基于数据挖掘的高原缺氧中医用药规律研究
Medication rule of traditional Chinese medicine in the treatment of plateau hypoxia based on data mining.
作者信息
Wang Renjie, Luo Kai, Yang Jun, Qian Qingyuan, Li Xiaolin, Gao Yue, Li Maoxing
机构信息
College of Pharmacy, Gansu University of Chinese Medicine, Lanzhou 730020.
Institute of Radiation Medicine Sciences, Academy of Military Medicine, Academy of Military Sciences, Beijing 100850.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2023 Oct 28;48(10):1453-1463. doi: 10.11817/j.issn.1672-7347.2023.230245.
OBJECTIVES
The development of traditional Chinese medicine (TCM) in the plateau area is relatively backward. There is a lack of system to analyze the effects of the special environment of plateau low pressure and hypoxia on human meridians qi and blood, as well as the etiology and pathogenesis of plateau hypoxic diseases. To analyze the composition rules of anti-hypoxia TCM formulation with data mining methods.
METHODS
The experimental literatures related to high altitude hypoxia were searched in China National Knowledge Infrastructure (CNKI), Wanfang Med Online, VIP, China Biology Medicine disc and other databases, a standardized prescription database was established after screening and standardization of prescription data in the literature. The composition rules of these prescription including drug frequency, drug attributes, drug efficacy, drug combination, and core prescription were analyzed and displayed with visual charts.
RESULTS
A total of 135 TCM prescriptions were included, and 229 flavored drugs were included. Among these prescriptions, the TCM with high frequency of use were Astragalus, Danshen, Ginseng, and Angelica, etc. Four natures of the TCM were mostly warm and calm. Five flavours of the TCM were mostly sweet, bitter, and pungent. And channel tropism of the TCM mostly entered the heart, lung, and liver meridians. The frequency combination of TCM was Astragalus-Danshen and Astragalus-Angelica. The core medicines of these prescriptions were Astragalus, Danshen, Angelica, Rhodiola, Goji, and Ginseng. TCM could alleviate symptoms such as chest tightness, chest pain, coughing and wheezing, coughing, vomiting, fatigue, and loss of appetite caused by hypoxia at high altitude.
CONCLUSIONS
Through data mining, it is concluded that the prevention or treatment of plateau hypoxic diseases mostly utilized products can nourish blood, replenish qi and dispel stasis, and help yang and dispel qi, most of them are compatible with qi tonic drugs and blood circulation and stasis dissolving drugs, and pay attention to the combination of virtual and real, yin and yang.
目的
高原地区中医药发展相对滞后,缺乏对高原低压低氧特殊环境对人体经络气血及高原缺氧性疾病病因病机影响的系统分析。运用数据挖掘方法分析抗缺氧中药方剂的组方规律。
方法
在中国知网、万方医学网、维普、中国生物医学光盘等数据库检索与高原缺氧相关的实验文献,对文献中的方剂数据进行筛选和规范后建立标准化方剂数据库。用直观图表分析这些方剂的组方规律,包括药物频次、药物属性、药物功效、药物配伍及核心方剂等。
结果
共纳入135首中药方剂,涉及229味药物。这些方剂中,使用频次较高的中药有黄芪、丹参、人参、当归等。中药的四气多为温和平缓;五味多为甘、苦、辛;归经多入心、肺、肝三经。中药的频次配伍为黄芪-丹参和黄芪-当归。这些方剂的核心药物有黄芪、丹参、当归、红景天、枸杞、人参。中药可缓解高原缺氧所致的胸闷、胸痛、咳喘、咯吐、乏力、食欲不振等症状。
结论
通过数据挖掘得出,防治高原缺氧性疾病多采用养血、补气、祛瘀、助阳、行气之品,多配伍补气药与活血化瘀药,注重虚实、阴阳结合。