基于数据挖掘技术分析补肾法治疗多囊卵巢综合征致不孕用药规律
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R271.1

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广东省茂名市科技计划项目(2023198)


Analysis of Medication Rules of Kidney-Tonifying Therapy for Polycystic Ovary Syndrome-Induced Infertility Based on Data Mining Technology
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    摘要:

    目的:基于数据挖掘技术分析补肾法治疗多囊卵巢综合征(PCOS) 致不孕的用药规律。方法:检 索中国知网(CNKI)、万方数据知识服务平台(Wanfang) 和维普中文期刊服务平台(VIP),筛选出补肾法治 疗PCOS致不孕的临床研究论文,建立“中药处方”“高频药物剂量”等数据库。统计分析药物的使用频次、 剂量、性味归经;并对高频药物进行关联规则和聚类分析,以探索用药规律;运用箱线图分析高频药物使用剂 量,以探寻药物组方剂量分布规律;运用热力图分析补肾法中高频药物使用频次的差异。结果:筛选出175条 处方、127味中药,34味高频药物按照功效分类主要为补肾药和活血药。高频药物性味归经居首位的分别是平 性、甘味和肝经,其次分别为温性、辛味和肾经。高频药物关联规则分析得出支持度最高的为熟地黄-菟丝 子、熟地黄-当归,置信度最高的为杜仲-菟丝子。剂量分析结果显示菟丝子是剂量最大的补肾药;丹参是剂 量最大的活血药;补肾药所用剂量比活血药大。高频药物在补肾法热力图分析中,使用频次最高的治法是补肾 活血法。结论:PCOS致不孕的用药方向主要为补肾活血,但也需紧守阴阳、动静结合,兼顾化痰、健脾、疏 肝等。

    Abstract:

    Abstract: Objective: To analyze the medication rules of kidney-tonifying therapy for polycystic ovary syndrome( PCOS) -induced infertility based on data mining technology. Methods:Clinical research papers on kidneytonifying therapy for PCOS-induced infertility were retrieved from China National Knowledge Infrastructure(CNKI), Wanfang Data Knowledge Service Platform (Wanfang), and China Science and Technology Journal Database (VIP) databases. Databases for "Chinese medicine prescriptions" and "high-frequency herb dosages" were established. The frequency of herb use, dosage, properties, flavors, and meridian tropisms were statistically analyzed. Association rules and cluster analyses were conducted on high-frequency herbs to explore medication rules. Box plots were used to analyze the dosages of high-frequency herbs to explore the distribution patterns of prescription dosages. Heatmaps were employed to analyze differences in the frequency of high-frequency herb use within the kidney-tonifying therapy. Results: The analysis yielded 175 prescriptions and 127 Chinese medicines, identifying 34 high-frequency herbs primarily categorized by efficacy as kidney-tonifying herbs and blood-activating herbs. The primary properties,flavors, and meridian tropisms of high-frequency herbs were neutral, sweet, and liver meridian, respectively, followed by warm,pungent,and kidney meridian. Association rule analysis of high-frequency herbs showed that the pair with the highest support was Rehmanniae Radix Praeparata-Cuscutae Semen, and Rehmanniae Radix Praeparata-Angelicae Sinensis Radix.The pair with the highest confidence was Eucommiae Cortex-Cuscutae Semen. Dosage analysis revealed that Cuscutae Semen was the kidney-tonifying herb with the highest dosage;Salviae Miltiorrhizae Radix et Rhizoma was the blood-activating herb with the highest dosage;and the dosages of kidney-tonifying herbs were generally larger than those of blood-activating herbs. Heatmap analysis of high-frequency herbs in the kidney-tonifying therapy showed that the most frequently used therapeutic method was kidney-tonifying and blood-activating. Conclusion: The primary medication selection for PCOS-induced infertility focuses on kidney-tonifying and blood-activating, while it is also necessary to strictly maintain the balance between yin and yang,combine static and dynamic,and incorporate auxiliary effects such as phlegm resolution,spleen fortification,and liver soothing.

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陈德,沈诗茵,王文娜,黄春,周华珺,黄少雅.基于数据挖掘技术分析补肾法治疗多囊卵巢综合征致不孕用药规律[J].新中医,2025,57(24):8-14

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  • 在线发布日期: 2025-12-26
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