基于数据挖掘探讨滕秀香运用补肾理脾疏肝法治疗卵巢储备功能减退用药规律
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R271.9

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首都卫生发展科研专项(首发2022-2-22)


Exploring Medication Rules of TENG Xiuxiang Using Method of Supplementing Kidney,Regulating Spleen,and Soothing Liver to Treat Ovarian Reserve Dysfunction Based on Data Mining
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    摘要:

    目的:基于数据挖掘探讨滕秀香教授运用补肾理脾疏肝法治疗卵巢储备功能减退(DOR) 用药规 律。方法:收集2017年12月—2022年12月滕秀香教授门诊治疗的DOR患者有效病例处方26首,基于Excel 2019软件统计处方使用药物、功效、性味归经、频次,基于SPSS modeler 18.0 Apriori算法进行高频药物关联规 则分析,基于Cytoscape.9.1软件进行复杂网络分析,基于SPSS statistics 28.0进行高频药物R型聚类分析。结 果:共收录处方26首中药处方,涉及中药126味,高频使用药物0味;主要药类为补虚药、活血化瘀药、解 表药及利水渗湿药;药性平、微寒为主,药味甘、苦、辛为主,归肝、肾、肺、脾、胃、心经;高频关联药对 0组;处方核心药物菟丝子、太子参、柴胡、续断、丹参、黄精、酒白芍、桑寄生、甘草;核心药对“菟丝 子-太子参-柴胡”;组方类别9类。结论:滕秀香教授将DOR分为两种基本病机:肝肾阴虚证、脾肾阳虚证, 及四种兼夹病机:肝郁、血热、湿浊、血瘀,基本治法为补肾理脾疏肝、清热利湿化瘀。

    Abstract:

    Abstract:Objective:To explore Professor TENG Xiuxiang′s medication rules in the application of the method of supplementing kidney,regulating spleen,and soothing liver to treat ovarian reserve dysfunction (DOR) based on data mining. Methods: A total of 26 effective prescriptions for DOR patients treated in Professor TENG Xiuxiang′s outpatient department from December 2017 to December 2022 were collected. Medicinals in the prescriptions and their efficacy, nature, flavors, entries of meridians, and usage frequency were statistically analyzed using Excel 2019 software. Association rule analysis of high-frequency medicinals was performed using SPSS modeler 18.0 Apriori algorithm;complex network analysis was performed using Cytoscape .9.1 software;R-type clustering analysis of highfrequency medicinals was performed using SPSS statistics 28.0. Results:A total of 26 Chinese medicine prescriptions were included, involving 126 Chinese medicinals and 0 high-frequency medicinals; the main types of medicinals were for supplementing deficiency, invigorating blood and dissolving stasis, releasing the exterior, and promoting urination and percolating dampness. The main medicinal nature was neutral and slightly cold, with sweetness, bitterness,and pungency as the main medicinal flavors.The main entries of meridians were the liver,kidney,lung, spleen, stomach, and heart meridians. There were 0 high-frequency associated medicinal couplets. Core medicinals included Cuscutae Semen,Pseudostellariae Radix,Bupleuri Radix,Dipsaci Radix,Salviae Miltiorrhizae Radix et Rhizoma,Polygonati Rhizoma,wine-fried Paeoniae Radix Alba,Taxilli Herba,and Glycyrrhizae Radix et Rhizoma. The core medicinal couple was "Cuscutae Semen- Pseudostellariae Radix- Bupleuri Radix". There were nine types of prescriptions.Conclusion:Professor TENG Xiuxiang divides the pathological mechanisms of DOR into two basic types, namely the liver-kidney yin deficiency syndrome and the spleen-kidney yang deficiency syndrome, with four concurrent pathological mechanisms including liver depression,blood heat,dampness turbidity,and blood stasis.The basic treatment method is to supplement kidney,regulate spleen,and sooth liver,as well as clear heat, remove dampness,and resolve blood stasis.

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刘珍珍,张雨晴,陈梦园,游瑾渝,蔡梦琴,王一迪,滕秀香.基于数据挖掘探讨滕秀香运用补肾理脾疏肝法治疗卵巢储备功能减退用药规律[J].新中医,2025,57(3):17-22

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  • 在线发布日期: 2025-02-22
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