解毒、活血化瘀药物等.
An analysis of rule of medication in treating Sjogren syndrome based on literature mining
Objective:Sjogren syndrome is a chronic autoimmune disease characterized by invasion of exocrine glands,with focal lymphocyte infiltration as the main pathological feature.In particular,the invasion of salivary glands and lacrimal glands is particularly severe,and patients with salivary gland lesions will have dry mouth,and those who have violated the lacrimal glands may have dry eyes.At present,there is no cure for this disease,and Western medicine treatment is not effective on relieving the symptoms of xerosia.TCM has a complete theoretical system in the treatment of Sjogren syndrome,which has unique advantages in alleviating clinical discomfort,relieving organ damage and improving quality of life.Based on the TCM Inheritance Auxiliary Platform(V2.5),the data mining of TCM in the treatment of Sjogren syndrome was carried out,and the rules and experience of medication and formulas were discussed,so as to provide new ideas for the treatment of the disease.Methods:The literature on the treatment of Sjogren syndrome in CNKI was collected,the original database was established,the data was sorted out,and the characteristics of TCM treatment of Sjogren syndrome were analyzed.Results:A total of 138 prescriptions were included in this data mining,involving 184 drugs.In terms of the four Qi(气)and five flavors,cold,sweet,and bitter medicines were the most,and the top three meridians were the lungs,stomach,and liver meridians,with a total of 23 flavors with a frequency of more than 20 times,25 commonly used drug combinations,18 core drug combinations based on entropy clustering of complex systems,and 9 new prescriptions.Conclusion:In view of the pathogenesis of Sjogren syndrome,such as deficiency of Yin(阴)and Jin(津),invasion of dryness and poison,and internal resistance of phlegm and stasis,TCM medicine for nourishing is mainly used in the treatment of Sjogren syndrome,and drugs for clearing heat and detoxifying,and activating blood and removing blood stasis are also used.

Data miningSjogren syndromeLaw of medication

袁镯、徐文蕙、尹国富、岳敏、石海军

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潍坊市中医院,山东 潍坊,261041

数据挖掘 干燥综合征 用药规律

潍坊市中医药科研立项项目(2023)

WFZYY2023-3-014

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(10)
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