基于数据挖掘探讨益气养阴类中成药治疗糖尿病用药规律
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R587.1

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国家自然科学基金项目(82074349);第六批全国老中医药专家学术经验继承项目(2017-29);福建省名中医工作室项目(2018-216); 中国博士后科学基金项目(2021M691896);厦门市科技局医疗卫生指导性项目(3502Z20214ZD1027)


Medication Rules of Chinese Patent Medicines of Boosting Qi and Nourishing Yin Type in the Treatment of Diabetes Mellitus Based on Data Mining
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    摘要:

    目的:采用数据挖掘方法探讨益气养阴类中成药治疗糖尿病用药规律。方法:筛选2020年版《国 家医保目录》、2020年版《中华人民共和国药典》、2018年版《国家基本药物目录》以及相关糖尿病防治指南 中治疗糖尿病的益气养阴类中成药,利用古今医案云平台对中成药的使用频次、性味归经、关联规则、聚类和 复杂网络进行分析。结果:共纳入38个益气养阴类中成药,涉及92味中药。治疗糖尿病的高频药物有黄芪、 地黄、五味子、天花粉等,性味以甘、(微) 寒为主,主入肺、肾经。益气养阴类中成药治疗糖尿病的常用药 物组合有地黄-麦冬、麦冬-五味子、葛根-黄芪等;聚类分析得到枸杞子-五倍子-人参-知母-丹参-天花粉-黄 芪-地黄-葛根-五味子-麦冬、牡丹皮-女贞子-山药-山茱萸-茯苓-泽泻、玉竹-牛膝-石膏-玄参-党参、黄连- 苍术-黄精-荔枝核、水蛭-太子参、甘草-红参等6首新处方;复杂网络分析得到黄芪-地黄-五味子核心中药组 合。结论:益气养阴类中成药治疗糖尿病的核心药物为黄芪、地黄、五味子,其用药以益气养阴药为主,常兼 清热、活血以治疗糖尿病肾病及糖尿病视网膜病变等多种并发症,临床常选择消渴方、津立达、渴络欣等中成 药对症治疗。

    Abstract:

    Abstract:Objective:To discuss the medication rules of Chinese patent medicines of boosting qi and nourishing yin type in the treatment of diabetes mellitus based on data mining. Methods: Chinese patent medicines of boosting qi and nourishing yin type for diabetes mellitus were screened out from the National Reimbursement Drug List 2020, Pharmacopoeia of People's Republic of China 2020,the National List of Essential Medicines 2018, and relevant diabetes prevention and control guidelines; the use frequency, nature, flavors, meridian entries, association rules, clustering and complex networks of these Chinese patent medicines were analyzed by the Ancient and Modern Medical Record Cloud Platform. Results: A total of 38 Chinese patent medicines of boosting qi and nourishing yin type were included , involving 92 Chinese medicinals. The high-frequency medicinals for treating diabetes mellitus included Astragali Radix, Rehmanniae Radix, and Trichosanthis Radix, whose nature and flavors mainly were sweet and (mild) cold,with the meridian entries of the lung and kidney meridians. The commonly used combinations of Chinese patent medicines of boosting qi and nourishing yin type in the treatment of diabetes mellitus were Rehmanniae Radix-Ophiopogonis Radix, Ophiopogonis Radix-Schisandrae Chinensis Fructus, and Puerariae Lobatae Radix-Astragali Radix. Cluster analysis found six new prescriptions, namely Lycii Fructus-Galla Chinensis-Ginseng Radix et Rhizoma-Anemarrhenae Rhizoma-Salviae Miltiorrhizae Radix et Rhizoma-Trichosanthis Radix-Astragali Radix-Rehmanniae Radix-Puerariae Lobatae Radix-Schisandrae Chinensis Fructus-Ophiopogonis Radix,Moutan Cortex-Ligustri Lucidi Fructus-Dioscoreae Rhizoma-Corni Fructus-Poria-Alismatis Rhizoma, Polygonati Odorati Rhizoma-Achyranthis Bidentatae Radix-Gypsum Fibrosum-Scrophulariae Radix-Codonopsis Radix, Coptidis Rhizoma-Atractylodis Rhizoma-Polygonati Rhizoma-Litchi Semen,Hirudo-Pseudostellariae Radix,and Glycyrrhizae Radix et Rhizoma-Ginseng Radix et Rhizoma Rubra. Complex network analysis found the core Chinese medicinal combinations of Astragali Radix,Rehmanniae Radix,and Schisandrae Chinensis Fructus. Conclusion:In the treatment of diabetes mellitus, the core medicinals of Chinese patent medicines of boosting qi and nourishing yin type are Astragali Radix,Rehmanniae Radix,and Schisandrae Chinensis Fructus. The medication mainly consisted medicinals that boost qi and nourish yin, usually combined with medicinals that clear heat and activate blood, to treat diabetes nephropathy, diabetes retinopathy and other complications. In clinical practice, Xiaoke Fang, Jinlida, Keluoxin, and other Chinese patent medicines are often used for symptomatic treatment.

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孙文杰,赵能江,李博,张智海,代春美,杨叔禹.基于数据挖掘探讨益气养阴类中成药治疗糖尿病用药规律[J].新中医,2024,56(20):8-14

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  • 在线发布日期: 2024-10-29
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