基于数据挖掘探析钱英治疗原发性肝癌用药规律OACSTPCD
Analysis on the Medication Law of Qian Ying in Treatment of Primary Liver Cancer Based on Data Mining
目的 通过数据挖掘技术分析钱英教授治疗原发性肝癌的用药规律,为临床辨治原发性肝癌提供思路.方法 收集2008年11月-2020年8月钱英教授治疗原发性肝癌的门诊中药处方,整理后建立数据资料表,通过Excel2019对药物频次及性味归经进行分析;通过名医传承辅助平台医案分析模块对筛选出的中药处方进行核心药物分析,药对之间的共生性分析,药症关联分析及药物聚类分析.结果 共纳入处方108首,涉及中药188味,药物总频次为1 322.高频用药包括白花蛇舌草、黄芪、槲寄生、郁金、丹参等.药性以寒、平、温为主,药味以苦、甘、辛为主,归经以肝经、脾经、肾经、胃经为主.药物关联中高频药物组合有郁金-水红花子、槲寄生-莪术等9对.药症关联分析中关联度较高的有"胃痛-丹参""癥瘕-赤芍、陈皮""耳鸣-南沙参、枸杞子、槲寄生""舌下络脉延长-莪术、水红花子、丹参"等.药物聚类分为3类潜在的药物群.结论 钱英教授治疗原发性肝癌多用清热药、补虚药、行气活血药,以槲芪散为主方随证加减,以清热解毒、疏肝解郁、逐瘀通络治其标,补气健脾、和血调肝、滋补肝肾治其本,可为临床治疗原发性肝癌提供一定参考.
Objective To study the medication law of Professor Qian Ying in the treatment of primary liver cancer based on data mining technology;To provide ideas for the clinical treatment of primary liver cancer.Methods Outpatient TCM prescriptions of Professor Qian Ying for the treatment of liver cancer from November 2008 to August 2020 were collected,and a data table was established after sorting.The drug frequency,property and taste and tropism were analyzed using Excel 2019.The medical case analysis module of the Great Physician Inheritance Platform was used to analyze the core drugs,the symbiosis analysis between drug pairs,the drug association analysis,and the drug clustering analysis of the screened TCM prescriptions.Results Totally 108 prescriptions were included,involving 188 kinds of Chinese materia medica,with a total frequency of 1 322 times.High-frequency drugs included Hedyotis Sinensis,Angelicae Sinensis Radix,Visci Herba,Curcumae Radix,Salviae Miltiorrhizae Radix et Rhizoma,etc.The medicinal properties were mainly cold,mild and warm,and the tastes were mainly bitter,sweet and pungent,and the main meridians were liver meridians,spleen meridians,kidney meridians and stomach meridians.There were 9 pairs of high frequency drug combinations in drug association,such as Curcumae Radix-Polygoni Orientalis Fructus,Visci Herba-Curcumae Rhizoma.In the correlation analysis of drug disease,the ones with higher correlations include"stomachache-Salviae Miltiorrhizae Radix et Rhizoma""abdominal mass-Paeoniae Radix Rubra and Citri Reticulatae Pericarpium""tinnitus-Adenophorae Radix,Lycii Fructus,Visci Herba""prolonged sublingual collaterals-Curcumae Rhizoma,Polygoni Orientalis Fructus,Salviae Miltiorrhizae Radix et Rhizoma"and so on.Drug clustering could be divided into three potential drug clusters.Conclusion Professor Qian Ying often uses heat-clearing drugs,tonifying drugs,and promoting qi and blood circulation drugs to treat liver cancer,with Huqi Powder as the main formula and modified according to the syndromes.Clearing heat and detoxifying,soothing liver and relieving depression,removing blood stasis and regulating collatrals are used to treat its symptoms,and tonifying qi and invigorating spleen,regulating liver and nourishing liver and kidney are used to treat its essence.
张海天;胡文涵;张秋云;马重阳;侯伟欣;窦博;方娴;姜雪娇;房鹏;梁嘉俊;魏晓艺
首都医科大学中医药学院,中医络病研究北京市重点实验室,北京 100069
中医学
原发性肝癌钱英用药规律数据挖掘
primary liver cancerQian Yingmedication lawdata mining
《中国中医药信息杂志》 2024 (008)
52-57 / 6
国家重点研发计划(2018YFC1704102);北京市中医药科技发展资金项目(JJ-2020-51)
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