吴煜治疗脾虚痰凝型肝癌用药规律研究
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R735.7

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北京市科技计划项目(D161100005116002)


Study on Administration Rule of WU Yu in the Treatment of Liver Cancer of Spleen Deficiency and Phlegm Coagulation Type
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    摘要:

    目的:研究吴煜主任治疗脾虚痰凝型肝癌的用药规律。方法:选择2017年9月1日—2018年12月31日在中国中医科学院西苑医院吴煜主任门诊接受诊疗的脾虚痰凝型肝癌病例为研究对象,采用中医传承辅助平台(V2.5) 统计高频药物、关联规则,并基于改进的互信息法、复杂系统熵聚类进行核心药物的聚类分析,挖掘核心组合及新处方。结果:共纳入病例223例,处方223 首,使用药物共107 味。使用频次最高的前3 位药物依次是茯苓(222),太子参(221),浙贝母(220)。药物性味以温、平性,甘、苦、辛味为主,主要归脾、肺、胃、心、肝经。使用频次最高的前3位药物组合依次是太子参-茯苓(179),浙贝母-太子参(178),茯苓-浙贝母(178) 等。置信度=1的关联药物共39组;相关度为7,惩罚度为4,通过复杂系统熵聚类层次分析获得3~4味核心组合11组,新处方6首。结论:吴煜主任治疗脾虚痰凝型肝癌用药规律体现了其甘温健脾、化痰散结的治疗原则,随症加减以调和阴阳,标本兼顾。

    Abstract:

    Abstract:Objective:To study the administration rule of WU Yu in the treatment of liver cancer of spleen deficiency and phlegm coagulation type. Methods: Cases of liver cancer of spleen deficiency and phlegm coagulation type treated in the outpatient of WU Yu,a chief physician of Xiyuan Hospital of China Academy of Chinese Medical Sciences from September 1, 2017 to December 31,2018 were selected as study objects. Chinese Medicine Inheritance Auxiliary Platform(V2.5) was used to observe the high-frequency Chinese herbs and association rules,and cluster analysis of core herbs was conducted based on improved mutual information method and complex system entropy clustering,so as to explore core combinations and new prescriptions. Results: A total of 223 cases and 223 corresponding prescriptions were included, with 107 Chinese herbs applied. The most frequently used herbs were Poria(222),Radix Pseudostellariae(221) and Bulbus Fritillariae Thunbergii(220). The property of those 107 Chinese herbs was mainly warm and neutral,and the flavor was mainly sweet,bitter and spicy, which mainly stayed in the spleen,lung,stomach,heart and liver collaterals. The top three herbal combinations with highest frequency were Radix Pseudostellariae- Poria(179), Bulbus Fritillariae Thunbergii- Radix Pseudostellariae(178), and Bulbus Fritillariae Thunbergii- Poria(178). There were 39 groups of related herbs with Confidence=1. The correlation degree was seven,and the penalty degree was four. Through hierarchical analysis by complex system entropy clustering,11 groups of core combinations including three to four kinds of herbs were obtained,with six new prescriptions. Conclusion:Prof. WU Yu’s treatment of liver cancer of spleen deficiency and phlegm coagulation type reflects the principle of fortifying the spleen with sweet- warm herbs and dissolving phlegm as well as dissipating masses,and Prof. WU modified the prescriptions to harmonize yin and yang as well as treat the root and branch simultaneously.

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李中玉,曲骞,指导:吴煜.吴煜治疗脾虚痰凝型肝癌用药规律研究[J].新中医,2020,52(9):15-18

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  • 在线发布日期: 2020-05-09
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