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基于数据挖掘研究程丑夫治疗心力衰竭的用药经验

吴承铨 张炜宁

湖南中医杂志2025,Vol.41Issue(1):12-19,8.
湖南中医杂志2025,Vol.41Issue(1):12-19,8.DOI:10.16808/j.cnki.issn1003-7705.2025.01.004

基于数据挖掘研究程丑夫治疗心力衰竭的用药经验

Medication experience of Cheng Choufu in treatment of heart failure:A study based on data mining

吴承铨 1张炜宁2

作者信息

  • 1. 湖南中医药大学第一附属医院,湖南 长沙,410007
  • 2. 深圳市盐田区人民医院,广东 深圳,518081
  • 折叠

摘要

Abstract

Objective:To investigate the medication experience of Professor Cheng Choufu in the treatment of heart failure based on data mining.Methods:Medical records were collected from the patients treated by Professor Cheng at the outpatient service from September 1,2021 to January 1,2024,and Traditional Chinese Medicine Inher-itance Support System(V2.5)was used to perform frequency,association,and cluster analyses of the drugs used.Results:A total of 142 prescriptions used by Professor for the treatment of heart failure were collected.Most drugs used were warm,cold or neutral in nature and had a sweet,bitter or pungent taste,and most drugs entered the spleen meridian,followed by the lung,stomach,and heart meridians.High-frequency drugs included Codonopsis pi-losula,Rhizoma Pinelliae Praeparatum,Astragalus membranaceus,Schisandra chinensis,Coptis chinensis,ginger,Amomum villosum,Radix Glycyrrhizae,Saussurea costus,and Radix Ophiopogonis.The prescription rule analysis obtained 14 commonly used drug combinations,among which 9 combinations had a reliability of>0.95 and 3 com-binations had a reliability of>1,and the drugs commonly used for the treatment of heart failure included Codonopsis pilosula,Astragalus membranaceus,Radix Glycyrrhizae,venigar-processed Schisandra chinensis,Coptis chinensis,Rhizoma Pinelliae Praeparatum,ginger,Radix Ophiopogonis,and Amomum villosum.The cluster analysis obtained 9 core drug combinations.Conclusion:Professor Cheng emphasizes the regulation of Qi and the application of neutral drugs in the treatment of heart failure and often uses deficiency-tonifying herbs.Shengmai Xianxiong decoction(Shengmai powder and Xiaoxianxiong decoction)combined with modified Danshen decoction is commonly used in clinical practice.

关键词

心力衰竭/数据挖掘/用药规律/程丑夫

Key words

heart failure/data mining/medication rule/Cheng Choufu

分类

医药卫生

引用本文复制引用

吴承铨,张炜宁..基于数据挖掘研究程丑夫治疗心力衰竭的用药经验[J].湖南中医杂志,2025,41(1):12-19,8.

湖南中医杂志

1003-7705

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