基于数据挖掘探讨中医药治疗胰腺癌用药规律
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R273

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Exploration on Medication Rule of Chinese Medicine for Pancreatic Cancer Based on Data Mining
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    摘要:

    目的:采用数据挖掘方法分析中医药治疗胰腺癌的用药规律。方法:检索《肿瘤方剂大辞典》《肿 瘤良方大全》中有关中医药治疗胰腺癌的方剂,采用频数分析、关联规则分析、聚类分析和主成分因子分析总 结中医药治疗胰腺癌的用药规律。结果:共纳入方剂161首,涉及中药263味。中医药治疗胰腺癌的高频药物 有茯苓、白花蛇舌草、当归、茵陈、郁金等。治疗药物以清热、活血化瘀、补虚药物多见,药性以温、寒性为 主,药味多苦、辛,主要归于肝、胃经。关联规则分析得到郁金-丹参、茯苓-白术、郁金-丹参+茯苓等核心 药物组合;聚类分析得到破血消癥、活血散瘀止痛、疏肝理气健脾、补中益气、清热解毒等7首新处方;主成 分因子分析获得8个公因子。结论:中医药治疗胰腺癌以清热解毒、活血化瘀为主,辅助补虚、利湿、益气健 脾等药物,临床常选择茵陈蒿汤、参苓白术散、膈下逐瘀汤加减方辨证论治,随症加减。

    Abstract:

    Abstract:Objective:To analyze the medication rule of Chinese medicine for pancreatic cancer based on data mining. Methods:The prescriptions of Chinese medicine for pancreatic cancer were retrieved from the Dictionary of Tumor Prescriptions and the Complete Compendium of Tumor Prescriptions; the frequency analysis,association rule analysis,cluster analysis and principal component factor analysis were used to summarize the medication rules of Chinese medicine for pancreatic cancer. Results: A total of 161 prescriptions were included, involving 263 Chinese medicinals. The high-frequency medicines of Chinese medicine for pancreatic cancer include Poria,Hedyotis Diffusae Herba,Angelicae Sinensis Radix, Artemisiae Scopariae Herba,Curcumae Radix,etc.. The therapeutic medicines are mainly those for clearing heat,invigorating blood and dissolving stasis,and supplementing deficiency;the main medicinal nature is cold and warm; the main medicinal flavor is bitter and acrid, mainly attributed to liver and stomach meridians. The core medicine combinations like Curcumae Radix-Salviae Miltiorrhizae Radix et Rhizoma, Poria-Atractylodis Macrocephalae Rhizoma,and Curcumae Radix-Salviae Miltiorrhizae Radix et Rhizoma+ Poria were obtained by association rule analysis;seven new prescriptions,such as those for breaking up blood stasis and resolving masses,activating blood,resolving stasis and relieving pain,soothing the liver, regulating qi and fortifying the spleen, supplementing the center and boosting qi, and clearing heat and detoxifying were obtained by cluster analysis;eight common factors were obtained by principal component factor analysis. Conclusion:The treatment of pancreatic cancer with Chinese medicine is mainly based on clearing heat and resoling toxins, activating blood and resolving stasis, supplemented by medicines for supplementing deficiency, draining dampness, and boosting qi and fortifying the spleen, etc.. In clinical practice, Yinchenhao Decoction, Shenling Baizhu Powder and Gexia Zhuyu Decoction are often selected for syndrome differentiation and treatment,with modification based on different symptoms.

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王光伟,李珮馨,綦向军,林水长,戈焰.基于数据挖掘探讨中医药治疗胰腺癌用药规律[J].新中医,2024,56(13):187-193

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  • 在线发布日期: 2024-07-10
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