基于数据挖掘多囊卵巢综合征的中医辨证用药规律分析
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R711.75

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国家自然科学基金项目(81660803)


Law of Drug Using in Syndrome Differentiation of Chinese Medicine for Polycystic Ovary Syndrome Based on Data Mining
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    摘要:

    目的:运用数据挖据方法探讨中医治疗多囊卵巢综合征(PCOS)的证候及用药规律。方法:方剂数据主要来源于CNKI数据库(1956-2016)、CHKD专利全文数据库(2010-2016)和中国百年百名中医临床家丛书,将筛选出的352个方剂辨证分型后予以清洗并建立数据库,采用关联规则和熵聚类算法对其证型和用药规律进行分析。结果:352个方剂涉及子证型28种,证候组合109种;28种子证型中,主要为虚证11种,郁证8种;14种核心子证型中,主要为虚证8种,郁证4种;子证型频次较高的7种依次为痰郁>血瘀>肾虚>湿郁>肝郁>血虚>脾虚;子证型的组合模式中频次不少于8次的组合依次为:痰郁-湿郁,肾虚-痰郁,痰郁-血瘀,肾虚-血虚,肾虚-湿郁,肾虚-血瘀,肝郁-肾虚,肝郁-痰郁;证候组合中,以肾虚血瘀型、肝郁肾虚型最多,其次为痰湿型、痰血瘀结型和气郁血瘀型。所用中药350味,其性味以温、甘为主,归经以入肝经为主;使用频次前10的中药分别为当归、菟丝子、香附、茯苓、熟地黄、白芍、川芎、丹参、枸杞子、甘草;肾虚血瘀型前7味高频用药依次为当归、菟丝子、丹参、赤芍、香附、山药、山茱萸;肝郁肾虚型前7味高频用药依次为:当归、柴胡、菟丝子、香附、茯苓、丹参、白芍;痰湿型前7味高频用药依次为:茯苓、半夏、陈皮、当归、香附、川芎、苍术。结论:分析结果显示,肾、脾、肝脏腑功能失调是PCOS主要病机;湿、痰、瘀是其主要致病因素;病性方面主要体现为虚和郁;补虚和解郁是治疗PCOS的根本方法,而补肾健脾、疏肝解郁、理气化痰、活血化瘀是治疗PCOS的主要思路。

    Abstract:

    Objective:To discuss the syndrome and law of drug using of Chinese medicine for polycystic ovary syndrome via data mining.Methods: The statistics of prescriptions mainly came from CNKI Database(1956-2016), CHKD Patent Full-text Database(2010-2016)and the book series of hundreds of Chinese medicine clinicians in centuries.Sorted out the 352 prescriptions after screening by syndrome differentiation so as to establish the database,and analyzed their syndrome typing and law of drug using by using association rules and entropy clustering algorithm.Results:352 prescriptions involved 28 types of syndrome and 109 types of syndrome combination;among 28 types of sub-syndrome,there were 11 types of deficiency syndrome and 8 types of depression syndrome;there were 13 types of core sub-syndrome,8 types of deficiency syndrome and 4 types of depression syndrome;7 types of sub-syndrome with comparatively high frequency were phlegm depression>blood stasis>kidney deficiency>dampness depression>liver depression>blood deficiency>spleen deficiency;the combinations with the frequency of more than 8 times in the mode of sub-syndrome combination were phlegm depression-dampness depression,kidney deficiency-phlegm depression,phlegm depression-blood stasis,kidney deficiency-blood deficiency,kidney deficiency-dampness depression,kidney deficiency-blood stasis, liver depression-kidney deficiency,liver depression-phlegm depression;among the syndrome combination,the type of kidney deficiency and blood stasis and the type of liver depression and kidney deficiency are of the highest quantity,and then followed by the phlegm-dampness type,the type of phlegm-blood stasis and the type of qi depression and blood stasis.Among 350 Chinese herbs under selection,their properties and tastes were mainly warmth and sweetness,and the channel tropism was mainly into the liver channel;top 10 Chinese herbs with the highest using frequency were angelica sinensis,cuscuta chinensis lam,Cyperus rotundus L.,Poria cocos,prepared radix rehmanniae,radices paeoniae alba,rhizome of chuanxiong,salvia,wolfberry fruit and licorice;top 7 Chinese herbs with the highest using frequency for the type of kidney deficiency and blood stasis were angelica sinensis,cuscuta chinensis lam,salvia,red pony root,rhizoma cyperi,Chinese yam and cornus officinalis;top 7 Chinese herbs with the highest using frequency for the type of liver depression and kidney deficiency were angelica sinensis,bupleurum,cuscuta chinensis lam,rhizoma cyperi,Poria cocos,salvia and radices paeoniae alba;top 7 Chinese herbs with the highest using frequency for the phlegm-dampness type were Poria cocos,Pinellia ternate, tangerine peel, angelica sinensis, rhizoma cyperi, rhizome of chuanxiong and atractylodes rhizome.Conclusion: As analytical results shows, the functional disorder of kidney, spleen and liver is the main pathogenesis;dampness,phlegm and stasis are the main pathogenic factors;deficiency and depression are the manifestations in the nature of disease; yin-invigoration and depression-relieving are the fundamental methods for PCOS, while kidneytonification and spleen-fortification,liver-soothing and depression-relieving,qi-regulating and phlegm-resolving are the main thinking in treating PCOS.

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黄一鸣,康开彪,潘文,袁仁智.基于数据挖掘多囊卵巢综合征的中医辨证用药规律分析[J].新中医,2018,50(6):60-64

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  • 在线发布日期: 2018-06-05
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