基于数据挖掘研究李学铭治疗慢性肾脏病用药规律
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R692

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浙江省中医药科学研究基金项目(2018ZA058);全国名老中医药专家传承工作室建设项目(国中医药人教发〔2010〕59号);浙江省 中医药科研基金项目(2021ZB097)


Medication Rule of LI Xueming in Treating Chronic Kidney Disease Based on Data Mining
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    目的:基于数据挖掘研究李学铭教授治疗慢性肾脏病的用药规律。方法:收集李学铭教授治疗慢 性肾脏病的处方298 份,基于中医传承辅助平台V3.0,通过药物频次、药物四气五味及功效、关联规则、聚 类分析等数据挖掘方法进行分析。结果:对298 份处方进行用药频次分析,涉及296 种中药,药物使用共计 3 694 次。高频用药18 味;药物五味以甘味、苦味为主;四气以温性、寒性、平性为主;归经以脾、肝、心、 肾为主;补虚药使用频率最高,其次为清热药、利水渗湿药、活血化瘀药;强关联药物组合16 个,关联规则 分析发现补虚药多脾肾并补,祛邪辅以和中焦,化瘀配伍不伤正,核心药物组合4 个。结论:李学铭教授治疗 慢性肾脏病用药注重补虚,重视脾肾二脏,补虚药多为二脏并补,祛邪不忘和中,化瘀而不伤正。

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    Abstract:Objective:To study the medication rule of Professor LI Xueming in treating chronic kidney disease based on data mining. Methods: A total of 298 prescriptions of Professor LI Xueming in treating chronic kidney disease were collected. Based on Chinese Medicine Inheritance Assistance Platform V3.0, data mining methods such as medication frequency, four qi, five flavors and efficacy, association rules and cluster analysis were used to analyze the data. Results:In terms of medication frequency,a total of 298 prescriptions involving 296 kinds of Chinese herbs were used for 3 694 times. There were 18 kinds of high-frequency Chinese herbs. In terms of five flavors,the majority was sweet and bitter. In terms of four qi,the majority was warm,cold and balanced. In terms of channel entry,the majority was the spleen, liver,heart and kidney. The frequency of deficiency-supplementing herbs was the highest , followed by heat-clearing herbs , urination-promoting and dampness-percolating herbs,blood-invigorating and stasis- dissolving herbs. There were 16 strongly associated herbal combinations. The association rule analysis found that deficiency- supplementing herbs were mostly to supplement both the spleen and kidney. To dispel pathogen, they were combined with middle energizer- harmonizing herbs; and to dissolve stasis,they were combined with herbs that did no harm to the healthy qi. There were 4 core herbal combinations. Conclusion: In treating chronic kidney disease, Professor LI Xueming pays attention to supplementing deficiency and focuses on the spleen and kidney, and most of the deficiencysupplementing herbs are to supplement the above two zang organs. To dispel pathogen, he also pays attention to harmonizing the middle-energizer,and to dissolve stasis,ensures the herbs do not damag the healthy qi.

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李星凌,叶黎青,马红珍.基于数据挖掘研究李学铭治疗慢性肾脏病用药规律[J].新中医,2023,55(22):7-12

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  • 在线发布日期: 2023-11-28
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