基于数据挖掘探讨真实世界中医药治疗小儿疳积用药规律
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R272.4

基金项目:


Discussion on Medication Rules of Chinese Medicine for Treating Infantile Malnutri⁃ tion Based on Real-World Data Mining
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:运用古今医案云平台挖掘真实世界中医药治疗小儿疳积的用药规律。方法:收集2021 年 1 月—2021 年10 月广东省中医院儿科门诊病案资料,运用统计、关联规则、复杂网络分析等数据挖掘方法分 析中医药治疗小儿疳积的用药规律。结果:共纳入216 个医案,处方216 首,涉及中药193 味。小儿疳积主要 临床证型有肝旺脾虚证、脾虚湿困证、虚实夹杂证、脾肺两虚证等。中医药治疗小儿疳积高频药物有白术、甘 草、茯苓、白芍、芒果核、陈皮等;治疗中药的药性为平、温性为主,以甘、苦、辛、酸味多见,多归于脾、 胃、肺、肝经。关联分析得出常用药物组合有白术-甘草、白术-茯苓、甘草-茯苓等。聚类分析得到防风-陈 皮-木香、鸡内金-山药-柿蒂-砂仁-孩儿草-糯稻根、甘草-白术-茯苓、麦芽-白芍-芒果核-布渣叶-莱菔子- 钩藤-山楂-稻芽4 个组合。复杂网络分析核心处方为白术-甘草-茯苓-白芍-芒果核-陈皮-布渣叶-莱菔子-山 楂-稻芽-麦芽-砂仁-钩藤-柿蒂。结论:中医药治疗小儿疳积以健脾消食、柔肝为主要治法,辅以行气化湿, 临床常采用木香顺气散、四君子汤、保和丸等加减方辨证治疗。

    Abstract:

    Abstract: Objective: To explore the medication rules of Chinese medicine for treating infantile malnutrition in the real world with the Ancient and Modern Medical Records Cloud Platform. Methods: Medical record data from the Outpatient Department of Guangdong Provincial Hospital of Chinese Medicine from January 2021 to October 2021 were collected to analyze the medication rules of Chinese medicine in the treatment of infantile malnutrition with statistics, association rules, complex network analysis and other data mining methods. Results:A total of 216 medical records and 216 prescriptions were included, involving 193 kinds of Chinese medicinals. The main clinical syndrome types of infantile malnutrition were the liver hyperactivity and spleen deficiency syndrome,the spleen deficiency leading to damp encumbrance syndrome, the deficiency- excess complex syndrome, and the dual deficiency of the spleen- lung syndrome. In the Chinese medicine treatment for infantile malnutrition, Chinese medicinals with highfrequency usage were Atractylodis Macrocephalae Rhizoma, Glycyrrhizae Radix et Rhizoma, Poria, Paeoniae Radix Alba, Citri Reticulatae Pericarpium, Mangifera Indica Kernels, etc. The nature of the Chinese medicinals was mainly balanced and warm; the main flavors were sweet, bitter, acrid, and sour;the main meridian entries were the spleen meridian,the stomach meridian,the lung meridian,and the liver meridian. Association analysis showed that commonly used medicine combinations included Atractylodis Macrocephalae Rhizoma-Glycyrrhizae Radix et Rhizoma,Atractylodis Macrocephalae Rhizoma- Poria,Glycyrrhizae Radix et Rhizoma- Poria,etc. Four combinations were found by association analysis, namely Saposhnikoviae Radix-Citri Reticulatae Pericarpium-Aucklandiae Radix,Galli Gigerii Endothelium Corneum- Dioscoreae Rhizoma- Kaki Calyx- AmomI Fructus- Rungia pectinata- Radix Oryzae Glutinosae, Glycyrrhizae Radix et Rhizoma- Poria- Atractylodis Macrocephalae Rhizoma , and Hordei Fructus Germinatus- Paeoniae Radix Alba- Mangifera Indica Kernels- Microctis Folium- Raphani Semen- Uncariae Ramulus Cum Uncis-Crataegi Fructus-Oryzae Fructus Germinatus. Complex network analysis showed that the core prescription included Atractylodis Macrocephalae Rhizoma-Glycyrrhizae Radix et Rhizoma-Poria- Paeoniae Radix Alba- Mangifera Indica Kernels- Citri Reticulatae Pericarpium- Microctis Folium- Raphani Semen- Crataegi Fructus- Oryzae Fructus Germinatus- Hordei Fructus Germinatus- AmomI Fructus- Uncariae Ramulus Cum Uncis-Kaki Calyx. Conclusion:The main treatment methods of Chinese medicine for infantile malnutrition are fortifying the spleen and promoting digestion and softeining the liver,which is assisted by the method of moving qi and removing dampness. In the clinical practice, syndrome differentiation and treatment is usually carried out with modified Muxiang Shunqi Powder, Sijunzi Decoction,Baohe Pills,etc.

    参考文献
    相似文献
    引证文献
引用本文

黄镛,李成辉,王琳,朱晨.基于数据挖掘探讨真实世界中医药治疗小儿疳积用药规律[J].新中医,2023,55(13):52-57

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2023-07-14
  • 出版日期:
文章二维码