基于数据挖掘技术探讨中药治疗急性附睾炎用药规律
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R277.5

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重庆市科卫联合中医药科研项目(2019Y3203);重庆市科研机构绩效激励引导专项项目(cstc2019jxj1130026);浙江省名老中医专 家传承工作室建设计划项目(GZS2020042);浙江省中医药科技计划项目(2024ZF144)


Discussion of Medication Rules of Chinese Medicine for Acute Epididymitis Based on Data Mining
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    摘要:

    目的:基于数据挖掘技术探讨中药治疗急性附睾炎的用药规律。方法:检索中国知网(CNKI)、 万方数据知识服务平台(WF) 自建库至2023年8月1日公开发表的中药治疗急性附睾炎的相关文献。分别建 立内服、外用中药处方数据库,运用中医传承辅助平台V3.5软件统计药物使用频次、功效、四气、五味、归 经,以及进行关联规则和聚类分析。结果:筛选后获取文献95篇,其中内服中药文献74篇,外用中药文献 21篇。得到102首处方,包括63首内服中药处方和39首外用中药处方。内服中药使用频次排名前5的是甘草、 当归、柴胡、泽泻、龙胆草,外用中药使用频次排名前5的是大黄、黄柏、天花粉、甘草、白芷。内服中药功 效多见清热、活血化瘀、利水渗湿,外用中药功效多见清热、活血化瘀、泻下。内服、外用中药四气皆以寒性 为主,其次为温性;五味皆以苦味为主,其次为甘味或辛味。内服中药排名前3的归经是肝、肺、心经,外用 中药排名前3的归经是脾、肝、肺经。通过关联规则分析,内服中药获得30条常用药物组合、8条核心药物关 联规则;外用中药获得6条常用药物组合、7条核心药物关联规则。通过聚类分析,内服中药获得4个核心药 物组合,外用中药获得3个核心药物组合。结论:中药治疗急性附睾炎无论内服还是外用,都强调清热解毒、 活血化瘀,组方皆以苦寒清热药为主。内服中药核心药物组合针对急性附睾炎早期湿热蕴结、热毒壅盛和后期 瘀血阻络、瘀毒互结之病机,分别治以清热利湿、活血解毒和活血化瘀、清热解毒、软坚散结之法。外用中药 核心药物组合则常以清热利湿药、清热解毒药配以活血化瘀药,以改善局部症状为主。

    Abstract:

    Abstract: Objective: To discuss the administration rules of Chinese medicine for acute epididymitis based on data mining. Methods:The related literatures on the treatment of acute epididymitis with Chinese medicine published by China National Knowledge Infrastructure (CNKI) and Wanfang Data Knowledge Service Platform (WF) from the establishment of database to August 1st, 2023 were searched. The database of Chinese medicine prescriptions for oral administration and external application was established respectively,and the use frequency,curative effects,four qi,five flavors and channel entry of Chinese medicinals were counted by using Traditional Chinese Medicine Inheritance Assistant Platform (V3.5),and association rules and cluster analysis were carried out. Results:After screening,a total of 95 articles were obtained, including 74 on oral administration of Chinese medicine and 21 on external application with Chinese medicine. A total of 102 prescriptions, including 63 Chinese medicine prescriptions for oral administration and 39 for external application. The top five Chinese medicinals in frequency of oral administration were Glycyrrhizae Radix et Rhizoma, Angelicae Sinensis Radix, Bupleuri Radix, Alismatis Rhizoma and Chinese Gentian and in the frequency of external application were Rhei Radix et Rhizoma, Phellodendri Chinensis Cortex, Trichosanthis Radix, Glycyrrhizae Radix et Rhizoma and Angelicae Dahuricae Radix. The curative effects of Chinese medicinals for internal use are more common in clearing heat,activating blood and resolving stasis,and inducing diuresis to drain dampness,and those of Chinese medicinals for external application are more common in clearing heat,activating blood and resolving stasis, and purgation. The four qi of Chinese medicinals for oral administration and external application is mainly cold,followed by warm;their flavor is mainly bitter,followed by sweet or pungent. The top three channel entries of Chinese medicinals for oral administration are the liver, lung and heart, and those of Chinese medicinals for external application are the spleen,liver and lung. Through the analysis of association rules, 30 commonly used combinations and eight core association rules were obtained in terms of Chinese medicinals for oral administration;six commonly used combinations and seven core association rules were obtained in terms of Chinese medicinals for application. According to the cluster analysis, four core combinations of Chinese medicinals were obtained for the oral administration and external application, respectively. Conclusion: Chinese medicine for acute epididymitis, whether oral administration and external application,emphasizes heat-clearing and detoxifying,and blood activating and stasis resolving, and the prescriptions mainly consist of bitter, cold and heat-clearing Chinese medicinals. The core combinations of Chinese medicinals for oral administration are given respectively to treat the pathogenesis of damp-heat accumulation, and excessive heat and toxin obstruction in the early stage of acute epididymitis, and blood stasis blocking collaterals and blood stasis-toxin binding in the later stage by clearing heat and inducing diuresis,activating blood and detoxifying,activating blood and resolving stasis, clearing heat and detoxifying,and softening hardness and dissipating masses,respectively. The methods of clearing heat and removing dampness,promoting blood circulation and detoxification,promoting blood circulation and removing blood stasis,clearing heat and detoxifying,and softening hardness and resolving masses are used respectively. The core combinations of Chinese medicinals for external application are often for heat-clearing and dampness-eliminating, heat-clearing and detoxifying combined with bloodactivating and stasis-resolving to improve local symptoms.

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方跃坤,陈盛镱,谢作钢,杜宝昕.基于数据挖掘技术探讨中药治疗急性附睾炎用药规律[J].新中医,2024,56(20):1-7

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  • 在线发布日期: 2024-10-29
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