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Exploration on medication rules of Professor Wei Wei in the treatment of diarrhea predominant irritable bowel syndrome based on data mining |
CHEN Gege PAN Yuyan CUI Yurong LUO Mengxue GUO Song SU Xiaolan WEI Wei |
Department of Spleen and Stomach, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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Abstract Objective To explore the medication rules of Professor Wei Wei in treating diarrhea predominant irritable bowel syndrome (IBS-D) based on data mining. Methods The data of IBS-D patients treated by Professor Wei Wei in Wangjing Hospital of China Academy of Chinese Medical Sciences from January 2016 to January 2021 were collected. Excel 2019, SPSS 20.0 and SPSS Modeler 18.0 were used to analyze the frequency, nature, flavour and channel tropism of prescription drugs, strong related drugs and core components. Results Two hundred and thirty-seven prescriptions were collected, involving 91 kinds of traditional Chinese medicine, frequency of traditional Chinese medicine was 3 014 times in total. The most frequently used drugs were tonifying deficiency drug and digestant drug. The top five drug use frequencies were Pseudostellariae Radix, Myristicae Semen, Psoraleae Fructus, Setariae Fructus Germinatus, Hordei Fructus Germinatus. The drug nature was mainly warm; the drug flavours were mainly pungent, bitter and sweet; spleen and stomach channels were the main channel tropism. Combination of drugs with correlation frequency more than 100 times was 14 groups. Four groups of core medicine combinations were obtained according to the results of cluster analysis. Conclusion Professor Wei Wei mostly uses tonifying dificiency drug and digestant drug in the treatment of IBS-D. The main treatment principle is to strengthen the spleen and warm the kidney, regulating stomach and benefiting qi, help the spleen and stomach transport.
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[1] Ford AC,Sperber AD,Corsetti M,et al. Irritable bowel syndrome [J]. Lancet,2020,396(10263):1675-1688.
[2] Sperber AD,Dumitrascu D,Fukudo S,et al. The global prevalence of IBS inadults remains elusive due to the heterogeneity of studies:a Rome Foundation working team literature review [J]. Gut,2017,66(6):1075-1082.
[3] Drossman DA,Hasler WL. Rome Ⅳ-functional GI disorders:disorders of gut-brain interaction [J]. Gastroenterology,2016,150(6):1257-1261.
[4] 崔立红,李超,王晓辉,等.肠易激综合征临床症状学及分型研究[J].解放军医药杂志,2014,26(2):1-6.
[5] 曾书君,程进伟,罗程.肠易激综合征流行病学系列研究[J].深圳中西医结合杂志,2019,29(13):98-99.
[6] 张开波,李鲜,张璐鹏,等.腹泻型肠易激综合征的中西医研究现状[J].中国中西医结合消化杂志,2021,29(4):298-302.
[7] 国家药典委员会.中华人民共和国药典[M].一部.北京:中国医药科技出版社,2020.
[8] 国家中医药管理局《中华本草》编委会.中华本草[M].上海:上海科学技术出版社,2002.
[9] 钟赣生.中药学[M].3版.北京:中国中医药出版社,2012.
[10] 张声生,魏玮,杨俭勤.肠易激综合征中医诊疗专家共识意见(2017)[J].中医杂志,2017,58(18):1614-1620.
[11] 王亚杰,从禹,杨洋,等.基于调枢通胃理论探讨腹泻型肠易激综合征的病机与治则[J].环球中医药,2020,13(9):1634-1636.
[12] 刘晓燕,崔亚东,田合禄.中医四气五味理论与脏腑补泻关系的探讨[J].世界中医药,2021,16(1):121-124, 129.
[13] 周冠辰,戴恒,陈权,等.基于数据挖掘的单兆伟治疗胃痛病用药规律研究[J].中国中医药信息杂志,2022,29(8):37-41.
[14] 张晓云,许燕妮,赵海梅,等.理论论证四神丸中补骨脂、肉豆蔻核心药对的配伍地位[J].中华中医药学刊,2019,37(7):1660-1662.
[15] 宋熠林,苏晓兰,郭宇,等.魏玮教授治疗脾胃病常用药对浅析[J].环球中医药,2016,9(4):469-471.
[16] 李鹏.生姜、大枣配伍功效浅析[J].中医学报,2018,33(1):119-121.
[17] 韩博宇,苏晓兰,郭宇,等.浅谈魏玮教授治疗脾胃病的用药经验[J].环球中医药,2018,11(7):1050-1051.
[18] 宋增杰,王斌,郑军状,等.基于数据挖掘技术探讨林吉品治疗慢性萎缩性胃炎用药规律[J].浙江中西医结合杂志,2021,31(9):871-874.
[19] 申中美,刘万里,苏坤涵.辛开苦降法在腹泻型肠易激综合征治疗中的应用[J].辽宁中医药大学学报,2020, 22(3):166-169.
[20] 曾光,黄延芳,肖超秀,等.半夏泻心汤治疗肠易激综合征疗效及安全性的Meta分析[J].中国药业,2019,28(13):69-73.
[21] 王彬,赵威,许梦雀,等.肠易激综合征患者睡眠质量和精神心理状况的调查[J].胃肠病学,2018,23(3):161- 165.
[22] 林雨清,谢雪华,章浩军,等.八段锦运动联合艾灸疗法对腹泻型肠易激综合征患者生活质量的研究[J].中国医药科学,2022,12(9):131-134.
[23] 倪朱谟,戴慎,陈仁寿,等.本草汇言[M].上海:上海科学技术出版社,2005.
[24] 韩鹏,李冀,胡晓阳,等.酸枣仁的化学成分、药理作用及临床应用研究进展[J].中医药学报,2021,49(2):110- 114.
[25] 刘萍.《伤寒论》芍药-甘草药对量效关系探究[J].辽宁中医杂志,2022,49(3):67-69.
[26] 曲缘章,马生军,朱广伟,等.芍药甘草汤的历史沿革与现代研究[J].中国实验方剂学杂志,2020,26(6):216- 225. |
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