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基于数据挖掘的中医治疗小儿肺炎用药规律研究

[Prescription and medication regularity of traditional Chinese medicine for treating child pneumonia based on data mining].

作者信息

Yang Fu-Shuang, Gao Fa, Tan Tian-Hui, Xu Yan, Cao Fang, Wang Zhong-Tian, Sun Li-Ping

机构信息

Changchun University of Chinese Medicine Changchun 130117, China.

Child Care Centre, Affiliated Hospital of Changchun University of Chinese Medicine Changchun 130021, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2020 Apr;45(8):1942-1947. doi: 10.19540/j.cnki.cjcmm.20190902.501.

Abstract

To analyze and summarize formulae of traditional Chinese medicine(TCM) in the treatment of pediatric pneumonia in CNKI based on the data mining method. CNKI was retrieved for literatures of TCM treatment of pneumonia in children in recent 20 years, which was taken the data source. After screening, a prescription database was established. Frequency analysis, association rules Apriori algorithm and complex system entropy clustering analysis methods integrated in TCMISS(V2.5) were applied in data analysis and mining. Core drugs and their properties and flavors, medication modes and new prescriptions were summarized and studied. A total of 408 prescriptions were screened out, involving 218 drugs, among which Chinese herbal medicines with the highest use frequency included Gancao(Glycyrrhizae Radix et Rhizoma), Xingren(Armeniacae Semen Amarum), Huangqin(Scutellariae Radix), Mahuang(Ephedrae Herba), Jiegeng(Platycodonis Radix), Banxia(Pinelliae Rhizoma), Sangbaipi(Mori Cortex), Chenpi(Citri Reticulatae Pericarpium), Fuling(Poria), Jinyinhua(Japonicae Lonicerae Flos). Flavors were mainly bitter, sweet and pungent; and the main medicinal property was cold. Most of these drugs entered lung meridian(LU), stomach meridian(ST) and spleen meridian(SP); and the association rules between drugs were established. Totally 6 new prescriptions were obtained through entropy hierarchical cluster analysis. Our results objectively presented, at present, TCM focuses on phlegm and heat in treating children's pneumonia, which targets at lung and also treats spleen and stomach. The main therapies aim to clear heat and resolve phlegm, ventilate lung and relieve cough and dyspnea, release exterior and dissipate cold, and relieve cough and eliminate phlegm. The results of statistical analysis are basically consistent with the consensus of experts, which can provide theoretical basis for clinical medication and drug development.

摘要

基于数据挖掘方法分析和总结中国知网中中医治疗小儿肺炎的方剂。以中国知网为数据源,检索近20年中医治疗小儿肺炎的文献。经筛选后建立方剂数据库。运用中医传承辅助平台(V2.5)集成的频次分析、关联规则Apriori算法和复杂系统熵聚类分析方法进行数据分析与挖掘。总结研究核心药物及其性味、用药模式和新方剂。共筛选出408首方剂,涉及218味药物,其中使用频次最高的中药有甘草、苦杏仁、黄芩、麻黄、桔梗、半夏、桑白皮、陈皮、茯苓、金银花。药味以苦、甘、辛为主;主要药性为寒。这些药物大多归肺经、胃经和脾经,并建立了药物之间的关联规则。通过熵层次聚类分析共得到6首新方剂。研究结果客观呈现了目前中医治疗小儿肺炎注重痰热,以肺为主,兼顾脾胃。主要治法为清热化痰、宣肺止咳平喘、解表散寒、止咳祛痰。统计分析结果与专家共识基本一致,可为临床用药及药物研发提供理论依据。

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