基于数据挖掘技术分析《景岳全书》治疗遗尿用药规律
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R256

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深圳市中医院首届医院管理研究课题(深中医〔2023〕133号)


Analysis of Medication Rules of Jing Yue Quan Shu for the Treatment of Enuresis Based on Data Mining Techniques
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    摘要:

    目的:基于数据挖掘技术分析《景岳全书》中治疗遗尿的用药规律。方法:收集《景岳全书·杂 证谟》中治疗遗尿的方药组成,录入Microsoft Excel2021,建立中药数据集,进行频数分析,以及八阵方、功 效分类、四气、五味分析,应用SPSS Statistics24.0、SPSS Modeler18.0对高频中药进行聚类分析、关联规则分 析。结果:共纳入有效方剂42首,涉及中药89味,中药总累计频次275次,使用频次较高的中药有茯苓、附 子、熟地黄、炙甘草等,药味以甘、辛味为主,药性以温、平性为主,中药多归肾、脾经。关联规则得到 9个,包含人参-炙甘草、炙甘草-干姜等。聚类分析得到2首核心处方,分别为C1:炙甘草、人参、干姜、白 术、当归;C2:山茱萸、山药、肉桂、杜仲、附子、茯苓、补骨脂、肉苁蓉、鹿茸、菟丝子、熟地黄、五味 子、小茴香、韭菜子。结论:《景岳全书》认为遗尿的基本病机为脾肾虚寒,治法以温中散寒、温补肾阳为要, 而治疗原则为急固津液、缓补虚寒、阴阳并补、温助脾肾、先后天并补等。

    Abstract:

    Abstract:Objective:To analyze the medication rules of Jing Yue Quan Shu (The Complete Medical Works of ZHANG Jingyue) for the treatment of enuresis based on data mining techniques. Methods: The composition of prescriptions and Chinese medicinals for the treatment of enuresis in Jing Yue Quan Shu: Za Zheng Mo (Treatise on Miscellaneous Diseases) was collected and entered into Microsoft Excel 2021 to establish a dataset of Chinese medicinals, and frequency analysis was conducted, along with analysis of the Bazhen Prescriptions, efficacy classification, four properties, and five flavors. The clustering analysis and association rule analysis of the highfrequency Chinese medicinals were performed with the application of SPSS Statistics 24.0 and SPSS Modeler 18.0. Results: A total of 42 effective prescriptions of Chinese medicine were included, involving 89 Chinese medicinals, with a total cumulative frequency of 275 times of Chinese medicinals. In particular for the Chinese medicinals with the leading occurrence frequency of use as follows, Poria, Aconiti Lateralis Radix Praeparata, Rehmanniae Radix Praeparata,and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,etc. The flavors of the Chinese medicinals were usually sweet and pungent,the properties were mainly concentrated on warm and neutral,and the Chinese medicinals were mostly enter the kidney and spleen channels. Nine association rules were obtained, including Ginseng Radix et Rhizoma-Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,Glycyrrhizae Radix et Rhizoma Praeparata cum Melle- Zingiberis Rhizomar,and so on. Cluster analysis yielded two core prescriptions,which were C1:Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, Ginseng Radix et Rhizoma, Zingiberis Rhizoma, Atractylodis Macrocephalae Rhizoma, and Angelicae Sinensis Radix; and C2: Corni Fructus, Dioscoreae Rhizoma, Cinnamomi Cortex, Eucommiae Cortex,Aconiti Lateralis Radix Praeparata,Poria,Psoraleae Fructus,Cistanches Herba,Cervi Cornu Pantotrichum,Cuscutae Semen,Rehmanniae Radix Praeparata,Schisandrae Chinensis Fructus,Foeniculi Fructus, and Allii Tuberosi Semen. Conclusion: In the view of Jing Yue Quan Shu, the basic pathogenesis of enuresis is deficiency and cold of the spleen and kidney, and the therapy should focus on warming middle energizer to disperse cold,as well as warming and invigorating kidney yang,whereas the treatment principles should be consolidating body fluid urgently, tonifying the deficiency and cold gradually, tonifying yin and yang simultaneously, warming and assisting the spleen and kidney,and tonifying the congenital and acquired deficiencies,and so on.

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刘潞,肖春燕,郑舜莉,施瑞辰,梁静,时聪聪,吴海滨.基于数据挖掘技术分析《景岳全书》治疗遗尿用药规律[J].新中医,2025,57(11):18-23

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