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Study on medication rules of Professor Chen Bainan in treating chronic venous insufficiency of lower limbs based on data mining |
ZHANG Xiaoqian1 FAN Qichen2 WANG Genyi2 WANG Yannan3 |
1.College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan 250014, China;
2.the First Clinical College, Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan 250014, China;
3.Department of Peripheral Vascular Diseases, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan 250014, China
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Abstract Objective To summarize the medication rules of Professor Chen Bainan in treating chronic venous insufficiency (CVI) of lower limbs. Methods The clinical prescriptions of Professor Chen Bainan for the treatment of CVI in the Outpatient Department of Peripheral Vascular Disease, Affiliated Hospital of Shandong University of Traditional Chinese Medicine from January 2017 to March 2022 were collected. The methods of frequency analysis, association rule analysis, topological data analysis, and cluster analysis were used to analyze drug frequency, nature and flavour, channel tropism, new prescription construction, and drug combination, and to explore the rule of drug use. Results A total of 520 prescriptions were collected in this study, including 152 traditional Chinese medicine, among which 35 were high-frequency traditional Chinese medicine. High-frequency drugs were clearing heat drugs, promoting blood circulation for removing blood stasis drugs, tonifying drugs. The drug natures were mostly cold or warm, the drug flavours were bitter, pungent or sweet, the drugs main into the liver channel. A total of 24 strong association rules were obtained, one new formula was constructed, and and three cluster combinations were obtained. Conclusion Professor Chen Baonan’s medication rules for CVI treatment is to promote blood and detoxification, taking into account strengthening vital qi, advocating the regulation of qi movement, regulating qi and activating blood, paying attention to dampness pathogen, and being good at removing dampness flexibly.
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[1] 中华医学会外科学分会血管外科学组,中国医师协会血管外科医师分会,中国医疗保健国际交流促进会血管外科分会,等.中国慢性静脉疾病诊断与治疗指南[J].中华医学杂志,2019,99(39):3047-3061.
[2] Nicolaides A,Kakkos S,Baekgaard N,et al. Management of chronic venous disorders of the lower limbs. Guidelines According to Scientific Evidence. Part Ⅱ[J]. Int Angiol,2020, 39(3):175-240.
[3] 何静,王军,杨涛.慢性下肢静脉疾病的流行病学研究现状[J].中国血管外科杂志(电子版),2018,10(1):71-78.
[4] 陆信武.临床血管外科学[M].北京:科学出版社,2018.
[5] 国家药典委员会.中华人民共和国药典[S].一部.北京:中国医药科技出版社,2020.
[6] 沈丕安.中华本草[M].上海:上海科学普及出版社,2017.
[7] 钟赣生.中药学[M].北京:中国中医药出版社,2021.
[8] 纪可,刘玲,王平,等.基于数据挖掘的老年痴呆与老年失眠用药规律及关联[J].中国老年学杂志,2023,43(5):1092-1097.
[9] 冯超群,李统,胡子昂,等.基于真实世界数据挖掘樊效鸿教授治疗项痹病组方规律[J].中华中医药学刊,2022, 40(9):116-119.
[10] 王雅琴,王真,钟佳燕,等.基于数据挖掘探讨王真教授治疗支气管哮喘的用药经验[J].浙江中医药大学学报,2022,46(8):872-877
[11] 徐英杰.慢性静脉功能不全患者足背静脉TNF-α、hs- CRP水平与中医证型相关性研究[D].山东中医药大学,2020.
[12] 秦红松,陈柏楠.尚德俊论下肢静脉疾病血瘀证共性与证治[J].中国中西医结合外科杂志,2007,13(4):406- 408.
[13] 闫英.陈淑长教授诊治周围血管病中医辨证思想概要[J].现代中医临床,2018,25(1):27-29.
[14] 颜征,张玥,张莉.侯玉芬教授辨证内外合治淤积性皮炎的临床经验[J].天津中医药,2017,34(11):724-725.
[15] 陈润铭,李友山,谢存香,等.庞鹤教授应用加减黄芪桂枝五物汤治疗周围血管疾病经验[J].现代中医临床,2022,29(4):41-45.
[16] 张璐,刘明.从“升阳除湿”论治慢性下肢静脉功能不全经验[J].中国中西医结合外科杂志,2022,28(1):114- 116.
[17] 邓雪琪,管小军,黄娜娜,等.HPLC法同时测定当归中8种成分[J].中成药,2020,42(8):2075-2079.
[18] 钟宇晨,匡海学,王秋红.酒炙前后当归多糖对血瘀证大鼠的作用研究及机制探讨[J].中药新药与临床药理,2020,31(5):495-501.
[19] 袁蓉,李梓涵,黄美雯,等.川芎-赤芍药对干预心肌梗死合并动脉粥样硬化复合模型的circRNA/lncRNA表达谱研究[J/OL].中国中药杂志:1-16[2023-06-13]. https: //doi.org/10.19540/j.cnki.cjcmm.20230306.703.
[20] 袁可欣,谭艺,张成玲,等.基于网络药理学和分子对接的“当归-川芎”药对作用机制研究[J].西南大学学报(自然科学版),2021,43(10):77-83.
[21] 金重先,于佳禾,刘金凤,等.基于UHPLC-Q-Exactive- Orbitrap-MS技术的赤芍化学成分分析及其抗银屑病活性研究[J].中南药学,2023,21(4):894-902.
[22] 程江雪,武旭,郭东艳,等.基于网络药理学研究当归-赤芍药对治疗心绞痛作用机制[J].陕西中医药大学学报,2022,45(3):97-104.
[23] 程江雪,郭东艳,史亚军,等.不同比例当归-赤芍药对配伍对热毒血瘀证模型大鼠的影响[J].陕西中医药大学学报,2021,44(4):100-104.
[24] 许晨曦,刘玉强,刘阳芷,等.生、麸炒苍术对痰湿困脾模型大鼠治疗效果[J].中成药,2016,38(5):978-983.
[25] 孙帅,钱琪,王鑫国,等.基于文献计量学的黄芩研究现状及热点分析[J].药物评价研究,2023,46(1):198-207.
[26] 曹盼,张樱山,魏学明,等.黄芩苷抗氧化作用机制研究进展[J].西部中医药,2021,34(2):134-137.
[27] 韩爱强,付长霞,王佩军,等.野黄芩苷的药理作用与抗肿瘤作用的研究进展[J].中国当代医药,2023,30(9):50-54.
[28] 张倩,李惠香,刘攀,等.黄芩素的体外抗炎及抗氧化活性研究[J].烟台大学学报(自然科学与工程版),2018, 31(3):232-238. |
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