1. 北京中医药大学
2. 北京中医药大学东方医院
纸质出版:2021
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郝庆勋, 焦扬, 曹芳, 等. 基于数据挖掘分析周平安治疗结缔组织病相关间质性肺病的中药配伍规律[J]. 中医杂志, 2021,62(15):1320-1325.
HAO Qingxun, JIAO Yang, CAO Fang, et al. The Compatibility Rule of Chinese Herbal Medicine Used by Professor ZHOU Ping′an in Treating Connective Tissue Disease Interstitial Lung Diseases: based on Data Mining[J]. Journal of Traditional Chinese Medicine2021, 62(15): 1320-1325.
郝庆勋, 焦扬, 曹芳, 等. 基于数据挖掘分析周平安治疗结缔组织病相关间质性肺病的中药配伍规律[J]. 中医杂志, 2021,62(15):1320-1325. DOI: 10.13288/j.11-2166/r.2021.15.008.
HAO Qingxun, JIAO Yang, CAO Fang, et al. The Compatibility Rule of Chinese Herbal Medicine Used by Professor ZHOU Ping′an in Treating Connective Tissue Disease Interstitial Lung Diseases: based on Data Mining[J]. Journal of Traditional Chinese Medicine2021, 62(15): 1320-1325. DOI: 10.13288/j.11-2166/r.2021.15.008.
目的通过数据挖掘的方法分析周平安治疗结缔组织病相关间质性肺病(CTD-ILD)的中药配伍规律。方法收集2010年1月至2016年12月于北京中医药大学东方医院周平安门诊就诊的CTD-ILD患者
纳入至少有1次复诊记录且疗效肯定、医案资料明确完整者
提取一般资料、诊断、现病史、既往史、舌苔脉象、处方用药等信息。建立数据库
进行聚类分析及关联规则方法数据挖掘
探讨中药配伍规律。结果共筛选出中药处方375首
用药212种
药物类别18种
累计用药频次为7251次
用药频次≥90的中药有26种
其中使用频次前5位的中药分别是黄芪(372次)、甘草(342次)、当归(339次)、白术(268次)、穿山龙(268次);药物类别出现频次前5位的分别是补虚药(45次)、清热药(38次)、化痰止咳平喘药(24次)、解表药(17次)、祛风湿药(13次);药性频次前5位的分别是温(50次)、寒(46次)、平(44次)、微寒(32次)、微温(22次);药味频次前5位分别是甘(98次)、苦(91次)、辛(82次)、微苦(21次)、涩(18次);药物归经前5位分别是肝经(106次)、肺经(96次)、脾经(69次)、肾经(68次)、胃经(64次)。高频药物聚类分析结果显示
当截距为20时
可以将高频次药物分为4类;高频药物关联规则分析结果显示
二项关联排名前3位的分别是甘草-黄芪、当归-黄芪、当归-甘草
三项关联排名前2位的分别为黄芪-白术-甘草和黄芪-鸡血藤-当归。结论周平安临床治疗CTD-ILD的药物多选用甘温、苦寒类药物
治则以补中益气、培土生金为根本
兼以益气活血通络、清热化痰开痹。
Objective To analyze the compatibility rule of Chinese herbal medicine used by professor ZHOU Ping′an in treating connective tissue disease interstitial lung diseases(CTD-ILD) through data mining. Methods The data of CTD-ILD patients who attended ZHOU′s outpatient clinic at Dongfang Hospital of Beijing University of Chinese Medicine from January 2010 to December 2016
and had at least one follow-up visit
with definitively positive effect and complete medical records
were collected
including general information
diagnosis
history of present illness
past history
tongue coating
pulse manifestation and prescriptions. Establish a database
and perform cluster analysis and implement data mining process of association rules
so as to explore the compatibility rules of Chinese herbal medicine. Results A total of 375 Chinese herbal medicine prescriptions were used
involving 212 different herbs and 18 herbal types. The cumulative frequency of herbal use was 7251 times
and 26 herbs had frequency ≥ 90; the top five most frequently used herbs were Huangqi(Radix Astragali
372 times)
Gancao(Radix et Rhizoma Glycyrrhizae
342 times)
Danggui(Radix Angelicae Sinensis
339 times)
Baizhu(Rhizoma Atractylodis Macrocephalae
268 times) and Chuanshanlong(Rhizoma Dioscoreae Nipponicae
268 times); the top five most frequently seen herbal types were deficiency-supplementing drugs(45 times) and heat-clearing drugs(38 times)
phlegm-dissolving
cough-relieving and panting-calming drugs(24 times)
exterior-releasing drugs(17 times)
and wind-dampness-dispelling drugs(13 times); the top five most commonly seen medicinal nature was warm(50 times)
cold(46 times)
neutral(44 times)
slightly cold(32 times)
and slightly warm(22 times); the top five medicinal flavors were sweet(98 times)
bitter(91 times)
acrid(82 times)
slightly bitter(21 times)
and astringent(18 times); the top five channel entries were liver channel(106 times)
lung channel(96 times)
spleen channel(69 times)
kidney channel(68 times)
and stomach channel(64 times). The cluster analysis results of high-frequency drugs showed that the high-frequency drugs could be divided into 4 categories when the intercept was 20. The association rule analysis of high-frequency drugs indicated that the top 3 of the binomial correlations were Gancao-Huangqi
Danggui-Huangqi
and Danggui-Gancao. The top 2 of the trinomial correlations were Huangqi-Baizhu-Gancao and Huangqi-Jixueteng(Caulic Spatholobi)-Danggui. Conclusion Professor ZHOU Ping′an mainly uses sweet-warm and bitter-cold drugs for the treatment of CTD-ILD
and the treatment principle is rooted to supplementing the center and boosting qi
banking up earth to generate metal
with qi-boosting and blood-invigorating to unblock the collaterals
and heat-clearing and phlegm-dissolving to diffuse bi(痹).
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