基于数据挖掘分析《证治准绳·类方》治疗咳嗽用药规律
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R256.11

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国家中医优势专科建设项目(广州中医药大学第一附属医院肺病科);广东省重点科室(中西医协同科室) 建设项目;深圳市中西医结合医院院内课题(YJ-2023-104);深圳市宝安区医疗卫生科研项目(2024JD316);广州中医药大学第一临床医学院2025年“揭榜挂帅’研究生创新能力提升项目(A3-0317-25-110-001)


Analysis of Medication Rules for Cough Treatment Recorded in Zheng Zhi Zhun Sheng·Lei Fang Based on Data Mining
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    摘要:

    目的:运用数据挖掘技术分析《证治准绳·类方》治疗咳嗽的用药规律。方法:筛选《证治准绳·类方》咳嗽篇中药物组成完整、主治明确的治疗咳嗽的内服方剂。参照药典规范药物名称并建立标准化数据库,采用药物使用频次分析、药物四气五味归经统计、关联规则分析、Phi相关性分析及层次聚类分析等方法,梳理《证治准绳·类方》中治疗咳嗽的核心用药、配伍特征与证型适配规律。结果:本研究共纳入处方113首,涉及中药170种;药物使用频次≥10次的中药有17味,排前5位的药物从高到低分别为甘草、半夏、人参、苦杏仁、茯苓;药物四气以温性为主,五味以甘、苦、辛味占比最高,归经集中于肺、脾经;经关联规则分析获得贝母-款冬花-苦杏仁、人参-茯苓等高置信度、高支持度核心药对;经层次聚类分析获得脾肺气虚、风寒郁热、肺热肺燥3类核心药物组合。结论:《证治准绳·类方》治疗咳嗽以健脾益肺、化痰止咳、清热润燥类药为主,用药寒温并用、补泻兼施、肺脾同治。

    Abstract:

    Abstract:Objective:To analyze the medication rules for cough treatment recorded in Zheng Zhi Zhun Sheng· Lei Fang( Categorization of Formulas from the Standards for Diagnosis and Treatment) based on data mining techniques. Methods: Oral formulas for cough with complete composition and clear indications were screened from the Cough chapter of Zheng Zhi Zhun Sheng·Lei Fang. Drug names were standardized according to the Chinese Pharmacopoeia, and a standardized database was established. Methods including frequency analysis of herb use,statistical analysis of the four properties, five flavors, and meridian tropisms, association rule analysis, Phi correlation analysis, and hierarchical cluster analysis were employed to identify the core herbs,combination characteristics,and syndrome type compatibility rules for cough treatment recorded in Zheng Zhi Zhun Sheng · Lei Fang. Results : A total of 113 prescriptions were included, involving 170 distinct Chinese herbal medicines. Seventeen herbs had a frequency of ≥10 uses. The top five herbs in descending order were Glycyrrhizae Radix et Rhizoma,Pinelliae Rhizoma,Ginseng Radix et Rhizoma, Armeniacae Semen Amarum, and Poria. In terms of the four properties, warm herbs were most common; among the five flavors, sweet, bitter, and pungent accounted for the highest proportions; meridian tropisms were mainly lung and spleen meridians. Association rule analysis identified high confidence and high support core herb pairs such as Fritillariae Thunbergii Bulbus-Farfarae Flos-Armeniacae Semen Amarum and Ginseng Radix et Rhizoma-Poria. Hierarchical cluster analysis yielded three core herb combinations for syndromes of spleen-lung qi deficiency,wind cold with stagnated heat,and lung heat with dryness. Conclusion:The treatment principle of cough in Zheng Zhi Zhun Sheng·Lei Fang primarily uses Chinese herbal medicines that fortify the spleen and benefit the lung, resolve phlegm and relieve cough,and clear heat and moisten dryness. The treatment principle is primarily the use of both cold and warm herbs,supplementation and drainage,and simultaneous treatment of the lung and spleen.

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邱一翀,王婷,邵恩茜,梁慧秋,彭晓芸,刘琼.基于数据挖掘分析《证治准绳·类方》治疗咳嗽用药规律[J].新中医,2026,58(16):175-183

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  • 在线发布日期: 2026-08-23
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