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基于数据挖掘技术分析中医药治疗老年性失眠用药规律OA

Analysis of Medication Rules in Traditional Chinese Medicine for Senile Insomnia Based on Data Mining Technology

中文摘要英文摘要

目的:基于数据挖掘技术分析中医药治疗老年性失眠患者的用药规律.方法:检索中国知网、万方数据知识服务平台、维普数据库自2018年1月—2024年2月收录的有关中医药治疗老年性失眠的临床研究文献,采用SPSS Modeler 18.0、SPSS Statistics 27.0构建数据库,对纳入方剂进行中药频次、性味归经统计,并结合Apriori算法进行关联规则分析及聚类分析.结果:共纳入66篇文献,涉及方剂87首、218味中药,高频药物以补益、安神类为主,包括酸枣仁、茯苓、远志、柴胡等.用药药性以温、寒、平为主,药味以甘、苦居多,归经以心、肝、脾、肺、肾经为主.关联规则分析提取出10组高频药对,聚类分析形成3类核心方剂.结论:中医药治疗老年性失眠以补虚安神为核心,注重清热、活血、化痰等治法的协同应用,体现"本虚标实,多脏同调"的核心辨证纲领.

Objective:To analyze the medication rules of traditional Chinese medicine(TCM)in treating senile insomnia based on data mining technology.Methods:Clinical research literature on TCM in the treatment of senile insomnia published from January 2018 to February 2024 was retrieved from the China National Knowledge Infrastructure(CNKI),Wanfang Data Knowledge Service Platform(Wanfang),and China Science and Technology Journal Database(VIP).Databases were constructed using SPSS Modeler 18.0 and SPSS Statistics 27.0.Frequency statistics of Chinese medicinal herbs,as well as their properties,flavors,and meridian entries,were performed on the included prescriptions.Association rule analysis and cluster analysis were conducted using the Apriori algorithm.Results:A total of 66 articles were included,involving 87 prescriptions and 218 Chinese medicinal herbs.High-frequency herbs were primarily tonifying and mind-tranquilizing categories,including Ziziphi Spinosae Semen,Poria,Polygalae Radix,and Bupleuri Radix.The medicinal properties were mainly warm,cold,and neutral;flavors were predominantly sweet and bitter;and the meridian entries were primarily the heart,liver,spleen,lung,and kidney meridians.Association rule analysis revealed 10 groups of high-frequency herb pairs,and cluster analysis indicated three types of core prescriptions.Conclusion:TCM in the treatment of senile insomnia focuses on tonifying deficiency and tranquilizing the mind,emphasizing the synergistic application of therapeutic methods such as clearing heat,promoting blood circulation,and resolving phlegm.This reflects the core syndrome differentiation principle of"deficiency in the root and excess in the manifestation,with multi-organ simultaneous regulation".

聂敏;李青;张无双;王恒鑫;魏梦雪;骆天炯

南京中医药大学,江苏 南京 210023南京中医药大学附属南京中医院老年病科,江苏 南京 210022南京中医药大学附属南京中医院老年病科,江苏 南京 210022南京中医药大学附属南京中医院老年病科,江苏 南京 210022南京中医药大学附属南京中医院老年病科,江苏 南京 210022南京中医药大学附属南京中医院老年病科,江苏 南京 210022

医药卫生

老年性失眠数据挖掘中医药用药规律辨治思路

Senile insomniaData miningTraditional Chinese medicineMedication rulesSyndrome differentiation and treatment strategies

《新中医》 2026 (1)

18-23,6

张钟爱名中医工作室(ZZA-2017-NJ)

10.13457/j.cnki.jncm.2026.01.003

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