|
|
Analysis of drug rules of Taiping Shenghui Fang for lumbago based on data mining |
HAN Tao ZHU Liguo WEI Xu YU Jie WANG Shangquan ZHAN Jiawen YIN Xunlu |
Department of Orthopaedic, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
|
|
Abstract Objective To explore the drug rules of the prescription for the treatment of lumbago in Taiping Shenghui Fang and the academic thought of this book. Methods The prescriptions for the treatment of lumbago in Taiping Shenghui Fang were collected, and the lumbago prescription database was established. Drug frequency, four nature of drugs, five flavours, and channel tropism, drug efficacy, drug core combination, association rules, and K-means clustering new prescriptions were analyzed in the prescription database through the traditional Chinese medicine inheritance computing platform. Results A total of 77 prescriptions for the treatment of lumbago were collected, involving 108 traditional Chinese medicine flavors, 22 traditional Chinese medicine with frequency ≥five times, and the top five traditional Chinese medicine were Cinnamomi Cortex, Aconiti Lateralis Radix Praeparata, Achyranthis Bidentatae Radix, Eucommiae Cortex and Aucklandiae Radix. The properties of traditional Chinese medicine were mainly warm. The flavors of drugs were mainly sweet, pungent and bitter; drugs mainly return to kidney, liver, and spleen channels; the main efficacy of the drug was supplementing deficiency, warming interior, and promoting blood circulation and removing blood stasis. The top three drug combinations were Cinnamomi Cortex, Achyranthis Bidentatae Radix; Cinnamomi Cortex, Aconiti Lateralis Radix Praeparata; Cinnamomi Cortex, Eucommiae Cortex. Nine drug association rules; four new squares were obtained by K-means clustering. Conclusion The prescription of Taiping Shenghui Fang for the treatment of lumbago mainly focuses on “warming the spleen and tonifying the liver and kidney”, which provides an important reference for clinical diagnosis and treatment of lumbago.
|
|
|
|
|
[1] Qaseem A,Wilt TJ,McLean RM,et al. Noninvasive treatments for acute,subacute,and chronic low back pain:a clinical practice guideline from the american college of physicians [J]. Ann Intern Med,2017,166(7):514-530.
[2] 徐新毅,邱素均,安胜利,等.社区人群非特异性下腰痛的危险因素研究[J].南方医科大学学报,2014,34(12):1794-1798.
[3] 裘鹏.普拉提运动对非特异性下腰痛老年患者的干预效果[J].中国老年学杂志,2014,34(9):2549-2551.
[4] 丁勇,王建月.立式八段锦对中老年慢性下腰痛患者的疗效[J].中国老年学杂志,2014,34(10):2690-2691.
[5] Hoy D,Bain C,Williams G,et al. A systematic review of the global prevalence of low back pain [J]. Arthritis Rheum,2012,64(6):2028-2037.
[6] Walker BF,Muller R,Grant WD. Low back pain in Australian adults: prevalence and associated disability [J]. J Manipulative Physiol Ther,2004,27(4):238-244.
[7] Global Burden of Disease Study 2013 Collaborators. Global,regional,and national incidence,prevalence,and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries,1990-2013:a systematic analysis for the Global Burden of Disease Study 2013 [J]. Lancet,2015, 386(9995):743-800.
[8] 董文兰,李镒冲,刘世炜,等.1990与2013年中国人群腰背痛疾病负担分析[J].中华预防医学杂志,2017,51(2):132-136.
[9] 胡旭阳,石露露,杨洋,等.基于数据挖掘探析胡欣主任医师治疗肺癌术后用药规律[J].中国医药科学,2022,12(17):87-91.
[10] 国家药典委员会.中华人民共和国药典[M].北京:中国医药科技出版社,2020.
[11] 周祯祥,唐德才.中药学(新世纪第2版)[M].北京:中国中医药出版社,2016.
[12] 王怀隐,郑金生,汪惟刚.太平圣惠方(上、下)[M].北京:人民卫生出版社,2016.
[13] 陈旭,刘畅,马宁辉,等.肉桂的化学成分、药理作用及综合应用研究进展[J].中国药房,2018,29(18):2581-2584.
[14] 张晓晨,郑清阁,杨菁华,等.附子C19二萜生物碱结构及活性研究进展[J].中草药,2020,51(2):531-541.
[15] 陈红,刘友平.川牛膝多糖抗肿瘤作用初探[J].成都中医药大学学报,2001(1):49-50.
[16] Jeong HJ,Koo HN,Na HJ,et al. Inhibition of TNF-α and IL6 production by aucubin through blockade of NF-κB activation in RBL-2H3 mast cells [J]. Cytokine,2002,18(5):252-259.
[17] 王阳,范潇晓,杨军,等.木香的萜类成分与药理作用研究进展[J].中国中药杂志,2020,45(24):5917-5928.
[18] 杨雅蛟,孔维军,孙兰,等.槟榔化学成分和药理作用及临床应用研究进展[J].世界科学技术-中医药现代化,2019,21(12):2583-2591.
[19] 胡泽雨,蒋紫嫣,王颖.《黄帝内经》“甘味”研究[J].浙江中医杂志,2019,54(6):398-399.
[20] 苗明三,杨亚蕾.试论药性理论的基本药理作用[J].中药药理与临床,2011,27(6):110-112.
[21] 吕圭源,陈素红.中药药性研究的思路与思考[J].中药药理与临床,2007(5):219-222.
[22] 郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002.
[23] 王玮佳,李昌宁,吴天林,等.基于“通督强脊”理论运用点按督脉法结合补肾壮筋汤治疗肝肾亏虚型腰椎间盘突出症的临床效果[J].中国当代医药,2022,29(24):84- 87,91.
[24] 国家中医药管理局.中医病证诊断疗效标准[S].南京,1994.
[25] 朱立国,李金学.脊柱骨伤科学[M].北京:人民卫生出版社,2015.
[26] 刘静,谢兴文,王春晓,等.从脏腑辨证论述腰椎间盘突出症的研究进展[J].中国医药科学,2022,12(3):55-58.
[27] 安文秀,焦光娟,唐薇敏.中医辨证施护腰椎间盘突出症的研究概况[J].湖南中医杂志,2019,35(8):171-173. |
|
|
|