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基于文献数据挖掘探析中医药治疗肝豆状核变性用药规律研究
蒋真真1  汪美霞2  陶庄2  王飞1  孙阔1  韩卉1  蔡生兴3  杨文明2
1.安徽中医药大学研究生院,安徽合肥   230038;
2.安徽中医药大学第一附属医院脑病三科,安徽合肥   230031;
3.中国中医科学院中医药数据中心,北京  100700
Research on medication rules of traditional Chinese medicine in treatment of hepatolenticular degeneration based on literature data mining
JIANG Zhenzhen1   WANG Meixia2   TAO Zhuang2   WANG Fei1   SUN Kuo1   HAN Hui1   CAI Shengxing3   YANG Wenming2
1.Graduate School, Anhui University of Chinese Medicine, Anhui Province, Hefei   230038, China; 
2.the Third Department of Encephalopathy, the First Affiliated Hospital of Anhui University of Chinese Medicine, Anhui Province, Hefei   230031, China; 3.Chinese Medicine Data Center, China Academy of Chinese Medical Sciences, Beijing   100700, China
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摘要 目的 基于数据挖掘分析中医药治疗肝豆状核变性的用药规律。 方法 检索中国知网、万方数据库、维普网、PubMed、Cochrane图书馆、EMBase数据库建库起至2022年7月收录的中医药治疗肝豆状核变性的临床研究文献,建立中药处方数据库,通过频数分析、关联规则、聚类分析及复杂网络分析等方法进行挖掘。 结果 共纳入78首有效处方,涉及中药133味,出现频次最高的单味药为大黄;药性以寒、温为主,药味以苦、甘为主,归经以肝、脾经为主;药物功效频次排名前3位的分别为活血化瘀药、补虚药、清热药;药对组合以大黄-黄连应用最多;聚类分析得到6首新方;复杂网络分析结果显示,大黄、郁金、萆薢、莪术、泽泻、姜黄、金钱草、丹参、黄连、鸡血藤、陈皮为网络的核心节点。 结论 肝豆状核变性主要病机是本虚标实、虚实夹杂,治疗多用活血化瘀、清热、利水渗湿、泻下类等中药,虚实夹杂者兼以补虚,为中医药治疗肝豆状核变性提供诊疗思路。

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蒋真真1  汪美霞2  陶庄2  王飞1  孙阔1  韩卉1  蔡生兴3  杨文明2
关键词 肝豆状核变性中医药数据挖掘用药规律诊疗思路    
Abstract:Objective To analyze the medication rules of traditional Chinese medicine in the treatment of hepatolenticular degeneration based on data mining. Methods Clinical research literature on traditional Chinese medicine in the treatment of hepatolenticular degeneration collected from CNKI, Wanfang Data, VIP, PubMed, Cochrane Library, and EMBase database from establishment to July 2022 were searched, and a Chinese materia medica prescription database was established. The method of frequency analysis, association rules, cluster analysis, and complex network analysis was used for mining. Results A total of 78 effective prescriptions were included, involving 133 kinds of Chinese materia medica, and the single herb with the highest frequency was Rhei Radix Et Rhizoma. The drug nature was mainly cold and warm, the drug flavour was mainly bitter and sweet, and the channel tropism was mainly liver and spleen channels. The top three drugs in terms of efficacy frequency were promoting blood circulation for removing blood stasis drug, tonifying deficiency drug, and clearing heat drug. Rhei Radix Et Rhizoma and Coptidis Rhizoma were used most in the combination of drugs. Six new formulas were obtained by cluster analysis. The results of complex network analysis showed that the core nodes of the network were Rhei Radix Et Rhizoma, Curcumae Radix, Dioscoreae Spongiosae Rhizoma, Curcumae Rhizoma, Alismatis Rhizoma, Curcumae Longae Rhizoma, Lysimachiae Herba, Salviae Miltiorrhizae Radix Et Rhizoma, Coptidis Rhizoma, Spatholobi Caulis, and Citri Reticulatae Pericarpium. Conclusion The main pathogenesis of hepatolenticular degeneration is manifestation deficiency and root excess, intermingled deficiency and excess with traditional Chinese medicine, such as promoting blood circulation for removing blood stasis, clearing heat, promoting diuresis and diffusing dampness, purging and so on. The patients with intermingled deficiency and excess with traditional Chinese medicine can also supplement deficiency to provide diagnosis and treatment ideas for hepatolenticular degeneration.
Key wordsHepatolenticular degeneration    Traditional Chinese medicine    Data mining    Medication rules    Diagnosis and treatment thoughts
    
基金资助:国家自然科学基金资助项目(81973825);
青年岐黄学者培养项目(国中医药人教函〔2022〕256号);
安徽省青年领军后备人才支持项目(中发展〔2022〕4号);
安徽省重点研究与开发计划项目(202204295107020001)。
通讯作者: 汪美霞(1977.11-),女,硕士,硕士生导师,主任医师;研究方向:中西医结合防治脑病。   
作者简介: 蒋真真(1998.8-),女,安徽中医药大学第一临床医学院2021级中西医结合专业在读硕士研究生;研究方向:中西医结合防治脑病。
引用本文:   
蒋真真1  汪美霞2  陶庄2  王飞1  孙阔1  韩卉1  蔡生兴3  杨文明2. 基于文献数据挖掘探析中医药治疗肝豆状核变性用药规律研究[J]. 中国医药导报, 2023, 20(26): 138-142.
JIANG Zhenzhen1 WANG Meixia2 TAO Zhuang2 WANG Fei1 SUN Kuo1 HAN Hui1 CAI Shengxing3 YANG Wenming2. Research on medication rules of traditional Chinese medicine in treatment of hepatolenticular degeneration based on literature data mining. 中国医药导报, 2023, 20(26): 138-142.
链接本文:  
https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.26.30     或     https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I26/138

 

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