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基于灰色系统理论结合多变量分析方法对治疗癌因性厌食综合征的中药方剂进行分析及新方剂发现

[Analysis on traditional Chinese medicine prescriptions treating cancer-related anorexia syndrome based on grey system theory combined with multivariate analysis method and discovery of new prescriptions].

作者信息

Chen Song-Lin, Chen Cong, Zhu Hui, Li Jing, Pang Yan

机构信息

Graduate School of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.

Jiangxi University of Traditional Chinese Medicine, Nanchang 330006, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2016 Jan;41(2):314-320. doi: 10.4268/cjcmm20160224.

DOI:10.4268/cjcmm20160224
PMID:28861979
Abstract

Cancer-related anorexia syndrome (CACS) is one of the main causes for death at present as well as a syndrome seriously harming patients' quality of life, treatment effect and survival time. In current clinical researches, there are fewer reports about empirical traditional Chinese medicine(TCM) prescriptions and patent prescriptions treating CACS, and prescription rules are rarely analyzed in a systematic manner. As the hidden rules are not excavated, it is hard to have an innovative discovery and knowledge of clinical medication. In this paper, the grey screening method combined with the multivariate statistical method was used to build the ″CACS prescriptions database″. Based on the database, totally 359 prescriptions were selected, the frequency of herbs in prescription was determined, and commonly combined drugs were evolved into 4 new prescriptions for different syndromes. Prescriptions of TCM in treatment of CACS gave priority to benefiting qi for strengthening spleen, also laid emphasis on replenishing kidney essence, dispersing stagnated liver-qi and dispersing lung-qi. Moreover, interdependence and mutual promotion of yin and yang should be taken into account to reflect TCM's holism and theory for treatment based on syndrome differentiation. The grey screening method, as a valuable traditional Chinese medicine research-supporting method, can be used to subjectively and objectively analyze prescription rules; and the new prescriptions can provide reference for the clinical use of TCM for treating CACS and the drug development.

摘要

癌因性厌食综合征(CACS)是目前主要的死亡原因之一,也是严重损害患者生活质量、治疗效果及生存时间的一种综合征。在目前的临床研究中,关于治疗CACS的经验性中药方剂及专利方剂的报道较少,且很少对其处方规律进行系统分析。由于隐藏规律未被挖掘,难以在临床用药方面有创新性发现和认识。本文采用灰色筛选法结合多元统计方法构建“CACS方剂数据库”。基于该数据库选取了359首方剂,确定了方剂中药物的使用频次,并将常用配伍药物演化成4首针对不同证型的新方剂。中医治疗CACS的方剂以益气健脾为主,同时重视补肾填精、疏肝理气、宣肺理气。此外,应考虑阴阳的相互依存和相互促进,以体现中医的整体观和辨证论治理论。灰色筛选法作为一种有价值的中医研究辅助方法,可用于主观和客观地分析处方规律;新方剂可为中医治疗CACS的临床用药及药物研发提供参考。

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