基于数据挖掘技术分析曲凡治疗多囊卵巢综合征临床用药规律
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R249

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国家自然科学基金面上项目(82274564,82074476,81874480)


Analysis of QU Fan's Clinical Medication Rules for Polycystic Ovary Syndrome Based on Data Mining Technology
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    摘要:

    目的:基于数据挖掘技术分析曲凡教授治疗多囊卵巢综合征 (PCOS) 临床用药规律。方法:收 集2021年1月—2024年4月浙江大学医学院附属妇产科医院曲凡教授门诊收治的PCOS患者的中医医案,将符 合纳入标准的处方录入表格,整理后上传至中医传承计算平台(V3.0),进行频次统计、关联规则及聚类分析。 结果:录入有效方剂共712首,涉及中药92味,使用频次最高的前5味药物依次为太子参、炙甘草、黄精、覆 盆子、淫羊藿,中药四气以温性、平性为主,五味以甘、苦、辛为主,并通过药物聚类分析得到常用类方 4个。结论:曲凡教授治疗PCOS以补肾健脾为本,药性以甘温之药为主,适当加用苦寒之药等进行调和;药 效以补虚类为主,其次为活血化瘀类,此外根据具体情况适当选用清热利湿及理气和胃之药,兼顾活血化瘀、 清热化湿及安神助眠等。

    Abstract:

    Abstract:Objective:To analyze the clinical medication rules of Professor QU Fan in treating polycystic ovary syndrome (PCOS) based on data mining technology. Methods:Traditional Chinese medicine medical records of PCOS patients treated by Professor QU Fan at the Women's Hospital, School of Medicine of Zhejiang University from January 2021 to April 2024 were collected. Prescriptions meeting inclusion criteria were recorded,organized,and uploaded to the Traditional Chinese Medicine Inheritance Computing System (V3.0) for frequency statistics analysis, association rules analysis, and cluster analysis. Results: A total of 712 valid prescriptions involving 92 Chinese medicinal herbs were analyzed. The top five most frequently used herbs were Pseudostellariae Radix, Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, Polygonati Rhizoma, Rubi Fructus, and Epimedii Folium. Herbs were predominantly warm or neutral in the four properties,and sweet,bitter,or pungent in the five flavors. Cluster analysis identified four frequently-used associated prescriptions. Conclusion:Professor QU Fan's treatment for PCOS focuses on tonifying the kidney and strengthening the spleen as the fundamental principle,primarily using herbs with sweet in flavors and warm in properties,supplemented appropriately with herbs of bitter in flavors and cold in properties for balance. In terms of the therapeutic effects,the herbs usually involves tonifying deficiency and followed by promoting blood circulation to resolve stasis,while herbs for clearing heat,draining dampness,regulating qi,and harmonizing the stomach were selected depending on individual conditions,thus for activating blood and removing stasis,clearing heat and eliminating dampness,and tranquilizing mind and improving sleep.

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潘丹,朱宇航,周天一,李心悦,顾颖尔,张弦,叶佳瑜,戴旻辰,何依菁,王芳芳,曲凡.基于数据挖掘技术分析曲凡治疗多囊卵巢综合征临床用药规律[J].新中医,2025,57(13):11-16

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  • 在线发布日期: 2025-07-14
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