Department of Gastroenterology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Institute of Digestive Diseases, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Chin J Integr Med. 2024 Dec;30(12):1128-1136. doi: 10.1007/s11655-024-3800-y. Epub 2024 Jun 8.
OBJECTIVE: To analyze Chinese medicine (CM) prescriptions for gastroesophageal reflux disease (GERD), we model topics on GERD-related classical CM literature, providing insights into the potential treatment. METHODS: Clinical guidelines were used to identify symptom terms for GERD, and CM literature from the database "Imedbooks" was retrieved for related prescriptions and their corresponding sources, indications, and other information. BERTopic was applied to identify the main topics and visualize the data. RESULTS: A total of 36,207 entries are queried and 1,938 valid entries were acquired after manually filtering. Eight topics were identified by BERTopic, including digestion function abate, stomach flu, respiratory-related symptoms, gastric dysfunction, regurgitation and gastrointestinal dysfunction in pediatric patients, vomiting, stroke and alcohol accumulation are associated with the risk of GERD, vomiting and its causes, regurgitation, epigastric pain, and symptoms of heartburn. CONCLUSIONS: Topic modeling provides an unbiased analysis of classical CM literature on GERD in a time-efficient and scale-efficient manner. Based on this analysis, we present a range of treatment options for relieving symptoms, including herbal remedies and non-pharmacological interventions such as acupuncture and dietary therapy.
目的:分析中医药治疗胃食管反流病(GERD)的方剂,我们对 GERD 相关经典中医药文献进行主题建模,为潜在的治疗方法提供思路。
方法:临床指南用于确定 GERD 的症状术语,并从数据库“Imedbooks”中检索与相关方剂及其来源、适应证等信息相关的中医药文献。应用 BERTopic 识别主要主题并可视化数据。
结果:共查询到 36207 条记录,经过手动过滤后获得 1938 条有效记录。BERTopic 识别出 8 个主题,包括消化功能减弱、胃脘痛、呼吸相关症状、胃功能障碍、小儿胃食管反流病相关的反流和胃肠功能障碍、呕吐、中风和酒精蓄积与 GERD 风险相关、呕吐及其原因、反流、上腹痛和烧心症状。
结论:主题建模为 GERD 的经典中医药文献提供了一种高效省时、无偏倚的分析方法。基于此分析,我们提出了一系列缓解症状的治疗选择,包括草药疗法和非药物干预,如针灸和饮食疗法。
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