基于数据挖掘分析苏源冰治疗骨折早期用药规律
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R683

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2023年全国中药特色技术传承人才培训项目(T20234832005)


Analysis of Medication Rules of Early Fracture Treatment by SU Yuanbing Based on Data Mining
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    摘要:

    目的:基于数据挖掘技术分析苏氏正骨传承人苏源冰主任治疗骨折早期的用药规律。方法:收集 苏源冰主任治疗骨折早期的门诊中药处方,通过Excel对药物频次及性味归经进行统计;通过古今医案云平台 对筛选出的中药处方进行聚类分析及核心药物关联规则分析。结果:共纳入处方383份,涉及中药129味。使 用药物频次分析排名前10位为酒川芎、黄芪、制陈皮、甘草、川牛膝、桂枝、醋延胡索、党参、薏苡仁、当 归;药性以温为主;药味以甘、辛、苦为主;主要归脾、肝、肺经;高频中药聚为4类,甘草和桂枝为第1类, 酒川芎、黄芪、制陈皮为第2类,西洋参、西红花等为第3类,薏苡仁、川牛膝、木瓜等为第4类。关联规则 分析发现,酒川芎和甘草与较多药物具有较高的关联度,作为核心药对常配伍使用,如甘草-酒川芎、制陈 皮-酒川芎、黄芪-甘草等。结论:苏源冰主任治疗骨折早期喜用酒川芎,侧重配伍补气、理气、活血止痛类 药物。

    Abstract:

    Abstract:Objective:To analyze the medication rules of early fracture treatment,as practiced by Director SU Yuanbing, an inheritor of the SU family's orthopedic techniques, utilizing data mining technology. Methods: Outpatient Chinese medicine prescriptions for early fracture treatment by Director SU Yuanbing were collected. The frequency, nature, flavors, and meridian tropism of the medicinals were statistically analyzed using Excel. Cluster analysis and core medicinal association rule analysis of the selected Chinese medicine prescriptions were conducted through the Ancient and Modern Medical Case Cloud Platform. Results : A total of 383 prescriptions involving 129 Chinese medicinals were included. The top 10 medicinals in terms of usage frequency were Chuanxiong Rhizoma (prepared with wine), Astragali Radix, Citri Reticulatae Pericarpium (prepared), Glycyrrhizae Radix et Rhizoma, Achyranthis Bidentatae Radix, Cinnamomi Ramulus, Corydalis Rhizoma (prepared with vinegar), Codonopsis Radix,Coicis Semen,and Angelicae Sinensis Radix. The medicinals were mainly warm in nature,sweet, pungent, and bitter in flavor, and primarily entered the spleen, liver, and lung meridians. The high-frequency Chinese medicinals were clustered into four categories:Glycyrrhizae Radix et Rhizoma and Cinnamomi Ramulus as the first category,Chuanxiong Rhizoma( prepared with wine),Astragali Radix and Citri Reticulatae Pericarpium( prepared) as the second category, Panacis Quinquefolii Radix and Croci Stigma as the third category, and Coicis Semen, Achyranthis Bidentatae Radix and Chaenomelis Fructus as the fourth category. Association rule analysis revealed that Chuanxiong Rhizoma (prepared with wine) and Glycyrrhizae Radix et Rhizoma had high associations with many other medicinals and were often used as core medicinal couplet, such as Glycyrrhizae Radix et Rhizoma-Chuanxiong Rhizoma( prepared with wine),Citri Reticulatae Pericarpium( prepared)-Chuanxiong Rhizoma( prepared with wine), and Astragali Radix - Glycyrrhizae Radix et Rhizoma. Conclusion:Director SU Yuanbing prefers to use Chuanxiong Rhizoma (prepared with wine) in the early treatment of fractures and focuses on combining it with medicinals that tonify qi,regulate qi,and activate blood circulation to relieve pain.

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邹福贤,魏培鹏,周晓兰,蒋秋瑾,苏源冰,杨真真,黄秋萍,蔡建峰.基于数据挖掘分析苏源冰治疗骨折早期用药规律[J].新中医,2025,57(12):13-17

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  • 在线发布日期: 2025-06-26
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