基于数据挖掘探究中医药治疗喉源性咳嗽用药规律
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R256.11

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Exploring the Medication Patterns of Chinese Medicine in Treating Cough of Laryngeal Origin Based on Data Mining
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    摘要:

    目的:应用数据挖掘技术探究中医药治疗喉源性咳嗽的处方用药规律。方法:检索国家知识基础 设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)中关于中医药治疗喉源性 咳嗽的文献,用Excel 2019建立关于中医药治疗喉源性咳嗽的方药数据库,并统计中药的性味归经、使用频 次,利用SPSS Statistics 24.0、SPPSS Modeler 18.0,对处方进行关联规则、系统聚类、复杂网络等分析。结果: 纳入228首方剂,包含19大类共192味中药,中药使用总频次为2 596次。药性以寒、温、平为主;药味以甘、 苦、辛为主;归经以肺、胃、肝、脾经为主。中药使用类别以止咳平喘药、解表药、清热药、化痰药、补虚 药、平肝息风药为主。使用频次前5位的中药为蝉蜕、桔梗、苦杏仁、甘草、僵蚕等。关联规则分析得到4组 关联度较强的中药组合。聚类分析得到6组中药组合。复杂网络分析显示以祛风止咳平喘、清热解毒利咽、养 阴润肺、理气化痰类药物为主。结论:喉源性咳嗽多为虚实夹杂之证,病位在肺,与肝、脾密切相关,病理因 素多为风、热、燥、虚,治疗喉源性咳嗽处方暗含止嗽散、桑杏汤、二陈汤加减,治法多为祛风止咳平喘、清 热解毒利咽、养阴润燥、健脾燥湿。

    Abstract:

    Abstract:Objective:To explore the prescription and medication patterns of Chinese medicine in treating cough of laryngeal origin using data mining techniques. Methods:Relevant literature on Chinese medicine treatment of cough of laryngeal origin was retrieved from the China National Knowledge Infrastructure (CNKI),China Science Periodical Database (CSPD),and Chinese Citation Database (CCD). A database of Chinese medicine prescriptions for cough of laryngeal origin was established using Excel 2019. The properties,flavors,meridian tropism,and usage frequency of Chinese medicinals were statistically analyzed. Association pattern analysis, hierarchical clustering analysis, and complex network analysis were performed using SPSS Statistics 24.0 and SPSS Modeler 18.0 software. Results: A total of 228 prescriptions were included,comprising 192 medicinals in 19 major categories with a total usage frequency of 2 596 times. The predominant properties of the medicinals were cold,warm,and neutral;the main flavors were sweet,bitter,and pungent;and the primary meridians targeted were the lung,stomach,liver,and spleen. The most commonly used categories of medicinals were cough-relieving and asthma-controlling medicinals,exterior-releasing medicinals, heat-clearing medicinals, phlegm-resolving medicinals, deficiency-tonifying medicinals, and liver- calming and wind-extinguishing medicinals. The medicinals with the top five usage frequency were Cicadae Periostracum, Platycodonis Radix, Armeniacae Semen Amarum, Glycyrrhizae Radix et Rhizoma, and Bombyx Batryticatus. Association rule analysis identified four sets of highly correlated medicinal combinations. Cluster analysis divided the medicinals into six clusters. Complex network analysis showed that the main therapeutic categories of medicinals were wind-dispelling,cough-relieving and asthma-controlling medicinals,heat-clearing and detoxifying medicinals for sore throat,yin-nourishing and lung-moistening medicinals,and qi-regulating and phlegm-resolving medicinals. Conclusion: Cough of laryngeal origin is often characterized by deficiency interweaved with excess syndrome,with the primary disease location in the lung and close associations with the liver and spleen. The main pathogenic factors are wind, heat, dryness, and deficiency. The underlying prescriptions for treating cough of laryngeal origin often include variations of the Zhisou powder,Sangxing Decoction,and Erchen Decoction. The main therapeutic principles are wind-dispelling,cough-relieving and asthma-controlling,heat-clearing and detoxifying for sore throat,yin-nourishing and dryness-moistening,and spleen-strengthening and dampness-drying.

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陈武霞,黄振炎.基于数据挖掘探究中医药治疗喉源性咳嗽用药规律[J].新中医,2025,57(13):17-22

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  • 在线发布日期: 2025-07-14
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