基于数据挖掘分析方文岩治疗乳腺癌用药组方规律*
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(天津中医药大学第一附属医院,天津 300381)

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R249;R273

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收稿日期: 2019 - 10- 05
* 基金项目: 国家自然科学基金青年科学基金项目(81904151)
第一作者简介: 蒋荣飞(1994-),男,在读硕士研究生,研究方向:中医内科肿瘤。
△通信作者: 方文岩,E-mail:fangwydr@163.com


Analysis of Prescription Rules for Treatment of Breast Cancer by Fang Wenyan Based on Data Mining
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( First Teaching Hospital of Tianjin University of TCM, Tianjin 300381, China)

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    摘要:

    目的分析并总结方文岩治疗乳腺癌用药及组方规律。方法 收集方文岩主任治疗女性乳腺癌门诊处方,运用中医传承辅助平台挖掘其治疗乳腺癌用药特点和组方规律。结果 共纳入处方184首,涉及中药200味,对处方的用药频次、常用药对、性味归经等进行分析,其中,频次≥35的高频药物有32味,排名前5位中药为柴胡、半夏、牡蛎、黄芪、当归;设置支持度个数50,置信度0.97,频率≥50的药对109个,排名前3位高频药对为半夏-黄芩、半夏-甘草、半夏-当归,四气以寒为主,五味以甘苦为主,归经以肝脾经居多,最终挖掘出核心组合16个,新处方8首。结论 方文岩治疗乳腺癌以扶正、疏肝健脾、通络为主,体现其"扶正祛邪通络"的学术思想。

    Abstract:

    Objective To analyze and summarize Fang Wenyan’s treatment of breast cancer medication and prescription rules. Methods Collecting Fang Wenyan to treat prescriptions for female breast cancer clinics, and using The Traditional Chinese Medicine Inheritance Auxiliary Platform to explore the characteristics and prescriptions of breast cancer treatment. Results A total of 184 prescriptions were included, involving 200 kinds of Chinese herbal medicines. The frequency of prescription medications, common drug pairs, Nature and Flavour and Meridian Tropism were analyzed. Among them, 32 kinds of high frequency drugs with frequency(≥35) are used, and the top five Chinese herbal medicines are Bupleurum, Pinellia, Oyster, Astragalus membranaceus and Angelica sinensis. There are 109 pairs of medicines with support of 50, confidence of 0.97 and frequency(≥50). The top three pairs of high-frequency drugs are Pinellia-Scutellaria baicalensis, Pinellia-licorice and Pinellia-Angelica sinensis.Four Natures are mainly cold, Five Flavors are bitterness and sweetness, the Meridian Tropism are mainly liver and spleen meridians. Finally, 16 core combinations and 8 new prescriptions were excavated. Conclusion Fang Wenyan mainly treats breast cancer by strengthening body resistance , dispersing stagnated Liver-Qi, strengthening spleen and dredging collaterals, which embodies his academic thought of “supporting the righteousness, eliminating evils and dredging collaterals”.

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