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基于数据挖掘探析花宝金教授治疗亚实性肺结节的用药规律

Medication Rules of Professor Hua Baojin in Treatment of Subsolid Pulmonary Nodules Based on Data Mining

  • 摘要:
    目的 通过回顾性分析及数据挖掘技术,探析花宝金教授治疗亚实性肺结节的用药规律。
    方法 回顾性收集2021年1月1日至2024年12月31日花宝金教授于中国中医科学院广安门医院诊治亚实性肺结节患者的处方,利用古今医案云平台,进行药物频次、四气五味、归经、药物关联及层次聚类分析。
    结果 共纳入455首处方,含205味中药,总频次12048次。筛选出57味常用药,高频药如生黄芪、焦山楂等。药性以温、寒、平为主,药味甘、苦、辛居多,归经集中于肺、脾、肝经。功效以补虚、清热、化痰止咳平喘药为主。关联分析得对药19对、三味药21组、四位药4组。层次聚类获10组药物组合。
    结论 花教授根据亚实性肺结节的核心病机,在扶正基础上,运用调气解毒学说,调肝脾肺之气,解痰瘀之毒,为临床治疗亚实性肺结节提供了宝贵的经验借鉴。

     

    Abstract:
    Objective To explore the medication rules of Professor Hua Baojin in the treatment of subsolid pulmonary nodules through retrospective analysis and data mining techniques.
    Methods The prescriptions of patients with subsolid pulmonary nodules who were diagnosed and treated by Professor Hua Baojin at Guang’anmen Hospital of the Chinese Academy of Chinese Medical Sciences from January 1, 2021 to December 31, 2024 were retrospectively collected. Data were imported into the Ancient and Modern Medical Case Cloud Platform for analysis of drug frequency, four natures and five flavors, meridian tropism, drug association, and hierarchical clustering.
    Results A total of 455 prescriptions were included, containing 205 kinds of traditional Chinese medicines, with a total frequency of 12048 times. Fifty-seven commonly used drugs were screened out, among which drugs with high frequencies included astragalus membranaceus (raw) and hawthorn fruit (charred). The nature of the drugs was mainly warm, cold, and neutral. The flavor of the drugs was mostly sweet, bitter, and pungent. The meridians they belonged to mainly included the lung, spleen, and liver meridians. Their efficacy was mainly tonifying deficiency, clearing heat, resolving phlegm, and relieving cough and asthma. Association analysis obtained 19 pairs of drug combinations, 21 groups of three-drug combinations, and four groups of four-drug combinations. Hierarchical clustering obtained 10 groups of drug combinations.
    Conclusion On the basis of the core pathogenesis of subsolid pulmonary nodule, Professor Hua applies the theory of regulating qi and detoxifying; regulating the qi of the liver, spleen, and lung; and detoxifying the toxins of phlegm and blood stasis, providing valuable experience for the clinical treatment of SSN.

     

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