基于数据挖掘分析浙派中医秀水医派治疗心悸用药规律
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R256.21

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浙江中医药大学附属医院科研专项项目(社会科学类)(2022FSYYSY01);第二批嘉兴市中医药重点学科支撑类项目(中医内科学)(嘉卫〔2023〕65号-3)


Analysis of Medication Patterns for Palpitations by the Xiushui Branch of Zhejiang School of Traditional Chinese Medicine Based on Data Mining
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    摘要:

    目的:通过数据挖掘分析浙派中医秀水医派医家治疗心悸的用药规律。方法:从17部秀水医派医 家著作中收集浙派中医秀水医派医家治疗心悸的医案,应用中医传承计算平台V3.5建立数据库,通过“统计 分析”模块中的四气分析、五味分析、归经分析、功效分析对输入的数据行四气、五味、归经、功效统计分 析;通过“方剂分析”模块中的药物频次、关联规则、聚类分析对输入的数据进行药物频次分析、药物组合分 析和核心药物组合分析。结果:共收集医案67则,处方67首,涉及中药180种,使用频次前10位的中药分别 是茯神、白芍、半夏、远志、生地、甘草、牡蛎、丹参、酸枣仁、黄连;药性以寒、温、平为主;药味以苦、 甘、辛为主;药物多归心经、脾经、肺经和肝经;中药功效以补虚类、清热类、理气类药物为主。经关联规则 分析获得,使用频次前5位的药对分别是茯神-远志、茯神-丹参、茯神-白芍、茯神-酸枣仁、远志-酸枣仁。 经kmeans聚类组方规律分析,得到核心类方5个,分别是茯神-远志-甘草-当归-生地-黄芪,茯神-丹参-竹 茹-牡丹皮-龙齿-党参,半夏-陈皮-茯苓-夜交藤-甘草-黄连,丹参-石决明-白芍-牡蛎-桂枝-龙齿,香附-沉 香-丹参-白芍-陈皮-柴胡。结论:浙派中医秀水医派医家治疗心悸用方特点以健脾养心、温补心阳、清热化 痰、疏肝理气、镇惊安神类药物为主,中药处方分别以归脾汤、桂甘龙牡汤、黄连温胆汤、柴胡疏肝散、安神 定志丸为基础进行化裁。

    Abstract:

    Abstract:Objective:To analyze the medication patterns of the Xiushui Branch of Zhejiang School of Traditional Chinese Medicine (TCM) for palpitations using data mining. Methods: Medical cases of palpitations treated by practitioners of the Xiushui Branch of Zhejiang School of TCM were collected from 17 publications of the Xiushui School. A database was constructed using the Traditional Chinese Medicine Inheritance Computing System V3.5. The input data were subjected to statistical analysis of four natures,five flavors,meridian tropism,and therapeutic effects using the "Statistical Analysis" module. The "Formula Analysis" module was employed to conduct analyses of medicine frequency, medicine combinations, and core medicine combinations through frequency analysis, association rule analysis, and cluster analysis. Results: A total of 67 medical cases and 67 prescriptions involving 180 types of Chinese herbs were collected. The top 10 most frequently used Chinese herbs were Sclerotium Poriae Pararadicis, Paeoniae Radix Alba, Pinelliae Rhizoma, Polygalae Radix, Rehmanniae Radix, Glycyrrhizae Radix et Rhizoma, Ostreae Concha,Salviae Miltiorrhizae Radix et Rhizoma,Ziziphi Spinosae Semen,and Coptidis Rhizoma. The natures of these Chinese herbs were mainly cold, warm, and neutral; the flavors were predominantly bitter, sweet, and pungent; the meridian tropism mainly involved the heart, spleen, lung, and liver meridians; and the therapeutic effects were mainly deficiency-tonifying,heat-clearing,and qi-regulating. The top 5 most frequently used medicinal pairs identified by association rule analysis were Sclerotium Poriae Pararadicis-Polygalae Radix, Sclerotium Poriae Pararadicis-Salviae Miltiorrhizae Radix et Rhizoma,Sclerotium Poriae Pararadicis-Paeoniae Radix Alba,Sclerotium Poriae Pararadicis-Ziziphi Spinosae Semen, and Polygalae Radix-Ziziphi Spinosae Semen. K-means clustering analysis yielded 5 core formulas: Sclerotium Poriae Pararadicis-Polygalae Radix-Glycyrrhizae Radix et Rhizoma- Angelicae Sinensis Radix-Rehmanniae Radix-Astragali Radix, Sclerotium Poriae Pararadicis-Salviae Miltiorrhizae Radix et Rhizoma-Bambusae Caulis in Taenias-Moutan Cortex-Dens Draconis-Codonopsis Radix,Pinelliae Rhizoma- Citri Reticulatae Pericarpium-Poria-Caulis Polygoni Multiflori-Glycyrrhizae Radix et Rhizoma-Coptidis Rhizoma, Salviae Miltiorrhizae Radix et Rhizoma-Haliotidis Concha-Paeoniae Radix Alba-Ostreae Concha-Cinnamomi Ramulus- Dens Draconis,and Cyperi Rhizoma-Aquilariae Lignum Resinatum-Salviae Miltiorrhizae Radix et Rhizoma-Paeoniae Radix Alba-Citri Reticulatae Pericarpium-Bupleuri Radix. Conclusion: The Xiushui Branch of Zhejiang School of TCM's treatment of palpitations is characterized by the use of formulas that mainly focus on strengthening the spleen and nourishing the heart,warming and tonifying the heart yang,clearing heat and resolving phlegm,soothing the liver and regulating qi, and suppressing fright and calming the mind. The prescriptions are based on modifications of formulas such as Guipi Decoction, Guigan Longmu Decoction, Huanglian Wendan Decoction, Chaihu Shugan Powder, and Anshen Dingzhi Pills.

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刘金涛,胡艳艳,王振,宋雨晴,丁红生,孙勤莲.基于数据挖掘分析浙派中医秀水医派治疗心悸用药规律[J].新中医,2026,58(8):9-14

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