基于数据挖掘研究叶小汉治疗慢性肺源性心脏病用药规律
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R541.5

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叶小汉广东省名中医传承工作室(粤中医办函〔2018〕5号);全国第七批老中医药专家学术经验继承项目(国中医药办人教函〔2021〕 272号)


Exploration of Medication Rules of YE Xiaohan in Treating Chronic Pulmonary Heart Disease with Chinese Medicinals Based on Data Mining
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    摘要:

    目的:基于数据挖掘研究叶小汉教授治疗慢性肺源性心脏病的用药规律。方法:收集2018年 7月—2023年6月叶小汉教授运用中医药治疗慢性肺源性心脏病的病例,逐一筛选,获得叶小汉教授治疗慢性 肺源性心脏病的处方,将方药录入中医传承辅助平台V2.5,进行频次分析、关联规则分析、熵层次聚类分析等 数据挖掘方法,获得药物的使用频次及药物之间的关联规则、核心组合和新方组合。结果:共获得处方 343首,涉及3 593味中药。用药频次前10位由高到低依次是甘草、茯苓、黄芪、丹参、半夏、白术、葶苈子、 苦杏仁、五味子、桂枝。高频药物(频次≥40次,除外甘草) 经关联规则分析,支持度≥0.12,获得药对包括白 术-茯苓、半夏-茯苓等29对;置信度≥0.60,获得药物组合“白术、桂枝→茯苓”“白术、附子→茯苓”等 18组。经熵层次分析,获得药物核心组合8组,新方4首。结论:叶小汉教授治疗慢性肺源性心脏病治法以健 脾补肾、益气温阳、化痰利水、活血行气、化瘀为主,同时佐以养阴、清热、平喘等治法,各种治法常互相组 合使用。

    Abstract:

    School of Guangdong University of Chinese Medicine,Dongguan Guangdong 523000,China Abstract: Objective: To explore the medication rules of Professor YE Xiaohan in treating chronic pulmonary heart disease with Chinese medicinals. Methods:The cases where Professor YE used Chinese medicine to treat chronic pulmonary heart disease from July 2018 to June 2023 were collected and screened one by one to obtain Professor YE's prescriptions for chronic pulmonary heart disease. The prescriptions were entered into the Traditional Chinese Medicine Inheritance Assistant Platform V2.5, and given data mining methods such as frequency analysis, association rule analysis, and entropy hierarchical clustering analysis for the use frequency of Chinese medicinals and the association rules among Chinese medicinals, core combinations, and new prescription combinations. Results : A total of 343 prescriptions were obtained, involving 3 593 Chinese medicinals. The top 10 in use frequency from high to low were Glycyrrhizae Radix et Rhizoma, Poria, Astragali Radix, Salviae miltiorrhizae Radix et Rhizoma, Pinelliae Rhizoma, Atractylodis Macrocephala Rhizoma, Descurainiae Semen Lepidii Semen, Armeniacae Semen Amarum, Schisandrae Chinensis Pructus and Cinnamomi Ramulus. Highly-used Chinese medicinals (frequency ≥ 40 times, except Glycyrrhizae Radix et Rhizoma) were analyzed by association rules,and the support degree was ≥ 0.12,and 29 medicinal pairs were obtained, including Atractylodis Macrocephala Rhizoma-Poria, Pinelliae Rhizoma-Poria, etc. With a confidence of ≥ 0.60, a total of 18 medicinal combinations were worked out, including “Atractylodis Macrocephala Rhizoma, Cinnamomi Ramulus→Poria”,“Atractylodis Macrocephala Rhizoma, Aconiti Lateralis Radix Praeparata→Poria” and others. The entropy hierarchy analysis suggested 8 core medicinal combinations and 4 new prescriptions. Conclusion:Professor YE in treating chronic pulmonary heart disease is mainly to fortify the spleen and tonify the kidney,boost qi and warm yang,resolve phlegm and induce diuresis,activate blood and move qi,and resolve stasis. At the same time, it is supplemented by tonifying yin, clearing heat and calming panting. Various treatment methods are often used in combination with each other.

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罗红艳,蒋紫云,连乐燊,指导:叶小汉.基于数据挖掘研究叶小汉治疗慢性肺源性心脏病用药规律[J].新中医,2025,57(2):7-12

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  • 在线发布日期: 2025-02-05
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