首页|基于"病-药-量"探讨现代竹沥的应用规律及潜在新方

基于"病-药-量"探讨现代竹沥的应用规律及潜在新方

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目的 通过从含竹沥的处方中挖掘竹沥中医用药规律,为竹沥现代临床应用提供依据。方法 以中国知网、万方、维普、CBM、PubMed数据库为数据来源,检索收集含竹沥的处方,运用Excel(Microsoft Office 2019)建立基础数据库,采用IBM SPSS Modeler 18。0及SPSS Statistics 24。0对竹沥配伍用药、治疗病症及临床用量进行频数统计与关联规则分析。结果 收集含竹沥处方共145首,含竹沥处方主治病症共40种,高频病证(≥3次)主要为"中风""癫痫"等。高频药物(频次≥20次)共20味,使用频次较高的有半夏、天南星、甘草等,药物功效以化痰止咳平喘药为主;竹沥配伍药材药性主要为寒、温,药味主要以苦、甘居多,主要归肺、肝、心、胃经。竹沥的使用量以30 mL为主,但在中风病可用到150 mL,癫痫病可用到100~500 mL。研究对中风病和癫痫病分别预测出两个含竹沥的潜在新方。结论 在中风病证应用中,竹沥偏向清热化痰功效;在癫痫病症应用中,竹沥偏向化痰开窍的功效,充分体现了竹沥在不同病证中的独特功效和优势。在竹沥用法用量上,推荐30 mL冲服或另服,若患者处于急性发作期,可以考虑150 mL同其他药材煎煮后服用。该研究对竹沥在临床上的应用具有一定意义,为临床新组方配伍及用量使用提供新思路。
Exploring Application Rules and Potential New Prescriptions of Zhuli(Succus Bambusae)Based on"Disease-Drug-Dosage"
Objective To reveal the medication rules of the clinical prescriptions containing Zhuli(Succus Bambusae)and pro-vide a basis for the modern clinical application of Zhuli(Succus Bambusae).Method The prescriptions containing Zhuli(Succus Bambusae)were retrieved from CNKI,Wanfang Data,VIP,CBM and PubMed and then a basic database of prescriptions was es-tablished via Excel(Microsoft Office 2019).IBM SPSS Modeler 18.0 and SPSS Statistics 24.0 were used to analyze the frequen-cy statistics and association rules of Zhuli(Succus Bambusae)compatibility drugs,diseases treated and clinical dosage.Results A total of 145 prescriptions containing Zhuli(Succus Bambusae)were collected,and a total of 40 kinds of indications were includ-ed.The most frequent symptoms(≥3 times)were"stroke"and"epilepsy".There were 20 high-frequency drugs(frequency 20 times),and the most frequently used drugs were Banxia(Pinelliae Rhizoma),Tiannanxing(Arisaematis Rhizoma),Gancao(Glycyrrhizae Radix Et Rhizoma),etc.The main efficacy of the drugs was to dissipate phlegm,relieve cough and relieve wheez-ing.The medicinal properties of Zhuli(Succus Bambusae)were mainly cold and warm,the flavor was mainly bitter and sweet,and the drugs mainly belonged to the lung,liver,heart and stomach meridians.The dosage of Zhuli(Succus Bambusae)was mainly 30 mL,but it can be used to 150 mL in stroke,and 100 mL to 500 mL in epilepsy.Two potential new formulations contai-ning Zhuli(Succus Bambusae)were predicted in this study for stroke and epilepsy.Conclusions For stroke,Zhuli(Succus Bam-busae)is more effective in clearing heat and dissipating phlegm.For epilepsy,Zhuli(Succus Bambusae)has the effect of resol-ving phlegm and opening orifices,which fully reflects the unique efficacy and advantages of Zhuli(Succus Bambusae)in different diseases and syndromes.For the usage and dosage of Zhuli(Succus Bambusae),30 mL is recommended to be taken by mixing with water or taken separately.If the patient is in the stage of acute attack,150 mL can be considered to be taken after decocting with other medicinal herbs.This study has a certain significance for the clinical application of Zhuli(Succus Bambusae),and provides new ideas for the compatibility and dosage of new clinical prescription.

Zhuli(Succus Bambusae)data miningmedication ruleChinese medicineclinical prescriptions

曾展、骆宾妃、张华、李雯婷、周子豪、董佳威、陈晓凡

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江西中医药大学药学院,江西南昌 330004

江西中医药大学循证医学研究中心,江西南昌 330004

竹沥 数据挖掘 用药规律 中药 临床处方

江西省中医药局重点研究室建设项目江西中医药大学1050青年人才工程项目

52521010055141900102

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(5)
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