基于数据挖掘研究庞德湘治疗肺癌用药规律
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R273

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浙江省中医药科技计划项目(2022ZB172);浙江省名老中医传承工作室建设项目(GZS2012013);2024年度浙江省中医药重点学科建设项目(2024-XK-32)


Study on PANG Dexiang's Medication Rules for Lung Cancer Treatment Based on Data Mining
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    摘要:

    目的:运用中药药性理论、数据挖掘技术研究庞德湘教授治疗肺癌组方用药规律。方法:本研究 基于浙江中医药大学附属第二医院庞德湘教授门诊病历库,筛选整理2018年1月—2020年12月肺癌患者信息 及处方。运用Excel 2017建立肺癌处方药物数据库,SPSS17.0进行药名、性味、归经及功效统计分析。通过古 今医案云平台(V2.3.5) 建立标准化医案库后,开展关联分析、聚类分析及复杂网络分析。结果:共纳入 457份中药处方,涵盖246种中药,药物使用总频次9 066次。药性以平、温、寒性的药物使用最为频繁;药味 以甘、辛、苦味药物为主;归经主要集中于肺和脾;而在药物功效上,以清热和补虚为主。使用频次超过 160次的药物共有17种,包括麦芽、金荞麦、薏苡仁、党参、黄芪、茯苓、白术、山楂、浙贝母、神曲、半 夏、苦杏仁、猫爪草、厚朴、石见穿、桑白皮、泽漆等。高频药物关联分析得到14组药对。高频药物聚类分 析共得到5个聚类方。治疗肺癌的核心药物组合包括黄芪、党参、茯苓、白术、薏苡仁、金荞麦、泽漆、石见 穿、桑白皮、浙贝母、苦杏仁、猫爪草、半夏、厚朴、地骨皮和麦芽。结论:庞德湘教授指出,肺癌核心病机 在于正气亏虚与痰毒内蕴,治疗遵循培土生金、化痰解毒原则,用药以清热、补虚类药物为主,辅以化痰散 结、止咳平喘及活血祛瘀类药物,核心方剂为加味四君子汤与自拟肺金生方。

    Abstract:

    Abstract:Objective:To study the medication rules of Professor PANG Dexiang in treating lung cancer from the theory of Chinese herbal natures and data mining techniques. Methods: Based on the outpatient medical records database of Professor PANG Dexiang at The Second Affiliated Hospital of Zhejiang Chinese Medical University, this study screened and organized information and prescriptions of lung cancer patients from January 2018 to December 2020. An Excel 2017 database was established for lung cancer prescriptions,and SPSS17.0 was used for statistical analysis of herbal names,natures,flavors,channel entry,and effect. A standardized medical case database was created via the Ancient and Modern Medical Case Cloud Platform (V2.3.5) for association analysis, cluster analysis, and complex network analysis. Results:A total of 457 Chinese herbal prescriptions,covering 246 Chinese herbal medicines with a total usage frequency of 9 066 times, were included. Medicines with neutral, warm, and cold natures were most frequently used;flavors mainly included sweet,acrid,and bitter;channel entry was mainly concentrated in the lung and spleen;and the effects were mainly focused on clearing heat and supplementing deficiency. There were 17 Chinese herbal medicines used more than 160 times, including Hordei Fructus Germinatus, Fagopyri Dibotryis Rhizoma, Coicis Semen,Codonopsis Radix,Astragali Radix,Poria,Atractylodis Macrocephalae Rhizoma,Crataegi Fructus, Fritillariae Thunbergii Bulbus, Massa Medicata Fermentata, Pinelliae Rhizoma, Armeniacae Semen Amarum, Ranunculi Ternati Radix, Magnoliae Officinalis Cortex, Salviae Chinensis Herba, Mori Cortex, and Euphoribiae Helioscopiae Herba. Association analysis of high-frequency Chinese herbal medicines resulted in 14 herbal pairs. Cluster analysis of high-frequency Chinese herbal medicines yielded five clusters. The core medicine combinations for treating lung cancer included Astragali Radix, Codonopsis Radix, Poria, Atractylodis Macrocephalae Rhizoma, Coicis Semen,Fagopyri Dibotryis Rhizoma,Euphoribiae Helioscopiae Herba,Salviae Chinensis Herba,Mori Cortex, Fritillariae Thunbergii Bulbus, Armeniacae Semen Amarum, Ranunculi Ternati Radix, Pinelliae Rhizoma, Magnoliae Officinalis Cortex, Lycii Cortex, and Hordei Fructus Germinatus. Conclusion: Professor PANG Dexiang pointed out that the core pathogenesis of lung cancer lies in depletion of healthy qi and internal accumulation of phlegmtoxin. Treatment follows the principles of banking up earth to generate metal, dissolving phlegm and resolving toxins. Chinese herbal medicines are mainly used to clear heat and supplement deficiency, assisted by those that dissolve phlegm and dissipate masses,relieve cough and panting,and invigorate blood and dispel stasis. The core prescriptions are modified Sijunzi Decoction and self-prescribed Feijinsheng Prescription.

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郑健,庞德湘.基于数据挖掘研究庞德湘治疗肺癌用药规律[J].新中医,2025,57(9):151-157

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  • 在线发布日期: 2025-05-12
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