基于数据挖掘研究清代妇科专著治疗不孕症用药规律
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R711.6

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黑龙江省中医药经典普及化研究专项课题项目(ZYW2023-118);黑龙江省博士后资助项目(LBH-Z23282);黑龙江省中医药管理 局科研项目(ZHY2023-025)


Exploration of Medication Rules of Monographs on Gynecology in Qing Dynasty for Infertility Based on Data Mining
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    摘要:

    目的:基于数据挖掘研究清代妇科专著治疗不孕症的用药规律。方法:查阅第五版《中华医典》, 选取9部清代妇科专著为数据源,运用Excel 2010软件建立治疗不孕症方药数据库,进行中药用药频次分析, 中药性味、归经、药物功效等频次分析。采用SPSS23.0对药物使用频次≥8的中药进行k-means聚类分析,运用 SPSS Modeler 18.0软件进行Apriori算法构建关联规则网络图。结果:共纳入54首方剂,涉及107味中药,中药 用药总频次为506次。药物功效频次分析显示,补虚药、活血化瘀药、理气药为最常用的药物类别。药性以 温、平、寒为主,药味以甘、辛、苦为主。归经大多为脾经、肝经、肾经、心经、肺经、胃经。对频次≥8的 药物进行k-means聚类分析,主要聚类为4类,第1类:白术、茯苓、白芍;第2类:当归、川芎、熟地黄; 第3类:人参、甘草、香附;第4类:肉桂、牡丹皮、半夏、山茱萸、山药、杜仲、陈皮。关联规则分析中支 持度(前项→后项) 最高的是川芎、当归→白芍;置信度(前项→后项) 最高的是川芎、白芍→当归。药物关 联网络图显示,高频药物组合为山茱萸-山药,半夏-陈皮,杜仲-陈皮。结论:清代妇科专著治疗不孕症治法 以健脾为先,固肾为本,疏肝为辅,核心治法为养血调经。用药以补虚药为主,活血化瘀药与理气药为辅。

    Abstract:

    Abstract:Objective:To explore the medication rules of monographs on gynecology in Qing Dynasty for infertility based on data mining. Methods:The fifth edition of Chinese Medical Classics was consulted,and nine monographs on gynecology in Qing Dynasty were selected as the data sources. Excel 2010 software was used to establish a database of prescriptions for infertility,and the use frequency,nature and flavor,meridian entries,and curative effect of Chinese medicinals were analyzed. SPSS23.0 was used to perform k-means clustering analysis on Chinese medicinals with frequency of ≥ 8 times, and SPSS Modeler 18.0 software was used to construct association rule network diagram by Apriori algorithm. Results:A total of 54 prescriptions were included,involving 107 Chinese medicinals,with a total frequency of 506 times. The frequency analysis of curative effect showed that the Chinese medicinals for tonifying deficiency, activating blood and resolving stasis, and regulating qi were the most commonly used categories. The medicinals were mainly warm,neutral and cold in nature,and mainly sweet,pungent and bitter in flavor. Most of the meridian entries were the spleen,liver,kidney,heart,lung and stomach. K-means clustering analysis was performed on Chinese medicinals with frequency ≥ 8 times, and there were mainly four clusters. The first cluster included: Atractylodis Macrocephalae Rhizoma, Poria and Paeoniae Radix Alba; the second: Angelicae Sinensis Radix, Chuanxiong Rhizoma and Rehmanniae Radix Praeparata;the third:Ginseng Radix et Rhizoma,Glycyrrhizae Radix et Rhizoma and Cyperi Rhizoma; the fourth: Cinnamomi Cortex, Moutan Cortex, Pinelliae Rhizoma, Corni Fructus, Dioscoreae Rhizoma, Eucommiae Cortex and Citri Reticulatae Pericarpium. In the analysis of association rules, the medicinals with the highest support (antecedent→succedent) were Chuanxiong Rhizoma and Angelicae Sinensis Radix →Paeoniae Radix Alba; the medicinals with the highest confidence level (antecedent→succedent) were Chuanxiong Rhizoma and Angelicae Sinensis Radix→Paeoniae Radix Alba. The association rule network diagram showed that the high-frequency medicinal combinations were Corni Fructus-Dioscoreae Rhizoma,Pinelliae Rhizoma- Citri Reticulatae Pericarpium,and Eucommiae Cortex-Citri Reticulatae Pericarpium. Conclusion:In the Qing Dynasty,the treatment of infertility in monographs on gynecology was firstly to fortify the spleen, with securing the kidney as the root, and soothing the liver as the supplement. The core treatment method was to nourishing blood and regulating menstruation. The medicinals used are mainly for tonifying deficiency,supplemented by medicinals for activating blood and resolving stasis,and regulating qi.

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高金金,于婧璐,贾丽妍.基于数据挖掘研究清代妇科专著治疗不孕症用药规律[J].新中医,2025,57(2):1-6

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  • 在线发布日期: 2025-02-05
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