1.上海中医药大学附属龙华医院中西医结合乳腺科(上海 200032)
2.上海中医药大学附属龙华医院药物临床试验机构办公室(上海 200032)
3.上海中医药大学附属龙华医院中医乳腺科(上海 200032)
陈豪,男,硕士,副主任医师,主要从事中西医结合防治乳腺疾病的临床诊治和研究工作
陈红风,教授,主任医师,博士研究生导师; E-mail: chhfluk@126.com
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陈豪,杨铭,陈红风.疏肝清热法治疗粉刺性乳痈的用药规律研究[J].上海中医药杂志,2022,56(08):22-26.
CHEN Hao,YANG Ming,CHEN Hongfeng.Study on medication rule of soothing liver and clearing heat in treatment of comedomastitis[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(08):22-26.
陈豪,杨铭,陈红风.疏肝清热法治疗粉刺性乳痈的用药规律研究[J].上海中医药杂志,2022,56(08):22-26. DOI: 10.16305/j.1007-1334.2022.2112135.
CHEN Hao,YANG Ming,CHEN Hongfeng.Study on medication rule of soothing liver and clearing heat in treatment of comedomastitis[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(08):22-26. DOI: 10.16305/j.1007-1334.2022.2112135.
目的,2,通过数据挖掘技术研究分析疏肝清热法治疗粉刺性乳痈的中药用药规律。,方法,2,收集2019年1月至2021年12月上海中医药大学附属龙华医院门诊粉刺性乳痈患者(肝经郁热证)的就诊记录和处方,运用中药网络药理学分析系统(TCMNPAS)进行数据挖掘分析(BK算法、复杂系统熵网络)。,结果,2,①共收录分析处方28 530张,涉及中药526味,累计用药频次416 463次。②使用频率超过20%的有24味中药,使用频次超过10 000(>35%)的有9味中药(蒲公英、柴胡、皂角刺、生山楂、当归、芥子、莪术、黄芩、丹参)。③中心度前30位的中药,主要为蒲公英、柴胡、皂角刺等。关联度值前30位的核心药对有白术-茯苓、黄芩-柴胡、天葵子-土茯苓等。④ 分析后发现4组潜在“核心方”,其中置信度最高的为“皂角刺,黄芩,蒲公英,当归,柴胡,莪术,芥子,浙贝母,甘草,金银花”。,结论,2,疏肝清热法是中医药治疗粉刺性乳痈的经典内治法则之一,药用柴胡、陈皮、郁金、蒲公英、黄芩、白花蛇舌草、甘草、夏枯草、忍冬藤、土茯苓等疏肝清热,根据患者病情,在疏肝清热内治法则的基础上可配合使用当归、莪术、丹参等活血化瘀,芥子、鹿角、肉桂、炮姜等温阳散结,浙贝母、白术、陈皮、半夏等化痰散结,皂角刺、黄芪等消肿托毒。
Objective,2,To study and analyze the medication rule of soothing the liver and clearing heat in the treatment of comedomastitis by data mining technology.,Methods,2,Medical records and prescriptions of the patients with comedomastitis(syndrome of heat stagnation in liver meridian) were collected in Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from January 2019 to December 2021, and data mining analysis(BK algorithm, complex system entropy network) was performed using TCMNPAS, a TCM network pharmacology analysis system.,Results,2,①A total of 28 530 prescriptions were analyzed, involving 526 traditional Chinese herbal medicines, with a cumulative frequency of 416 463 times. ②There were 24 traditional Chinese herbal medicines with a frequency of more than 20%, and 9 traditional Chinese herbal medicines with a frequency of more than 10 000 (>35%) including Chinese herbal medicines such as (Taraxaci Herba, Bupleuri Radix, Gleditsiae Spina, raw Crataegi Fructus, Angelicae Sinensis Radix, Sinapis Semen, Curcumae Rhizoma, Scutellariae Radix, Salviae Miltiorrhizae Radix Et Rhizoma). ③The top 30 traditional Chinese medicines were mainly Taraxaci Herba, Bupleuri Radix, Gleditsiae Spina, and so on. The top 30 core drug pairs of correlation value were Atractylodis Macrocephalae Rhizoma -Poria, Scutellariae Radix - Bupleuri Radix, Semiaquilegiae Radix - Smilacis Glabrae Rhizoma, and so on. ④After analysis, four groups of potential “core prescriptions” were found, among which the one with the highest confidence was Gleditsiae Spina, Scutellariae Radix, Taraxaci Herba, Angelicae Sinensis Radix, Bupleuri Radix, Curcumae Rhizoma, Sinapis Semen, Fritillariae Thunbergii Bulbus, Glycyrrhizae Radix Et Rhizoma and Lonicerae Japonicae Flos.,Conclusions,2,The method of soothing the liver and clearing heat is one of the classic internal treatment rules of TCM for comedomastitis, which often includs the Chinese herbal medicines such as Bupleuri Radix, Citri Reticulatae Pericarpium, Curcumae Radix, Taraxaci Herba, Scutellariae Radix, Oldenlandia, Glycyrrhizae Radix Et Rhizoma, Prunellae Spica,Lonice Raejaponicae Caulis and Smilacis Glabrae Rhizoma and so on. According to the patient’s condition, it can be combined with Chinese herbal medicines such as Angelicae Sinensis Radix, Curcumae Rhizoma, Salviae Miltiorrhizae Radix Et Rhizoma for activating blood and resolving stasis, Sinapis Semen, Cervi Cornu, Cinnamomi Cortex and Zingiberis Rhizoma Praeparatum for warming yang to dissipate bind, Fritillariae Thunbergii Bulbus, Atractylodis Macrocephalae Rhizoma, Citri Reticulatae Pericarpium and Pinelliae Rhizoma for resolving phlegm and dissipating bind, and Gleditsiae Spina, Astragali Radix for subduing swelling and expelling toxin on the basis of the internal treatment principle of soothing the liver and clearing heat.
粉刺性乳痈浆细胞性乳腺炎疏肝清热数据挖掘用药规律中药研究
comedomastitisplasma cell mastitissoothing the liver and clearing heatdata miningmedication rulestraditional Chinese herbal medicine research
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