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基于数据挖掘法探讨《中华医典》治疗阳痿的用药规律
Medication rules of Zhonghua Yidian for the treatment of impotency based on data mining method

广西医学 2023第45卷24期 页码:2985-2989

作者机构:陈峰,在读硕士研究生,研究方向为泌尿男科疾病的中医防治。

基金信息:中央引导地方科技发展资金项目(桂科ZY20198022)

DOI:10.11675/j.issn.0253-4304.2023.24.10

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目的 基于数据挖掘法探讨《中华医典》治疗阳痿的用药规律。方法 检索《中华医典》中治疗阳痿的处方,建立处方数据库。使用古今医案云平台V2.3.5进行药物频次分析、性味归经分析、关联分析、功效分析、聚类分析、复杂网络分析。结果 共纳入127首治疗阳痿的处方,涉及305味中药。使用频次排名前5的药物是熟地黄、菟丝子、茯苓、枸杞子、山药。药性以温性、平性、微温性为主,药味以甘味、辛味、苦味为主,归经以肾经、肝经、脾经为主,功效以强筋骨、补肾阳、益精血为主。治疗阳痿的药对配伍中,支持度排名前三的药对分别为熟地黄-肉苁蓉、熟地黄-茯苓、熟地黄-山茱萸。对使用频次≥20次的药物进行聚类分析,得到4个药物组合。复杂网络分析结果显示,治疗阳痿的核心中药是熟地黄、山茱萸、茯苓、山药、五味子、补骨脂、菟丝子、枸杞子、杜仲、肉苁蓉、巴戟天、当归。结论 《中华医典》所载治疗阳痿的中药处方紧扣病机,注重药物的性味归经搭配,治以“温肾助阳,滋肝益精”为法,兼顾脏腑,对于当代中医家在临床上辨证施治用药及开拓治疗新思路具有一定的指导意义。

ObjectiveTo explore the medication rules of Zhonghua Yidian for the treatment of impotency based on data mining method. MethodsPrescriptions from Zhonghua Yidian for treating impotency were retrieved, and then the database of prescriptions was established. The Gujin Yian Cloud Platform V2.3.5 was used to perform frequency analysis of drugs, and property, flavor and meridian analyses, association analysis, effect analysis, cluster analysis, as well as complex network analysis. ResultsA total of 127 prescriptions for the treatment of impotency were enrolled,involving 305 flavors of Traditional Chinese Medicines.The top 5 most frequently used drugs were Radix rehmanniae praeparata, Cuscutae Semen,Poria cocos,Fructus lycii,Rhizoma Dioscoreae. Properties of drugs were mainly warm, moderate, low warm, flavors of drugs were mainly sweet, acrid, bitter, meridians were mainly kidney meridian, liver meridian, spleen meridian, and effects were mainly muscles and bones toning up, kidney tonifying to strengthen yang, essence and blood replenishing. In the combination of drug pairs for the treatment of impotency, the top three drug pairs with support degree were Radix rehmanniae praeparata-Cistanche deserticola,Radix rehmanniae praeparata-Poria cocos,and Radix rehmanniae praeparata-Cornus officinalis, respectively. The cluster analysis was performed on drugs with use frequency≥20 times, and 4 drug combinations were obtained. The results of complex network analysis revealed that the core Traditional Chinese Medicines for the treatment of impotency were Radix rehmanniae praeparata, Cornus officinalis,Poria cocos,Rhizoma Dioscoreae, Schisandra chinensis, Cullen corylifolium, Cuscutae Semen, Fructus lycii, Eucommia ulmoides, Cistanche deserticola, Morinda officinalis, and Angelica sinensis. ConclusionTraditional Chinese Medicine prescriptions for the treatment of impotency in Zhonghua Yidian is closely related to pathogenesis, paying attention to combination of property, flavor, and meridians of drugs. The treatment is based on the method of "warming kidney to replenish yang, nourishing liver and replenishing essence", taking into account zang-fu, which exerts guiding significance for contemporary Traditional Chinese physicians in clinical treatment and medication of syndrome differentiation and in development of new treatment ideas to a certain extent.

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