基于数据挖掘方法分析赖东兰治疗儿童抽动障碍用药规律
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R277.7;R249

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Analysis on Medication Rules of LAI Donglan in Treating Tic Disorders in Children Based on Data Mining Technology
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    摘要:

    目的:以数据挖掘方法分析赖东兰治疗儿童抽动障碍的思路及核心组方用药规律。方法:收集赖 东兰治疗儿童抽动障碍的门诊病例资料,采用Microsoft Excel 2016建立数据库,进行频数统计,SPSS Statistics 27.0进行聚类分析,SPSS Modeler 18.0进行关联分析、可视化分析,Origin 2024对所有中药性味归经进行统 计。结果:共纳入处方342首,以肝风内动证和脾虚肝旺证为主要证型。涉及中药101种,补虚药、平肝息风 药、解表药是频次最多且关联最大的功效类别,平、寒性,甘、苦味的占比最大,多归肝、肺、脾经。关联分 析获得核心药对14组,核心角药19组。聚类分析获得5个核心基础方。结论:赖东兰治疗儿童抽动障碍,主 张标本兼治,肝脾肺同调,祛风药与补虚药并用,以钩藤饮子合四君子汤化裁为核心基础方,并时时顾护 正气。

    Abstract:

    Abstract:Objective:To analyze the ideas and medication rules of core prescription of LAI Donglan in treating tic disorders in children by data mining technology. Methods:The outpatient case data of LAI Donglan in the treatment of tic disorders in children was collected. Using Microsoft Excel 2016, a database for frequency counting was established. SPSS Statistics 27.0 was used for cluster analysis, SPSS Modeler 18.0 for association analysis and visual analysis, and Origin 2024 for analyzing the nature, flavors and meridian entries of all Chinese medicinals. Results: A total of 342 prescriptions were included,with syndrome of stirring of liver wind and syndrome of spleen deficiency and liver effulgence as the main syndromes. A total of 101 Chinese medicinals were involved. Among them, those for supplementing deficiency, pacifying the liver to extinguish wind, and releasing the exterior were used the most frequently with most associated categories of curative effect. The Chinese medicinals were neutral and cold in nature,and sweet and bitter in flavor made up the largest proportion,with main meridian entries of the liver,lung and spleen. The association analysis presented 14 core medicinal pairs and 19 core triplet medicinal combinations. The cluster analysis suggested 5 core basic prescriptions. Conclusion: In the treatment of children's tic disorders, LAI Donglan advocates treating both the root and branch, liver, spleen and lung at the same time, the use of wind- dispelling herbs and tonifying herbs is combined,the core basic prescription is the modified Gouteng Yinzi and Sijunzi Decoction and taking nourishing the healthy qi at all times as the basic principle.

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林思懿,张进步,卢婧芬,赖东兰.基于数据挖掘方法分析赖东兰治疗儿童抽动障碍用药规律[J].新中医,2025,57(15):7-12

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  • 在线发布日期: 2025-08-11
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