结核与肺部疾病杂志 ›› 2020, Vol. 1 ›› Issue (3): 233-239.doi: 10.3969/j.issn.2096-8493.2020.03.006

• 论著 • 上一篇    下一篇

基于现代文献和数据挖掘探讨支气管扩张症的中医组方用药规律

邱磊, 杨铭, 张少言, 薛玲娜, 田黎明, 李翠, 吴显伟, 鹿振辉, 吴定中()   

  1. 200032 上海中医药大学附属龙华医院呼吸疾病研究所
  • 收稿日期:2020-10-13 出版日期:2020-12-30 发布日期:2021-01-05
  • 通信作者: 吴定中 E-mail:wdz06@sohu.com
  • 基金资助:
    “十三五”国家科技重大专项(2018ZX10725-509);上海市科学技术委员会科研计划项目(18401971700)

Exploration of medication rules of Chinese herb formulae for bronchiectasis based on modern literature and data mining

QIU Lei, YANG Ming, ZHANG Shao-yan, XUE Ling-na, TIAN Li-ming, LI Cui, WU Xian-wei, LU Zhen-hui, WU Ding-zhong()   

  1. Institute of Raspiratory Diseases, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
  • Received:2020-10-13 Online:2020-12-30 Published:2021-01-05
  • Contact: WU Ding-zhong E-mail:wdz06@sohu.com

摘要:

目的 基于现代文献和数据挖掘方法,初步明确支气管扩张症中医组方用药规律。方法 收集建库之日至2020年7月31日文献报道(知网、万方和维普)中有疗效依据的中药复方(共计检索到1056篇文献,纳入符合条件的文献110篇和中药复方141首)建立数据库,运用频次分析、关联规则和聚类分析方法进行数据挖掘,探讨其潜在的用药规律。结果 建库之日至2020年7月31日累计纳入141首中药复方,频数分析显示共涉及中药209味,使用频次≥15的中药有28味;关联规则分析发现了17个两药药对和15个三药药对,聚类分析发现了7类处方或单药,聚焦在清肺热、燥湿、化痰、理气和益气等功效方向,主要针对痰热壅肺证、痰湿阻肺证和肺脾气虚证。结论 基于文献的数据挖掘初步确定支气管扩张症临床辨治用药的核心框架,包括核心药物、核心种类、两药/三药药对和聚类核心复方,为揭示支气管扩张症等慢性肺病一般性组方用药规律提供了有益探索。

关键词: 支气管扩张症, 医学,中国传统, 协同用药, 数据挖掘, 中药复方, 用药规律, 数据说明,统计

Abstract:

Objective To initially clarify the medication rules of Chinese herb formulae for bronchiectasis based on modern literature review and data mining. Methods The Chinese herb formulae for bronchiectasis published in CNKI, Wanfang and CQVIP, from establishment to July 31, 2020, with evidence for efficacy were collected. A total of 1056 references were retrieved, and of them, 110 eligible articles and 141 Chinese herb formulae were included. Frequency analysis, association rules and cluster analysis were used to analyze the data, to explore the potential medication rules for bronchiectasis. Results Using frequency analysis, it was found that 209 Chinese medicines were involved and 28 of them were used more than 15 times. By association rule analysis, 17 two-drug pairs and 15 three-drug pairs were found. By cluster analysis, 7 types of prescriptions or single drugs were found, and they focused on the functions of clearing lung heat, drying dampness, resolving phlegm, regulating qi, and replenishing qi, mainly for the syndrome of phlegm heat that obstruct the lung, the syndrome of the phlegm-dampness retention in the lung, and the syndrome of qi deficiency of both lung and spleen. Conclusion This study preliminarily determined the core framework of medication rules of Chinese herb formulae for bronchiectasis including core drugs, core types of herb, two-drug or three-drug drug pairs and core Chinese herb formula, which provides a beneficial exploration for revealing the general medication rules of chronic lung diseases such as bronchiectasis.

Key words: Bronchiectasis, Medicine,Chinese traditional, Medication reconciliation, Data mining, Traditional Chinese medicine prescription, Medication rules of Chinese herb formulae, Data interpretation,statistical