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中国医药导报  2023, Vol. 20 Issue (31): 4-11    DOI: 10.20047/j.issn1673-7210.2023.31.01
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基于数据挖掘分析高荣林教授治疗失眠的用药规律
祁雷磊1 陈月莹1 庞 然1 刘瑞1 张丽娟2
1.中国中医科学院广安门医院泌尿科,北京 100053;
2.中国中医科学院广安门医院超声科,北京 100053
Analysis on the medication rule of Professor Gao Ronglin in the treatment of insomnia based on data mining
QI Leilei1 CHEN Yueying1 PANG Ran1 LIU Rui1 ZHANG Lijuan2
1.Department of Urology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China;
2.Department of Ultrasound, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
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摘要 目的 基于数据挖掘技术分析和总结高荣林教授治疗失眠的用药规律。 方法 选取2020年10月至2022年10月中国中医科学院广安门医院高荣林教授门诊失眠患者的病案,采用Microsoft Excel 2016和Rstudio 4.2.1统计软件对药物的频次、四气、五味、归经、功效进行统计,对高频药物进行关联规则及聚类分析,并使用VOSviewer软件进行复杂网络可视化。 结果 358首处方中共涉及中药146味,累计使用频次4 947,使用频次>90次的有酸枣仁、白芍、远志等20味中药;药物四气以平、温、寒居多,五味以甘、苦、辛为主,归经以肝、心、脾经为主;使用频率最高的药物是补虚药和安神药;聚类分析结果显示,支持度和频次均最高的药物组合为远志-酸枣仁,其次为牡丹皮-酸枣仁、黄连-酸枣仁,置信度最高的药物组合分别有肉桂-酸枣仁、黄连、肉桂-酸枣仁;聚类分析可分为4类。 结论 高荣林教授治疗失眠多从肝、心、脾入手,注重治心调神、调理脾胃,常用黄连、肉桂及酸枣仁药对配伍以交通心神、补肾温阳。
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祁雷磊1 陈月莹1 庞 然1 刘瑞1 张丽娟2
关键词 数据挖掘失眠高荣林用药规律    
Abstract:Objective To analyze and summarize the medication rule of Professor Gao Ronglin in the treatment of insomnia based on data mining technology. Methods Medical records of insomnia patients in the outpatient department of Professor Gao Ronglin of Guang ’anmen Hospital, China Academy of Chinese Medical Sciences from October 2020 to October 2022 were selected. Microsoft Excel 2016 and Rstudio 4.2.1 statistical software were used to make statistics on the frequency, four natures, five flavours, channel tropism, and efficacy of drugs. Association rules and cluster analysis were performed for high-frequency drugs, and complex network visualization was performed using VOSviewer software. Results A total of 146 kinds of traditional Chinese medicine were involved in 358 prescriptions, and the cumulative use frequency was 4 947. Twenty kinds of traditional Chinese medicine, such as Ziziphi Spinosae Semen, Paeoniae Radix Alba, Polygalae Radix, and so on, were used more than 90 times. The four nature of drugs were mainly flat, warm, and cold, the five flavour of drugs were mainly sweet, bitter, and pungent, and the channel tropism of drugs were mainly liver, heart, and spleen. The most frequently used drugs were tonifying deficiency drugs and tranquillization drugs. The results of cluster analysis showed that the drug combinations with the highest support and frequency were Polygalae Radix-Ziziphi Spinosae Semen, followed by Moutan Cortex-Ziziphi Spinosae Semen, Coptidis Rhizoma-Ziziphi Spinosae Semen, and the drug combinations with the highest confidence were Cinnamomi Cortex-Ziziphi Spinosae Semen, Coptidis Rhizoma, Cinnamomi Cortex-Ziziphi Spinosae Semen. Cluster analysis could be divided into four categories. Conclusion Professor Gao Ronglin treats insomnia from liver, heart, and spleen, pays attention to treating the heart and regulating the spirit, regulating the spleen and stomach, and commonly uses Coptidis Rhizoma, Cinnamomi Cortex, and Ziziphi Spinosae Semen couplet medicines concerted application to communicate the mind, tonify the kidney and warm the yang.
Key wordsData mining    Insomnia    Professor Gao Ronglin    Medication rule
    
基金资助:国家自然科学基金资助项目(82274609);
中国中医科学院广安门医院科研项目(2022024)。
通讯作者: 张丽娟(1983.10-),女,硕士;研究方向:超声诊断学。   
作者简介: 祁雷磊(1984.2-),男,硕士,副主任医师,第七批全国老中医药专家高荣林教授学术经验继承人;研究方向:中西医结合泌尿外科。
引用本文:   
祁雷磊1 陈月莹1 庞 然1 刘瑞1 张丽娟2. 基于数据挖掘分析高荣林教授治疗失眠的用药规律[J]. 中国医药导报, 2023, 20(31): 4-11.
QI Leilei1 CHEN Yueying1 PANG Ran1 LIU Rui1 ZHANG Lijuan2. Analysis on the medication rule of Professor Gao Ronglin in the treatment of insomnia based on data mining. 中国医药导报, 2023, 20(31): 4-11.
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https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.31.01     或     https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I31/4

 

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