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基于数据挖掘技术的慢性心力衰竭气虚血瘀证用药规律分析

[Analysis of on medication rules for Qi-deficiency and blood-stasis syndrome of chronic heart failure based on data mining technology].

作者信息

Wang Qian, Yao Geng-Zhen, Pan Guang-Ming, Huang Jing-Yi, An Yi-Pei, Zou Xu

机构信息

The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China.

Guangdong Hospital of Traditional Chinese Medicine, Guangzhou 510120, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2017 Jan;42(1):182-186. doi: 10.19540/j.cnki.cjcmm.20161222.040.

Abstract

To analyze the medication features and the regularity of prescriptions of traditional Chinese medicine in treating patients with Qi-deficiency and blood-stasis syndrome of chronic heart failure based on modern literature. In this article, CNKI Chinese academic journal database, Wanfang Chinese academic journal database and VIP Chinese periodical database were all searched from January 2000 to December 2015 for the relevant literature on traditional Chinese medicine treatment for Qi-deficiency and blood-stasis syndrome of chronic heart failure. Then a normalized database was established for further data mining and analysis. Subsequently, the medication features and the regularity of prescriptions were mined by using traditional Chinese medicine inheritance support system(V2.5), association rules, improved mutual information algorithm, complex system entropy clustering and other mining methods. Finally, a total of 171 articles were included, involving 171 prescriptions, 140 kinds of herbs, with a total frequency of 1 772 for the herbs. As a result, 19 core prescriptions and 7 new prescriptions were mined. The most frequently used herbs included Huangqi(Astragali Radix), Danshen(Salviae Miltiorrhizae Radix et Rhizoma), Fuling(Poria), Renshen(Ginseng Radix et Rhizoma), Tinglizi(Semen Lepidii), Baizhu(Atractylodis Macrocephalae Rhizoma), and Guizhi(Cinnamomum Ramulus). The core prescriptions were composed of Huangqi(Astragali Radix), Danshen(Salviae Miltiorrhizae Radix et Rhizoma) and Fuling(Poria), etc. The high frequent herbs and core prescriptions not only highlight the medication features of Qi-invigorating and blood-circulating therapy, but also reflect the regularity of prescriptions of blood-circulating, Yang-warming, and urination-promoting therapy based on syndrome differentiation. Moreover, the mining of the new prescriptions provide new reference and inspiration for clinical treatment of various accompanying symptoms of chronic heart failure. In conclusion, this article provides new reference for traditional Chinese medicine in the treatment of chronic heart failure.

摘要

基于现代文献分析中医治疗慢性心力衰竭气虚血瘀证患者的用药特点及方剂规律。本文检索了中国知网学术期刊数据库、万方学术期刊数据库和维普中文期刊数据库2000年1月至2015年12月期间关于中医治疗慢性心力衰竭气虚血瘀证的相关文献,然后建立规范化数据库进行进一步的数据挖掘与分析。随后,运用中医传承辅助系统(V2.5)、关联规则、改进的互信息算法、复杂系统熵聚类等挖掘方法挖掘用药特点及方剂规律。最终,共纳入171篇文献,涉及171首方剂、140味中药,中药总频次为1772次。结果挖掘出19首核心方剂和7首新方剂。常用中药包括黄芪、丹参、茯苓、人参、葶苈子、白术、桂枝等。核心方剂由黄芪、丹参、茯苓等组成。高频中药及核心方剂不仅突出了益气活血法的用药特点,还体现了辨证论治中活血、温阳、利水法的方剂规律。此外,新方剂的挖掘为慢性心力衰竭各种伴随症状的临床治疗提供了新的参考和启示。总之,本文为中医治疗慢性心力衰竭提供了新的参考。

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