基于数据挖掘技术分析吴煜治疗气阴两虚型肺癌用药规律
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R734.2

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国家重点研发计划项目(2017YFC1700606)


Analysis of Administration Rules of WU Yu Treating Lung Cancer of Qi-Yin Deficiency Type Based on Data Mining Technology
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    摘要:

    目的:基于数据挖掘技术分析吴煜教授治疗气阴两虚型肺癌用药规律,分析其治疗思想及用药特点。方法:收集吴煜教授2019 年4 月—2020 年9 月于门诊开具的治疗气阴两虚型肺癌的处方,对处方所含中药的四气、五味、归经、功效进行频次分析。利用中医传承辅助平台V3.0 系统,通过设置不同支持度、置信度,通过关联规则、药物关系、聚类分析等方法对处方中药物间的配伍规则进行分析,深入挖掘吴煜教授的用药思路。结果:共纳入处方912 首,涉及中药126 味。所用中药的四气以寒、温、平为主,五味以苦、甘为主,归经以肺、脾、胃经为主,药物功效以补虚类为主。药物组合以太子参-白术应用频次最多。药物关系以太子参、黄芪、白术、半夏、薏苡仁、浙贝母、威灵仙、北沙参、麦冬、土贝母、白花蛇舌草、半枝莲、甘草关联性最高。结论:吴煜教授治疗气阴两虚型肺癌以益气养阴、解毒化痰散结为大法,辅以理气、活血、利湿。

    Abstract:

    Abstract:Objective:To analyze administration rules of professor WU Yu treating lung cancer of qi- yin deficiency type based on data mining technology,and his therapeutic thought and medication characteristics. Methods:The prescriptions of lung cancer of qi-yin deficiency type made by Professor WU Yu in clinic from April 2019 to September 2020 were collected to carry out a frequency analysis of four qi,five flavors,meridian entry,and medical effects of the Chinese herbal medicine contained in the prescriptions. By setting different support and confidence degrees and through methods of association rules, medicine relationship and cluster analysis, Chinese Medicine Inheritance Support System V3.0 was used to analyze combination rules of the Chinese medicine contained in the prescription and excavate Professor WU's medication ideas. Results:A total of 912 prescriptions were enrolled,involving 126 Chinese herbal medicines. These Chinese herbal medicines are basically deficiency- supplementing medicine, being cold, warm and neutral in four qi, and bitter and sweet in five flavors; the lung meridian, the spleen meridian and the stomach meridian are the principal meridian entries. Radix Pseudostellariae-Rhizoma Atractylodis Macrocephalae has the highest application frequency as to medicine combination. As for the medicine relationship, Radix Pseudostellariae, Radix Astragali, Rhizoma Atractylodis Macrocephalae, Rhizoma Pinelliae,Semen Coicis,Bulbus Fritillariae Thunbergii,Radix et Rhizoma Clematidis,Radix Glehniae,Radix Ophiopogonis, Rhizoma Bolbostematis,Herba Hedyotis Diffusae,Herba Scutellariae Barbatae and Radix et Rhizoma Glycyrrhizae have the highest correlation. Conclusion: The treatment of lung cancer of qi- yin deficiency type by Professor WU Yu focuses on boosting qi and nourishing yin, as well as detoxifying, resolving phlegm and dissipating binds, which is assisted by regulating qi,activating blood and draining dampness.

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宋清雅,吕咪,耿鑫,邹建华,张广辉,吴煜.基于数据挖掘技术分析吴煜治疗气阴两虚型肺癌用药规律[J].新中医,2022,54(8):139-145

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  • 在线发布日期: 2022-04-24
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