基于数据挖掘分析杜少辉治疗失眠用药规律
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R256.23

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宁夏自然科学基金项目(2021AAC03161)


Analysis on Medication Rules of DU Shaohui in Treating Insomnia Based on Data Mining
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    摘要:

    目的:基于数据挖掘技术分析杜少辉教授治疗失眠的用药规律。方法:收集杜少辉教授2022年 9月1日—2024年9月1日门诊中治疗失眠的医案。使用Excel统计中药使用频次、四气、五味、归经、功效等 数据,并利用R编程软件进行聚类分析和关联规则分析,结合可视化工具分析中药间的联系和组方规律。结 果:共纳入医案212例,涉及187种中药,中药使用总频次2 918次。经中药频次分析获得,频次≥30的中药有 32味,排前5位依次为甘草、川芎、法半夏、白术、葛根;归经主要为足太阴脾经、足厥阴肝经、手太阴肺 经;药性以温为主;药味以辛、甘为主;功效以补虚药为主,其次是清热药、解表药。经关联规则分析获得核 心药对及药组共17组;其中核心药对有葛根-川芎,黄芩-法半夏,牡蛎-法半夏,葛根-法半夏,柴胡-法半夏 等;核心药组为法半夏-葛根-川芎。经聚类分析获得4类药物组合。结论:杜少辉教授治疗失眠常用药物以补 虚药为主,兼清热、解表类药,以柴葛法、理中法、附子法、建中法组成药物,体现了从六气标本中入手,风 火并治、燥湿互济、调和营卫以交合阴阳的治法。

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    Abstract:Objective:To analyze the medication rules of Professor DU Shaohui in treating insomnia based on data mining. Methods: The medical records of Professor DU in treating insomnia in the outpatient department from September 1,2022 to September 1,2024 were collected. Excel was used to count the frequency,four qi,five flavors, meridian entries,effect and other data of Chinese medicinals. R programming software was used for cluster analysis and association rule analysis, and visual tools were used to analyze the relationship between Chinese medicinals and prescription rules. Results:A total of 212 medical cases were included,involving 187 kinds of Chinese medicinals, and the total frequency was 2 918 times. According to the frequency analysis,there were 32 kinds of Chinese medicinals with frequency ≥ 30,and the top five were Glycyrrhizae Radix et Rhizoma,Chuanxiong Rhizoma,Pinelliae Rhizoma Praeparatum,Atractylodis Macrocephalae Rhizoma and Puerariae Lobatae Radix;the main meridian entries were the foot-Taiyin spleen meridian, foot-Jueyin liver meridian and hand-Taiyin lung meridian; the medicinal nature was mainly warm;the flavors were mainly pungent and sweet;the effect was mainly for supplementing deficiency,followed by clearing heat and releasing the exterior. The core medicinal pairs and medicinal groups,17 in total,were obtained by association rule analysis. Among them, the core medicinal pairs were Puerariae Lobatae Radix-Chuanxiong Rhizoma, Scutellariae Radix-Pinelliae Rhizoma Praeparatum, Ostreae Concha-Pinelliae Rhizoma Praeparatum, Puerariae Lobatae Radix-Pinelliae Rhizoma Praeparatum, Bupleuri Radix-Pinelliae Rhizoma Praeparatum, etc. the core medicinal group was Pinelliae Rhizoma Praeparatum-Puerariae Lobatae Radix-Chuanxiong Rhizoma. Four medicinal combinations were obtained by cluster analysis. Conclusion: Professor DU commonly uses Chinese medicinals for supplementing deficiency in the treatment of insomnia,as well as those for heat-clearing and exteriorreleasing. The Chinese medicinals are combined by Chaige method, Lizhong method, Fuzi method and Jianzhong method,which reflects the treatment method of yin-yang confluence from six qi and root and branch by simultaneous wind-fire neutralization,dryness-dampness equilibrium,and ying-wei harmonization.

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李煜,刘怡然,许林峰,陈澈,邵芊枫,周晟,指导:杜少辉.基于数据挖掘分析杜少辉治疗失眠用药规律[J].新中医,2025,57(14):12-19

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  • 在线发布日期: 2025-07-26
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