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Medication laws of simultaneous treatment for phlegm and blood stasis in treating atherosclerosis based on data mining |
WU Qian LI Lanlan CAO Linlin WANG Shihan |
Department of Cardiovascular, Guang’ anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
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Abstract Objective To discuss the medication laws of simultaneous treatment for phlegm and blood stasis in treating atherosclerosis based on data mining. Methods The literatures of CNKI, Wanfang Data and VIP from January 2012 to March 2022 were retrieved. The prescription database was established. The drug efficacy, four nature, five flavors, and channel tropism medication laws had been sorted out. Association rules, cluster analysis, and complex network analysis were carried out. Results According to the inclusion and exclusion criteria, 63 prescriptions of traditional Chinese medicine and 124 flavors of traditional Chinese medicine were finally included. The drugs for the treatment of phlegm and blood stasis were mainly drugs for promoting blood circulation and resolving blood stasis, drugs for tonifying deficiency, and drugs for dissipating phlegm, relieving cough and asthma. The most commonly used medicine was bitter, and its nature was warm. The liver, lung and stomach channel were the main channel tropism. The association rule analysis and cluster analysis of high-frequency traditional Chinese medicine had formed 15 drug pair combinations and seven cluster combinations. The complex network analysis suggested that the core prescription of the treatment of phlegm and blood stasis was Danlou Tablets and Erchen Decoction plus or minus. Conclusion The basic means of simultaneous treatment for phlegm and blood stasis to treat atherosclerosis is activating blood and dissipating phlegm, combining with strengthen vital qi and tonify the deficiency, clear heat-dampness and promote digestion to enhance the effect of dissipating phlegm and removing blood stasis.
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[1] 支晨曦,谢忠成,李靓,等.中国动脉粥样硬化近三年基础研究进展[J].中国动脉硬化杂志,2022,30(9):744- 752.
[2] 安冬青,吴宗贵.动脉粥样硬化中西医防治专家共识(2021年)[J].中国中西医结合杂志,2022,42(3):287- 293.
[3] 郭文平,黄永生,靳宏光.从痰、瘀论治动脉粥样硬化研究进展[J].吉林中医药,2022,42(2):245-248.
[4] 陶愈婷,黄积存,苏会钦.双参通络方治疗痰瘀互结型冠状动脉粥样硬化性心脏病心绞痛患者60例[J].环球中医药,2020,13(9):1534-1536.
[5] 靳宏光,朱星,李铁,等.痰瘀同治法对动脉粥样硬化大鼠易损斑块的影响[J].中国老年学杂志,2021,41(10):2150-2153.
[6] 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,2020:445-1901.
[7] 钟赣生.中药学[M].北京:中国中医药出版社,2016: 41- 453.
[8] 张紫洞.《实用药学辞典》评介[J].中国药学杂志,1995(3):185.
[9] 曾妮,许妹萍,庄丽明.丹参素对大鼠动脉粥样硬化的作用及其机制[J].免疫学杂志,2020,36(10):884-889.
[10] 邸睿宁,范青玉,方欢乐.川芎治疗心脑血管疾病机制分析[J].现代中医药,2022,42(3):22-26.
[11] 尚家驹,孙淳,高青,等.瓜蒌制剂治疗动脉粥样硬化机制的研究进展[J].江苏中医药,2019,51(4):78-81.
[12] 卢海克,戴颖仪,陶青,等.半夏在动脉粥样硬化颈动脉内膜增生中的修复机制研究[J].热带医学杂志,2020, 20(10):1283-1287.
[13] 刘珺,王博,颜琼枝,等.颜氏降脂方治疗脾虚痰瘀型血脂异常的临床疗效及对患者颈动脉斑块的影响[J].河北中医,2020,42(3):341-345.
[14] 李小林,程伟宁,黄龙虎,等.黄芪甲苷对ApoE-/-小鼠动脉粥样硬化的影响[J].中国医师杂志,2017,19(12):1817-1819.
[15] 裴可,张倩,杜孜玮,等.黄芪甲苷对动脉粥样硬化炎性反应及周细胞生物学功能的影响[J].中华中医药杂志,2020,35(5):2501-2506.
[16] 陈琼,黄水清.黄芪总皂苷、当归挥发油对动脉粥样硬化ApoE-/-小鼠脂质代谢的影响[J].中药新药与临床药理,2021,32(6):791-798.
[17] 李环,谢明君,焦亚斌.白芍总苷对动脉粥样硬化大鼠保护作用及血脂调节作用研究[J].江西中医药,2017, 48(4):56-58.
[18] 黄辉,刘坪,蔺鹏阳,等.苯甲酰芍药苷影响冠状动脉粥样硬化性心脏病模型大鼠心肌细胞凋亡的机制研究[J].中华老年心脑血管病杂志,2020,22(8):862-865.
[19] 吴东方,靳善睿,刘娟,等.芍药苷抗ApoE基因缺失小鼠动脉粥样硬化作用的初步研究[J].中国医院药学杂志,2015,35(5):385-388.
[20] 陈旭,徐楚炎,范露,等.山楂叶多酚提取工艺及其降糖降脂应用研究[J].饲料研究,2022,45(5):78-83.
[21] 朱雪萍,张丽梅,毛信心,等.丹参川芎嗪注射液对心绞痛疗效及血脂影响的meta分析[J].中国现代应用药学,2022,39(5):638-647.
[22] 黄翰文,刘雅蓉,施晓艳,等.基于血管平滑肌自噬探讨瓜蒌-薤白对ApoE-/-小鼠动脉粥样硬化斑块形成的影响[J].中国实验方剂学杂志,2021,27(6):23-29.
[23] 曹珊,王峰,刘紫阳,等.丹蒌片抗动脉粥样硬化作用的临床研究[J].中国实验方剂学杂志,2015,21(13):156- 159.
[24] 黄颂波.丹蒌片联合瑞舒他汀治疗老年冠心病的效果及对血管内皮功能、运动耐力的影响[J].医学理论与实践,2022,35(8):1304-1306.
[25] 祁磊,李华刚,周玉朱,等.动脉粥样硬化的中医治疗经验探讨[J].中国当代医药,2021,28(8):154-156.
[26] 王丹丹,封锐,师帅,等.痰瘀同治抗动脉粥样硬化机制的研究进展[J].中国医药导报,2021,18(30):53-55.
[27] 李权,张学新,刘艳军.化痰祛浊方结合西医常规疗法治疗颈动脉粥样硬化痰瘀阻络证临床研究[J].国际中医中药杂志,2019,41(12):1306-1307. |
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