基于数据挖掘探析徐仙槎诊治小儿咳嗽用药规律
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R272

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绍兴市直卫生健康系统科技计划立项项目(2022KY049)


Study on Medication Rules of XU Xiancha in Diagnosis and Treatment of Pediatric Cough Based on Data Mining
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    摘要:

    目的:通过数据挖掘技术研究越医名家徐仙槎治疗小儿咳嗽的用药规律和特点。方法:收集及整 理徐仙槎治疗小儿咳嗽的处方进行研究。统计小儿咳嗽的发病季节、病因、治法、药物使用频数;统计高频药 物的使用频数、频率以及药物的性、味、归经和功效分类, 并进行关联规则分析和聚类分析; 通过 Cytoscape 3.9.1软件及镝数图表网页进行可视化分析。结果:绍兴地区小儿咳嗽的发病季节主要集中于秋、冬 季,病因主要为温、湿、暑、食、痰、火、风邪,最为常用的治法为清化法与清解法。涉及中药142味,使用 频数排在前5位的药物分别为橘红、前胡、佩兰、浙贝母、天花粉。高频药物中,药性以寒为主,药味以苦为 主,主要入肺、胃经。关联程度排在前5位的高频药对为橘红-前胡,佩兰-前胡,佩兰-橘红,浙贝母-前胡, 浙贝母-橘红。聚类分析可聚为3类。结论:处方用药规律体现了徐仙槎治疗小儿咳嗽善于化湿,重视肺脾二 脏,辨证施治的学术思想。宣肺疏风、降气化痰、清热利湿是徐仙槎治疗小儿咳嗽的主要方法。

    Abstract:

    Abstract: Objective: To explore the medication rules of XU Xiancha in diagnosis and treatment of pediatric cough based on data mining. Methods: XU Xiancha's prescriptions for pediatric cough were collected and sorted out for study. The onset seasons, etiologies, treatment methods and frequency of medicinal use in treating pediatric cough were statistically analyzed. The times of use,frequency,nature, flavor, channel entry and effects of high-frequency medicinals were counted, and the association rule analysis and cluster analysis were carried out. The visualization analysis was carried out by Cytoscape 3.9.1 software and Dycharts web page. Results:The onset season of pediatric cough in Shaoxing was mainly in autumn and winter. The main etiologies were mainly warm,dampness,summerheat,diet,phlegm,fire and wind pathogen. The most common treatment methods were clearing and removing,and clearing and releasing. There were 142 Chinese medicinals involved, and the top five Chinese medicinals in terms of frequency of use were Citri Exocarpium Rubrum,Peucedani Radix,Eupatorium Fortunei Turcz,Fritillariae Thunbrgii Bulbus and Trichosanthis Radix. The high-frequency Chinese medicinals were mainly bitter in flavour and cold in nature,and mainly entered the lung and stomach channels. The top five high-frequency medicinal pairs in the association degree were Citri Exocarpium Rubrum-Peucedani Radix, Eupatorium Fortunei Turcz-Peucedani Radix, Eupatorium Fortunei Turcz-Citri Exocarpium Rubrum, Fritillariae Thunbrgii Bulbus-Peucedani Radix, and Fritillariae Thunbrgii Bulbus-Citri Exocarpium Rubrum. Cluster analysis showed that those Chinese medicinals could be classified into three categories. Conclusion: The medication rules reflect XU Xiancha's academic thought of treating pediatric cough with removing dampness, emphasis on the lung and the spleen, and syndrome differentiation. XU Xiancha's main methods for treating pediatric cough are to diffuse the lung and scatter wind, to direct qi downward and dissolve phlegm,and to clear heat and drain dampness.

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蒋燕华,倪晓红,章银琪,贺江飞,林雄凯,朱春燕,梁哲彬.基于数据挖掘探析徐仙槎诊治小儿咳嗽用药规律[J].新中医,2024,56(10):14-19

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  • 在线发布日期: 2024-05-28
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