中医药治疗咳嗽变异性哮喘用药规律多层次数据挖掘研究
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国家中医药管理局内科气虚病证重点研究室建设项目(国中药函[2009]95号);国家重大疑难疾病临床防治中心-中医药防治重大疑难疾病(支气管哮喘)能力建设项目(国中药函[2014]146号);安徽省教育厅高校自然科学研究重点项目(KJ2019A0469)


Medication Law of Traditional Chinese Medicine in the Treatment of Cough Variant Asthma(CVA) Based on Multi-level Data Mining
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    摘要:

    目的:基于多层次数据挖掘探索中医药治疗咳嗽变异性哮喘(CVA)的用药特点和组方依据。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、中国生物医学文献数据库(CBMdisc)2008—2018年中医药治疗CVA的文献,建立方药数据库,进行频数分析、关联规则分析、系统聚类分析、主成分因子分析。结果:纳入CVA有效方药398首,涉及中药235味,高频药物为麻黄、苦杏仁、甘草、蝉蜕、地龙、僵蚕、紫菀、百部;关联分析得到二项关联规则15项,药物组合14项;三项关联规则52项,药物组合16项;四项关联规则10项,药物组合5项;聚类分析得到13组方药组合;因子分析得到16个公因子。结论:中医药治疗CVA以祛风解表,息风解痉,祛痰平喘为大法,兼以补虚、祛湿、化瘀、通络;用药配伍重视寒温结合、宣降相依,调畅肺性,恢复肺气宣降。

    Abstract:

    To explore the medication characteristics and prescription basis of traditional Chinese medicine(TCM) in the treatment of cough variant asthma(CVA) based on multi-level data mining.Methods:Literature on the treatment of CVA with TCM from 2008 to 2018 was searched in CNKI,Wanfang Data,VIP and CBMdisc,and a prescription database was established for frequency analysis,association rule analysis,cluster analysis and principal component analysis.Results:A total of 398 effective prescriptions for CVA were included,involving 235 Chinese medicinal materials,and the high-frequency materials were Herba Ephedrae,Semen Armeniacae Amarae,Radix Glycyrrhizae,Periostracum Cicadae,Lumbricus,Bombyx Batryticatus,Radix Asteris,and Radix Stemonae.The association rule analysis revealed two itemsets of 15 including 14 drug combinations,three itemsets of 52 including 16 drug combinations,and four itemsets of 10 including 5 drug combinations.By cluster analysis,13 prescription combinations were obtained,and the factor analysis yielded 16 common factors.Conclusion:TCM treatment of CVA focused on dispelling wind,releasing exterior,extinguishing wind,stopping convulsions,expelling phlegm,and reliving dyspnea,combined with tonifying deficiency,removing dampness,resolving stasis,and dredging collaterals.Combination of medicinal materials attached importance to cold-warm combination,ventilation-decent dependence,regulating lung function,and restoring the ventilation and decent of lung qi.

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高雅婷,王心恒,杨勤军,李泽庚,杨程,童佳兵.中医药治疗咳嗽变异性哮喘用药规律多层次数据挖掘研究[J].世界中医药,2022,(09).

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  • 收稿日期:2020-05-30
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  • 在线发布日期: 2022-05-30
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