孙冰治疗多囊卵巢综合征不孕用药规律数据挖掘研究
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R711.75

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山东省中医药科技发展项目(2019-0442);济宁医学院中西医结合治疗脾胃病科研创新团队项目


Data Mining Research on Administration Rules of SUN Bing Treating Infertility Caused by Polycystic Ovary Syndrome
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    摘要:

    目的:基于数据挖掘分析孙冰教授治疗多囊卵巢综合征(PCOS) 不孕的处方用药规律。方法:收集孙冰教授2017 年1 月—2020 年1 月治疗的PCOS 不孕病案,筛选处方录入中医传承辅助平台V2.5(以下简称“平台”) 建立数据库,利用平台进行用药性味、归经、使用频次、配伍组合的统计和新方挖掘,运用SPSS Modeler 18.0 软件及Cytoscape 3.7.2 软件进行中药关联规则和共现分析。结果:收集处方123 首,涉及中药116 味,多为甘味药,辛味和苦味药次之,药性多温、平,归经以肝经居多,归脾、肾两经者次之。使用频次排在前6 位的中药为当归、党参、女贞子、墨旱莲、菟丝子、桑寄生,不同药味数量下应用频次较高的药物配伍分别为党参-当归,菟丝子-党参-当归,党参-当归-女贞子-墨旱莲等。核心处方为党参-当归-菟丝子-女贞子-墨旱莲-桑寄生-炙甘草-熟地黄-白术-枸杞子-砂仁-黄芪。基于熵聚类算法,获得10 个新方组合、4 首新处方。结论:孙冰教授治疗PCOS 不孕总体用药虚实兼顾,以补肾填精为基础治法,以八珍汤合二至丸为基本方,配合活血、祛湿、理气等法,强调补而不滞、动静结合,以顺应卵泡生长发育和排出的生理过程。

    Abstract:

    Abstract:Objective:To analyze administration rules of prescriptions of Professor SUN Bing in the treatment of infertility caused by polycystic ovary syndrome(PCOS) based on data mining. Methods:The cases of PCOS infertility cases treated by Professor SUN Bing from January 2017 to January 2020 were collected;the prescriptions were entered into the Traditional Chinese Medicine Inheritance Support System V2.5(hereinafter called as the “platform”) to establish a database; the platform was applied to conduct statistics of natures and flavors,meridian entry,frequency and combination of medicines, and explore new formulas;SPSS Modeler 18.0 software and Cytoscape 3.7.2 software were applied for association rules and co- occurrence analysis of Chinese herbal medicine. Results : A total of 123 prescriptions were collected , involving 116 Chinese herbal medicines. Most of them were sweet medicines,followed by spicy and bitter medicines;the medicinal nature was mainly warm and neutral;the meridian entry was mostly liver meridian,followed by spleen and kidney meridians. The top 6 Chinese herbal medicines used frequently were Radix Codonopsis, Radix Angelicae Sinensis, Fructus Ligustri Lucidi, Herba Ecliptae, Semen Cuscutae and Herba Taxilli; the combinations of medicine with higher frequency of application under different numbers of flavors included Radix Codonopsis-Radix Angelicae Sinensis,Semen Cuscutae-Radix Codonopsis-Radix Angelicae Sinensis,Radix Codonopsis-Radix Angelicae Sinensis-Fructus Ligustri Lucidi-Herba Ecliptae. The core prescription was Radix Codonopsis-Radix Angelicae Sinensis- Semen Cuscutae- Fructus Ligustri Lucidi- Herba Ecliptae- Herba Taxilli- Radix et Rhizoma Glycyrrhizae Praeparata cum Melle- Radix Rehmanniae Praeparata- Rhizoma Atractylodis Macrocephalae- Fructus Lycii- Fructus Amomi- Radix Astragali. Based on entropy clustering algorithm,10 new prescription combinations and 4 new prescriptions were obtained. Conclusion:The overall administration of Professor SUN treating PCOS infertility takes both deficiency and excess into account. The treatment is based on method of tonifying kidney and supplementing essence, with Bazhen tang and Erzhi pills as the basic prescription, combined with methods of invigorating blood,dispelling dampness and rectifying qi,etc.,and emphasizing supplementation without stagnation as well as dynamic and static combination,so as to comply with the physiological process of follicle growth and excretion.

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陈晖,李治,胡申,王荣,张丽,孙冰,孙闵.孙冰治疗多囊卵巢综合征不孕用药规律数据挖掘研究[J].新中医,2022,54(8):16-20

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  • 在线发布日期: 2022-04-24
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