基于数据挖掘分析含木香中成药的证治及配伍规律*
作者:
作者单位:

(1. 广州中医药大学第四临床医学院,广东 深圳 518033;2. 深圳市中医院,广东 深圳 518033)

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R289.1

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收稿日期: 2019 - 11- 09
* 基金项目: 广东省自然科学基金项目(2017A030310601);广东省中医药局面上科研项目(20191272);深圳市卫生系统科 研项目资助(201606023);深圳市科技计划项目(JCYJ20160428175010774)
第一作者简介: 张伟健(1996-),男,在读硕士研究生,研究方向:中医药防治脾胃病。
△通信作者: 郭绍举,E-mail:gsj1080@163.com


Analysis of the Syndrome Differentiation and Compatibility Rules for Chinese Patent Medicines Containing Radix Aucklamdias Based on Data Mining
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(1. The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen 518033, China; 2. Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China)

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    摘要:

    目的分析《卫生部药品标准·中药成方制剂》中所有含木香中成药处方的证治及配伍规律,为木香的临床运用及相关新药研发提供参考。方法 基于中医传承辅助平台V2.5系统,运用复杂系统熵聚类、Apriori关联规则算法和改进的互信息法对含有木香中成药处方中的药物分布、性味归经、主治证候及疾病进行统计,并对其核心药物组合和证治配伍规律进行分析。结果 共收集到含木香中成药处方451首,主治证候106种,主治疾病128种,核心药对7对。其中,高频主治证候为食积证、气滞血瘀证,其核心药物组合分别为木香顺气散和香附四物汤;高频主治疾病为积滞和腹痛,其对应的核心药物组合分别为木香顺气散和香砂六君子汤。结论 《中药成方制剂》中含木香的中成药在消化系统疾病上的运用最为广泛,于其他方面的应用较少;其治疗食积证和积滞病均以木香顺气散为基本方;治疗气滞血瘀证和腹痛病,分别以香附四物汤和香砂六君子汤为基本方;木香在抗炎、抗菌及抗肿瘤方面的临床应用及相关新药研发仍需进一步研究。

    Abstract:

    Objective To analyze the rules of syndrome differentiation and compatibility of all prescription preparations containing Radix Aucklamdias in Ministry of Public Health Drug Stangard·TCM Set Prescription preparation, so as to provide a reference for the clinical application of Radix Aucklamdias and the research and development of related proprietary medicines. Methods Based on the Traditional Chinese Medicine Inheritance Support Platform V2.5, data mining methods ,such as complex system entropy clustering,Apriori association rule algorithm and improved mutual information method were used to count the common drugs in the set formulation preparations containing Radix Aucklamdias,and the prescription rules and core drug combinations were analyzed. Results There were a total of 451 set prescription preparations containing Radix Aucklamdias,106 kinds of main syndromes,128 kinds of main diseases and 7 pairs of core combinations. Among them, the high frequency syndromes were the syndrome of food retention and the syndrome of Qi stagnation and blood stasis, and its core drug combinations are Muxiang Shunqi Powder and Xiangfu Siwu Decoction.The principal diseases of high frequency are accumulated stagnation and abdominal pain,and the corresponding core drug combinations were Muxiang Shunqi Powder and Xiangsha Liujunzi Decoction respectively. Conclusion The set prescription preparations containing Radix Aucklamdias in Ministry of Public Health Drug Stangard·TCM Set Prescription preparation, is the most widely used in digestive diseases, but seldom used in other aspects.The treatment of the syndrome of food retention and the disease of accumulation stagnation is both based on Muxiang Shunqi Powder.To treat the syndrome of Qi stagnation and blood stasis and abdominal pain, the basic prescription is Xiangfu Siwu Decoction and Xiangsha Liujunzi Decoction.The clinical application of Muxiang and the research and development of related new drugs in anti-inflammatory, anti-bacterial and anti-tumor fields still need to be further studied.

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