新中医2026,Vol.58Issue(8):1-8,8.DOI:10.13457/j.cnki.jncm.2026.08.001
基于数据挖掘分析中医药治疗帕金森病的方证及用药规律
Analysis of Prescription-Syndrome Type and Medication Rules in Traditional Chinese Medicine for Parkinson's Disease Based on Data Mining
摘要
Abstract
Objective:To explore the prescription-syndrome type and medication rules of traditional Chinese medicine(TCM)in treating Parkinson's disease(PD)by conducting a multi-dimensional data mining analysis of relevant medical case literature.Methods:Literature published from the inception of databases including CNKI,VIP,Wanfang,and CBM until February 15,2025,was retrieved.A PD medication database was established via Excel.High-frequency Chinese herbs(frequency≥10)were analyzed via Lantern 5.0 and Rstudio software for latent structure modeling,comprehensive clustering,and association rule mining.Results:A total of 239 prescriptions involving 187 Chinese herbs with a total frequency of 2 802 occurrences were included.The top 5 high-frequency herbs were Paeoniae Radix Alba,Gastrodiae Rhizoma,Rehmanniae Radix Praeparata,Angelicae Sinensis Radix,and Glycyrrhizae Radix et Rhizoma.Herbal natures were primarily warm,cold,and neutral;flavors were mainly sweet,bitter,and acrid;channel entries were predominantly the liver,kidney,and spleen channels.The primary effect category was deficiency-supplementing herbs,followed by liver-calming and wind-suppressing herbs.The latent structure model identified 19 latent variables,38 latent classes,and 5 comprehensive clustering models,leading to the summarization of 14 core prescriptions.The main TCM syndrome types of PD were inferred as wind stirring due to phlegm-heat,qi and blood deficiency,insufficiency of the marrow sea,yin deficiency of the liver and kidney,and wind stirring due to blood stasis.Association rule analysis yielded 18 strong rules.The rule"Angelicae Sinensis Radix+Rehmanniae Radix Praeparata → Paeoniae Radix Alba"had the highest support,while the rules"Testudinis Carapax et Plastrum+Ostreae Concha → Paeoniae Radix Alba"and"Angelicae Sinensis Radix+Puerariae Lobatae Radix→Paeoniae Radix Alba"had the highest confidence.Conclusion:The pathogenesis of PD is characterized by a root deficiency(yin deficiency of the liver and kidney,qi and blood deficiency)and branch excess(wind,fire,phlegm,stasis).The treatment should focus on clearing heat,resolving phlegm,boosting qi,and nourishing blood,assisted by suppressing wind and unblocking collaterals.关键词
帕金森病/方证规律/用药规律/隐结构模型/关联规则/数据挖掘Key words
Parkinson's disease/Prescription-syndrome type rules/Medication rules/Latent structure model/Association rules/Data mining分类
医药卫生引用本文复制引用
肖鑫,夏泽华,何蕾,宋雨梦,王凤赢,周欢,韩辉..基于数据挖掘分析中医药治疗帕金森病的方证及用药规律[J].新中医,2026,58(8):1-8,8.基金项目
国家自然科学基金项目(82374212,81971446) (82374212,81971446)
安徽省科技厅临床转化项目(202204295107020044) (202204295107020044)
安徽省教育厅重点项目(2022AH050523) (2022AH050523)