1.上海中医药大学附属岳阳中西医结合医院(上海 200437)
2.上海中医药大学附属曙光医院(上海 201203)
黄正阳,男,硕士研究生,住院医师,主要从事中西医结合调治亚健康状态研究工作
施扬,副主任医师,硕士研究生导师; E-mail: wing_sysy@hotmail.com
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黄正阳,张弘菁,朱冬雨,等.基于数据挖掘的《普济方》治疗中风用药规律研究[J].上海中医药杂志,2022,56(12):23-26.
HUANG Zhengyang,ZHANG Hongjing,ZHU Dongyu,et al.Data mining⁃based research on medication rules for stroke in Puji Fang[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(12):23-26.
黄正阳,张弘菁,朱冬雨,等.基于数据挖掘的《普济方》治疗中风用药规律研究[J].上海中医药杂志,2022,56(12):23-26. DOI: 10.16305/j.1007-1334.2022.2203035.
HUANG Zhengyang,ZHANG Hongjing,ZHU Dongyu,et al.Data mining⁃based research on medication rules for stroke in Puji Fang[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(12):23-26. DOI: 10.16305/j.1007-1334.2022.2203035.
目的,2,基于中医传承辅助平台(V2.5)软件挖掘分析《普济方》治疗中风的用药规律。,方法,2,整理《普济方》中治疗中风的方剂,录入中医传承辅助平台(V2.5)软件中构建数据库,再使用该软件相关功能进行数据挖掘,分析处方中的组方用药规律。,结果,2,①共纳入47首方剂,涉及中药137味。②使用频次≥5次的药物共有27味,且以防风使用频次最高。③用药以温性药及辛味、甘味、苦味药居多,多归脾、心、肝、肺经。④用药模式分析结果显示,共有11味中药产生了13种药物组合模式,分别为川芎-防风、甘草-防风、防风-独活、防风-细辛、防风-附子、川芎-甘草、人参-茯神、人参-防风、人参-茯苓、生姜-防风、甘草-茯苓、白芍-防风和川芎-甘草-防风。⑤基于关联规则算法分析,得到常用药物组合模式4组,包含中药4味(防风、川芎、独活、甘草)。⑥通过聚类分析方法提取出核心组合4组,进而演化出潜在新处方2首,即川芎-甘草-薄荷-独活、朱砂-甘草-薄荷-远志。,结论,2,《普济方》所载的治疗中风方剂以祛风通络、益气养血药物为主组成,代表药物有防风、独活、细辛、生姜、附子、川芎、白芍、甘草、人参、茯神、茯苓,以此为基本方计算产生的新处方将为后续研究中风用药提供参考。
Objective,2,To explore and analyze the medication rules for the treatment of stroke in ,Puji Fang, based on the Traditional Chinese Medicine Inheritance Support System (tcmiss) (V2.5) software.,Methods,2,The prescriptions for the treatment of stroke in ,Puji Fang, were compiled and fed into the tcmiss (V2.5) to build a database, and then relevant statistical analysis tools of the software were used for data mining to analyze the medication rules in prescriptions.,Results,2,①There were 47 prescriptions that met the inclusion criteria, involving 137 traditional Chinese herbal medicines (TCHMS). ②There were 27 TCHMs with frequencies greater than or equal to 5, and Fangfeng (Saposhnikoviae Radix) was the most frequently used herbal medicine. ③TCHMs used were mostly warm in nature, pungent, sweet and bitter in flavor, and most belonged to the spleen, heart, liver and lung meridians. ④According to analysis results of the medication rules, there were 13 combination patterns out of 11 TCHMs, which were listed as below: Chuanxiong (Chuanxiong Rhizoma) – Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) – Fangfeng (Saposhnikoviae Radix), Fangfeng (Saposhnikoviae Radix) – Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix) – Xixin (Asari Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix) – Fuzi (Aconiti Lateralis Radix Praeparata), Chuanxiong (Chuanxiong Rhizoma) – Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix et Rhizoma) – Fushen (Poria cum Radix Pini), Renshen (Ginseng Radix et Rhizoma) – Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix et Rhizoma) – Fuling (Poria), Shengjiang (Zingiberis Rhizoma Recens) – Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) – Fuling (Poria), Baishao (Paeoniae Radix Alba) – Fangfeng (Saposhnikoviae Radix), and Chuanxiong (Chuanxiong Rhizoma) – Gancao (Glycyrrhizae Radix et Rhizoma) – Fangfeng (Saposhnikoviae Radix). ⑤Based on the association rules analysis, 4 commonly used TCHMs combination patterns were obtained, including 4 TCHMS, i.e., Fangfeng (Saposhnikoviae Radix), Chuanxiong (Chuanxiong Rhizoma), Duhuo (Angelicae Pubescentis Radix) and Gancao (Glycyrrhizae Radix et Rhizoma). ⑥The cluster analysis showed that there were 4 core clusters which could potentially develop into 2 new formulas, i.e., Chuanxiong (Chuanxiong Rhizoma) – Gancao (Glycyrrhizae Radix et Rhizoma) – Bohe (Menthae Haplocalycis Herba) – Duhuo (Angelicae Pubescentis Radix), and Zhusha (Cinnabaris) – Gancao (Glycyrrhizae Radix et Rhizoma) – Bohe (Menthae Haplocalycis Herba) – Yuanzhi (Polygalae Radix).,Conclusions,2,The prescriptions recorded in ,Puji Fang, for treating stroke mainly contain TCHMs for dispelling wind and dredging collaterals, invigorating qi and nourishing blood, and the representative TCHMs are Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Xixin (Asari Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Fuzi (Aconiti Lateralis Radix Praeparata), Chuanxiong (Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix et Rhizoma), Fushen (Poria cum Radix Pini) and Fuling (Poria). The new prescriptions developed based on the aforementioned basic prescription will provide reference to the follow-up study of stroke medication.
中风脑卒中《普济方》数据挖掘用药规律
strokeapoplexyPuji Fangdata miningmedication regularity
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