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中医药治疗运动神经元病的用药规律研究OA

Medication Rules of Traditional Chinese Medicine for Motor Neuron Disease

中文摘要英文摘要

目的 采取数据挖掘技术,探析中药治疗运动神经元病的组方配伍规律.方法 收集中国知网、维普资讯、PubMed等数据库中关于中医或中西医治疗运动神经元病的文献中的内服处方,建立临床方剂数据库,对药物进行频次统计分析、系统聚类分析、关联规则分析及网络可视化分析,以探索中药配伍规律.结果 本研究纳入 147篇文献,中药方剂 172 首,涉及中药 225 味,其中频次前 5 味中药为黄芪、白术、甘草、当归、茯苓.挖掘出核心处方为十全大补汤合左归丸加减方.得到鹿角胶-阿胶、黄芪-党参、麦冬-五味子、薏苡仁-苍术、陈皮-半夏、黄芪-马钱子等 15 对药物配伍.总结出高频药物组合 7 组.结论 运动神经元病的病因与虚、湿、热、痰、瘀相关,中医治疗补泻兼施,以补肾填精、健脾益气、滋阴养血为主,兼清热、祛湿、化痰、活血、解毒.

Objective To explore the compatibility of traditional Chinese medicine(TCM)in treating motor neuron dis-ease(MND)by data mining.Methods Collect the oral prescriptions in the literature of traditional Chinese medicine or tra-ditional Chinese and western medicine for motor neuron disease in databases such as CNKI,Vip,PubMed,etc.,establish a clinical prescription database,and carry out frequency statistical analysis,system cluster analysis,association rule analy-sis and network visualization analysis on drugs to explore the rule of compatibility of traditional Chinese medicine.Results 147 articles were included in this study,including 172 Chinese herbal prescriptions,involving 225 Chinese herbs,inclu-ding 51 Chinese herbs with frequency≥15.The core prescription is Shiquan Dabu Decoction and Zuogui Pill.The compati-bility of 15 pairs of drugs was obtained,including deer horn gum-donkey hide gelatin,astragalus-codonopsis pilosula,ophiopogon japonicus-schisandra chinensis,coix seed atractylodes,dried tangerine peel-pinellia ternate,and astragalus-nux vomica.7 groups of high-frequency drug combinations were summarized.Conclusion The etiology of motor neuron disease is related to deficiency,dampness,heat,phlegm and blood stasis.The traditional Chinese medicine treatment combines rein-forcing and reducing,mainly focuses on tonifying the kidney and essence,strengthening the spleen and qi,nourishing yin and blood,and also clearing heat,removing dampness,resolving phlegm,activating blood,and detoxifying.

李晶晶;宋祖琪;张微

宜昌市中医医院,湖北 宜昌 443000宜昌市中医医院,湖北 宜昌 443000宜昌市中医医院,湖北 宜昌 443000

医药卫生

运动神经元病中医文献研究数据挖掘用药规律

motor neuron diseaseTCMliterature studydata miningmedication rules

《现代中医药》 2026 (1)

35-43,9

首发科研专项(首发2022-2-7035)

10.13424/j.cnki.mtcm.2026.01.006

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