基于数据挖掘方法分析丹毒验案的用药规律

Study on medication rules of proven cases of erysipelas based on data mining

  • 摘要:
    目的 基于数据挖掘方法分析丹毒验案的用药规律。
    方法 对古今医案云平台(v1.5.6)和中华医典(v5.0)中丹毒相关验案进行搜集并筛选, 提取其中方剂,统计药物信息,建立数据库,通过古今医案云平台(v1.5.6)的数据挖掘模块分析药物频数和组方配伍规律。
    结果 本研究共筛选出203首有效方剂,包括药物393味,前3味高频使用药物为赤芍、连翘、牡丹皮; 性、味、归经统计分析显示,居前3位的分别为寒、微寒、温,苦、甘、辛,肝经、肺经、胃经; 关联规则分析显示,置信度最高的药对为“牡丹皮→赤芍”; 聚类分析显示为3类,分别为聚1类(连翘、地黄、赤芍、牡丹皮)、聚2类(当归、川芎、防风、黄芩、柴胡)、聚3类(金银花、薏苡仁、牛膝、茯苓、苍术、黄柏); 复杂网络分析得到核心组方,包括赤芍、牡丹皮、地黄、牛膝、连翘、黄芩、黄柏、薏苡仁、苍术、金银花、当归共11味药物。
    结论 丹毒验案的用药思路主要以凉血为原则,在辨证基础上加用利湿、化瘀、解表等祛邪之药,同时兼顾扶正,缓急并举。

     

    Abstract:
    Objective To explore the rules of drug use in treatment of proven cases of erysipelas by data mining.
    Methods The Ancient and Modern Medical Records Cloud Platform (version 1.5.6) and Chinese Medical Code (version 5.0) were collected and screened to extract prescriptions. Drug information was collected, and a database was established. The data mining module of the Ancient and Modern Medical Records Cloud Platform (version 1.5.6) was used to analyze drug use frequency and prescription compatibility.
    Results A total of 203 effective prescriptions were selected, including 393 kinds of drugs. The top three frequently used drugs were Chishao, Lianqiao, Mudanpi. Statistical analysis of property, taste and meridian affinity showed that the top three drugs were cold, slightly cold and warm in nature, bitter, sweet and pungent in taste, liver, lung and stomach in meridian affinity. Association rule analysis showed that the drug pair with the highest confidence was Chishao-Mudanpi, and cluster analysis showed that there were 3 categories: cluster 1 category (Lianqiao, Dihuang, Chishao, Mudanpi), cluster 2 category (Danggui, Chuanxiong, Fangfeng, Huangqin, Chaihu) and cluster 3 category (Jinyinhua, Yiyiren, Niuxi, Fuling, Cangzhu, Huangbai). The core formula was obtained by complex network analysis, including 11 drugs (Chishao, Mudanpi, Dihuang, Niuxi, Lianqiao, Huangqin, Huangbai, Yiyiren, Cangzhu, Jinyinhua, Danggui).
    Conclusion The medication rule of proven cases of erysipelas is based on the treatment principle of cooling blood. At the same time, it is necessary to add the drugs with actions of expelling the pathogens by removing dampness, blood stasis and relieving exterior syndrome on the basis of syndrome differentiation, and emphasize on reinforcing healthy qi to deal with priorities.

     

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