Sun Luyan, Wu Anzhao, Wang Xiaoli, Yang Bo
Shandong University of Traditional Chinese Medicine, Jinan, China.
Department of Integrated Traditional Chinese and Western Medicine, Shandong Public Health Clinical Center, Jinan, China.
Ann Transl Med. 2023 Feb 28;11(4):183. doi: 10.21037/atm-23-883. Epub 2023 Feb 22.
Clinically, Chinese medicine is mostly used to treat ascites due to hepatitis B cirrhosis by nourishing-yin. We summarize the pattern of prescriptions for nourishing-yin inascites due to hepatitis B cirrhosis based on data mining to better use traditional Chinese medicine (TCM) to treat cirrhotic ascites in hepatitis B.
Articles published from 2000 to 2020 on ascites due to hepatitis B cirrhosis were searched in the Chinese National Knowledge Infrastructure and Chinese Science and Technology Journal Database. The results of the search were screened and then treated as the data sources in turn. Based on the data sources, a prescription database of ascites due to hepatitis B cirrhosis was constructed. The data mining was conducted by statistical analysis of frequency and association. Core herbs, including the property and flavor, channel tropism, regularities of medicinal recipes, and core sets, among others, were examined.
Through combing 199 articles, a total of 201 prescriptions were selected, involving 138 kinds of herbs. The efficacy of cold herbs was slightly higher than that of warm herbs. The main flavors of herbs were sweet, bitter, and pungent. There were 30 herbs used ≥26 times in 201 prescriptions. The highest frequency of use was , followed by , and . Ninety-nine commonly used drug combinations were obtained according to the association rules, of which there were 60 associated drug groups with a frequency ≥34, of which the highest frequency was , . Frequent medicinal recipes consisted largely of medicines for tonifying deficiency, including diuretics for eliminating dampness, medicines for promoting blood circulation and removing blood stasis, and supplements for clearing heat and regulating qi.
Through data mining, it was found that when TCM treats ascites due to hepatitis B cirrhosis, it attaches importance to using methods of tonifying deficiency and invigorating spleen for diuresis based on nourishing-yin to improve the clinical efficacy, which can provide reference for TCM's clinical use of nourishing-yin to treat ascites due to hepatitis B cirrhosis.
临床上,中医多采用滋阴法治疗乙型肝炎肝硬化腹水。我们基于数据挖掘总结乙型肝炎肝硬化腹水的滋阴方剂规律,以更好地运用中医药治疗乙型肝炎肝硬化腹水。
检索中国知网和中国科技期刊数据库中2000年至2020年发表的关于乙型肝炎肝硬化腹水的文章。对检索结果进行筛选,依次作为数据源。基于数据源构建乙型肝炎肝硬化腹水方剂数据库。通过频次和关联统计分析进行数据挖掘。考察核心药物,包括性味、归经、用药规律及核心组合等。
通过梳理199篇文章,共筛选出201首方剂,涉及138味中药。寒性药物的功效略高于温性药物。中药的主要药味为甘、苦、辛。201首方剂中使用频次≥26次的中药有30味。使用频次最高的是[具体药物1],其次是[具体药物2]和[具体药物3]。根据关联规则得到99个常用药物组合,其中频次≥34的关联药物组有60个,频次最高的是[具体组合1]、[具体组合2]。常用方剂主要由补虚药组成,包括祛湿利水药、活血化瘀药、清热理气药。
通过数据挖掘发现,中医治疗乙型肝炎肝硬化腹水时,重视在滋阴基础上运用补虚健脾利水法提高临床疗效,可为中医临床运用滋阴法治疗乙型肝炎肝硬化腹水提供参考。