基于数据挖掘技术探讨周郁鸿治疗恶性淋巴瘤用药规律
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R273;R733.1

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浙江省基础公益研究计划项目(LBY24H080005);浙江省中医药科技计划项目(2023ZF108,2024ZF067)


Exploration on the Medication Rules of ZHOU Yuhong in Treating Malignant Lymphoma Based on Data Mining Technology
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    摘要:

    目的:运用数据挖掘技术探讨周郁鸿教授治疗恶性淋巴瘤的用药规律。收集2018年3月19日— 2023年2月15日期间,在浙江中医药大学附属第一医院周郁鸿教授专家门诊就诊的恶性淋巴瘤患者的临床资 料,建立处方数据库。对药物进行频次统计,四气五味归经统计,关联规则分析及对核心药物进行聚类分析。 结果:共纳入125例患者,524首处方,涉及中药220味,药物总频次9 361次。其中出现频次高于100次的有 25味中药,频次前5味依次是茯苓、白术、党参、陈皮、柴胡。治疗药物多为甘味,药性以平性为主,多归于 脾、肺经。关联规则分析得到党参-茯苓为置信度最高的药对组合,党参-白术-茯苓为置信度最高的三项药物 组合。聚类分析得到四个核心药物组合,分别为四君子汤、鳖甲煎丸、玉屏风汤加减。结论:周郁鸿教授擅用 健脾药、化痰药、理气药、活血药治疗恶性淋巴瘤,常用党参、白术、茯苓药物组合健脾益气,重视扶正祛 邪、标本兼治,灵活化裁经典古方。

    Abstract:

    Abstract: Objective: To explore the medication rules of Professor ZHOU Yuhong in treating malignant lymphoma using data mining technology. Methods:Clinical data of malignant lymphoma patients treated at Professor ZHOU Yuhong's expert outpatient clinic of the First Affiliated Hospital of Zhejiang Chinese Medical University from March 19,2018,to February 15,2023,were collected to establish a prescription database. Frequency analysis of the medicinals, analysis of the four natures and five flavors, meridian tropism analysis, association rule analysis, and cluster analysis of core medicinals were conducted. Results: A total of 125 patients and 524 prescriptions were included, involving 220 Chinese medicinals with a total frequency of 9 361 occurrences. Among them, 25 Chinese medicinals appeared more than 100 times, with the top five being Poria, Atractylodis Macrocephalae Rhizoma, Codonopsis Radix,Citri Reticulatae Pericarpium,and Bupleuri Radix. The Chinese medicinals were mostly sweet in flavor, with a neutral nature, and primarily enter the spleen and lung meridians. Association rule analysis identified Codonopsis Radix-Poria as the couplet medicinals with the highest confidence, and Codonopsis Radix-Atractylodis Macrocephalae Rhizoma-Poria as the triplet medicinals with the highest confidence. Cluster analysis yielded four core medicinals combinations, namely Sijunzi Decoction, Biejia Jian Pills, and modified Yupingfeng Decoction. Conclusion: Professor ZHOU Yuhong specializes in treating malignant lymphoma with a unique approach that combines spleen-strengthening herbs, phlegm-resolving herbs, qi-regulating herbs, and blood-invigorating herbs. His frequently used herbs includes Codonopsis Radix,Atractylodis Macrocephalae Rhizoma,and Poria to strengthen the spleen and boost qi. He emphasizes strengthening the body's healthy qi and dispelling pathogen,and simultaneously treating the root and branch,and he also flexibly modifies classical prescriptions.

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金如茜,陶冶,韩煦,封雨璐,马雨晴,周鹏蕾,李秋爽,汤紫晶,吴迪炯,叶宝东,邓姝,刘姗.基于数据挖掘技术探讨周郁鸿治疗恶性淋巴瘤用药规律[J].新中医,2025,57(11):166-170

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  • 在线发布日期: 2025-06-13
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