基于数据挖掘分析郭智涛运用通法治疗岭南地区乳痛症用药规律
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R655.8

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广东省中医药局科研项目(20231035)


Analysis of GUO Zhitao's Medication Rules for Mastalgia in Lingnan Region by Unblocking Method Based on Data Mining
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    摘要:

    目的:基于数据挖掘分析郭智涛教授运用通法治疗岭南地区乳痛症的用药规律。方法:收集郭智 涛教授2019年3月—2024年3月于广东省第二中医院门诊治疗乳痛症的病例资料,录入处方,建立数据库,运 用中医传承计算平台V3.5进行用药频次、归经、药物功效、关联规则、聚类分析等数据处理。结果:共纳入 医案680例,涉及中药203味。药物使用频次 ≥ 20%的有20味,排前5位依次为益母草、郁金、甘草、佛手、 香附;主要归肝经、肺经、脾经、心经、胃经;药物功效以活血化瘀类、补虚类、理气类药物为主;经关联规 则分析获得核心药对共17对,频次由高到低前3位分别为柴胡-香附、益母草-紫苏梗、益母草-香附;经聚类 分析获得6组核心药物组合。结论:郭智涛教授运用通法治乳痛,以活血化瘀、补虚、理气类中药为主,即以 活血调经、疏肝解郁、疏木运土及通以荣之为法,用药上结合岭南地区特点灵活化裁。

    Abstract:

    Abstract: Objective: To analyze the medication rules of Professor GUO Zhitao in treating mastalgia in the Lingnan region using data mining techniques. Methods:Case data of mastalgia treated by Professor GUO Zhitao at the outpatient department of Guangdong Provincial Second Hospital of Traditional Chinese Medicine from March 2019 to March 2024 were collected. Prescriptions were recorded, and a database was established. The Traditional Chinese Medicine Inheritance Computer System Platform V3.5 was used for data processing, including frequency analysis, meridian entry analysis, efficacy analysis, association rules analysis, and cluster analysis. Results: A total of 680 medical cases were included, involving 203 types of Chinese herbs. Twenty herbs had usage frequencies greater than 20%, with the top five being Leonuri Herba, Curcumae Radix, Glycyrrhizae Radix et Rhizoma, Citri Sarcodactylis Fructus,and Cyperi Rhizoma. The main meridian entries were liver,lung,spleen,heart,and stomach meridians. The primary functions of the herbs were blood-activating and stasis-resolving, deficiency-tonifying, and qi-regulating. Association rule analysis identified 17 core herb pairs,with the top three being Bupleuri Radix-Cyperi Rhizoma, Leonuri Herba-Perillae Caulis, and Leonuri Herba-Cyperi Rhizoma. Cluster analysis identified six core herb combinations. Conclusion: Professor GUO Zhitao's approach to treating mastalgia primarily involves bloodactivating and stasis-resolving, deficiency-tonifying, and qi-regulating herbs. The treatment principles include promoting blood circulation to regulate menstruation,soothing the liver to relieve depression,harmonizing the liver and spleen,and ensuring smooth flow of qi and blood. The selection of herbs is adapted flexibly to the characteristics of the Lingnan region.

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李峙芊,李雪真,付亚斐,指导:郭智涛.基于数据挖掘分析郭智涛运用通法治疗岭南地区乳痛症用药规律[J].新中医,2025,57(14):7-11

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  • 在线发布日期: 2025-07-26
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