1.北京中医药大学 北京 100029
2.中日友好医院
明雨,女,在读硕士生
# 疏欣杨,男,博士,副主任医师,E-mail:xinyang_shu@163.com
纸质出版日期:2022-07-30,
收稿日期:2021-09-23,
移动端阅览
明雨, 仲文莉, 郑洁莹, 等. 基于数据挖掘的中成药治疗慢性支气管炎用药规律分析[J]. 现代中医临床, 2022,29(4):27-31.
Yu MING, Wenli ZHONG, Jieying ZHENG, et al. Data mining-based medication rules of Chinese patent medicine for chronic bronchitis[J]. Modern Chinese Clinical Medicine, 2022,29(4):27-31.
明雨, 仲文莉, 郑洁莹, 等. 基于数据挖掘的中成药治疗慢性支气管炎用药规律分析[J]. 现代中医临床, 2022,29(4):27-31. DOI: 10.3969/j.issn.2095-6606.2022.04.005.
Yu MING, Wenli ZHONG, Jieying ZHENG, et al. Data mining-based medication rules of Chinese patent medicine for chronic bronchitis[J]. Modern Chinese Clinical Medicine, 2022,29(4):27-31. DOI: 10.3969/j.issn.2095-6606.2022.04.005.
目的
2
探索分析中成药治疗慢性支气管炎用药规律,为慢性支气管炎的治疗及新药研发提供参考。
方法
2
搜集《中华人民共和国药典》中治疗慢性支气管炎的中成药处方,运用中医传承辅助平台统计中药功能与主治、使用频次,通过关联规则方法分析中药的配伍规律、关联规则,运用熵聚类提取核心中药组合,挖掘候选新处方。
结果
2
《中华人民共和国药典》中治疗慢性支气管炎的中成药共有80种,14个品种有2种或2种以上剂型,共计102种,其中丸剂最多,共27种。治疗慢性支气管炎的中成药主要功效为止咳、化痰、平喘,同时还有清热、清肺、宣肺、润肺、降气等。80种中成药共使用中药167味,共计649次,使用频次≥7的中药共24味,出现频次较高的中药依次为甘草、苦杏仁、桔梗、麻黄、陈皮。使用频次≥10的中药组合共26组,出现频次较高的中药组合为甘草、苦杏仁,甘草、桔梗,陈皮、甘草,麻黄、苦杏仁。置信度≥0.7的中药关联规则共24组,置信度较高的中药关联规则为“桔梗,苦杏仁→甘草”“陈皮,桔梗→甘草”。基于复杂系统熵聚类,挖掘出8组核心中药组合。基于无监督熵层次聚类,挖掘出4首治疗慢性支气管炎的候选新处方。
结论
2
慢性支气管炎的常用治法为标本兼治,止咳、化痰、平喘以治标,调理脏腑、疏利气机以治本。中医治疗慢性支气管炎方法灵活多变,临床需根据实际情况辨证用药。
Objective
2
To explore the medication rules of Chinese patent medicine for chronic bronchitis
in the hope of providing referrence for its clinical treatment and new drug development.
Methods
2
Chinese patent medicines for chronic bronchitis prescriptions were collected from
Chinese Pharmacopoeia
. The Traditional Chinese Medicine Inheritance Support System was used to count indications and frequency of traditional Chinese medicine. The rules of TCM compound and association were analyzed by using the method of association rules. Core medicinal combinations and candidate new prescriptions were extracted based on entropy clustering.
Results
2
Eighty kinds of Chinese patent medicines for chronic bronchitis treatment were found in
Chinese Pharmacopoeia
. Among them
14 kinds of Chinese patent medicines had more than 2 dosage forms
totaling 102 kinds
and the dosage form was mainly pills which are 27 kinds. The main functions of Chinese patent medicines of chronic bronchitis are relieving cough
transforming phlgem
relieving panting
and also clearing heat
clearing the lung
dispersing the lung
moistening the lung and downbearing qi.A total of 80 kinds of Chinese patent medicines for the treatment of chronic bronchitis were included
involving 167 medicinals
and the frequency of medicinals reached 882 times
24 medicinals with its frequency ≥ 7. Most frequently used medicinals were
Gancao
(Radix et Rhizoma Glycyrrhizae)
Kuxingren
(Semen Armeniacae Amarum)
Jiegeng
(Radix Platycodonis)
Mahuang
(Herba Ephedrae) and
Chenpi
(Pericarpium Citri Reticulatae). There were 26 medicinal combinations
with its frequency≥10
for instance
Gancao
and
Kuxingren
Gancao
and
Jiegeng
Chenpi
and
Gancao
Mahuang
and
Kuxingren
. Twenty-four medicinals combinations were revealed
with its frequency≥10
for instance
"
Jiegeng
Kuxingren
→
Gancao
" "
Chenpi
Jiegeng
→
Gancao
" . Based on complex system entropy clustering
a group of 8 core drug combinations were obtained. Based on unsupervised entropy hierarchical clustering
4 new prescriptions for treatment of chronic bronchitis were obtained.
Conclusions
2
The common treatment for chronic bronchitis is to treat both the symptoms and the root causes. Treating the symptoms include relieving cough
transforming phlegm and relieving panting while treating the root causes include coordinating viscera and bowels and regulating Qi. The TCM treatment of chronic bronchitis is flexible
based on clinical syndrome differentiation.
慢性支气管炎用药规律数据挖掘中成药
chronic bronchitismedication ruledata miningChinese patent medicine
葛均波,徐永健.内科学[M].8版.北京:人民卫生出版社,2013:19.
国家药典委员会.中华人民共和国药典:一部[M].北京:中国医药科技出版社,2020.
钟赣生.中药学[M].4版.北京:中国中医药出版社,2016.
国家技术监督局.中医临床诊疗术语 治法部分:GB/T 16751.3—1997[S].北京:中国标准出版社,1997:3-38.
李岩,郭洋.中医药治疗慢性支气管炎的临床研究进展[J].中国实用乡村医生杂志,2021,28(8):38-40,47.
宋秋梦,刘宁,贾春华.“医以丸药下之”之丸药探究[J].北京中医药大学学报,2020,43(10):809-813.
赵玉升,胡杰,吴佳姝,等.苦杏仁炮制方法及药理作用研究进展[J].中医药导报,2021,27(3):175-180.
邓亚羚,任洪民,叶先文,等.桔梗的炮制历史沿革、化学成分及药理作用研究进展[J].中国实验方剂学杂志,2020,26(2):190-202.
宋光美,张伟. 北豆根、山豆根的中药饮片鉴别比较分析[J].双足与保健,2017,26(20):169-170.
王业震.牡荆油乳治疗慢性支气管炎的疗效观察[D]. 武汉: 湖北中医药大学,2013.
范钰晗,史利卿,马建岭,等.慢性咳嗽寒咳证中医病因病机及物质基础探讨[J].现代中医临床,2021,28(5):65-68.
李娜,张晨,钟赣生,等.不同品种甘草化学成分、药理作用的研究进展及质量标志物(Q-Marker)预测分析[J].中草药,2021,52(24):7680-7692.
王昌亚.对陈皮药理作用的探讨[J].临床医药文献电子杂志,2020,7(15):135.
周艳丽,许剑怡,王宏娟,等.虫草素的药理作用及应用前景[J].中国医药导报,2020,17(8):39-42.
高向军.桔梗汤用药临证分析[J].实用医技杂志,2020,27(3):369-370.
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